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