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Home My Public Portal About5703 SULTANA AVE_Electrical__ ` COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0307300027 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL I SADDRESS: TR: 12157 LT: 11 BL: .001 5703 SULTANA AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802368 ASSESSORI NEAREST CROSS STREET: LAS TUNAS 5387-029-010 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 50.00 OUT 79.50 TENANT: G2 LIGHTING FIXTURES 20.00 LGT 39.00 ISSUED ON: PROCESSED BY: PLAN BY: EXP RE . HA FAU LESS 3HP 1.00 FAU 10.95 07/30/03 JK 01/26/04 . JB AC UNITS +3-10HP 1.00 AC 19.65 OWNER: TEL. 0: TOTAL FEES 176.85 F DAT INAL BY: CODE: CHAN KEN G & WOO REGINA M (626) 285-8218- -xt aei 5703 SULTANA AVENUE TEMPLE CITY 91780 DESCRIPTION OF WORK ELECTRICAL FOR ADDITION/REMODEL APPLICANT: 0: SAME AS OWNER SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO TEMP AR POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGIWEER. TEL. NO: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WR NG MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY OTIFIED REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0209260015 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL PAID BUILDING ADDRESS: TR: 12157 LT: 11 BL: .001 5703 SULTANA AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802368 ASSESSOR N NUMBER: NEAREST CROSS STREET: LAS TUNAS 5387-029-010 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 25.00 OUT 45.75 TENANT: G2 LIGHTING FIXTURES 12.00 LGT 23.40 ISSUED ON: PROCESSED-BY: PLAN S H4 RES RANGE HDS LT 3HP 1.00 HOD 10.95 09/26/02 JK 03/25/03 JS AC UNITS +3-10HP 1.00 AC 19.65 OWNER: TEL. NO: TOTAL FEES 127.50 FINAL DATE FINALB CODE: CHAN KEN (626) 285-8218- 5703 SULTANA AV TEMP 917802368DESCRI'PTON OF WORK ADD ELECTRICAL OUTLETS & LIGHTS THROUGHOUT HOUSE, REPLACE APPLICANT: TEL. RANGE HOOD SAME AS OWNER - .�� _ SPECIAL CONDITIONS: CONTRACTOR: EL.. N0: �, :� F M1` ' ` APPROVALS E INSPECTOR SIGNATURE SAME AS OWNER LIC. NO /v, ��.- TEMPORARY OL �'`. (F i �. ':.� "• UNDERGROUND CO DUIT RCH C OR ENGINEER: TEL. UFER GRO LIC. N0: i lR_ ROUGH CONDUIT ROUGHWRI G ! ri • ;' ,, MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY OMPANY ED REPORT ID: DPR265 ROUTE TO: BS0508 ' I WORKERS'COMPENSATION DECLARATION PE-806G 1081 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self insure, ) I or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY u copy thereof(Sec.3600,Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN JOB ❑ Certified copy is hereby furnished. EACH NO. FEE ADDRESS � P - LV��+ New Residential Bldgs.&Pools $ _ $ LOCALITY ❑ Certified copy is filed with the county building inspection 1 & 2-Family,Sq.Ft. — department. Multi-family Sq.Ft. NEAREST CROSS ST. OAS TILIVAS Date Applicant Residential Swimming Pools �s a *44V 1"C CHAT.1 FIRM NAME k`�v CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL COMPENSATION INSURANCE Outlets:Rec—Light_ t 2 — ADDRESS 5703 Li AVi This section need not be completed if the work involved by the First 20 ( p Total No. Additional CITY T Cf ZI r Tel.No. 4 3-.41J20- 1 3 j20- � permit is for one hundred dollars($100)or less.) 1 certify that in the performance of the work for which this permit A�CANTK is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS c Additional � Total No. CITY Tel.No. Date `4 2 Applicant Fixed Appliances Not Over 1 HP NOTICE O APPLICANT: If, after making tis Certificate of PERMIT Exemption,you should become subject to the Workers'Compensation Range_ Heater D.W. APPLICANT Ili p IArr provisions of the Labor Code,you must forthwith comply with such Oven _ Dryer_ W.M._ ADDRESS S)r73 $LI` AUC. provisions or this permit shall be deemed revoked. Top — FAU W.H. _ CITY A- Lt C(T. Tel.No. 3-3 LICENSED CONTRACTORS DECLARATION Hood _ Fan Other_ I hereby affirm that I. am licensed under provisions of Chapter 9 Disp. — Room Air Cond. LICENSE OR Class. (commencing with Section 7000)of Division 3 of the Business and REG.NUMBS Professions Code,and my License is in full force and effect. Power Apparatus&Large Appliances. DISTRICT No, (� PRO B i Size&Type HP,KW,KVA,or KVAR �' "� Q License Number Lic.Class Up to 1 Incl. FINAL VV Over 1 to 1.0 Incl. DATE r7 / lX Contractor Date (� VALIDATION 15 ElOver•10 to.50 Incl. FINAL I am exempt under Sec. Over 50 to 100 Inc, BY a I BAP.C.for this reason Over 100 y Services,Swbd.,MCC&Panelboards 001. Z Date: 0-200 Amp.Under 600 V ' Signature 201 - 1000 Amp.Under 600 V ❑ Over 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole&Appurtenances 2 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law Additional Sign Branch Circuits ACCT.airfor the following reason(Section 7031.5,Business and Professions Code): 3303 65.60 1,as owner of the property,will do the work and the structure Misc.Conduits&Conductors 1 ITEMS is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) _ 111111. TOTALp��o � and Professions Code). CONSTRUCTION LENDING AGENCY CASH 65060 1 hereby affirm that there is a construction lending agency for the �` CHANGE .00 performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub Total) 56 5D Civ.C.). Lender's Name PLAN CHECKING FEE OM-0001 10/12/95 PERMIT ISSUING FEE : r3� 2763 1 A.11018 Lender's Address PP s 00 I certify that I have read this application and state that the above TOTAL FEE Information is correct.I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize ,epresentatives of this County to enter upon the above-mentioned 3roperty for ins ction purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE fIgnature rmittee Date