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HomeMy Public PortalAbout5826 SULTANA AVE_Electrical__ J.9C1Kar£s 76A8@�3;CE8084;1'-71 APPLICATION FOR ELECTRICAL PERMIT COUNTY.OF LOS ELES DEPARTMENT OF COUNTY GENGINEER 82�j AVp Sultana BUILDIN BUILDING AND SAFETY DIVISION ADDRES� I LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE I OWNER .John Williams RECEPT._ $ s ' MAIL LIGHT TOTAL FIRST 20 25 ADDRESS 5826 Lap siibtalla CITY i.���� city TEL. N0. SWITCH_ OVER 20 ,10 � PLAN CHECK LIGHTINGFIRST 20 .25 APPLICANT TOTAL FIXTURES OVER 20 .10 ADDRESS RESIDENTIAL APPLIANCES CITY y� TEL. NO. PERIT RANGE DRYER f,WTR. HTR. I APPLICANT Raymr Electric Compsay STA. COOK DISP, F.A.U. ADDR �E aSS., 315 Sop San GabrielL B1v. SPACE HTR, AIR COND.-I CITY�7an Gabriel TEL. N0: 207 0477 CLOTHES WASH. DISHWASH. {� LICENSE N0. 25L205- CLAS P, LO FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE-THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY 'MOTORS, TRANSFORMERS RATIN6 WITH ALL COUNTY ORDINANCES'AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. I ELECTRICAL WIRING. SIZE & TYPE OVER . TO y .II HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED REQUIRED LOS ANGELES COUNTY•ANO STATE OF O - 1 1,00 d CALIFORNIAA5 OR THAT 1 .THE LEGAL OWNER OF, AND INTEND TO 1 - 10 9.00 RESIDE IN, THE A DESCRIBED ESIDENTIAL PROP Y. Q SIGNATURE 10 - 50 5.00 I OF PERMITTEE 0 50— 100 10.00 DISTRICT NO. CLASS SSE BY W 1.00 - 500 15.00 1 n' SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: Z TUBE, OR MARQUEE, ADDITIONAL CIRCUITS 1.00 1 SERVI CENOTOVER 600 VOLTS OR 200 AMP 3.00 ®O APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CE OVER 600 VOLTS OR 200 AMP 10.00 TEMP.POWER POLE TEMP SERVICE,POLE,&APPURTENANCES 5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT i 1 WIRING 17 FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL.) I UTILITY CO. NOTIFIED PLAN CHECK FEE FINAL PERMIT ISSUING FEE 3.00 TOTAL FEE a> PLAN CHECK VALIDATION CK. M.O. CASH PERMIT V .L ATION cK J M.O. CASH• � nf_ 230273 JUL 19 2 D6 2-5� SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE Ak : • WORKER% COMPENSATION DECLARATION CE-8o6G '°'81 APPLICATION' FOR ELECTRICAL PERMIT I.hireby affirm tha ave a certificate of consent to self insur+, or a certificate of Workers' Compensation Insurance,or a.certified COUNTY OF LOS ANGELES ° BUILDING AND.SAFETY �J copy thereof(Sec.360b,Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN JOB I ,r S� 6 r ❑ .Certified copy is hereby furnished. New Residential Bldgs.&Pools EACH NO. FEE ADDRESS rtified copy is filed with the county building, inspectio 1 &2-Family,Sq.Ft. $ $ I LOCALITY 450- '04-C G dlerpSar f ent. V/ Multi-family Sq.Ff. NEAREST �� O^�. . Applicant v�^�' t CROSS ST. /T7� Residential Swimming Pools OWNER OR 1 FIRM NAME CERTIFICATE OF.EXEMPTION FROM WORKERS' Outlets:Rec O 1 + L. UV S f L!ght-7—Sw,e First 20 I MAIL S U'V—INJu` Y COMPENSATION INSURANCE i ADDRESS /V r (This section need not be completed If the work Involved by th `w ' Total No. Additional CITY L Tel.No.. G(�� permit is for one hundred dollars($1'00)or less.) , 1 PLAN CHECK I certify that in,the performance of the work lo which.this permit APPLICANT i is issued, I shall,not employ any person in any manner so a to ; become subject to the Workers'Compensation Laws. f Lighting FixturesrJ First 20.+ ADDRESSAd I` Total No._� ditional . CITY Tel.No: Date Applicant Fixed Appliances Not O r 1 HP I, PERMIT .NOTICE TO APPLICANT: If, after making this Certificate o r jam( Exemption,you should become subject to the Workers`Compensation Range_ Heater D.W. ' APPLICANT provisions of the Labor Code,you must forthwith comply`with suce Oven Dryer_ W.M._ ADDRESS -17 AI-C— provisions or this permit shall.be dgemed revoked. Top _ FAU W.H. _ CITY / Tel.No. LICENSED CONTRACTORS DECLARATION Hood — Farr _ Other_ I hereby affirm that I,am licensed under provisions of Chapter 9 Disp. — Room AirCond : LICENSE'OR / ^ V (commencing with Section 7000)of Division 3 of the Business and. . , REG.NUMBER :/,�L�nL Class. Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances :i DISTRICT NO. PROCESSED BY j !, U I� OZ Size&Type HP,KW;KVA,or KVAR I L/l V 4 License Number ` Lic.'C.lass Cel I�. +. Up'to 1'Incl. : I' FINAL `�' Over 1 to 10 Incl. i DATE Contractdr Date. I a r 50 I ' ; U Over 10 to Incl. f i FINAL ❑ I am exempt under Sec. Over 50 to 100 Inc. BY LL1 BAP: Over 100C.for this reason ? / N Services,Swbd.,MCC&Panelboards ' a Date: 0 200 Amp.Under 600 V Signature l 201 _ 1000 Amp.Under 600 V Over 1.000 Amp.or Over 600 V Exemption for Reg.Maint.'Elect. E1320A SINGLE FAMILY •• 1 Temp.Power Pole&Appurtenances. # 0 0 0 0 0 2 HOMEOWNER-BUILDER DECLARATION Sign with One Branch Circuit 1 hereby affirm that I am exempt from the Contractor's License Law 1,6 o 5 a 2 5 for the following reason(Section.7031.5,Business and Professions Additional Sign Branch Circuits Code.): � � o o 0 5 Q 2 5 I Misc.Conduits&,Conductors ❑ 1,as owner of the property,will do the work and the structure Other'(See Complete'Fee Schedule) _ I • 12 1 4-88 is.not intended or offered for sale (Section 7044, Business and Professions Code). I l •I ' CONSTRUCTION LENDING AGENCY ' 1 hereby affirm that there is a construction lending agency for the performance of'the work for which this permit is issued(Sec.3097,. PERMIT FEE (Sub-Total) Civ:C.). . , , PLAN CHECKING FEE Lender's Name ), PERMIT ISSUING FEE Lender's Address ��'%') I certify that.l have read this application and state that the above TOTAL FEE V V r. A information.is correct.I agree to comply with all County ordinances ; and State laws regulating Electrical wiring, and hereby authorize I representatives of this County to enter upon the above-mentiorie8 for inspection purposes. I SEE REVERSE FOR EXPLANATORY LANGUAGE r I. Signature of Permittee Dat �� WORKER S'COMPENSATIO.NDECLARATION CE-806G (2$0) APPLICATION FOR EIJECTRICAL PERMIT ' CE-806 1. hereby affirm that I have a certificate,of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure,or a certificate of Workers'Compensation Insurance,or' �0e i ccQUiSV*rb f(Sec.3800'IIIS C.Co. r . W j FOR APPLICANT TO FILL IN JOB Policy No. Company t New Residential Bldgs.&Pools EACH NO. FEE ADDRESS 5826 Sult;ana of the West ❑ Certified copy is hereby furnished. 1 &2-Family,Sq.Ft. $ — $ LOCALITY Temple Citi ® Multi-family Sq. Ft. NEAREST Certified copy is filed with the county building inspection I Residential Swimming Pools CROSS ST Las Tunas department. OWNER OR 11-6-81 Edwards Electric I FIRM NAME Date Applicant. Outlets: Rec.—Light _ Sw. MAIL First 20 ADDRESS CERTIFICATE OF EXEMPTION FROM WQRKERS' Total No. Additional CITY Tel No. COMPENSATION INSURANCE PLAN CHECK O. (This•section need not be completed if the work involved APPLICANTLighting Fixtures First 20 � r, by the permit is for one hundred dollars ($100) or less.) Additional ADDRESS Total No. O : Fixed Appliances Not Over 1 HP W, permit is issued,.l shall not employ any person in any manner 1 PERMIT so as to become subject to the Workers'Compensation Laws. Range—Heater_D.W._ APPLICANT a Oven Dryer_W.M._ ADDRESS 2535 S. 3rd Ave. Z Date." . Applicant Top _FAU —W.H.._ Hood _ Fan _Other— CITY Arcadia Tel No. 4.4.7-5096' NOTICE TO APPLICANT: If, after making this Certificate of Disp. _Room Air Cond. LICENSE OR Exemption, you should become subject to the Workers' REG.NUMBER Class 'Compensation provisions of the Labor Code, you must forth- I Power Apparatus&Large Appliances DISTRICT NO.. PROCESSED BY with comply with such' provisions or thin permit shall be Size&Type HP,KW,KVA,or KVAR deemed revoked; Up to 1 Incl. Over 1 to 10 Incl. FINAL DATE LICENSED.CONTRACTORS DECLARATION Over 10'to 50 Incl. VALIDATION I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINALBY � 9 (commencing with Section 7000)of Division 3 of the Busi- ! Over 100 ness and Professions.Code, and my license is.in full force and effect. Services 257191' C-10 o-zoo Amp.Under 600 V License Number Lic.Class Edwards Eleet6�9 July 1g82 201-1000 Amp.Under 600 V a Contractor Over 1000 Amp'.or Over 600 V , HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances I hereby affirm that I am exempt from the Contractor's " Sign with One Branch Circuit: , License Law for the following reason (Section.7031.5, Busi- Additional Sign Branch Circuits ness and Professions Code): Q 4 7 5 5 P. Misc.Conduits&Conductors ❑ I, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— It 0'0,0 0 o 2 structure is not intended or offered for sale (Section 7044,Business and Professions Code). o o a o 0 0 o n CONSTRUCTION LENDING AGENCY I hereby affirm that there is. a construction lending,agency � � 1 4-81 for the performance. of the work for which•this permit.,is PERMIT FEE (Sub=Total) ' - issued(Sec.3097,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's.Addresi PERMIT ISSUING FEE I certify that I have read this application and state that the TOTAL FEE No Fee above information is correct.I agree to comply with all.-County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of,this County to enter upon ' the above-mentioned property for inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE il,/ .4-6-81 Signature of Permittee Date '• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ``'ELECTRICAL PERMIT' DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS 'EL---0508-990331001'8 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: GAL ID: FEES PAID BUILDING.ADDRESS: TR: 5905 LT: 103 5826-SULTANA-ft' FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP-CN 9'(7801838 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS DR. 5387-015-019 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY HA FAU LESS 3HP 1.00 FAU 10.80 TENANT: JB AC UNITS +3-10HP 1.00 AC 19.80 ISSUED ON: PROCESSED : PLAN BY: EXPIRES ON: TOTAL FEES 58.35 03/31/99 UT 03/31/00 OWNER: TEL. N0: FINAL DATE FINAL BY: ODE: WONG SHEK F;KAM M (626) 286-6019- '/&„ 5826 SULTANA AV TEMP 917801838 D SCR P IO OF WORK r ELECTRICAL FOR NEW HVAC SYSTEM APPLICANT: TE O: ALAN LEE SERVICE (626) 369-2546- 1672 CLAY HILL AVE. SPECIAL CONDITIO S: HAC. HGTS., CA WALES c® CONTRACTOSERVICE TEL. N369-2546- V® ��Ty APPROVALS DATE INSPECTOR SIGNATURE 'ALAN LEE1672 CLAY HILL AVENUE LIC. NO TEMPORARY POWER POLE HACIENDA HEIGHTS, CA 91745 635793/C20 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: - / ER GROUND LIC. N04. L 1111111 ROUGH CONDUIT ROUGH-WIRIN Uf� IUn1 IN O LJ 11� PLASTICTER Y/NLINE METAL Y/N UTILITY COMPANY NOTIFIED Z7 rt�� 0 ®� ® � �5 46��c ❑ce�ha� 0� %ervi REPORT ID: DPR265 ROUTE TO: BS0508