HomeMy Public PortalAbout6402 SULTANA AVE_Electrical__ 76AS63 DBS SA 11-49 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT_TO FILL IN DISTRICTGROUP I ZONE PERMIT
2�G
ELECTRICIAN /J19tA_i(�
R EIVED BY READY FOR DATE ISSUED
ADDRESS/Tl . ._Q1 �/ FIRST INSPECTION
CITY TEL.NO. •4 C
COUNTY LICENSE NO. EXPIRES ADDRESZW.- =�Z . ,
PERMIT FEES
FEE /JA �, 6
NUMBER OUTLETS EACH LOCALITY r . �X
�r=-. LIGHT 5O $ /)� NEAREST-CROSS
EAREST-CR065 5u
RECEPTACLES 5 / ,fJj
FIXTURES 5 n �!OWNER �. ! . iia r=
WALL SWITCHEMAIL E95 �,rr�� /—
°
_,icy +%.i1.
EL C. RANGES 25 ADOR �
ELEC. HEATERS 25 CITY TEL. NO-
M15C. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
NUMBER OF CIRCUITS INSTALLED:
TOTA, APPLICATION AND STATE THAT THE ABOVE IS CORRECT
LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING.
NUMBER HORSEPOWER FEE I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NEW MVD. HP OVER INC- EACH ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
%2 A LESS $ .25 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
10,
%2 2 .50 SIGNATURE OF
2 5 1.00 PERMITTEE
5 is 1.50 G'INSPECTION RECORD
is 50 2.50
s0 200 5.00
200 500 10.00
500 1000 15.00 JQ
OVER 1000 20.00 Z
M.G. SET/FREQ. CHANGER-HP [g
WELDERS:AC-KVA
GENERATORS - KW O
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF DRIB-)
MOVED MOTORS (75% of CRIB.)
MISC.
SIGNS
TYPE: NO.TRANS
TYPE: NO. I APPROVALS
FOR EACH PERMIT: DATES INSPECTORIS NNAME i
WIRING $1.00 CONDUIT / � /,{/,'/'z"I r
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE $"] �� UTILITY DO.NOTIFIED
v FINALMAXIMUM ACCOMPLISHED 8-1575T—1
DEB S-A r�46
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERNIIT
COUNTY OF LOS ANGELES ELECTRIC
WM. J. FOX CHIEF ENGINEER
a NAME qq cn� ��� ��, DISTRICT NO. GROUP ZONE PERMIT NO.
U ADDRESS Cs GQ===0
o ""1 RECEIVED BY READY FODATE ISSUED
CITY �J TEL.N A R r FIRST INSPECTION
CERT.NO. 87 EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORD ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS SW. PLUGS FdT CROSS ST. ed 0,0 A— c
CIRCUIT A B C D E F G H G NAME 110i'd Al
Z MAIL
ADDRESS a r
CITY TEL NO.
e°� $ 1 AM THE LEGAL' #OSliESSOR OF THE ABOVE S
ANGELES.COUNTY CERTIFIG` TE OF QUALIF glPA
�Q �� ®• ELECTRICIAN.
1 AM THE LM"OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER.
CORRECTIONS
a �
J
Z_
I7
O
TOTAL
NO. OF OUTLETS 7 ffi Q IS APPROVALS
fi10. OF FIXTURES / ffiS/ DATE INSPECTOR'S NAME
NO. OF MOTORS N.P. 117ffi CONDUIT
NO. OF SIGNS TRANS. ffi WIRING �1 a`� ✓•! ll�a�L��'�
NO. OF RANGES OR HEATERS ffi FIXTURES
MISCELLANEOUS ffi POWER
PERMIT FEE -! / III �i J 'UTILITYCO.NOTIFIED A
TOTAL FEE :1 t J FINAL
88 S-A 12-44
D DEPARTMENT OF BUILDING AND APPLICATION FOR PERM
COUNTY OF LOS ANGELES = ELECTRIC 1
M. J. FOXCHIEF ENGINEER
S NAME ,,; DISTRICT NO. GROUP Ni PERMIT NO.
V ADDRESS
c RECEIVED BY READY FOR DATE ISSUED
J CITY ,, Y TEL.NO. ? FIRST INSPECTION 1(J �arY�
W CERT.NO.UNTY EXPIRES •'
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
DESCRIPTION OF WORK ADDRESS
NUMBER OF OUTLETS ON CIRCUITS
LOCALITY
EAR
LOCATION BY ROOMS r, f
NEST
LIGHT OUTLETS SW. PLUGS FOR CROSS ST. 1
CIRCUIT A B C D E F IG JH E NAME } � t y;�` . ,1��!s , � 4•.�':P s°
3 m MAIL ' j
ADDRESS l/.:1M C; A i'•A.1'.l e°A-Le-
CITY
`•
O
CITYG� .�'a�;� L�4L--(V TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
ELECTRICIAN.
i AM THE 1`,EQiAL OWNER-OF THE ROPyF,R7'Y DESCRIBED
ABOVIC 11,
OWNER.
9 CORRECTIONS
iLs v •.
Z
2
IY
O
TOTAL
No. of OUTLETS /O APPROVALS
NO. OF FIXTURES ffi DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. S CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE E v _ UTILITY CO.NOTIFIED p .mss
xxe� CCR S
WORKERS'COMPENSATION DECLARATION I
CE-806G (2.80) APPLICATION FOR ELECTRICAL PERMIT
E•806
I hereby affirm that I have a certificate of consent to self I COUNTY OF LOS ANGELES BUILDING AND SAFETY
insure, or a certificate of Workers'Compensation Insurance,or
a certified copy thereof(Sec.3800,Lab.C.)
FOR APPLICANT TO FILL IN JOB
Policy No. Company EACH NO. FEE ADDRESS
New Residential Bldgs.&Pools
Certified copy is hereby furnished. 1 &2-Family,Sq.Ft. $ — $ LOCALITYP
I _
Certified copy is filed with the count Multi-family Sq. Ft. NEAREST
Certi
y building inspection Residential Swimming Pools CROSS ST
department. OWNER OR
FIRM NAME
Date Applicant Outlets: Rec.—Light Sw. MAIL Grp
I First 20 ADDRESS C�
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CIT g Tel No.
COMPENSATION INSURANCE " }
PLAN CHECK tl
(This section need not be completed if the work involved APPLICANT V
by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS
Total No. Additional
I certify that in the performance of e w rk for which this CITY Tel No. 0
permit is issued I shall not em to n Fixed Appliances Not Over 1 HP
p per on 'n any manner PERMIT i- t
so as to become subject e W er o ws. Range_Heater D.W. _ APPLICANT S a
Oven — Dryer_W.M._ ADDRESS P
FAU _W.H.
Dat Applican e
Fan _Other— CITY el No.
NOTICE TO APPLICANT: If, a�i r maki is Certificate of Disp. _Room Air Cond— LICEN E OR
Exemption, you should become subjec to the Workers' REG.NUMBER ® Class
Compensation provisions of the Labor Code, you must forth- Power Apparatus&Large Appliances DISTRICT NO. PROC SED BY
with comply with such provisions or this permit shall be
deemed revoked. Size&Type HP,KW,KVA,or KVAR
Up to 1 Incl.
Over 1 to 10 Incl. DA
EL
LICENSED CONTRACTORS DECLARATION ; ; J VALIDATION
Over 10 to 50 Incl.
I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL
BY
9 (commencing with Section 7000)of Division 3 of the Busi- Over 100 '
ness and Professions Code,and my license is in full force and
effect: $e /
0-200 p.Under 600 V
License Number Lic11 .Class Amp.Under 600 V
Contractor&Maae
Q.Date Over 1000 Amp,or Over 600 V
HOME IA -BUIL)7&DECLARATION Temp.Power Pole&Appurtenances
I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit
License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits
ness and Professions Code):
Misc.Conduits&Conductors
I, as owner of the property, will do the work and the Other(See Complete Fee Schedule)—
structure is not intended or offered for sale (Section
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(Sec.3097,Civ.C.). PERMIT FEE (Sub-Total)
Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee)
Lender's Address - PERMIT ISSUING FEE
I certify that ave read this application and state that the TOTAL FEE
above info alio is correct.I agree to comply with all County
ordinan and State laws regulating Electrical wiring, and
hereb a prese ve of this County to enter upon
e a v ent ty or inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE
Sig ure ittee Date
WORKER'S COMPENSATION DECLARATION 20.0019 DPW(12-91) APPLICATM FOR ELECTRICAL. PERMIT
+
I hereby affifm that I have a certificate of consent to self insure, 78A683
or a'certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV.
copy,thereel(Sec.3800 Lab.C.) L(/
Policy No. 116!k 3)4 a--Company 16 O�C1 4- `� I FOR APPLICANT TO FILL IN JOB
ADDRESS
❑ Certified copy is hereby furnished. New Residential Bldgs.&Pools NO.1 EACH FEE
$ $ LOCALITY
Certified copy is filed with the county buildi inspectio 1 &2-Family,Sq.Ft. NEAREST
de artment Multi-family Sq.Ft. — CROSS ST.
Date Applicant Residential Swimming Pools ASSE55oR 1
�i (� MAP BOOK PAGE G PARCEL
CERTIFICATE OF EXEMPTION FROM WOR ERS' Outlets:Rec. Light_1�_Sw._,,1_ JU OWN NAME
COMP 0 FIRMer ENSATION INSURANCE myka
First 20
(This section need not be completed if the work Involved by theI. AODRESs V�
permit Is for one hundred dollars($100)or less.) Total No. Additional
I certify that in the performance of the work For which this permit CITY CFTel.No.
is issued, I shall not employ any person in any manner so as to Q PLAN CHECK
become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 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
provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT �y
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.No.
Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. �.
LICENSE6`5 Class.
C� � / Over 50 t0 100 Incl. REG.NUMBB ER� — O
License Number v Lie.Class '� Over 100 DISTRICT NO. PRO SED BY V
[� Services,Swbd.,MCC&Panelboards �� Ld�G / cc
Contractor 1< Date 1 T 0-399 Amp.Under 600 V DATE �+ O
F-1 I am exempt under Sec. 400-1000 Amp.Under 600 V ��5�[ VALIDATION iVj)
Over 1000 Amp.or Over 600 V FINAL a
B.&P.C.for this reasonBY fn
BRANCH CIRCUIT FEES
D e: L 15A,or 20A,120V,Lighting or Recept. z
1 To 10 Branch Circuits
Signature 11 To 40 Branch Circuits
❑ 4t Or More Branch Circuits
Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits
SINGLE FAMILY Temp.Power Pole&Appurtenancesef'�,
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit
I hereby affirm that I am exempt from the Contractor's License Law
for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits -)r-
Code): _ —
I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors
3 40
is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) I•r�-1 �'° r''
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 (Sec. 3097, PERMIT FEE (Sub-Total)
Civ.C.)
PLAN CHECKING FEE
Lender's Name
PERMIT ISSUING FEE
Lender's Address
I certify that I have read this application and under penalty of purjury state TOTAL FEE ,
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 inspec rr ses. SEE REVERSE FOR EXPLANATORY LANGUAGE
SIGNATURE �F PEgMITTE AT
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0806270004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: I FEES PAID I BUILDING ADDRESS:
ON FILE I I 6402 SULTANA AV 1
]FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 SGAB CA 917752034
]ASSESSOR INFORMATION NUMBER: I INEAREST CROSS STREET: LONGDEN
5382-019-023 IA1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl
IG1 OUTLETS—LGT,SW,RECP 3.00 OUT 5.85 1 I
ITENANT: JHA FAU LESS 3HP 1.00 FAU 10.95 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
IJB AC UNITS +3-10HP 1.00 AC 19.65 106/27/08 SR 12/24/08
TOTAL FEES 64.20 [
(OWNER: TEL. NO: 1 (FINAL DATE FINAL BY: CODE: [
ILIN, ANTONY (626) 287-9898— 1 I I
16402 SULTANA AV I I (041 1
ISGAB 917752034 [ IDDSSCRIPTION OF WORK Is
I i [ELECTRICAL FOR HVAC SYSTEM
(APPLICANT: TEL. NO: I [
ITSAI (626) 483-2857-
79 W. MAGNA VISTA 1 ISPECIAL CONDITIONS:
ARCADIA, CA 91007
I I I I
ICONTRACTOR: TEL. NO: ] (APPROVALS DATE INSPECTOR SIGNATURE 1
IJAMES TSAI CONSTRUCTION, 6264832857 (626) 483-2857— 1
179 W. MAGNA VISTA AVE LIC. NO I ITEMPORARY POWER POLE I I I
1ARCADIA CA 91007 B C10 C20
] I (UNDERGROUND CONDUIT I I I
ARCHITECT OR ENGINEER: TEL. NO: — i JUFER GROUND I I
LIC. NO: I IROUGH CONDUIT
If1h -1I I
ROUGH WIRING r Q i w u 1 1
I I IMAIN WATER LINE �/
I I 1PLA..TIC YIN METAL YIN
I I 1UTILITY COMPANY NOTIFIED( I I
I ] I I ]
I I I I I I
I I I I I I
I I ] ] I
I I I I ] I
I I I I I I
I
I I* ADDITIONAL DATA ON FILE ] I I I
I I I I ]
REPORT ID: DPR265 ROUTE TO: BS0508 I ] I