Loading...
HomeMy Public PortalAbout4853 FRATUS DR_Electrical__ ijfjr 76A663-CE806 8/63 APPLICATION FOR AECTR CAL PER COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS FR R JOHN A. LAMBIE, COUNTY ENGINEER 04 WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. /= 2 RECEPT TOTAL NO. EACH FEE LIGHT OUT'LE/TS FIRST 20 $20 $ O OWNER SWITCH. �d�- OVER AIL ADD'L ,10 ` ADDRESS "_✓!CIV�J /- �7 LIGHTING TOTAL FIRST 201 ,20 CITY �E dt��nCf f TEL.NO. ,�`�/ FIXTURES VgR 2 10 ELECTRICIAN /?/C ,Q "' Ma F - OV R 20 ^r RANGES CLO DRYERS _ WTR.HTRS. 1.00 ADDRESS /'t✓� ���/L' �/� GARB.DISP. STA.COOK f ' CITY DISHWASH. AUTO-WASH. STATE LICENSE NO. 7 r SPACE HTRS. � STA.APP.(ys H.P.MAX.) .50 J MOTORS. OVER NOT OVER H P. DISTRICT NO. G!r Z NE PR QED B O 1 1.00 i z 1 3 1.50 INSPECTION RECORD V 3 B 266 _�•, +�� a 8 15 2.50 a t �1 a 0 15 50 300 A V A O 50 100 500 U i-Y //N.�1.1✓ �/� .,/f.l�/-(.13 . 1~Vyl NO.TRANS / ( c - a SIGNS: NO.LAMPS' . �r�.. N � Z SERVICE 0.600V•No7 OVER 200A, 1.00 SERVICE 0.60OV-OVER 200 A. 2.00 SERVICE OVER 600V S.00 r MISC PERMIT ISSUING FEE 200 SUPPLEMENTA13Y PERMIT ISSUING FEE 1.00 TOTAL FEE U LANABY ACKNOWLEDGE THAT I HAVE READ THIS APPL CATION APPROVALS DATE INSPECTOR'S SIGNATUdR� TE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY CONDUIT N! q�}I .,r , LL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING CAL WIRING. ; EBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/ORD AS REQUIRED BY LOS ANGELES COUNTY AND.STATE OF FIXTURESNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE I 'ED RESIDENTIA PROPERTY. POWERURE �1 UTILITY CO.NOTIFIEDMITTE / FINAL 8 AF VALIDATION--\ AFfYHUA C. VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER Lt � a 8 .4 0am. N1 4 2 D 4.90 APPLICATION �/�Y� p����p �pq( Pa ®/�_ I}q���qp�p� qy� - 7BA8B3 APPLICATION F®Y 11 ELECTRIC PERMIT ■ 1 DBS-5,A 3-55 �,',DIVISION OF BUILDING AND SAFET Department of County Engineer 7 County of Les Angeles % BUILD S r,J9�/ WM.J. FOX. COUNTY ENGINEER _ CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL INCROSS MIT PERFEES s. I _ NUMBE EACH FEE OWNER LIGHT OUTLETS F RECEPTACLES MAIL / /•� ADDRESS l'� _�' f/ Ste' WALL SWITCHES TOTAL OUTLETS .._� 5¢ '$ i CITY 'Q ;� 1 TEL. NO. ELEC. RANGES 25 ELECTRICIAN V ��© A .�i'� �✓r _ELEC. HEATERS 25 - ADDRESS KW EA CITYAfw /.ice •"<®� TEL. FIXTURES f 5 LICENSE NO. i% NUMBER OF LIGHT CIRCUITS - DISTRICT NO. ' I GROUP ZONE I READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS MOTORS NUMBER HORSEPOWERINSPECTION RECORD FEE _ NEW MVD. HP OVER � INC. EACH s I 1�&LESS $ .25 _ 1/2 2 .50 ' 2 5 1.00 5 15 1.50 15 50 250 50 200 5.00 ' MISC. NO.SIGNS NO.TRANS. NO.SIGNS NO.LAMPS FOR EACH PERMIT: WIRING $1.00 ' FIXTURES $1•.00 - SUPPLEMENTARY ,50 APPROVALS TOTAL FEE $ DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT'I HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING. C �`�% l�.fCGCQYI/ 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED 3Y LOS-ANGELES COUN �Y AN IST 1•E OF '- CALIFORNIA OR THAT /Y AM E LEGA�OWNR OF 7H ABOVE POWERDESCRIBED RESIDENTIAROS Y. 1 SIGNATURE UTILITY CO. NOTIFIED OF PER ' FINAL IM"MAN r WILLIAM J. FOX, COUNTY ENGINEER VALIDATION A. C.VEIT,CHIEF ELECT. INSPECTOR U1C03 9 2 1 MAY 2-1 2 6.1 5 m WORKERS'COMPENSATION DECLARATION CE860EG (2-80) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES (` BUILDING AND SAFETY ' insure, or a certificate of Workers'Co ensation Insurance,or a certified copy thereof(Se 0,b b C.) i FOR APPLICANT TO FILL IN JOBLA Policy No. _ Co ADDRESS New Residential Bldgs.&Pools EACH NO. FEE D Certified copy is hereby fu niched. 1 &2-Family,Sq. Ft. $ — $ LOCALITY Multi-family Sq. Ft. — NEAREST Certified co py is filed with the county building inspection iCROSS ST department. ` Residential Swimming Pools OWNER OR Date�� ,� FIRM NAME �;_1—__� L Applicant Outlets Rec.' Light_ Sw MAIL First 20 ADD S CERTIFICATE OF EXEMPTION FROM WORKERS' Total No - Additional CITY Tel No. COMPENSATION INSURANCE } PLAN CHECK CL (This section, need not be completed if the work involved APPLICANT 0 by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS Total No. 'Additional tL I certify that in the performance of the work for which this CITY o. 0 Fixed Appliances Not Over 1 HP permit is issued, I shall,not employ any person in any manner PERMIT so as to become subject to the Workers' Compensation Laws. Range_ Heater_D.W. APPLICANT( ` W Oven _ Dryer_W.M. ADORES Date Applicant Top _ FAU _W.H: r z Hood _ Fan —Other— CIT _Tel N NOTICE TO APPLICANT: If, after making this Certificate of Disp. — Room Air Cond.— LICENSE OR Exemption, you should become subject to the Workers' REG. NUf41BER ss Compensation provisions of the Labor Code, you must forth- Power Apparatus&Large Appliances DISTRICT NO PROC SS 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. FINAL DATE ,9r ,. ! LICENSED CONTRACTORS DECLARATION 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. I Services License NumberLic.Class 0-200 Amp. Under 600 V A�6 �� 201-1000 Amp.Under 600 V Contrac or"'ll, Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp. Power Pole&Appurtenances Sign with One Branch Circuit I'hereby affirm that I am exempt from, the Contractor's, Additional Sign Branch Circuits License Law for the following reason (Section ,7031.5, Busi- ness and Professions Code): Misc.Conduits&Conductors 1, 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 416 01 A 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY # 0 0 0 o o 2 I hereby affirm that there is a construction lending agency ` ` for the performance of the work for which this permit is 2'0;0 3.15 0 issued (Sec. 3097,Civ.C.). PERMIT FEE (Sub-Total) Lender's Name PLAN CHECKING,FEE, (One-Fourth Permit Fee) ° o °,3350� Lender's Address PERMIT ISSUING FEE er 0 4,,0.1 8 I'certify that I 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 wiring, and hereby authorize representatives of this County to enter upon above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0306020029 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING AD R SS: TR: 22321 LT: 18 4853 FRATUS DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803718 ASSESSOR INFORMATIO NUMBER: NEAREST CROSS STREET: RIO HONDO 8590-029-013 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 4.00 OUT 7.80 TENANT: G2 LIGHTING FIXTURES 1.00 LGT 1.95 T SSU D ON: PROCESSED BY: PLAN BY- EXPIRES ON: TOTAL FEES 37.50 06/02/03 JK 11/29/03 OWNER: TEL. NO: FINAL DATE FINAL BY- CODE: CHEUNG;NICHOLAS (626) 281-6599- 4853 FRATUS DR -�-/Y-a3 TEMPLE CITY 91780 DESCRIP ION OF WORK ELECTRICAL FOR WORKSHOP/STORAGE ROM APPLICANT: TEL. NO: 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. NO: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE lv PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIF ED REPORT ID: DPR265 ROUTE TO: BS0508