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HomeMy Public PortalAbout6005 SULTANA AVE_Electrical__ VA 11.88 - 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