HomeMy Public PortalAbout5946 SULTANA AVE_Electrical__ s
COUNTY OF IAS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS i 9701 LAS TUNAS EL 0508 0709210027
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 5904 UN: .003 5946 SULTANA AV
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801547
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
15384-015-003 IA1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, CI
IF2 208, 277V LGT BR CRT 1.00 BR 27.30
ITENANT: I TOTAL FEES 55.05 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
109/21/07 SR 03/19/08
(OWNER: TEL. NO: I IFINAL D TE FINAL CODE: I
ICHUNUDI, TARN (626) 309-0215- I I .— O
15946 SULTANA AV I I
TEMP 917801547 JESi INEWCRIPTION CIRCUIT OF RK I
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(APPLICANT: TEL. NO: 1 I I
LARGO (626) 332-8200- I I
1662 SHOPPER IN #A I ISPECIAL CONDITIONS:
ICOVINA, CA 91723
I
ICONTRACTOR: TEL. NO: I [APPROVALS DATE INSPECTOR SIGNATURE I
[ARGO CONSTRUCTION SERV. (626) 332-8200- 1 1
1662 SHOPPERS LANE #A LIC. NO I ITEMPORARY POWER POLE I I I
ICOVINA, CA 91723 632879 I 1 I I
I (UNDERGROUND CONDUIT
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1ARCHITECT OR ENGINEER: TEL. N0: I 1UFER GROUND I I I
LIC. NO: I TROUGH CONDUIT I 1 I
IROUGH WIRING �[6 JJ1 I�I I
I I IMAIN WATER LINE 1 I 1
I I IPLASTIC Y/N METAL Y/N I I I
I [ (UTILITY COMPANY NOTIFIEDI I I
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[ REPORT ID: DPR265 ROUTE TO: BS0508 I I I I
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ry BARKERS'COMPENSATION DECLARATICk 79A863. 10/81
fp' it CE-80BG APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I-Ave a$��j'tifieate of consenf to self insure,
or a certificate of Workers'Co. �pensation I(Isurance,or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY
copy. thereof(Sec.3800.Lab:C.) i
Policy IVo. Company. / FOR APPLICANT TO FILL IN JOB �q
❑ Certified co �' EACH NO. FEE ADDRESS
copy is hereby furnished. New Residential Bldgs.&'Pools
LOCALITY
b/Certified copy is filed with the'count building inspection 1 &2-Family,Sq.Ft $ _ $ NEAREST 1
deppIrrient. Multi-family Sq.Ft. CROSS ST. S
Date G' Residential-Swimming Pools OWNER.OR
Applicant' S�
/�� A� FIRM NAME
CERTIFICATE OF EXEMPTION.FROM WORKERS' • Outlets:Rec 1_,_,r Light-1--�-.Sw.� MAIL
COMPENSATION INSURANCE First 20 . ADDRESS ry,r CUL-4
(This section need not lie dmpleted if the work involved by the Total No. Additional CITY Tel.No.
permit Is for one hundrl dollars($100)or less.)
I certify that in the pd f rmance of the work for which this permit PLAN CHECK
is issued, I shall not1employ any person in any manner so as to is
'
become subject tD't a Workers'Compensation,'Laws. Lighting Fixtures Fret 20 ADDRESS
! Total No. -7 Additional CITY Tel.No. "
Date Applicant. Fixed Appliances Not Over 1 HP
NOTICE TO'•APPLICANT: If, after making this Certificate of PERMIT
Exemption;you should become subject to the Workers'Compensation Range_ Heater. D.W. _ APPLICANT
provisions of the Labor Code,you must forthwith comply with such Oven _'Dryer W.M._ _ •ADDRESS 3
A05-
provisions or this permit shall be deemed revoked. Top FA � W.H.
LICENSED CONTRACTORS DECLARATHood Fan.ION Other
CITY A�C�64 Tel.No. ��jy�.lJl
_. � =
I hereby affirm that I am licensed under provisions of Chapter 9 Disp. —. Room Air Conic. LICENSE OR aplUP Class. G
(commencing w'ith'Seetion 7000)of Division 3 of the Business and REG.NUMBER !!
rofessions Code,and my license is in full force and effect. DISTRICT NO. PROCESSED BY ,
Power Apparatus&Large Appliances
' (� / Size&Type HP,KW,KVA,or KVAR
icense Number �(y Lio.Class Up to 1 Inol. FINAL V
A. G� / p no
Over 1 to 10 Incl, DATE. ALIDATi6A O
ontractor_ � �� a (J 0 Over 10.to 60-Incl. F-
FINAL
I am exempt under Sec.: Over 50.to'100 Inc. BY W
BAP.C.for this reason Over 1.00 N
Services,Swbd.,MCC&.'Panelboards 9 8 Q 3 Z
Date:.. Af 0,
1 fH 't 0-200 Amp:Under 600 V #6 0.0 0'0 2.-
Signature 8 201 - 1000 Amp.Under 600 V
mption for Reg.Maint.Elect., Over 1000 Amp.or Over 600V 1 - 87.25
xe
SINGLE FAMILY Temp.Power Pole&Appurtenances 0 0 0 87.251
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit.
Vrn that I am exempt from the Contractor's License Law 0 6,07-88
Ing reason(Section 7031.5,Business and Professions Additional Sign Branch Circuits
Misc.Conduits.&Conductors
owner of the property,will do the work and the structure Other(See Complete Fee Schedule) _
,dt Intended or offered for sale (Section 7044, Business p popProfessions Code).
CONSTRUCTION LENDING AGENCY
y affirm that:there is a construction lending agendy for the
nuance of the work for which this permit is issued(Sec.3097, PERMIT IFEE (Sub Total)
I PLAN CHECKING FEE
L tier's Name '
/ PERMIT ISSUING FEE
Lender's Address
Icert'fy 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 Electricaj wiring, and hereby authorize
f representatives of this County to enter upon the above-mentioned
property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Permittee ate
8A889-CE808 ,D_BP APPLICAT ON FOR ELECTRICAL PERMIT
1
COUNTY OF LOS ANGELES
DEBUILDING AND SAFETY DIV STONARTMENT OF COUNTYER ADDRBU'LEBB d-rfl Ccll�x.
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDINGLOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROs8 ST.
RECEPT. TOTAL NO. EACH FEE
OUTLETS FIRST 20 S.20 S 6p OWNER
LIGHT MAIL
ADD'L ADOR
SWITCH. E88
OVER 20 .10
LIGHTING
TOTAL FIRST 20 .20 yb CITY TEL.NO.
7
FIXTURES Z ADO'L 10 ELECTRICIAN
OVER 20
1
RANGES CLO.DRYERS WTR..HTRS. 1.00 ADDRESS ^aC. �/
GARB.DISP. STA.GOOK CITY• • i/ 20TEL.NO. 5rf 7
DISHWASH. /AUTO.-WASH. STATE ,rr�
SPACE HTRS. STA.APP.(Va H.P.MAX.) / .50 i0 LICENSE NO. �Id
MOTORS: OVER NOT OVER H.P. DISTRICT Nk G P I P O
O 1 1.00 p
1 s ,1.50. INSPECTION RECORD
s 8 2.00 4
8 15 2.50
15 50 8.00
50 100 5.00
O.
SIGNS: NO.TRANS. `
NO.LAMPS
SERVICE O-SOOV-NOT OVER 200A 1.00
SERVICE O-SOOV-OVER 200 A. 2.00
SERVICE OVER GOOV 5.00
MISC.
i
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE ffi O
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 1 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
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR -
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY.SIGNATURE � POWER
OF PERMITTEE �• �,'�"' UTILITY CO.NOTIFIED / �r ♦,,,
FINAL 1
IDATION ARTHUR C. VEIT "
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
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6 0 8;3 JUN 2 9 2 D
350-