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HomeMy Public PortalAbout6039 SULTANA AVE_Electrical__ 1. 'e!I1:11;!KERS',COMPENSATION pECL,%RATION 76A663 toiei Y" ereh" rn that I have a certificate of consent to self CE G APPLICATION FOR ELECTRICAL PERMIT Jinsure, 4,1a certificate of Workers'Compensation Insurance, COUNTY OF LOS.ANGELES BUILDING AND SAFETY or a certified copy thereof(Sec. 3800, Lab. C.) v t Policy No. Company I FOR APPLICANT TO FILL IN JOB dO e, �7 Certified.copy is hereby furnished. NI EACH NO. FEE ADDRESS J �it_ aM ew Residfnfial Bldgs. 8 Pools - ,�. Certified copy is filed.with the county building inspec- 1 &2-Family, Sq. Ft. — $ LOCALITY ' tion department. Multi-farPily Sq. Ft. — NEAREST Resident'al Swimming Pools CROSS ST.• rAti Date Applicant - � 1. -FIRM OR FIRM NAME 'k- L CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec_WLight�Sw. MAIL COMPENSATION INSURANCE ADDRESS First 20 (This section need not be completed iF,the work.involved by pt /) the permit is for one hundred dollars.(;100)or less..) Total No, --1 Additional CITY Tel, No. I certify that in the performance of`the work for which this f PLAN CHECK permit is issued, I shall not employ any person in any manner I nAPPLICANT so as to become subject to the War rs'Compensatio ws.. Lighting f i�tures First 20 Oc ADDRESS �a -�fSl Total No!' -3 Additional CITY Date— Applicant Fixed Applla�ces Not Oyer 1 HP' NOTICE TO APPLICANT: If, a aking this Certificate of IJ' i/ PERMIT I' Exemption, you should om subject to the Workers' Range_ Heater_D.W. APPLICANT Compensation provision f the t? bate Code,you must forth- Oven �' Dryer _W.M. ADDRESSI with comply with suc provi ons or this permit shall be Top I FAU W.H. — deemed revoked. Hood + Fan �Other_ CITY I Tel. No. LICENSED CO CTORS DECLARATION jW LICENSE O (hereb affirm that I'am licensed under rovisions of Chapter 9 Disp. Room Air.Gond. Y p p e REG.NUMBER Class. (commencing with Section 7000)of Division-3 of the Businessi DISTRICT,NO. PROCESS B and Professions Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances Size&TVpe HP, KW, KVA, or KVAR' �� U License Number Lic. Class I Up to 1 Incl. FINALN DATE Over 1 to 10 Incl. VALIDAT N Contractor Date F Over 10 to 50 Incl. I am exempt.under.Sec. Over 50 to 100 Inc. BY ALRAI n B.&P.C. for this reason Over 100 Z Date: Services, Swbd., MCC&Ponelboards ► 0 -200 Amp. Under 600 V i Signature 201 -1000 Amp. Under 600 V Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V # 21 'ONO . SINGLE FAMILY Temp. Power Pole&Appurtenances o 0 0 = HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License additional Sign Branch Circuits I Law for the following reason (Section 7031.5, Business and T Bions Code): , I, as owner of the property, will do the work and the Misc. Conduits&Conductors „ structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ ► ; 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). 30 RA PLAN CHECKING FEE Lender's Name ' PERMIT ISSUING FEE U Lender's Address ` I certify that I have read this application and state that the TOTAL FEE D Q d 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 4thebove-mentioned p erty fo inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ure of Permittee Date ", Oirm that COMPENSATION cats 'of fATION CE-M)6 10/81 APPLICATION FOR ELECTRICAL PERMIT «'%,{s�`hereb*'aff,4rm that I have a certificate ofconsent to self CE-11U6G ' 4instsre, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof(Sec. 3800, Lab. C.) Policy No._Company FOR APPLICANT TO FILL IN JOB Certified.copy is hereby furnished. New Residential Bldgs..&Pools EACH NO. FEE ADDRESS 3 Certified copy is.filed with the county building inspec- 1 &2-Family, Sq. Ft. $ _ $ 1 LOCALITY tion department. Multi-family Sq. Ft. I NEAREST Residential Swimming Pools CROSS ST. Date Applicant , OWNER OR FIRM NAME A CERTIFICATE.OF EXEMPTION FROM WORKERS' I I L Outlets: Ret Light f Sw. I ADDRESS d► COMPENSATION INSURANCE s S 61® 13, This section need not be completed if the work involved b First 20 ( p y Total No. v CITY CIA- Tel. No. •-Ctt the permit is for one hundred dollars($100)or less.) Additional + I certify that in the performance of the work for which this PLAN CHECKAPPLICANT permit 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 ADDRESS Additional a s 66 /" Total No. CITY i Tel. No. Date. % pplicant Fixed A liances Not Over 1 HP NOTICE TO APPLICANT: If, of aking this Certificate of PP PERMIT r, Exemption,. you should b ome subject to the Workers' Range_ HeaterV.D.W. LICANT _DYII _ � - Compensation.provisions the. ..bar Code, you must forth- Oven _Dryer 1 W.M. ADDRESS with comply with such v' ' ns or this permit shall be Top _ FAU —W.H. — CITY Tel. W6.deemed revoked. Hood _ Fan _Other_ LICENSED CONTRACTORS DECLARATION3S6 3 SC LICENSE OR Class. I hereby affirm that I am licensed Under provisions of Chapter 9 Disp. _ Room Air Cond. �� REG.NUMBER (commencing with Section 7000)of Division 3 of the Business DISTRICT NO. PRO S D BY and Professions Code,and'my license is in full force and effect. Power Apparatus&Large Appliances Size&Type HP, KW, KVA, or KVAR, „'' `J License Number Lic. Class Up to 1 Incl. !�00 FINAL Contractor, pate Over 1 to. 10 incl.. DATE VALI A .ION I M V E] 0,t Over 10 to SO.I.ncl. FINAL U I am'exempt under Sec. Over.5o 100'lhc. BY US B.&P.C. for this reason Over.100 Date: Services, Swbd.,MCC&Ponelboards ► ”" 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ '. Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V. 1 SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from:the Contractor's License Additional Sign Branch Circuits Law for the following reason -(Section 7031.5, Business and g A.6 2S A Professions Code): - I, as owner of the property, will do the work and the Misc. Conduits&Conductors # 0.0 0 0 0 2 structure is not intended or offered for sale (Section Other.(See Complete'Fee Schedule)_ , ) 0 0 6 4,0 0 x 7044, Business and Professions Code). o - 64,006. CONSTRUCTION LENDING AGENCY Q 1, 0 2—8 7 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN.CHECKING FEE Lender's Name �t PERMIT ISSUING FEE V Lender's Address I certify that I have read this application and state that the TOTAL FEE �lO� 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 Rbove-mentionedproperty fo inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE \f /~/ —e Si ature of Permittee Date FBAS68-CESO8.7.56 APPLICATION FOR ELECTRIC PERMIT ], BUILDING AND SAFETY DIVISION Department of County Engineer BUILDING County of Los Angeles ADDRESS JOHN A.LAMBIE. COUNTY ENGINEER CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN c OSS ST. PERMT FEES NUMBER OWNER LIGHT OUTLETS MAIL ADDRESS L- RECEPTACLES WALL SWITCHES FEE CITY w TEL.NO. TOTAL OUTLETS ® 54 S ELECTRICIAN �= ELEC. RANGES 25 ADDRESS ELEC. HEATERS' 25 CITYezhec (' TEL.NO.14 KW EA STATEall FIXTURES 5LICENSE NO. NINE MOTORS DISTRICT NO. I GROUP I ZONE I READY FOR INSPECTION NUMBER HORSEPOWER FEE LIJ �..� i/,►� I( NEW MVD. HP OVER INC. EACH _ &LESS '$ .25 INSPECTION RECORD 116 2 .50 2 5 1.00 6 5 15 1.50 15 50 2.50 50 200 5.00 rJ misc. • NO.SIGNS NO.TRANS. NO.SIGNS NO.LAMPS FOR EACH PERMIT: WIRING PERMIT $1.00 FIXTURE PERMIT $1.00 SUPPLEMENTARY .50 APPROVALS TOTAL FEE $ DATE INSPECTOR'S SI GNA TURE I HEREBY ACKNOWLEDGE T AT 1 HAVE READ THIS . CATION CONDUIT i J if AND STATE THAT THE ABOUNTY OV IS CORRECT AND AGREE TO COMPLY WITH ALL CORDI CES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING. FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER ,e CALIFORNIA OR THAT AM T LEGAL OWNS OF THE AB��gVE DESCRIBED.RESIDENTIA PROPEUTILITY CO.NOTIFIED r /> =/91 I.// •�, SIGNATURE -94Z — .1.1 - / I L—Ifrill OF PERMITTEE IOHN A.LAIvIBIE. VALID ARTHUR C.VETT, :OUNTY ENGINEER CK No cASH SUPERVISING ELECTRICAL ENGINEER ' Af"0 8 9 9 0 -JOIN 7 2 1;U 5 '� COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0301240029 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: GAL I ES PAID BUILDING ADDS : TR: 5904 LT: 295 BL: .001 6039 SULTANA AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801550 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GARIBALDI 5384-016-025 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 28.00 OUT 49.80 TENANT: G2 LIGHTING FIXTURES 4.00 LGT 7.80 ISSUED 0PROCESSED B EXPIRES N: HA FAU LESS 3HP 1.00 FAU 10.95 01/24/03 JK 07/23/03 JB AC UNITS +3-10HP 1.00 AC 19.65 OWNER: TEL. NO: LN OTHER PNL 0-399 AMPS 1.00 PAN 38.85 FINAL DATE FINAL BY: CODE: LANA THUY DANG (626) 390-9646- TOTAL FEES 154.80 1 6039 SULTANA AV T (� ` Lq TEMP 91780 DESCRIPTION OF WORK ELECTRICAL FOR GUEST HOUSE APPLICANT: TEL. NO: SAME AS OWNER SPECIAL CONDITIONS: •% %`tee(*�i.7 t L •moi r'n `' • 5 l/1l�� CONTRACTOR: TEL. 0: �°:�• Gp �— /aj� •, APPROVALS DATE INSPECTOR SIGNATOR SAME AS OWNER - ".`./•, '� "" ;. LIC. NO TEMPORARY POWER POLE UNDERGROUND CONDUIT 3 ARCHITECT OR ENGINEER: 0: ,' >>� f \, �•` N F R GROUND PATRICK CHIU AND ASSOCIATES (626) 308-9983;/ 1238 S GARFIELD AVE LIC. N0: �t ROUGH CONDUIT � ALHAMBRA CA 91801 NONE - � _ --I_� I J I ��ti �_ !1 � ROUGH I G il��.i1r—� ;'yMAIN WATER LINE PLASTIC Y/N METAL Y/N =;'Ii==�L�=�L C_sr 1l�� �-1�i�L',,i�`•,. ,_moi�s -- - ------- -------- ----- UTILITY COMPANY OT ED REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 991223O0'0 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: EGA D: FEES PAID B I DING AD RESS: TR: 5904 LT: 295 BL: .001 6039 SULTANA AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801550 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: SULTANA/GARIBALDI 5384-016-025 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 8.00 OUT 15.60 TENANT: G2 LIGHTING FIXTURES 4.00 LGT 7.80 ISSUED ON: PROCESSED Y: PLAN BY: EXPIRES -ON: H5 RES WASH MACH LT 3HP 1.00 WAS 10.95 12/23/99 UT 06/20/00 TOTAL FEES 62.10 OWNER: TEL. NO: FINAL DATEFINAL BY• WU KOA-SHIN;LEE LI CHIN (626) 309-2915- 6039 SULTANA AV TEMP TEMP 917801550 DESC IPTION OF WORK ELECTRICAL FOR NEW GARAGE AND LAUNDRY FACILITIES APPLICANT: TEL. NO: C J L CONSTRUCTION (626) 300-8883- 801 S. GARFIELD AVE. SPECIAL CONDITIONS: ALHAMBRA, CA CJQ.ELES CONTRACTOR: TEL. NO: /�J +�* APPROVALS DATE INSPECTOR SIGNATURE C J L CONSTRUCTION INC. (626) 300-8883- ' 801 S. GARFIELD AVE., #318 LIC. NO ,�� �� `�\� TEMPORARY POWER POLE ALHAMBRA, CA 91801 492610/B 5< �� rl' l• ��� UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TE 0: - r'/1 II I_I I • \1 FER GROUND LIC. NO•I, 4----A 1 ROUGH CONDUIT �•�� ��- --- � i� 1 I � - IfJI � h' --- --- --- ROUGH WIRING MAIN WATER LINE 1=5) PLASTIC Y/N METAL Y/N -- - - - UTILITY COMPANY NOTIF ED X 7 X117,� V 6 •` �� r , / - - 1 LiICE_'' REPORT I0: DPR265 ROUTE TO: BS0508