HomeMy Public PortalAbout6329 SULTANA AVE_Electrical__ '7eABr_(:fi0°e ,�,: APPLICATION FOR ELECTRICAL IFERMIT
COUNTY OF LOS ANGELES
DEPARTMENT-OF COUNTY ENGINEER BUILDING LI OM
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. ldJ494 V
RECEPT. TOTAL NO. EACH 1111 FEE
LIGHT
A OUTLETS FIRST 20 p�. $.20 $ _ OWNER + Q M
ADD�V MAIL
SWITCH I CS VER /4 bra ADDSESS ® �� La
OVER 20 (( .10 QTY 'J
TOTAL FIRST 2 .20 CITY TEL.NO. 'r y
LIGHTING 1 FIX RES
FIXTURES J( ADD•L
OVER 20 .10 CONTRACTOR
RANGES DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. ' STA.COOK
CITY TEL.No.
DIBHWASH. AUTO.-WASH. y� STATE
SPACE F1TR8. BTA. APPL. .50
U� LICENSENO.
MOTORSI OVER NOT OVER H.P. Dl TRICTerP Z E
7
O f 1.00 f
1 a 1.50 INSPECTION RECORD
e S 2.00 fli
8 15 2.50 ♦ �_�
15 5o 8.00 l
so foo 5.000
NO.TRANS. 141 D:
NO.LAMPS 11t0
SERVICE O•SOOV-Nor OVER 200A 1.00 ly
SERVICE O-SOOV-OVER 200 A. 2.00 - IL
SERVICE OVER SOOV 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
/et- -A l
PERMIT ISSUING FEE 2.00
J
SUPPLEMENTARY PERMITISSUING FEE 1.00 APP OVALS DATE INSPECT 'S SIGNATURE
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT I HAVE REAO'THIS APPLIC ION
UNDERSLAB .ORK
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL'COUNTY ORDINANCES AND STATE LAWS REGULATING:
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES Il
LICENSED AS REQUIRED BY LOS ANGELE COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL R OF,AND INTEND TO POWER
RESIDE IN,THE ABOVE SCR ED RES IAL PROPERTY. 1
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE
FINAL 1
LIDATION JOSEPH C. OOHAWj
C MO CASH SUPERVISING ELECTRICAL ENGINEER
XcI91729% JUL 21- 2 0 2 4.0 0
76A683-cE80.6 9-66 APPLICATION FOR ELECTRIC L PERMI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION [N.
DDRESS_
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGOCALITY
EARESTFOR APPLICANT TO FILL IN OSS ST.
RECEPT. 1 TOTAL NO. 'EACH FEE.
I OUTLETS FIRST 20 5.20 R OWNER
LIGHT J
MAIL
ADD'L
SWITCH OVER 20 .10 ADDRESS:
TOTAL CITY TE O.
LIGHTING 1 FIXTURES FIRST 20 .20
FIXTURES JADD'L L
OVER 20'. .10 CONTRACTOR ni
CZ
RANGES DRYERS WTR.HTRS. 1.00 1( ®p ADDRESS . W.
GARB.DISP. STA.COOK
CITY T .'NO.
D19HWASH. .AUTO.-WASH. STATE
SPACE HTRS. STA. APPL. .50 LICENSE:NO.
MOTORS: OVER NOT OVER H.P. DIST ICT N GRO Z E .P O D
O 1 1.00 154 4 �
1 .3 1.so INSPECTION RE RD
3 S .2.00
8 is 2.50
1 s 50 3.00
so 100 5.00 U
SIGNS: NO.TRANS. OC
NO.LAMPS l
U
SERVICE O''-600V-NOT OVER 200A 1:00 d d
SERVICE O-SOOV-OvER 200 A. 2.00
SERVICE OVER 600V 5.00
OTHER (SEE COMPLETE'FEE SCHEDULE)
PERMIT ISSUING FEE 2.00 tot)
SUPPLEMENTARY PERMIT'.ISSUING FEE 1.00 APPROVALS DATE INSPECTOR's SIGNATURE
TOTAL FEE 0
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDERSLAB WORK
AND STATE THAT THE.ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED.AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL O R OF,AND INTEND TO POWER
RESIDE IN,THE ABCV C 1 ED RE 1 IAL PR EhiTY. - _-
SIGNATURE ` UTILITY CO.NOTIFIED
OF PERMITTEE
FINAL
OIDATION JOSEPH C. ROOHAN
CK MO. CASH SUPERVISING ELECTRICAL ENGINEER
L 1 0 3 0 OCT 4 2 D 4.0.0
RKERs'COMPENSATION DECLARATION CES-8066 iD/B, APPLICATION FOR ELECTRICAL PERMIT
O .019
,1t irM that I have a certificate of consent to self
inure, or a`certificate of Workers'Compensation Insurance, (COUNTY OF LOS ANGELES BUILDING AND SAFETY
or a certid copy thereof(Sec. 3800-Lob. C.)pd
Policy N Company fib�QC 9 FOR APPLICANT TO FILL IN JOB
LI Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS
R 1 8 2-Famil S Certified copy is filed with the county building inspec- y, q. Ft. $ $ LOCALITY
— � �t
tion department. Multi-family Sq. Ft. — NEAREST
CROSS ST.
Date Applicant oe"Ct"td Residential Swimming Pools OWNER OR
� FIRM NAME v9. Cc"/e
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Res�Lighty1Sw.//o. MAIL
COMPENSATION INSURANCE gDLI First 20 76' / ADDRESS
(This section need not be complotod if tho work involved by Total No. Additional �� ja — CITY Tel. No.
the permit Is for one hundred dollars($908)or less.)
that in the performance of the work for which this PLAN CHECK
I certify P 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 r� ADDRESS
,pp,,�� Total No. ss Additional
Date „ Applicant 0" 09 C� L CITY Tel. No.
Fixed Appliances Not Over 1 HP PERMIT
NOTICE TO APPLICANT: If, after making this Certificate of t G
Exemption, you should become subject to the Workers' Range_ Heater_D.W.'� APPLICANT 60% eG
Compensation provisions of the Labor Code, you must forth- Oven _Dryer W.M.— ADDRESS
with comply with such provisions or this permit shall be Top _ FAU H. —
deemed revoked. CITY Tel. IVo.
LICENSED CONTRACTORS DECLARATION Hood y_-Fan Other_ LICENSE OR-
.®-w �d
I hereby affirm that I am licensed under provisions of Chapter 9 Disp. Room Air Cond. 31 Sa ` REG. NUMBER f Class.
(commencing with Section 7000)of Division 3 of the Business Power Apparatus 8,Large Appliances DISTRICT NO. P SSED BY >_
and Professions Code,and my license is in full force and effect. + IL
`J (,r!( /mss ® Size 8 e HP, KW, KVA, or KVAR ( U ,8 O
License Number O (..�Lic.Class -A Up to 1 Incl. -o ' UV FINAL W
�i Over 1 to 10 Incl. DATE71, cc
VALIDATION
Contractor ���.. Date ��� /�� Over 10 to 50 Incl.
FINAY 7 U
❑ I am exempt under Sec. Over 50 to 100 Inc. BY 11) LU
B.BP.C. for this reason Over 100
Iff IL
Services, Swbd., MCC&Panelbo rds
DOS' 0 -200 Amp. Under 600 V f(fj{s}
Signature 201 - 1000 Amp. Under 600 V
❑
Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V
SINGLE FAMILY Temp: Power Pole 8 Appurtenances
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit
I her 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&Conductors ;E-2 3 b 1 A
structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)—
o 0 0 0 0 2
7044, Business and Professions Code).
CONSTRUCTION LENDING - 10250 2 5 U
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) 0p o ° 102505
(Sec. 3097, Civ. C.).
PLAN CHECKING FEE 0628-85
Lender's Name
PERMIT ISSUING FEE 0 _
Lender's Address
I certify that I have read this application and state that the TOTAL FEE U
above information is correct. I agree to comply with all County
ordinances and State laws regulating Electrical wiring, and
hereby,outhqrize representatives of this County to enter upon
e abov - n' ned property for Inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Permittee Date
r �
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1303080019
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILLEGAL ID: FEES PAID BUILDING ADDRESS:
IBK: 180 PG: 91 PC: 2 6329 SULTANA AV 1
I IFEE DESCRIPTION: QUANTITY: IIOM: AMOUNT: SGAB CA 917752031
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
15382-021-043 IAl PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY CAI
I i IF1 120V, 15/20A BR CXTS 1.00 BR 17.30
TENANT: HA FAU LESS 3HP 1.00 FAD 11.00 ISSUED ON: PROCESSED BY: PLAN BY:
TOTAL FEES 56.10 (03/08/13 SR I
OWNER: TEL. NO: JFINA:, TFC FINAL Y: CODE:
WONG RAYMOND M;ZOHREH M `J`
6329 SULTANA AV
ISGAB 917752031 IDESCRIPTION OF WORK
1 1120 V DEDICATED CIRCUIT FOR ATTIC FAII 1
APPLICANT: TEL. NO:
1KAMINISHI, WAYNE (213) 716-8706- 1
16002 S AINSWORTH I_
JSPECLAI, CONDITIONS:
�GARDENA CA 90247
(CONTRACTOR: TEL. NO: I JAPPROVALS DATE INSPECTOR SIGNATURE
1WAYNE HEATING AND AIR CONDITIONING (310) 217-1651-
16002 S. AINSWORTH ST LIC. NO ITEMP09ARY POWER. POLE I I
IGARDENA, CA 90247 59237SC-20 I_ I I
UNDERGROUND CONDUIT I J
(ARCHITECT OR ENGINEER: TEL. NO: I IUFER,GROUND I I I
I LIC. NO: I IROUGH CONDUIT I J
I IROUGH WIRING I I I
IMAIN WATER LINE I I I
IPLASTIC YIN METAL YIN I I I
J JUT LITY COMPANY NOTIFIEDI I
I I I I I I
1
I I I I I I
I I
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IREPORT ID: DPR265 ROUTE TO: BS0508 J I I I