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Home My Public Portal About6278 SULTANA AVE_Electrical__ GAGGB_CEBDG_G-S, APPLICATION FOR ELECTRIC, PERMIT 1, COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER Eu1LDING BUILDING AND SAFETY DMSION ADDRESS JOHN A.LAMBIE,COUNTY ENGINEER �. CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY ST FOR APPLICANT TO FILL IN CROSS PERMIT FEES OWNER LIGHTS RECEPTACLES SWITCHES NUMBER ITEM EACH FEE AIL ADDRESS TOTAL OUTLETS $ .10 $ Yo ELEC. RANGES, WATER HEATERS, CITY TEL. CLOTHES DRYERS .80 ELEC. SPACE HEATERS, STAT-Y. COOK- ELECTRICIAN +� ING UNITS, GARBAGE DISPOSERS, ADDRESS (/ AUTO WASHERS, DISHWASHER .25• LIGHTING FIXTURES l0 CITY TEL NO, MOTORS STATE LICENSE NO. HORSEPOWER D STRICT NO. jGRQLlFj.Z_WF_- IREADYFORINSPECTIOX N.P: OVER INC. y,St LESS .25 2 ,50 INSPECTION RECORD 2 8 1.00 s 1s LOU 1s — so 2.80 sa — 200 5.00 MISC. M ,llnnr'>r1 r� e,—# AAA SIGNS I NO.TRANS NO.LAMPS SERVICE O-600V 1.00 SERVICE OVER 600V. 5.00 WIRING PERMIT 1.00 l' 0 FIXTURE PERMIT 1.00 ! 0 SUPPLEMENTARY PERMIT So APPROVALS TOTAL FEE $ DATE INSPECTOR'S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ,r AND STATE THAT THE ABOVE 1S CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ,� �,, �r w«„�• �j ELECTRICAL WIRING. WIRING I HEREBY CERT FT THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE EGAL WNER OF THE ABOVE POWER DESCRIBED RESIDENTI PER SIGNATURE UTILITY CO.NOTIFIED OF PERMTTT FINAL 4!4 �f Fk IOHN A.LAMBIE. , LIDATION ARTHUR C.VEIT. "OUNTY ENGINEER SUPERVISING ELECTRICAL ENGINEER CH: MO CASH i fCO 5 1 2 ' 222 3.1 O 0 �Iw�/ �l S /S �� --00 APPLICATION FOR ELECTRIC PERMIT 1 �1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST _/,,�' PERMT FEES CROSS ST !�_, — ITEM NUMBER I EACH FEE OWNtR OUTLETS: 6 $ $ a MAIL / LIGHTS J RECEPT. SW. .10 ADDRESS �O'�f LIGHTING FIXTURES .10 f CITY Vv, EL.NO. ELEC.RANGES CLO.DRYERS ELECTRICIAN C l l r~ WATER HEATERS .50 ADDRESS • �• ELEC.SPACE HTRS. DISHWASHERS CITY Xt 144f�ge-0000'7_9' TEL.N 1 O 7 GARBAGE DISPOSERS AUTO.- / " STATE o-( WASHERS STA.COOKING UNITS .2$ LICENSE NO. T 3 MOTORS: OVER INC. H.P. D18THI T NO. I!rF _E PR ESSED BY 0— 1/2 .25 V2— 2 .50 INSPECTION RECORD 2— 5 1.00 a— 15 1.50 Is— 50 2.50 50-200 5.00 SIGNS: NO.TRANS. NO.LAMPS SERVICE 0-000V 1.00 SERVICE OVER SOOV 5.00 MISC. WIRING PERMIT 1.00 ! o o FIXTURE PERMIT 1.00 ` G� SUPPLEMENTARY PERMIT .80 TOTAL FEE S I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE iS CORRECT AND AGRIIII TO COMPLY WITH ALL COUNTY ORDINANCSR AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING. WIRING .'3 '�• r - �' 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR / .i "p •�•'''/a LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES •�!�-•/.1/ ,�,f ?1>.f{/,i•�' CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THB ABOVE DESCRIBED RESIDENTIAL PROPERTY POWER SIGNATURE �/;YY UTILITY CO.NOTIFIED OF PERMITTE FINAL �I �� i4 '♦ •�� ./.. �v DATION AR UR C.VEIT. CK MQ CASH SUPERVISING ELECTRICAL ENGINEER U&7 ' 76 21 2 A 2.70 r I WORKERS'COMPENSATION DECLARATION 1rlaCE, 63 10/81 APPLICATION! FOR ELECTRICAL PERMIT I hereby affirrhat I have a certificate of consent to self CE-806G insure, or a certificate of Workers'Compensation Insurance, i COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C. Policy No. Vkyfe 1,O Company I FOR APPLICANT TO FILL IN JOB Certified copy is hereby furnished. ; New Residential Bldgs. & Pools EACH NO. FEE I ADDRESS CO Z�O - LOCALITY ' J Certified coy is filed with the co&y building ins 1 8 2-Family, Sq. Ft. $ -- $ • G tion epart ent. Multi-family Sq. Ft. NEAREST I VA CROSS ST. Residential Swimming Pools Dote—LOWApplicant OWNER RM NAME ERTIFICATE OF EXEMPT FROM WORKE Outlets: Rec Light Sw._ MAIL COMPENSATIO SURANCE ADDRESS This section need not be completedFirst 20 o ( if the work involved b ll Total No. Additional CIN Tel. No. �O�a the permit is for one hundred dollars($100)or less.) I certify that in the performance of the work for which this PLAN CH64 e- K APPLICANT 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 Total No. Additional Date Applicant CITY Tel. No. NOTICE TO APPLICANT: If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT .¢. Exemption, you should become subject to the Workers' Range_ Heater_D.W. _ APPLICANT a L� eeIS 6S Compensation provisions of the Labor Code, you must forth- Oven —Dryer —W.M.— ADDRESS/,, S ,kwith comply with such provisions or this permit shall be Top FAU —W.H. — deemed revoked. Hood _ Fan Other_ CITY ee a �� Tel. No �,� _ LICENSED CONTRACTORS DECLARATION LICENSE OR Room Air Cond. Class. — I hereby affirm that I am licensed under provisions of Chapter 9 Disp. REG. NUMBER y (commencing with Section 7000)of Division 3 of the Business DISTRICT NO. P BY per, and Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances p O Size 8 Type HP, KW, KVA, or KVAR ✓' O () License Numb r � Lic. Class ""( Up to 1 Incl. FINAL n�v��`�� Contractor Date O Over 1 to 10 Incl. DATE ION VALIDATION ❑ Over 10 to 50 Incl. W FINAL I a xempt under Sec. Over 50 to 100 Inc. BY in, 8.8P.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 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 Professions Code): ❑ I, as owner of the property, will do the work and the Misc. Conduits 8 Conductors structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ 7044, Business and Professions Code). PIP0 5 7 5 5 A CONSTRUCTION LENDING AGENCY # o o o o o 2 1 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) I o - 2550 (Sec. 3097, Civ. C.). o 25505 PLAN CHECKING FEE Lender's Name 1 (124-86 ' PERMIT ISSUING FEE /U Lender's Address I certify that I have read this application and state that the TOTAL FEE above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby uthorize represent ives of this County to enter upon the 904bie-mentiongo prop ty for inspection urpo es. SEE REVERSE FOR EXPLANATORY LANGUAGE 4 ignature o Per tt to o - COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9706090001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING S: TR: 5904 LT: 204 6278 SULTANA AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801553 ASSESSOR INFORMATO NUMBER: NEAREST CROSS STREET: LONGDEN 5384-007-009 Al PERRIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 2.00 OUT 3.90 TENANT: LB 200 AMP PANELS, MCC 1.00 PAN 38.85 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 70.50 06/09/97 TC 06/09/98 OWNER: TEL. NO: FINAL DATE FINAL Y CODE: LUNDGREN FRANCINE L - 6278 SULTANA AV TEMP 917801553 DESCRIPTION 0 J NEW 200 AMP SERVICE PANEL UPG AND 2 NEW OUTLETS APPLICANT: O: SHEWMAKE (818) 358-2820- SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SHEWMAKE, DAVID (818) 358-2820- 130 E. WALNUT ST. LIC. NO TEMPO.RARY POWER POLE MONROVIA, CA. 91016 255769 CIO UNDERGROUND CONDUIT ARCHITECT OR G 0: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING IN MATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPA977W67-Iffff I REPORT ID: DPR265 ROUTE TO: BS0508 I