HomeMy Public PortalAbout6439 SULTANA AVE_Electrical__ 70A663 CE805 11-11 APPLICATION F�C4�1.. PERMIT lJ S
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS TY T —�
LOCALIA
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS O e FE mE �A
S S OWNER
RECEPT_ MAIL
LIGHT— TOTAL
FIRST 20 25 ADDRESS E
n
SWITCH OVER 20 CITY TEL N04W_-.1.50
0
—_ 10 PLAN CHECK
LIGHTING FIRST 20 m
FI%TURES 10 APPLICANT
TOTAL
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL NO
RANGEDRYER
PERMIT I E
_ _ APPLICANT
STA COOK_DISP_F A U _ ADDRESS 2qQ E 4A Al n
SPACE HTR AIR CONES CITY TEL NO e2/�ji /0
CLOTHES WASH DISHWASH LICENSE NO 0
+1 CLASS
FAN OTHERIDD I HEREBY •CKNOWL[DOE THAT I HAVE READ THIS APPLICATION
AND STAT[ THAT THe ABOVE 13 CORRECT AND AGREE TO COMPLY
MOTOR{ TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STAT! LAWS RESULATING
IND HEATERS, ETC HP KW XVA ELECTRICAL WIRING
Size p TYPE OVER To
I HEREBY A CREQUIR THAT AM PROPERLY ROISTERED ANO/OR
Q - 1 I00 CALIFORNIAA! REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIPERNOR THAT IAM THE OWNER M AND INTEND TO O
1 — 10
SUES RESIDESIGNA IN THE ABOV CRI RIBED ■EEIoINTIAL PROPERTY u
SIGNATURE
10 - 50 S00 OF PERMITTEE � Q
50 - 100 1000 G
DISTRICT NO CLASS PROCINW[D BY W
100 - 500 IBRO n'
SIGN GAS SIGN AND ONE CIRCUIT 500 rFIXTURES
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100
SFRVICENOTOVER 600 VOLTS OR 200AMP 300
ROVALS DATE IXlECTOR'5 Bg11ATAQ
SERVI CE OVER 600 VOLTS OR 200 AMP IODO
WER POLE
TEMPSERVICE,POLE, &APPURTENANCES 500
IUT
AB WORK
TEMP LIGHT OR RECEPT SYSTEM 300
ONE
UTHORIZEDPERMIT FEE (SUB TOTAL) IS
CO NOTIFIED
PLAN CHECK FEE
PERMIT ISSUING FEE 300 � ��)
TOTAL FEE dU
PLAN CHECK VALIDATION CR M E CASH PERMIT VALIDATION c[ M O CAEN
+ 3 6 0 873, DCT 15 2 D 004
SEE SAM OF APPLICATION FOR COMPLETE SCHEDULE
TSAsas-CiSOs-11.15IAPPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS )ammm
DEPABTNENT OF COUNTY ENC== BUILDING
BUILDING TA,RN�D SAFETY E�EIMyMs�ON ADDRESS
cmwTT�A GBL.MsP-1 sl�a LOCALITY
NEAREST 711
FOR APPLICANT TO FILLIN C
PERNIIT FEFS i
1 r¢w NuYSER EACH F¢¢ ;
OUTLETS 5 MAIL
LIQHTS R¢ SM 10 ADDRESS
LIGHTING FIXTURES 10 CI S
n¢c RAHGw CLO DRYERS ELECTRICIA
WATER H¢AT¢R¢ DO ADDRESS 1
ELEC SPACE FRMS DISHWASHERS
DARSACE 01S 5O AUTO- CITY / TEL NO
WASHERS STA COONINO UNITS 25 STATE
LICENSE NO
MOTORS OVER INC HP
O Ih 2e AIAGY PDA INaPtrnOm
V. — 2 Do
2 — D too INSPECTION RECORD
a — 13 150
15 — DO
230
DO— 200 Boo
SIGNS NO TRANS
NO LAMPS
SERVICE 0 DOOV 100
SERVICE OVER SOOV 500
MISC
WIRING PERMIT 100
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT 50
TOTAL FEE" APPROVALS
I HEREBY ACENOBLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR SSIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
1 HEREBY CERTIFY THAT I AN PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AN THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PROPERTY
SIGNATUREUTILITYCO NOTIFIED
OF PERMITTE
FIN-J,
VAIMAT �UPERVWING ELeYj"crRICAL BNouNMM1E
CS YO
- - LAC01 3 5 68R MY 28 2 Ab 2.6 0 A
70AS" BEE EA II-BB APPLICATION FOR PERbGT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
ELECTRIC 1
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO
ELECTRICIAN �'
REC61 BY RlADY FOR D EI UED
ADDRESS S FIRSTADY FO710N
c1n TEL Mo L V
COUNTYLICIENRENOqqRIM S BUILDING /
PERMIT FEES ADDRESS (O
PEE
w 7 ♦ t NU BAR EACH LOCALITY
LIGHT OUTLETS NEACROREST BT
RECEPTACLES
WALL SWITCHES OWNER
TOTAL OUTLETS Sc 8 MAIL
ELEC RANGES YE ADDRESS
ELEC HEATERS YE CITY TEL NO
FIXTURES E I HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC APPLICATION AND STATE THAT THE ABOVE IR CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VAUD LOB
NUMBERHORSEPOWER ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
FEE OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
Ew
Nw MHP o.R IMC ji --
'A•LIRE 6, YE SIGNATURE OF y� .j• C//�
I Y W PERMITTEE//llLi::�� .���_ /• 6(y�_
Y B 1 00 INSPECTION RECORD
E 1E 1 Eo
IS Bo Y Eo
BO 200 E DO 7O�L42 9017-S
200 BOo 10 00 t
E00 1000 IR 00 Z
OVER 1000 YO DO / (�
M G SET FRE CHANGER-HP e O A O
WELDERS AC-KVA '/
GENERATORS-KW rH
TRANSFORMERS-KVA Al I 1
TEMP MOTORS 7 OFORIG
MOVED MOTORS 76 of oRIG I NF //11e al—1
MISC r /
SIGNS o K n/o /
NO NO TRANS APPROVALS
No NO-LAMPS FOR EACH PERMIT DATE INSPECTOR B NAME
CONDUIT
WIRING 111 00
FIXTURCR 1 DO WIRING
SUPPLEMENTARY EO FIXTURES
POWER .11
TOTAL FEE s D UTILITYCO NOTIFIED —I /- N
® FINAL Y
WORKERS'COMPENSATIONDECLARATION
CE 806G (2 801 APPLICATION FOR ELECTRICAL PERMIT
CE 806
1 hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY
insure or a certificate of Workers Compensation Insurance,or �, 7
a certified copy thereof(Sec /
380/00 Lab Cn)
Policy No Compenlin:e sJ I AIS f"4ND FOR APPLICANT TO FILL IN JOB y
New Residential Bldgs &Poole EACH NO FEE ADDRESS J 7 .4Z N
❑ Certified copy Is hereby furnished 1 &2 Famdy,Sq Ft $ — S LOCALITY ff LL C I t
I n"'Clertified co y g p Multi family So Ft
copy u filed with the count building inspection CROSS ST
department ,Residential Swimming Pools
FIRM NOWNER OR ♦
Date�il`�•s -V�Applrcan[ x�7 �y AME �A
�+y Outlets RecQ_Light-6--Svv D fMAIADDRESS . 3 /[C , ' F}
First 20
CERTIFICATE OP EXEMPTION FROM WORKERS
COMPENSATION INSURANCE Total No _L_L_ Additional CITY725.1-119Lt^ C 17-/ Tel No
Y
PLAN CHECK S
(This section need not lie completed if the Rork involved APPLICANT r-)
by the permit u for one hundred dollars ($100) or less) i Lighting Fixtures Addi Zonal ADDRESS K
Total No p
is is
1 certify that m the performance of the work for mthis Fixed Appliances Not Over 1 HP CITY Tel No
permit sued 1 shell not employ any person in anyny manner PERMIT W
so as to become subject to the Workers'Compensation Laws Range_ Heater D W _ APPLICANT h�0 v/}l2A0 If.
Oven _ Dryer_W M _ ADDRESS
Top _'FAU _WH IZ/ g io Z
Dale Applicant Hood _ Fan _Other_ ` CITY-1—g.-4 P/F C'2 T ft Tel No Z 7 1y 3
NOTICE TO APPLICANT If after making this Certificate of Disp _ Room Air Cond_ LICENSE LZ -
Exemption you should become subject to the Workers REG NUMBER 6r? Class
Compensation provisions of the Labor Code you must forth Power Apparatus& Large Appliances DISTRICT NO Q PROCE SED BY
with comply with such provisions or this permit shall be Size&Type HP,KW,KVA,or KVA �e K
deemed revoked
Up to 1 Intl
FINAL
LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl DATE
Over 70 to 501nc1 I Z' q 'e VALIDATION
I hereby affirm that 1 am licensed under provisions of Chapter Over 50 to 100 Inc FINAL y
9 (commencing with Section 7000) of Division 3 of the Bull Over 100 BY t —`
nese and Professions Code and my license is in full force and
effect Services
License Number Lic Class 0 200 Amp Under 600 V
201 1 ODD Amp Under 600 V
Contractor Date Over 1000 Amp or Over 800 V _
HOME OWNER BUILDER DECLARATION Temp Power Pole&Appurtenances _
I hereby affirm that I am exempt from the Contractors Sign with One Branch Circuit
License Law for the following reason (Section 7031 S Byu Additional Sign Branch Circuits , :9 1 5 6 5 A '
ness and Professions Code) '
Mise Conduits&Conductors # • • • • • 2
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 _ 2 •,• 1 6 5 0'
7044 Business and Professions Code) .
CONSTRUCTION LENDING AGENCY ••!• 1 6 5 0 6 _
1 hereby affirm that there is a construction lending agency
for the performance of the work for which this permit u - i
issued (Sec 3097,Civ C) PERMIT FEE s (Sub Total) d I 0 .1 5-8 1 _
Lender's Name PLAN CHECKING FEE (One Fourth Permit Feel
Lender's Address PERMIT ISSUING FEE aa '
I certify that 1 have read this application and state that the TOTAL FEE U
above Information Is correct 1 agree to comply with all County
ordinances and State lows regulating Electrical wrong and
hereby authorize representatives of this County to enter upon
the above mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE _
Signature of Permittee Date 7
` y.
WORKERS COMPENSATION DECLARATION 'CE 806G (2 80) APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm' that I have a certificate of consent to self COUNTY OF LOS ANGELES G AND SAFETY
insure or a certificate of Workers Compensation Insurance or (! ,
e ceruf�d copy[hero 3800 Lab C)
j7�/Q _J• �+ �F rF C" !j FOR APPLICANT TO FILL IN JOB
Policy'{o Company 7rqOH/ EACH NO FEE ADDRESS [
New Residential Bldgs &Pools
At
Certified copy Is hereby furnished / Oof 1 &2 Femdy,Sci Ft $ — S LOCALITY 7C-_ P[[a C t r
Certified copy u filed with the county buildingmspectmn Multi family So Ft CROSS ST
department Residential Swimming Pool! OWNER OR
��// r ^f i FIRM NAMEel*/ t,/, f
Date Jf'y-�f� Applicant, Outlets Recut-fight J.j S. ��V, AD D H ESS 6 / SHL I-4—A-
7irst 0
CERTIFICATE OF EXEMPTION FROM WORKERS Total No Additional CITYTel No
COMPENSATION INSURANCE T/-1 eir e-- `r d
PLAN CHECK
PPLICANT
(Thu section need not be completed tf the work mvoived p
by the permit u for one hundred doflus (SI00) or less) Ligh"ng Fixtures Flirt 20
ADDRESS (�
Total No Additional 'Q
1 certify that in the performance of the work ffor which this Fixed Appliances Not Over 1 HP CITY Tel No O
permit u issued, I shall not employ any person In any manner ' PERMIT. W '
so as to become subject to the Workers Compensation Laws Range_ Heatar_D W APPLICANT ✓ O N N qWq
I Oven — Dryer=W M _ ADDRESS N
Date Applicant Top — FAU _W H _
Hood _ Fan _Other_ CITY-r' Tel No Zg7_f4
NOTICE TO APPLICANT If after making this Certificate of Disp — Room Air Cond— LICENSE OR2 Zi
Exemption, you should become subject to the Workers REG NUMBER 002 Class
Compensation provisions of the Labor Code you must forth Power Apparatus& Large Appbanced DISTRICT NO NO P ESS BY
with comply with such provurom or this permit shall be
deemed revoked Size&Type HP, to KVA,or KVA f
Up to 1 Incl
FINAL y
Over 1 to 10 Ind DATE Over 10 to 50 Incl
LICENSED CONTRACTORS DECLARATION 12-- �� O ( VALIDATION
1 hereby affthat I am licensed under provisionof Chapter Over 50 to 100 Inc FINAL
vm s
BY
9 (commencing with Section 7000)of Division 3 of the Bust Over 100 L
nese and Professioru Code, and my license'" in full force and
effect Services
License Number aLT Z Lic Cie. �— 0 200 Amp Under 600 V
C� ,� G 201 1000 Amp Under 600 V
Contractors sIQ�� Date Over 1000 Amp or Over 600 V
HOME OWNER BUILDER DECLARATION Temp Power Pole&Appurtenances _
t
[ hereby affirm with One Branch Circuit
that I am exempt from the Contractors Additional Sign Branch Circuits - -
License Law for the following reason (Section 7031 5, Busi
ness and Professions Code) 1 8 1 A
Mix Conduits& Conductors
1, as owner of the property will do the work and the Other(Sea Complete Fee Schedule)— # •,• • •_2
structure Is not intended or offered for sale (Section _
7044, Business and Profession!Code) 12'•,•,1 6600
CONSTRUCTION LENDING AOENCY
1 hereby affirm that there is a construction lending agency "
for the performance of the work for which this permit at PERMIT FEE (Sub Total) 1 60QcJ
"sued (Sec 3097 Civ C)
Lender's Name1 104 -8 1
PLAN CHECKING FEE (One-Fourth Permit Feel
Lender's Addreu i PERMIT ISSUING FEE
i
1 certify that 1 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 wring and i
hereby authorize representatives of this County to enter upon
the above mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE
y� t i
4�y //—Y—I%,I r -
Signature of Permittee Date
J
COUNTY OF LOS ANGELES TEMPLE CITY 0 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0308210024
to BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 917&1
PHONE (626) 285-0488 EXT
LEGAL-rD- FEES PAID BUILDING ADDRESS
ON FILE 6439 SULTANA AV
FEE DESCRIPTION QUANTITY UOM AMOUNT: SCAB CA 917752033
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET EMPEROR
5382-021-002 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE. 596 GRID H1 LOCALITY TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 14 00 OUT 27 30
G2 LIGHTING FIXTURES 3 00 LGT 5 85 ISSUED ON: PROCESSED BY PLAN BY EXPIRES ON
H2 RES GRBG DISP LT 3HP 1 00 DIS 10 95 08/21/03 JK 02/17/04
H3 RES DISHWASHR LT 3HP 1 00 DIS 10 95
OWNER FIRA BY CODE
MEJIA RAMON (626) 287-2503-
TOTAL FEES 82 80 a
6439 SULTANA AV 61•I-Z12 DATE � �I/
SGAB 917752033WORK
ELECTRICAL FOR KITCHEN REMODEL
APPLIrANT: TEL NO
PACIFIC COAST IMPROVEMENTS (818) 503-8000-
13120 SHERMAN WAY SPECIAL CONDITIONS
N HOLLYWOOD 91605
CONTRACTOR TEL NOAPPROVALS DATE INSPECTOR SIGNATURE
PACIFIC COAST IMPROVEMENTS (818) 503-8000-
13120 SHERMAN WAY LIC NOTEMPORARY
NO HOLLYWOOD, CA 91605 758333 8UFER GROUND
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL No
LIC -N0 �,
ROUGH CONDUIT
i 1
MAIN WATER LINE
-
� PLASTIC Y/N METAL T/N
UTILITY COMPANY NOTIFrO
REPORT ID DPR265 ROUTE TO BS0508
COUNTY OF IAS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1105020023
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-048F EXT
ID FEES PAID BUILDING ADDRESS
ON FILE 6439 SULTANA AV
)FEE DESCRIPTION QUANTITY DOM AMOUNT SGAB CA 917752033
(ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET EMPEROR
15382-021-002 1A1 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 596 GRID H1 LOCALITY TEMPLE CITY Cl
LB 200 AMP PANELS, MCC 1 00 PAN 38 80
TeNAerr TOTAL FEES 66 60 ISSUED ON PROCESSED BY PLAN BY 1
105/02/11 SR
IOWNEA TEL NO iFIT� I FINAL BY CODE
IOWN FRANCISC05 (626) 757-3893- NAL BY
16439 SULTANA AV
SGAS 917752033
DESCRIPTION OF FORK
UPGP.ADE SERVICE PANEL 200 AMP
1APPLICAN7 TEL NO I
YEE, JOHN (626) 215-8283-
13242 KELBURN AVE SPECIAL CONDITIONS
ROSEMEAD 91770
I
CONTRACTOR
TEL NO JAPPROVALS BATE INSPECTOR SIGNATURE
1TORN 1626) 215-8283-
1324324 TEMPORARY POWER POLE
KELBURN AVENUE LIC NO I I I
IROSEMEAD CA 91970 741290 C10
UNDCRGROUND CONDUIT
(ARCHITECT OR ENGINEER TEL NO iUFER GROUND iV
LIC NO IROUGB CONDUIT
ROUGH WIRING
MAZN,WATER LINE )
IPIASTIC Y/N M=AL YIN
)UTILITY COMPANY NOTIFIED)
1 I I �I I
1 �I
1 I I I I
1 11 I I
I
I I I I I I
I I I I I I
I
(REPORT ID OPR265 ROUTE TO SS0508
1 I I I I I