HomeMy Public PortalAbout6401 SULTANA AVE_Electrical__ COUNTY OF LOS_ANGELES ;�` APPLICATION FOR PERMIT
Department of County.Eagineer, ELECTRIC
DIVISIONSION OFFBUILDING &� SAFETY
WILLIAM J. FOX, County Enolneer
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN
RECEIVED BY READY FOR DATE IBB ED
ADDRESS — — FIRST INSPECTION l `
CITY TEL NO .ge� �O
COUNTY LICENSE. NO. EXPIRES .�O BUILDING•.
PERMIT FEES ADDREes O
FEE
NUMBER EACH LOCALITY
LIGHT OUTLETS Z. D NEAREST
ZZ CR088 8T. �-
RECEPTACLES '
WALL SWITCHES G -.'OWN'ER
TOTAL OUTLETS 5c T MAIL
ELEC.•RANGES 25 ADDRESS
ELEC. HEAT-ERB 25 CITY TEL NO.
FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT 1' HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IB CORRECT
NUMBER OF LIGHT CIRCUITS AND 'AGREE TO COMPLY WITH ALL' COUNTY 'ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS' - -AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT 1 POBSESO THE ABOVE VALID LOB
NUMBER HORSEPOWER FEE 'ANBELEB COUNTY LICENSE, OR F AM THE LEGAL 13WNER
NEw MVD. HP OVER INC- EACH IGF THE RESIDEN IAL P RTY DESCRIBED ABOVE.
%s 8 LE6B ,S .25 ;SIGNATURE OF (�
%s 2 .50 PERMITTE
z s" 1.00 INSPECTION RECORD
S 15 .1`:50
15 so . 2.50
50 200 5.00
200 BOO 10.00
500 1000 15.00 Z
OVER 1000 20.00 E7
M.G. SET/FREQ. CHANGER-NP'
f + K O
WELDERS'AC-KVA /��
GENERATORS -.KW
TRANSFORMERS.- KVA
TEMP: MOTORS (75% OF CRIB.)
..tom
MOVED-MOTORS (75.% CF CRIB.) `'l)
-MISC. , ParTO. .
NO. NO.TRANS.
APPROVALS
,No. NO.LAMPS ,
FOR EACH 'PERMIT' DATE INSPECTOR'S NAME
WIRING $1.00 CONDUIT
FIXTURES $1.00 J WIRING
SUPPLEMENTARY . .50 T FIXTURES (`` � •� C�i:(�F7^
r Q. POWER F a. `
TOTAL FEE 91 y UTILITY CO.NOTIFIED ! e�1+;',Ie,1,
FINAL
76ASS3 DBB*"5A 2.53 `
ON
20-0019
I hereby affirm that havelvla certificate oEconsen l<o self Insure,
76A663 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT lJ
or a certificate of Worker's Compensation Insurance,or'a c&tified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV.
copy thereof(Sec.3800 Lab.C.)
Policy No. Company FOR APPLICANT TO FILL IN gDDRESS
Certified copy is hereby furnished.
New Residential Bldgs.&Pools NO. EACH FEE LOCALITY
$ $Ft
Sq
Family, . . —
Certified copy is filed with the county building inspection 1&2- _ NEAREST IF
department. Multi-family Sq.Ft. CROSS ST. -f
Date Applicant Residential Swimming Pools ASS BOOK OF
PAGE PARCEL
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec. LightSw. OWNER OR
COMPENSATION INSURANCE FIRM NAME
First 20 MAIL �� _
(This section need not be completed If the work Involved by the Total No. Additional ADDRESS
permit is for one hundred dollars(S100)or less.)
I certify that in the performance of the work for which this permit CITY Tel.No.
is issued, I shall not employ any person in any manner so as to PLAN CHECK
become sub]e t to the Workers'Compensat' n Laws. Lighting Fixtures First 20 r APPLICANT
(/ Total No. Additional ADDRESS
\Date Applicant RESIDENTIAL.APPLIANCES NOT OVER 3 HP.
NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel.No.
Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP.
provisions of the Labor Code,you must forthwith comply with such PERMIT X
P Y P Y APPLICANT
provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances
LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS
I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl.
(commencing with Section 7000)of Division 3 of the Business and CITY Tel.N �d
Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. LICENSE OR, '
Over 50 to 100 Incl. REG.NUMBER Class' d
License Number Lic.Class
Over 100 DISTRICT NO. PROCESS
� / ()
Services,Swbd.,MCC&Panelboards a 06 Q
Contractor Date 0-399 Amp.Under 600 V DATE ' 0
F1400-1000 Amp.Under 600 V J6 VALIDATION W
I am exempt under Sec.
Over 1000 Amp.or Over 600 V FINAL
B.&P.C.for this reason BRANCH CIRCUIT FEES BY " co
Date: 15A,or 20A,120V,Lighting or Recept. f Z_
1 To 10 Branch Circuits
Signature 11 To 40 Branch Circuits 2
41 Or More Branch Circuits A�.CT•v
A/__Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits
SINGLE FAMILY Temp.Power Pole&Appurtenances 3303 69.30
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 1 ITEMS
I hereby affirm that 1.am exempt from the Contractor's License Law
for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits TOTALt+' �, �
Code):
® 1,as owner of the property,will do the work and the structure Misc.Conduits&Conductors CHECK 69.30
is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) ® CHANGE •00
and Professions Code).
CONSTRUCTION LENDING AGENCY r;
I hereby affirm that there is a construction lending agency for the 0000-0001 4f 8/96
performance of the work for which this permit is issued(Sec. 3097, PERMIT FEE (Sub-Total)
Civ.c.)
;76 1 AM $ 3
PLAN CHECKING FEE
Lender's Name
PERMIT ISSUING FEE 2_1 70
Lender's Address -ZA
I certify that I have read this application and under penalty of purjury state TOTAL FEE dC1
that the 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 above-mentioned property
for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
SIGNATUREOF PERM EEE DA
i
� I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0102020024
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: S PAID BUILDINGADDRESS:
ON FILE 6401 SULTANA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SGAB CA 917752033
SSS 0 ON NEAREST CROSS STREET: LONGDEN
5382-021-010 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H1 LOCALITY: TEMPLE CITY
LA 100 AMP PANELS, MCC 1.00 PAN 38.85
TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED : PLA BY: EXPIRES ON:
02/02/01 UT 08/01/01
OWNER: TEL. NO: DAT F III CODE:
FIN L
HO WEI T;TE L (626) 309-0386- -11 2poi
6401 SULTANA AV
SGAB 917752033 DESCRIPTION OF WOR4_/
REPLACE EXISTING EL CTR CAL PANE WITH 100AMP PANEL
APPLICANT: TEL. O:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. N0: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH G
I WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPA NOTIFIED,
REPORT ID: DPR265 ROUTE TO: BS0508
i
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0611010013
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 ERT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE 6401 SULTANA AV
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: SGAB CA 917752033
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN
5382-021-010 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H1 LOCALITY: TEMPLE CITY, C
G1 OUTLETS—LGT,SW,RECP 50.00 OUT 79.50
TENANT: G2 LIGHTING FIXTURES 24.00 LGT 44.40 ISSUED ON: PROCES58D BY: PLAN BY: EXPIRES ON:
HA FAU LESS 3HP 1.00 FAU 10.95 11/01/06 JK 04/30/07
H2 RES GREG DISP IT 3HP 1.00 DIS 10.95
OWNER: TEL. NO: H4 RES RANGE EDS LT 3HP 1.00 HOO 10.95 F DAT FI CODE:
HO, VICTOR (626) 309-0386— HS RES WASH MACH LT 3HP 1.00 WAS 10.95 e�
6401 SULTANA AV JB AC UNITS +3-10HP 1.00 AC 19.65
SGAB 917752033 IN OTHER PNL 0-399 AMPS 1.00 PAN 38.85 DESC OF WORK
TOTAL FEES 253.95 ELECTRICAL FOR ADDITION, REMODEL, ADD SUB—PANEL 100 AMP
APPLICANT: TEL. NO:
YOM (626) 410-3113-
260 E. GARVEY AVE SPECIAL CONDITIONS:
MONTEREY PARK 91755
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
P S REMODELING CORPORATION (626) 378-2781-
9059 WOOLLEY ST LIC. NO TEMPORARY POWER POLE
TEMPLE CITY, CA 91780 754089B
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
TERENCE KWOK (626) 410-3113-
260 E. GARVEY AVE LIC. NO: ROUGH CONDUIT
MONTEREY PARK, CA 91755 24796 C
ROUGH WIRING Ap i J
MAIN WATER LINE l�
PLASTIC YIN METAL YIN
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508