HomeMy Public PortalAbout6371 SULTANA AVE_Electrical__ (2) 78A668= E806 8/68 APPLICATION FOR ELECTRIC L PERI1f IT��
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING`
BUILDING AND SAFETY DIVISION ADDRESS 5/ 7`
JOHN A. LAMBIE, COUNTY ENGINEER �-
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN ' cRoss ST.
TOTAL NO. EACH FEE
RECEPT.
RECELIGHOUTLETS FIRST 20 S.20 $ O OWNER (90,9-e
AIL
ADD'L f0 ADDRESS
SWITCH- OVER 20 ,
LIGHTING TOTAL �FIIRST 20 .20 o CITY TEL.NO. 7,3 S_
FIXTURES } J ADD'L 2 .1G ELECTRICIAN /�S 7R- O
Y R
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS 91.3a /j/ lat
GARB.DISP. BTA.COOK CITY (-Veqtr TEL.NO.40 7" p�
DiSHWASH. AUTO.-WASH. STATE '
SPACEHTRB. STA.APP.(%H.P.MAX.) .50 LICENSE NO.
MOTORS; OVER NOT OVER H DISTRIC6 N G U ZqvE P D
O1 1.00 '
f s 1.50 INSPECTION/RECORD i
s 12.00
8 15 ' 2.50
15 so 3.00
so foo s.00ot
r
NO.TRANS.
BIGNse NO.LAMPS
SERVICE 0.600V-NOT OVER 200A 1.00 ` K
SERVICE 0-600V-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT IPSU114G FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $
1 NEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSP 'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE'TO COMPLY CONDUIT �! '� " /��'
WITH ALL COUNTY ORDINANCES STATE LAWS REGULATING 1
ELECTRICAL WIRING. WIRING I •*.+r/
I HEREBY CERTIFY THAT I AM PROPERLY RE ISTEREi•1 AND/OR
LICENSED AS REQUIRED BY LOS U AND STATE OF FIXTURES "
CALIFORNIA OR THA 1 M TH WN OF THE ABOVE
DESCRIBED RESIDENT L P OPB POWER
SIGNATURE UTILITY CO.NOTIFIED .•a�/'1.nA• + %'��
OF PERMITTEE FINAL d�Gfcal4 ?r AG,^.f
LIDATION ARTHUR C. VEIT "
C MO CASI1 -
SUPERVISING ELECTRICAL ENGINEER
'
;p9 5r1 6%-a MAY 29 2 D 4.00f
- m
SASS31.80e 10-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO. EACH FEE
OUTLETS FIRST 20 $.20 $ OW
LIGHT - MAIL
SWITCH. ADD'L ADDRE 7
tl
OVER 20 .10 �•..�
LIGHTING TOTAL FIRST 20 ,20 CI • TEL.NO 7Jf+s .�
FIXTURES I ADO'L. 10ELECTRICIAN
OVER 20
RANGES CLO.DRYERS. WTR.HTRS. 1.00 ADDR SS
GARB.DISP. STA.COOK C .
EL.NO.
DISHWASH. AUTO.-WASH. 'STATE
SPACE HTRS. STA.APP.(Ys H.P.MAX.) .50 LICENSE NO.
MOTORSt OVER NOT OVER H.P. DI!TRIn N G R D
O 1 1.00 vv
1 s 1.50 INSPECTION RECORD
s B 2.00 if_31/_ C�
B 15 2.50 �- �,
1s so 3.00
10
so 100 5.00
o.
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE O•BOOV•NOT OVER 200A 1.00
SERVICE 0.600V-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING r '
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY 1.08 ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR T 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED REST TIAL PROPERTY. POWER
SIGNATU UTILITY CO.NOTIFIED
OF PE
FINAL `"r
LIDATION ARTHUR C. VEIT
MO CASH SUPERVISING ELECTRICAL ENGINEER
CK
Lk.1 9 4 8 JM 20 2 0 3.0 0 lw
DBE SA 23M SETS 2-47 • P4CATION FOR PERWr
DEPARTMENT OF BUILDING AND ELECTRIC
COUNTY OF Lbs ANGELES
M. J. FOX CHIEF ENGINEER
Q NAME �t DISTRICT NO. GROUP ZONE PERMIT N0.
y --
a ADDRESS � 1 ` � `"�, 7 tY,o
RECEIVED BY READY FOR DATE ISSUED
C TEL.NO. ? FIRST INSPECTION
COUNTY ]
CERT.NO. EXPIRES A ! j' �`
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
IDESCREMON OF WORE ADDRESS �� '�/- :;•,-
NUMBER OF OUTLETS ON CIRCUITSLOCALITY
"
L'-,• '. / /� C,•.•-
LOCATION BY ROOMS 1 /
NEAREST
LIGHT OUTLETS SW. PLUGS In' CRO58ST.
CIRCUIT A B C I D I E F IG I 1'I mNAME
q ° 7 ADDRESS' ? �' L /. /I. I'?�
U CITY -- t• i�x! .r s TEL.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
ELECTRICIAN.
I AIB TFII}�6GAL 7NE11,00FHE TPROPERTx DESCRIBED
ABOVE ! /
OWNER.
4W
Q
Z_
S
• D
TOTAL
NO. OF OUTLETS II S S. ' "PR ALS
1 NO. OF FIXTURES �J !e,) INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT /
iU b
kNO. OF SIGNS TRANS. WIRING
. OF RANGES OR HEATERS S FIXTURES
SCELLAN OUS $ POWER
RMIT FEE S r �•� UTILITY CO.NOTIFI D � i rel vee IN % V FINAL (t�r'�!• • •• •.
D.B.S.SA 45M SETS I0-47
. FO M8UTIOAFOR PJ�1Y
DEPARTMENT
OFB (;
COUNTY
OF
LOS
AN
EMS LAAF
CLIIEF EUGIP
JEER
_QNAME T DISTRICT NO. GROUP TANE PERMIT NO.
U ADDRESS 3-3-316
CITY TEL.NO.
77w READY FOR DATE ISSUED
FIRST INSPECTION
COUNTY
CERT.NO. EXPIRES �!
APPLICANT FHL IN IIIIFAV.Y OUTLINED PORTION ONLY
JOB
DESCIIIION OF WORK ADDRESS 4 e9
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
LIGHT OUTLETS SW. PLUG6 FlXT
CROSSST ��v
CIRCUIT A B C I D E F G H w NAME S 77) /
Zr MAI�R7
,/
+y ADD /J J'v 6 d h 4
O CITYC7dCJ/'/P TEL-NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
ELECTRICIAN.
II APB THE P= AG OWNER OF THE PROPERTY ESCRIBED
• ABOVE
OWNER.
COpRE ONS
J
Q
Z_
D
O
KOF
ETS Al 3 ffi S APPIR9$YAM
. OF FIXTURES ZAAX INSPECTOR'S NAME
NO. OF MOTORS N.P. $ CONDUIT
NO. OF SIGNS TRANS. S WIRING /
NO. OF RANGES OR HEAVERS ffi FIXTURES
MIBCELI=M US $t POWER
PERMIT FEE $ Z S UTILITY CO.NOTIFIED r J I
TOTAL EgE 95 FINAL
'ABB$-CEBOG 10-60 APPLICATION FOR ELECTRICAL PERMIT ,.
COUNTY OF LOS ANGELES
DEPARMENT OF COUNTY
ENGINEER
BUILDING AND SAFETY DIVISION gDDREss 6374 Sultana
JOHN A. LAMBIE. COUNTY ENGINEER "
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY Temple City
r„ NEAREST yl�'r
h6l-
FOR APPLICANT TO FILL IN � � CROSS ST. _
PERMIT FEES OWNER Prout
ITEM NUMBER EACH 'FEE MAIL 5738 E. Beverly Blvd
OUTLETJ, $ S ADDRESS
LIGHTS. RECEPT. SW. •10 ciTyLoa Angeles TEL. NO.
LIGHTING FIXTURES ,101&0n—,, a
ELEC. RANGES CLO. DRYERS `ELECTRICIAN Ronand R. e
WATER HEATERS .50 ADDRESS3014 Coolidge
ELEC.SPACE HTRS. DISHWASHERS m L
CITY TEL NO. NO 2 216
GARBAGE DISPOSERS AUTO.- STATE. n
.'WASHERS ' STA.COOKING UNITS ,25 LICENSE..NO. 2 • C 10.
MOTORS: OVER INC. H.P. DISTRICT-NO. PNE j.P SSED. l'
.0— 1/2 2S
l/a- 2 .So INSPECTION RECORD .
2— 5 1.00
5— 15 1.50 U
is— SO 2.50
50 200_ 5.00 O
SIGNS: NO TRANS. -NO.LAMPS. H
SERVICE 0-600V 1,00 'Z
SERVICE OVER 600V 5.00 ,
M ISC.
rt/Iat � ✓�L
9LA— M
WI.RI G PERMIT 1.00 100
FIXTURE PERMIT 1.001.00
SUPPLEMENTARY.PERMIT 5O
TOTAL FEE S2670
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE, IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT r� ���� • ssJ/y
ELECTRICAL WIRING., WIRING 71 JCC?0 /-/a oa=•1� ✓.I�d�'d
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED-AND/OR y
LICENSED AS REQUIRED BY LOS ANGELES.COUNTY AND STATE OF FIXTURES _
CALIFORNIA OR THAT 1 AM THE LE 'L OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL'PROPEqtiy • POWER
SIGNATURE OF PERMITTUTILITY CO.NOTIFIED
E FINAL ___ ��. �yL✓r7-�/''�
LIDATION ARTHUR C.VEIT 1
cK// MO CASH' SUPERVISING ELECTRICAL. ENGINEER
LAC0 7 4. 8 1 JAN 26 . 2 D- 2.7 0 E
+�. iffirORKERS'COMPENSATION DECLARATdON �• 76-663 CE-806G 10/6'1 MrP CATION FOR ELECTRICAL
RIC/ L PERMIT
al hereby�ffirm that I have a certificate of consent to self insure,
' or �,certifiggte of�Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY
. copy tereof(Sep.380C.)' �1 p_
• Policy,Ngf t'-b�COmpSny�swaE� FOR APPLICANT TO FILL IN JOB
❑ Certified copy is here furnished. t1 J{ EACH NO.. FEE ADDRESS
by New Residential Bldgs.&Pools
Certified copy.is filed with the county buildin inspection 1 &2-Family,Sq.Ft. $ — $ LOCALITY L_`�
department. Multi-family Sq.Ft. — NEAREST
CROSS ST.
Date `� Applican Residential Swimming,Pools OWNER OR \
t ; .%FIRM NAME � �7� � Vim-
C RT ICATE F EXEM I FROM WORKERS' Outlets:Rec Light Sw. MAIL
COMPENSATION INSURANCE f i ADDRESS
This section need not be.com leted if•the work involved the `-� First 20
( p b y Total NO.s� Additional CITY Tel.N .
permit is for one hundred dollars($100)or Less.) �
PLAN
certify that in the performance of the work for which this permit APLICANT 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 ADDRESS
Total No. V+ Additional CITY' Tel:No.
Date Applicant Fixed Appliances Not Over 1 HP
NOTICE TO APPLICANT: If, after making .this .Certificate of PERMIT
Exemption,you should become subject to the Workers'Corppensation Range_ Heater D.W. _ APPLICANT Y4 Ph FA' `— C.V
provisions of;the Labor Code,you must forthwith comply with such Oven Dryer_ W.M._ ADDRESS
provisions or this permit shall be deemed revoked. Top FAU _ W.H. _
LICENSED CONTRACTORS DECLARATION • Hood — Fan _ Other_ CITY Tel.No.
I hereby affirm. that,l am licensed under provisions of Chapter. 9. LICENSE OR
Disp. — Room Air Conti. REG.NUMBERS C Ctass.
(commencing with Section 7000) of Division 3 of the Business and
Professions Code,and my license is in full force and effect. DISTRICT NO. PR D BY ��
Power Apparatus&Large Appliances
Size&'Type HP,KW,KVA,or KVAR ^ , 0.
License NumbeAl I Lic.Class Up to 1 Incl.' FINAL
�' ° Over 1 to 10 Incl. DATE/ VALIDATION, X,
Contractor 0 Date Over 10 to 50 Incl. H
FINAL J f
❑ I am exempt under.Sec. Over 50 to 100 Inc. gy ,V/J' �J�� a
B.&P.C.for this.reason Over 100 N
Services,Swbd.,MCC&Panelboards Z
Date: 0-200 Amp.Under 600 V
r
Signature - 201 -'1000 Amp.Under B00 V
❑ Over 1000 Amp.or Over 600 V
Exemptiodoeg.Maint.Elect.
• r.
SINGLE FAMILY Temp.Power Pole.&Appurtenances
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit Ai ;(°r
I hereby affirm that I am exempt from the Contractor's License Law Additional Sign Branch Circuits
for the following reason(Section 7031.5,Business and Professions
Code):
❑ Misc.Conduits&Conductors i r°ENS
I,as owner of the property,will do the work and the structure
is not Intended or.offered for sale (Section 7044, Business Other(See Complete Fee Schedule) _ ® C; :E 'II6. 2c
and Professions Code). .;I7� —r
CONSTRUCTION LENDING AGENCY CHECK O°'41 E5
I hereby affirm that there is a construction lending agency for the y:!
performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub Total)
Civ.C.).
PLAN CHECKING FEE I?j1i'(1_t'j_1. `/,27139
Lender's Name
PERMIT ISSUING FEE 2 s n, I AN, 9:15
Lender's Address
I certify that I have read this application and state that the above TOTAL FEE
s
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
T;"inspectionrposSEE REVERSE FOR EXPLANATORY LANGUAGE
Si6nr of PermitteeDate
• r
WORKERS'COMPENSATION cafe of consent
, t3 PW 3/87 APPLICATION/�TION F®R ELECTRICAL PERMIT O
I hereby,affirm that I have a certificate of consent to self ce- /`� /'� L`
insure, or a certiricate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS
w gr a certified copy thereof (Sec. 3800, Lab. C.)
• Policy No.• Company FOR APPLICANT TO FILL IN JOB r
Dtertified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS !6 14 SgJAN Q A uIL0LW_
Certified co is filed with the count building inspec- 1 &12-Famil S Ft. $ $ LOCALITY �Et1ILE CL(`�
PY Y 9 P Y' q' NEAREST
tion department. Multi-family Sq. Ft. CROSS ST. L,\)L 17 E►J Awe ki V G
Residential Swimming Pools OWNER OR �/uC
Date Applicant /
F'RM 'fes"f IG.K (G.I
CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL
Outlets: Rec Light Sw. ADDRESS L S ),t Sc1`l A�J 'iV�NJ is
COMPENSATION INSURANCE t first 20
(This section need not be completed If the work Involved by Total No. Additional CITY ���� [L(� Tel. No.�-3;(3-S
the permit Is for one hundred dollars($100)or less.) PLAN CHECK
I certify that in the performance of the work for which this ,B I APPLICANT
permit is issued, I shall not employ any person in any manner Lig' tin Fixtures First 20 `f I ADDRESS
so as to become subject to the Workers'Compensation Laws, g g
Additional
Date Applicant Total No. i CITY Tel. No.
NOTICE TO APPLICANT: If, after making this Certificate of F�xed Appliances Not Over 1 HP I PERMIT
Range— Heater—D.W. — APPLICATION
Exemption, you should become subject to the Workers' 9 j
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 —W.H. —
deemed revoked. Hood — Fan —Other— lTY Tel. No.
LICENSED CONTRACTORS DECLARATION LICENSE OR
I hereby affirm that I am licensed under provisions of Chapter 9 Dlsp. — Room Air Cond. — REG. NUMBER Class.
(commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT O. P1%
SE B I-
and Professions Code,and my license is in full force and effect. ( 0_
Size&Type HP, KW, KVA, or KVAR �� O
License Number Lic. Class Up to 1 Incl. FINAL U
Contractor Date Over 1 to 10 Incl. I DATE VALIDATION 0
ElOver 10 to 50 Incl. FINAL
I am exempt under Sec. Over 50 to 100 Inc. BY U
Over 100 lL
B.&P.C. for this reason O_
Services, Swbd., MCC 8 Panelboards
Date: Z0-200 Amp. Under 600 V
Signature 201 - 1000 Amp. Under 600 V /
Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V (L V
SINGLE FAMILY
HOME OWNER-BUILDER DECLARATION Temp. Power Pole&Appurtenances (/
Sign with One Branch Circuit ACCT.
a.
s
I hereby affirm that I am exempt from the Contractor's License Sig ., �
Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits y,'[j f !vo L
Professions Code):
Misc. Conduits&Conductors o
I, as owner of the property, will do the work and the ; TOTAL �'� ��
structure is not intended or offered for sale(Section 7044, Other(S-ee Complete ee Schedule)_
Business and Professions Code). t r , ; CHECK 12,130
CONSTRUCTION LENDING AGENCY 21 CHANGEeLi
ls
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 i_.{CI]I]-0001 11/27/5'
Lender's Name +^
PERMIT ISSUING FEE 7Fu1
Lender's Address
I certify that I have read this application and state that the TOTAL FEE
abo information is correct. I agree to comply with all County
orcin nces and State laws regulating Electrical wiring, and
here authoriz represent ativ of this County to enter upon
th ve-men oned pro ert f r inspection pu oses.
SEE REVERSE FOR EXPLANATORY LANGUAGE �
Signature of Permittee Date M ®'
` 1 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1201170004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: 1 FEES PAID I BIIILDING ADDRESS: I
I ON FILE I 1 6374 SULTANA AV [
1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( SGAB CA 917752068 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LONGDEN
15382-019-024 1A1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl
I 1G1 OUTLETS-LGT,SW,RECP 2.00 OUT 3.90 I I
ITENANT: I TOTAL FEES 31.70 [ISSUED ON: PROCESSED BY: PLAN BY:
I I 101/17/12 SR 1
(OWNER: TEL. NO: 1 IFINAL DATE FINAL BY: CODE: I
IYUE BENTON S;MING M (626) 695-2155-
I
16374 SULTANA AV
I
ISGAB 917752068 I IDESCRIPTION OF WORK I
11NSTALL NEW OUTLETS (2) 1
(APPLICANT: TEL. NO: I I I
1SAM AS OWNER -
I 1 1SPECIAL CONDITIONS: 1
(CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I
(SAME AS OWNER - I I I
I LIC. NO 1 (TEMPORARY POWER POLE I I i
I I 1UNDERGROUND CONDUIT 1 I
1ARCHITECT OR ENGINEER: TEL. NO: [ IUFER GROUND I I I
_ I � I
1 LIC. NO: ' I IROUGH CONDUIT I I I
I I IROUGH WIRING [ I 1
I I
I I IMAIN WATER LINE I I I
I 1PLASTIC YIN METAL YIN I I I
I I (UTILITY COMPANY NOTIFIED 1 I
I I I I I I
I I I I I I
1
3 �aa �
I I I I I
1 1 1 1 1 1
1 REPORT ID: DPR265 ROUTE TO: BS0508 1 [ I I
I I I I I I