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
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REPORT ID: DPR265 ROUTE TO: BS0508