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Home My Public Portal About4870 FRATUS DR_Electrical__ 7aA663 APPLICATION FOR ELECTRIC PERMIT 1 DBS SA 3 SS DIVISION OF BUILDING AND SAFETY Department of County Engineer 3 County of Loa AngelesAD WM J FOX. COUNTY ENGINEER DRESS - CASSATT D.GRIFFIN SUP T OF BUILDIN i LOCALITY / FOR APPLICANT TO FILL IN �'%✓' PERMIT FEES CROSS ST- NUMBER EACH FEE OWNER LIGHT OUTLETS ,9 MAIL RECEPTACLES �r ADDRESS WALLSWITCHES TOTAL OUTLETS f2O 5¢ $ J CITY /- � TEL NO ELEC RANGES 25 ELECTRICIAN r, _ELEC HEATERS 25 ADDRESS 4 Y~ 1 KW EA CITY FIXTURES 5 r LICENSE NUMBER OF LIGHT CIRCUITS - DISTRICT NO I GROUP I ZONE I READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS MOTORS NUMBER I HORSEPOWER FEE INSPECTION RECORD NEW MVD HP OVER INC EACH N 1�&LESS $ 25 r 12 2 50 2 5 100 5 15 1 50 15 50 2 50 50 200 5 00 MISC NO SIGNS NO TRANS NO SIGNS NO LAMPS FOR EACH PERMIT WIRING $1 00 FIXTURES $1 00 SUPPLEMENTARY 50 ,yI� APPROVALS TOTAL FEE $ �� '/ r / �DATE r►/ INSPECTOR S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI ATION CONDUIT ✓ V f X AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY {� WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING I HEREBY CERTIFY THAT 1 AM PROPE LY RE ?7E TATE OF FIXTURES r h RU 1/IA.1 G LICENSED AS REQUIRED BY, LOS ANGEL COU CALIFORNIA OR THAT 1/ M,3 LEG OW ABOVE POWER DESCRIBED RESIDENTIAL O Y. C.Jolr/p1 0/� SIGNATURE UTILITY CO NOTIFIED � �j OF PERMITTEE FINAL — rI AAA A X WILLIAM J. FOX.COUNTY ENGINEER VALIDATION A C VEIT,CHIEF ELECT INSPECTOR I IAC c3 X 9 7 MAY-21 2 5.9-1 5I WORKERS'COMPENSATION DECLARATION 76A663 CE 806G (2 80) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self COUNTY OF LOS AN *—BtH-6DING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or l' a certified copy thereof(Sec 3800, Lab C) FOR APPLICANT TO FILL IN JOB ^� � � Policy No Company EACH O FEE AD SS / DNew Residential Bldgs &Pools Certified copy is hereby furnished 1 &2-Family,Sq Ft $ $ LOCALITY m P&C G ❑ Multi-family Sq Ft NEAREST /� � bo \ Certified copy is filed with the county building inspection CROSS ST /� V department Residential Swimming Pools OWNER OR CC /►�� /� FIRM NAME Date Applicant Outlets Rec_Light First 20 6d ADDRESS , �.4 q5 De CERTIFICATE OF EXEMPTION FROM WORKERS' Total No Additional CITYm r c, Tel No a S Zs �- COMPENSATION INSURANCE PLAN CHECK tl (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 O 0 I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP Cl Tel No 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 CL Oven Dryer_W M ADDRESS to Date Applicant Top _ FAU _W H ,z Hood Fan _Other_ CITY Tel No NOTICE TO APPLICANT If, after making this Certificate of Disp _ Room Air Cond_ LICENSE OR Exemption, you should become subject to the Workers' REG NUMBER Class Compensation provisions of the Labor Code, you must forth Power Apparatus& Large Appliances DISTRICT NO PROCE D 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 Qp FINAL LICENSED CONTRACTORS DECLARATION DATE �-' /`� . VALI DATI N Over 10 to 50 Incl f {J I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc FINAL 9 (commencing with Section 7000) of DryBYi�ion 3 of the Busi- Over 100 - ness and Professions Code, and my license is in full force and effect Services License Number Lic Class 0-200 Amp Under 600 V 201-1000 Amp Under 600 V Contractor Date Over 1000 Amp or Over 600 V HOME OWNER-BUILDER 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 m 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 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY 7 2 Z A I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is PERMIT FEE (Sub-Total) # 0 0 0 0 0 2 issued (Sec 3097,Civ C) Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) 2 0 o 1 7.50 Lender's Address PERMIT ISSUING FEEx 1 7,50 I certify that I have read this application and state that the TOTAL FEE 17O 14-80$O above information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representa es of this County to enter upon the abov ention prop t for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE &a t u r9,41 Permittee Date 1 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1309230017 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS ITR 22321 LT 3 I 4870 FRATUS DR FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803717 ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET 8590-028-003 1A1 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 596 GRID J5 LOCALITY TEMPLE CITY CAI ILA 100 AMP PANELS, MCC 1 00 PAN 38 90 1 ITENANT IP2 PC RES PV<10KW 153 90 JISSUED ON PROCESSED BY PLAN BY JP3 INVRTR RES PV<IOKW 27 90 109/23/13 SR TOTAL FEES 248 50 I TOWNER TEL NO IF N DA 7A Y CODE 1 IXIANG KAI ZHU (626) 203-9912- I 14870 FRATUS DR ITEMP 917803717 CRIPTION OF WORK ROOF MOUNT SOLAR SYSTEM 10 PV, 1 INVERTER 3 27 KW + NEW 100 AMP SERVICE PANEL 1 1APPLICANT TEL NO ICHEN, JACK (951) 300-0768- 13080 12TH STREET ISPECIAL CONDITIONS IRIVERSIDE CA 92507 I I I ICONTRACTOR TEL NO 1APPROVALS DATE INSPECTOR SIGNATURE ISOLARMAX RENEWABLE ENERGY PROVIDER, (626) 965-4286- 1 13080 12TH ST LIC NO I ITEMPORARY POWER POLE RIVERSIDE CA 92507 972048 1 1UNDERGROUND CONDUIT ARCHITECT OR ENGINEER TEL NO IUFER GROUND LIC NO i TROUGH CONDUIT IROUGH WIRING I MAIN WATER LINE PLASTIC YIN METAL YIN JUTILTTY COMPANY NOTIFIED IREPORT ID DPR265 ROUTE TO BS0508