HomeMy Public PortalAbout6005 SULTANA AVE_Electrical__ VA 11.88
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DOSAPPLICATION FOR ELECTRIC PERMIT
DOS-VA
DIVISION OF BUMDngG AND SAFETY
Depostslent of County Engineer
BUILDING
COS Angeles ADDRESS fQ 0 0 C U ��UA AVG,
JOHNACLAUB011EOUNTY
ENGINEER
CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITYE/ M E Cify
FOR APPLICANT TO FILL IN NEAREST
MO= FEES . t:14ai. 13A I- I
NUMBER
OWNER A -TnoRtuess.
LIGHT OUTLETS MAIL SAM
RECEPTACLES ADDRESS SAME
07 WALL SWITCHES FEE CITY S m E TEL.NO • " O
TOTAL.OUTLETS Cel 8¢ $
ELEC.RANGES 2ELECTRICIAN JM It"EL , 0-.rutty
ELEC.HEATERS 285 ADDRESS 14 10 SI9 I•1�i CALI f 6 RnI1b 1 °
'
KVV EA CITY' ta A ArRAUIA TEL.NO L. +
STATE `
FIXTURES 5 LICENSE NO. I IO O
MOTORS DISTRICT NO. GROUP ZONE READY FOR INSPECTION
NUMBER HORSEPOWER- FEE I I I
NEW MVD. HP OVER INC. EACH
14 a LESS $ .25 Il�iSPECTION RECORD
14 2 .50
2 S 1.00 ,
s 18 1.80
is s0 2.80
80 1 200 5.00
Misc.
NO.SIGNS NO.TRANS.
NO.SIGNS NO.LAMPS
FOR EACH PERMIT:
WIRING $1.00 °•"•
FIXTURES $1.00
SUPPLEMENTARY .50
�s. AEPROVAI.S
TOTAL FEE $ DATE. INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION l
k AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT '�fjyQ `►, �.
r WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING. !
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGALOW ER OF THE ABOVE POWER
DESCRIBED.RESIDENTIAL P PER
SIGNATURE UTILITY CO.NOTIFIED 2—7 TnK_
OF P€RMITTEE FINAL �Q�,�� fi ,1
JOHN A.LAMBIE.COUNTY ENGINEERVALIDA ARTHUR C.VEIT.CHIEF ELECT.INsPEamn
CK MO H
r 4- a FEB 6 2 2.7 5
�.-WC. fKERS'COMPENSATION DECLARATION ` 76A663 10/81 ,
CE-806G APPLICATION FOR ELECTRICAL PERMIT ,
{�
'b1 'Gr•. •, LI
I"hereby affirm.trat I have a.certificate of consent to self insure,
or.a certificate of Workers.'Compensation.Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY ',
copy tfierecf(Sec.3600,LAb.C.). ,
Policy No. Com FOR.APPLICANT TO FILL,IN JOB / �►4 �` /� "�
❑ Certified copy is hereby furnished. r EACH NO. FEE ADDRESS
New Residential:Bldgs.&Pools c��G rr
❑ 1 &2-Family,Sq.Ft.. $ — $ LOCALITY
Certified copy is filed with. the' county'building inspection
department. ; Multi-family Sq.Ft.. — NEAREST 1
date y Residential Swimming Pools CROSS ST
:Applicant'. OWNER OR �y
FIRM NAME
CERTIFICATE OF'EXEMPTION FROM WORKERS' 3 MAIL p�
Outlets:.Rec—Light—Sw. 6 (ate 6
COMPENSATION INSURANCE s ADDRESS N S�.
Fir'sf 20
(This section need not.be completed if the-work Involved by the 6 CITY y Tel.No.
permit is for,one hundred dollars($100)or less.) Total No.. Additional ✓ F4JG' -M733o5 •
I.certify that in the performance of the'.work for which this permit , PLAN CHECK
is issued, 1..:'shall.not employ any person:in any manner so:as to I APPLICANT
become subject to I thee Workers'Comp sation ws. Lighting'Fixtures First 20 ! ADDRESS '
Total No. Additional
3–�• CITY Tel.Na
NOTDate Applicant Fixed APP�flnCBS Not Over 1 HP PERMIT
NOTICE 'TO. APPLICANTS•if; r making' this Cert'rficate of` ARPLICANT
Exemption;you should become subject to the Wbbrkere'Compensation Range_'Heater_ D W, ._ 1
provisions of the Labor.Code;you must forthwith comply with such- Oven Dryer._. W.M.
;prpylslons pr this permit shall be deemed revoked; Top FAU ;_ W.kl,
'ADDRESS
LICENSED'CONTRACTORS DECLARATION. Hood Fan Other_ CITY
1 hereby affirm that.I'am licensed under provisions of Chapter'9 ' LICENSE OR {
T
el.No
Disp. Room Alr Gond. Class.
(commencing;with Section 70 00)of.Divisiort 3.of the Business and'
REG.NUMBER.
Professions-Code,and my license is in full force.and effect.. DISTRICT NO PROCES ED BY j
Power Apparatus&Large Appliances ,
Size,&Type.HP,,KW,K.VA,or KVAR . O [%4�/�• Q�
L)oense:Number L.ic,Class . ;; Up to.i Incl. FINAL v!
Contractor Date Over 1,to 10 Incl. DATE d' VALIDATION OI
Over 10 to 50 Incl.. FINAL V�
❑;,
.'I am exempt under Sec. Over 50 to 100 Inc.' BY
Over 100
e.&:P.C..for this reason +••-•a• a, '
Serviced,Swbd.,MCC•&.Panelboards14•t•i•aa Z
Date; 0_20O.Amp.Under'600 V �:. 71�07j
• 1rv 'f�
Signature 201 1.000 Amp:Under 80:0 V'
Over 1000 Amp..or Over 600 V '� ITEMS
❑ Exemption,for Reg.Maint..Elect.
TOTNL
+ S. Sign with:One.Branch Circuit CRE
FAMILY' Temp.Power Pole R.Appurtenances. _ � c
HOMEOWNER-BUILDER DECLARATION r 1,,:CJ1
I hereby.affirm that'I.am,exempt from the.Contractor's.License Law
Additional Sign Branch Circuits t –; ti LI:I:
for the following:reason.(Section`703.1.5,-Business and.Professions ', 1`.t�(:jNfjE a
• Code): ,
Misc.Conduits&Conductors
I,as owner of the.property,will do the work and the structure ig
is nof'intended or offered'for sale (Section 70.4'4, Business Other(See Complete'Fee Schedule) _ �G -(��tQ�' OfP ��a
and Professions Code).
AM 5f n:2 1
CONSTRUCTION LEND.ING,A.GENCY
I 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.
PLAN CHECKING FEE !
Lender's Name
PERMIT ISSUING FEE 1Q.
Lender's Address-
'I certify that).have read.this applicatio."n and state that.the.above TOTAL FEE. / .
information li correct.I agree to comply v lih all.County ordinances
and State laws. regulating Electrical wiring, and hereby authorize
representatives of.this County to enter upon the above-mentioned:
prop 'for in cf16n.purposes.
+ SEE REVERSE FOR EXPLANATORY LANGUAGE
ignature o rmittee Date ," ,
WORKERS'COMPENSATION DECLARATION I CE-806G 10/81 APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm thatl have a certificat ofeoonsent to self Insure, 1
or a certificate of Workers'Compensation In V rance,br a certified I COUNTY OF LOS ANGELES I BUILDING AND'SAFETY
dSpy thereof(Sea 3900,Lab.C.)
Policy No. Company FOR APPLICANT TO FILL IN JOB
❑ Certified copy is hereby furnished. New Residential Bldgs.&Pools EACH NO. FEE i ADDRESS
❑ Certified copy is filed with the county building inspection
1 & 2-Family,Sq.Ft. $ — $ LOCALITY
department. Multi-family Sq.Ft. NEAREST CROSS A6SA
CROSS ST.
Date Applicant Residential Swimming Pools OWNER OR nA j�
FIRM NAME M IC 1 S f ZZ
CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL
Outlets:Rec-Light_FirstSw.2 0- �d� SU 1.f q�
COMPENSATION INSURANCE + ADDRESS
(This section need not be completed if the work Involved by the Total No. Additional CITY ? (er Tel.No. Z -33QS
permit is for one hundred dollars($100)or less.)
I certify that in the performance of the work for which this permit AP NCANT CHECK
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 i ADDRESS
Total No. Additional CITY Tel.No.
Date Applicant ! Fixed Appliances Not Over 1 HP I PERMIT
NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT QCJsf�f
Exemption,you should become subject to the WorkersCompensation Range_ Heater_ D.W.
provisions of the Labor Code,you must forthwith comply with such Oven _ Dryer_ W.M._ I ADDRESS
provisions or this permit shall be deemed revoked. I Top — FAU _ W.H. _
LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ i CITY Tel.No.
I hereby affirm that I am licensed under provisions of Chapter 9LICENSE OR
(commencing with Section 7000)of Division 3 of the Business and I Disp. — Room Air Cond. REG.NUMBER Class.
Professions Code,and my license is in full force and effect. i Power Apparatus&'Large.Appliances RIISTRICT NC,,�� j\�/ PROC D BY
i Size&Type HP,KW,KVA,or KVAR / k fX O
License Number Lic.Class Up to 1 Incl. J_1 FINAL 0
Over 1 to 10 Incl. ! DATE VALIDATION
M.
Contractor DateOver 10 to 50 Incl.
FINAL V
❑ I am exempt under Sec. Over 50 to 100 Inc. i BY IJJ
Over 100
B.&P.C.for this reason i !
Services,Swbd.,MCC&Panelboards Ua Z
Date: 1 0-200 Amp.Under 600 V r'
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
HOME OWNER-BUILDER DECLARATION .1 Sign with One Branch Circuit i
I hereby affirm that I am exempt from the Contradtor's License Law 1 Additional Sign Branch Circuits I AT.s
for the following reason(Section 7031.5,Business and Professions '
Code): - 7 �1.1�
I,as owner of the property,will.do the work and the structure 1 Misc.Conduits&Conductors 1 ITEM'r
is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) _
and Professions Code). I ► TOT AL 31-00
CONSTRUCTION LENDING AGENCY I • j CHECK 31.00
I 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) i CHANGE .00
Civ.C.).
PLAN CHECKING FEE
Lender's Name O' t
PERMIT ISSUING FEE 7.
JGQCI-0Q01 5/25/901
Lender's Address 0952 1 ASI iC'-ire
1 certify that I have read this application and state that the above TOTAL FEE I
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 or inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
5-zs-90
Si ature of Pe mittee Date
i
COUNTY OF LOS ANGELES TEMPLE CITY # 0508I TCAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS I ELLE 8-98062200
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
I
EGA ID: FEES PAD B I G-ADD SS'
TR: 5904 LT: 300 1 005 SULTANA Al
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ITTEEMMP�A 917801550
ASSESSOR--INFORMATION NUMBER: NEAREST CROSS STREET: HERMOSA
5384-016-030 Al PERMIT ISSUANCE FEE 27.75 (THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
01 OTHER INSPECTIONS 1.00 HOU 109.35 1
TENANT: TOTAL FEES 137.10 ISSUE ON: PROCESS B LAN BY: EXPIRES ON:
06/22/98 UT 06/22/99
OWNER: TEL. NO: FINAL DATEFINAL CODE:
MISTRETTA MICK C;DEBRAH I (818) 286-3305- 1 17/
6005 SULTANA AV I
TEMP 917801550k'ELAEATIIM
SCRkTIO 0 - �
C INSPECTION FOR SWI ING POOL-PER-HEALTHP C EL. N0: SENATE IML-873 1
SAME AS OWNER -
- SPECIAL CONDITIONS:
CONTRACTOR: TEL. N0: "' 1�:''`::. APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER .
LIC. NO r, r ' TEMPORARYPOWER POLE
r;�•
``• �'• UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. 0: ' ,� FER GROUND
G B ARCHITECTS (909) 949-6999r _ -
275 CANTERBURY CT. LIC. NO:.: __ _ _____=i i ,�- I ' 1 ROUGHCONDUIT
UPLAND, CA 91784 NONE -_,- i - i ,,,
- - ROUGH-- WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508
` - •y , COUNTY OF LOS ANGELES TEMPLE CITY # 0508 LECT CAL-PERMI-T----;
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS E1_0508 9812290004)
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 �'
PHONE: (818) 285-0488 EXT:
- LEGAL FEES PAID B DWSS:
TR: 5904 LT: 300 60A5 SULTANA Ash,
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP-CA 917801550
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: HERMOSA
5384-016-030 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
F1 120V, 15/20A BR CKTS 2.00 BR 34.50
TENANT: G2 LIGHTING FIXTURES 3.00 LGT 5.85 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES 0 :
HA FAU LESS 3HP 1.00 FAU 10.80 12/29/98 UT 12/29/99
H7 RES EXHAUST FANS 3.00 EX 32.40
OWNER: TEL. NO: JB AC UNITS +3-10HP 1.00 AC 19.80 FINAL DATE FINAL B CODE:
MISTRETTA NICK C;DEBRAH I (818) 286-3305- TOTAL FEES 131.10
6005 SULTANA AV -Z 3-0
TEMP 917801550 EDtU 1 _0_ OR
DITION OF NEW FAMILY AND E TEQ EXISTING MASTER BEDROOM
D NEW CLOSET IN MASTER_BEDROOM
APPLICANT: E . NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
ES C®
CONTRACTOR: TEL. NO: - �OCJ ��/T� APPROVALS DATE INSPECTOR SIGNATURE
SAMELIC. NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: E 0: UFER GROUND
G B ARCHITECTS (909) 949-699?
275 CANTERBURY CT. LIC. N 1111111 ROUGH CONDUIT
UPLAND, CA 91784 NONE
ROUGH NIR G
��� MAIN WATER LINE
�FULSUC
W0
PLASTIC Y/N METAL Y/N
UT_nITY COMPANY OTI ED
� O 0
eg
A
El
�y
48'�c El
Service'That�ct
REPORT ID: DPR265 ROUTE TO: BS0508