HomeMy Public PortalAbout5836 SULTANA AVE_Electrical__ BA6V-CEBOE`.5-62 " APPLICATION FOR E���TRI I. PERMIT
COUNTY OF LOS ANGELES
£ DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY lgrl
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. ' TOTAL NO. EACH FEE
LIGHT OUTLETS FIRST 201 111-1 .20.s MAIL
ER �^ s•
ADIPL 10 ADDRESS .✓ /�
SWITCH. OVER 20
/ b
At
EL.NO.LIGFITING TOTAL F1RST20 .20CITY
FIXTURES ADD'L ELECTRICI 1--i-I
OVER 20 ,Ip �O (0
A
Af
RANGES CLO.DRYERS WTR.HTRB. 1.00 ADDRESS p�
GARB.DISP. BTA.COOKX-
CITY PAL TEL.NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRB. STA.APP.(Vs H.P.MAX.) ,50 LICENSE NO. FJ A'
MOTORS: OVER NOT OVER H.P. DIST I T GR
O 1 1.00
1 3 1.50 /fNSPECTION RE ORD
9 S 2.00
S -
2.50 a
O
1s so 3.00
so too 5.00 1
SIGNS: NO.TRANS- I I
NO.LAMPS W
a
SERVICE 0.600V-N6T OVER 200A 1.00 Z
SERVICE O.000V-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE2.00 07 0-6
SUPPLEMENTARY PERMIT ISSUING FEE' 1.00
TOTAL FEE ffi 3 66
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THELE OWNS OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE r ,,
FINAL �/ 7(�Il+) ,9&l
VALIDATI. ARTHUR C. VEIT
CK MO tSH SUPERVISING ELECTRICAL ENGINEER
LAUo 7. 5 3 6% NOV 2 8 2 D 3.00-i
r
• h
COUNTY OF LOG ANGELES APP'LMT= FOS PERM
EIMMON ELECTRIC i
WILLIAM L FOX.Oaeb ESoINIQ
FOR AP ICANT TO FILL IN p marr ICT O. CROUP ZONE PZRM r N;72O.
ELECTRICIAN f 7 "
REO ■Y READY FOR ESA 1 ED
ADDR FIRl1'INNPECTION
CITY. y TEL N0.
DOUNTY LICENME N0. / 9WIRES NUILDINR
PER=R= t= �Ap
MUMMER EACH FES LOCALITY
LIGHT OUTLET■ NEMER �'
REDEPTAOLEN
WALL dWITOHE! OWNER `
TOTAip OUTLETM 6oa AIL
FLED. RANNEM m ADDREm
ELEC. HEATER! m CITY TEL, N0.
FIXrU m 1 HERSEY AO10101NLEDOE THAT 1 HAVE READ THIM
MWO. APPLICATION AND MATE THAT THE ANOVE IN CORRECT
mummKp Or LIGHT OIROUIT■ AND ANNEX TO COMPLY WITH ALL COUNTY ONOINANDEN
MUMMER Or RECEPTAcm OIROu1TG AND ■TATE LAMIM RE■ULATING ELEOTRICAL WIRIMIL
MOTORS 1 OKMTIrY THAT 1 POP a THE ANOVE VALID ION
NYMN01 HORNEPOWER rag ANGELEM COUNTY LIOENME. OR 1 AN THE LEGAL OWNER
NEW SWOM HP Uvm 1140. EANx Or THE RESIDENTIAL PROPS DENC EO ANOV6
va a 1SaN .!N MI■NATURE OF
i .w EMITTER
1.001
s . is
�s GO s.w
GO s.m
so0 sm 106013
em ,IDm ,ts m
Z
OvER I DDO Mdm
MA. MR CHANGER-HP
WELORMI AD-RVA O
■MERATOR! - RW
T ■rORMERf - EV .
TEMP. MOTORS or oR1
MOVED•MOTDIIN 1714 or amaj
MIND. '
• BI�Ne
MC NO.TRANM,
.Na N �►PPSOVAU
FOR EACH PERMIYt DATEIN■PEOTOR7 NAME
WIRING 1,00• O�Q CONDUIT
rIXTUREM 7.m WIRING
PIOLZMENTARY . O rormu N
' r OWER
TOTAL FEE !! UTiuw C0.NOTIFIED 7erJ
rINAL l` .
lum 11310#11A * v
WORKERS'C.OMPENSATIONDECLARATION CE.86 APPLICATION FOR HIECTR.ICAL PERMIT
I hereby affirm. that I have a certificate of consent to self r COUNTY OF LOS ANGELES BUILDING AND SAFETY
insure,or a certificate of Workers'Compensation Insurance,or a /
aog;,tifjedco y thereof Sec.3800,Lab.C.)
O t e.� FOR APPLICANT TO FILL IN' JOBPolicy No. Company rir^� +± EACH "NO. FEE ADDRESS
New Residential Bldgs.&Pools
❑' Certified copy is hereby furnished. 1 &2-Family.Sq. Ft. $ _ $ LOCALITY
;1>�G
Certified copy is-filed with the county building inspection Multi-family wi miFt. NEAREST
department.. I Residential Swimming Pools
++ PRNE
M AM /f/�c�. CG • �D/�� J ` '
Date Applicant 1 Outlets: Rec Light_'.§w._ 7 AIL r+��
First 20 ✓ ADDRESScJ J✓ c;;;7 l'
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY!" Yel No
COMPENSATION INSURANCE ! PLAN-CHECK a0
APPLICANT
(Thj's section need not be completed if the work involved 1 V .
Lighting Fixtures First 20 ADDRESS
by the. permit is for one hundred dogars ($100) or less.) Additional
Total No..., CITY Tel No. H
I certify that-in the performance of the work for Which this Fixed Appliances Not Over 1 HP V
permit is issued, I shall not employ:any person in any manner PERMIT �.,, W
so as to become;subject to the Workers'Compensation Laws. 'i Range_Heater_D.W._ ! APPLICANT /:5 a
Oven — Dryer_W.M._ ADDRESs�s"'3`r- sf � � Z
Date Applicant Top' _ FAU _W.H. CITY Tel•No �r
Hood _.-Fen • _O.ther_ `.
NOTICE TO APPLICANT: If, after making this Certificate of Disp. _Room Air Cond.— LICENSE OR
Exemption, you should become subject to the Workers' I REG.NUMBER bC.Cless C�
.Compensation provisions of the Labor Code,you must forth- • Power Apparatus&Large Appliances. DISTRICT NO. � PROD SED BY
with comply with such provisions or this permit shall be Size-&Type HP,KW,KVA,.or KVAR
deemed revoked. J Up to 1. Incl. 5
� A�_
FINAL
Over 1 to 10 Incl. DATE 'VALIDATION
LICENSED CONTRACTORS DECLARATION } O..ver'10 to 50 Incl.
I hereby affirm that I am licensed under provisions of Chapter Over SO.to 100 Inc. BY AL
®...•' I
9 (commencing with Section 7000)of Division.3 of the Bust- I Over 100 '
ness and Professions'.Code,and my'license is in full force'and f
effect. Services
06200 Amp.Under 600-V
License Number f Lic..Class
201-1000 Amp.Under 600.V ,
Contrac Date Over 1000 Amp.or Over 600 V
HOME OWNER-BUILDER DECLARATION ' Temp.Power Pole&Appurtenances
Sign with One Branch Circuit44�h
I hereby'affirm that I am exempt from the Contractors Additional Sign Branch Circuits F ,,-•;�tR"F; � '
License Law for the following reason (Section 703.1.5, Busi-
ness and Professions Code):
Mises Conduits&Conductors
O 'I, as owner of the.property, Will do the Work and the Other(See Complete Fee Schedule)—
structure is not intended or offered for sale (Section
7044,Business and Professions Code).
CONSTRUCTION LENDING AQEKCY
'I ereby affirm ;that there is a construction'lending agency '
for the performance of the 'work for which this permit is PERMIT FEE (Sub-Total)
issu d(Sec.3097,Civ.C.)-:1.Len r'sNamePLAN CHECKING FEE (One-Fourth Perinit Fee) ,
Lende 's Address PERMIT ISSUING FEE lJ
I certify that I•have read. this application .and state that the TOTAL'FEE
above information is correct.I agree to comply with all County 11 I
ordinances and State laws regulating Electrical wiring, and
hereby authorize representatives of this CountY to enter upon ?laboion purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE a
Signature of ittee Date
COUNTY OF LAS ANGELEF TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0702220005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BIIILDING ADDRESS: I
ITR: 5905 IT: 101 I I 5836 SULTANA AV I
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917801838 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LAS TUNAS I
15387-015-017 IA1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 28.00 OUT 49.80
ITENANT: IG2 LIGHTING FIXTURES 20.00 LGT 39.00 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
IHA FAU LESS 3HP 1.00 FAU 10.95 102/22/07 JK 08/21/07 1
IH2 RES GRBG DISP IT 3HP 1.00 DIS 10.95 1 I
(OWNER: TEL. NO: IH3 RES DISHWASHR LT 3HP 1.00 DIS 10.95 IFIWAL DATE FI Y: CODE: 1
IHOGAN, NELLIE (626) 823-2169- IH4 RES RANGE HDS LT 3HP 1.00 HOO 10.95 1 I
15826 SULTANA AV H7 RES EXHAUST FANS 1.00 EX 10.95 1 I
TEMP 917801838 IJB AC UNITS +3-10HP 1.00 AC 19.65 lbgSC91PTIONPOF WORK 1
1 ILA 100 AMP PANELS, MCC 1.00 PAN 38.85 (ELECTRICAL FOR ADDITION BIODET, & UPGRADE SERVICE TO 100 1
TOTAL FEES 229.80 TAMP 1
1APPLICANT: TEL. NO: 1 I
1DAVID HO (626) 202-3730- I I I
ISPECIAL CONDITIONS:
I
I I
(CONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE I
IH088 CONSTRUCTION (626) 202-3730- 1 1 I
15836 SULTANA AVENUE LIC. NO I ITEMPORARY POWER POLE I I I
ITEMPLE CITY, CA 91780 852362 B I I
1UNDERGROUND CONDUIT I I
(ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I I
ICLEMENT TAI (626) 823-5045- I
19552 WENDON STREET LIC. NO: I (ROUGH CONDUIT
ITEMPLE CITY, CA 91780 NONE
1 IROUGH WIRING I I
1 1 IMAIN WATER LINE �I I
PLASTIC Y/N METAL Y/N I I I
(UTILITY COMPANY NOTIFIEDI I
1 1 I I I I
1 I I I I
1 1 I I I I
I I I I I I
I I I I I
I 1 I I I II
I
I I I I
REPORT ID: DPR265 ROUTE TO: BS0508
I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0703220007
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID I BUILDING ADDRESS: I
ITR: 5905 IT: 101 I 1 5836 SULTANA AV 1
(FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917801838 ]
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LAS TUNAS
15387-015-017 1A1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl
TG1 OUTLETS-LGT,SW,RECP 4.00 OUT 7.80 I I
ITENANT: IG2 LIGHTING FIXTURES 4.00 LGT 7.80 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 43.35 103/22/07 JK 09/18/07 T
I 1
TOWNER: TEL. N0: IFI DATE FI CODE: 1
1HOGAN, NELLIE (626) 823-2169- 1 I / I
15826 SULTANA AV 1 I I
ITEMP 917801838 T TDESCRIPTION bF WORK 1
I I TELECTRICAL FOR 2 NEW BATHRO 1
(APPLICANT: TEL. NO: 1 I I
(DAVID HO (626) 202-3730- 1 I
ISPECIAL CONDITIONS:
I
ICONTRACTOR: TEL. NO: I ]APPROVALS DATE INSPECTOR SIGNATURE 1
1HO88 CONSTRUCTION (626) 202-3730- 1 1 I
15836 SULTANA AVENUE LIC. NO 1 ITEMPORARY POWER POLE I I I
TEMPLE CITY, CA 91780 852362 B I I
(UNDERGROUND CONDUIT
I I I
(ARCHITECT OR ENGINEER: TEL. NO: 1 IUFER GROUND I I I
I I I
(CLEMENT TAI (626) 823-5045- 1 I I ] I
19552 WENDON STREET LIC. NO: I IROUGH CONDUIT I I I
ITEMPLE CITY, CA 91780 NONE I 1 ]
I I (ROUGH WIRING I ]
I I IMAIN WATER LINE I I
1 1 (PLASTIC YIN METAL YIN I 1 I
I I ]UTILITY COMPANY NOTIFIED(
I I
1 I 1 I I I
I I I I I I
1 i I I
I 1
I I
I (REPORT ID: DPR265 ROUTE TO: BS0508 I I I I
T I I I I I