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HomeMy Public PortalAbout4881 FRATUS DR_Electrical__ DEIS SA 3 55 APPLICATION FOR ELECTRIC ROM 0 ERMIT 1 DBS SA DIVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles BUILDING i WM J FOX, COUNTY ENGINEER /6�"" ADDRESS CASSATT D GRIFFIN SUPT OF BUILDIN LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST NUMB R EACH FEE �r OWNER _LIGHT OUTLETS •r _ MAIL Y f +� RECEPTACLES ADDRESS - .�// •"'l� WALL SW ITCHES °y/�'� TOTAL OUTLETS �' 5Q $ r/ ,tj� CITY lei TEL�yNO _ !) /I ELEC RANGES 25 ELECTRICIAN- G f _ELEC HEATERS 25 ADDRESS 1Lv KW EA CITY ,.''! -TEL NO FIXTURES 7 1 5 �� LICENS NO r NUMBER OF LIGHT CIRCUITS -—dDISTRICT NO I GROUP I ZO /�IE I READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS !� ,+(//JJ.�3 MOTORS NUMBER FEE HORSEPOWER INSPECTION RECORD NEW MVD HP OVER I INC EACH 1/Z&LESS $ 25 1/2 2 so 2 5 1 00 5 15 ISO 15 1 50 250 50 1 200 5 00 MISC NO SIGNS NO TRANS NO SIGNS NO LAMPS FOR EACH PERMIT WIRING $100 FIXTURES $1 00 SUPPLEMENTARY 50 I APPROVALS TOTAL FEE I S DATE INSPECTOR S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT 17-:2J.-d -7S ! . AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING •77 7 r+1GQ/�!b•—� ELECTRICAL WIRING 1 1 HEREBY CERTIFY THAT 1 AM PROPERLY,REGISTERED AND/OR FIXTURES !-U AAX 7r LICENSED AS REQUIRED B. LOS ANGELES QOUNTY AND STATE OF CALIFORNIA OR TI+AT 1`AM THE LEGAL WNER F T E ABOVE POWER DESCRIBED RESIDENTIAL ROP SIGNATURE PERM TTEE UTILITY CO NOTIFIED 't7 FINAL WILLIAM J. FOX, COUNTY ENGINEER VALIDATION A. C VEIT, CHIEF ELECT. INSPECTOR AC; 8 4 0 2- 14AY 21 2 6 00 Gn ' �r! �� 76AI0.' E��4.68 APPLICATION FOR ELECTRICAL PIERMIT COUNTY OF LOS ANGELES DEPAF;TMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ADDRESS JOHN A LAMBIE. COUNTY ENGINEER O COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALITY /�– NEAREST FOR APPLICANT TO FILL IN CROSS ST l O /LjLBN F7'O NO EACH FEE $ $ OWNER RECEPT MAIL LIGHT TOTAL FIRST 20 7j0 20 Cie) ADDRESS QQ _ SWITCH OVER 20 10 CITY TEL NO r, PLAN CHECK LIGHTING TOTAL FIRST 20 `f' 20 �� APPLICANT FIXTURES "l OVER 20 10 ADDRESS ` RANGE_DRYER—WTR HTR _ CITY TEL NO ` STA COOK_OISP F A U CON TRAC rOR 0,. ,R�N.4c-t- SPACE HTR AIR COND X ADDRESS lZktl` Y' � �AA/,4 CLOTHES WASH —DISHWASH CITY �L d��� TEL NO FAN OTHER 1 00 GD - LICENSE 1-40nO (4v .5r_ n CLASS �—!O MOTORS TRANSFORMERS RATING IND HEATERS ETC HP KW KVA I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING 0 – 1 1 00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 – 10 3 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 10 – 50 5 00 RESIDE IN THE ABOVE OES('RIPED RES NTIAL PROPERTY O � U SIGNATURE 50 – 100 10 00 OF PERMITTEE p 100 — 500 15 00 DISTRICT NO GROLIPJ ZONE i PRO 'XID BY w SIGN GAS SIGN AND ONE CIRCUIT 1 3 00 1S� Q V) TUBE OR Z MARQUEE ADDITIONAL CIRCUITS 1 00 qq NOTES i SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 f+ rlD SERVICE OVER 600 VOLTS OR 200 AMP 5 00 TEMP SERVICE POLE &APPURTENANCES 3 00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP POWER POLE ' UNDERSLAB WORK ROUGH CONDUIT a• PERMIT FEE (SUB TOTAL) WIRING G_s + FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2 00 UTILITYCO NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1 00FINAL V TOTAL FEE `^ JOSEPH C ROOHAN SUPERVISING ELECT AL ENGINEER PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION cK M O CASH 0 2 a Troy 2 g p 1 0.8 0 i SEE BACK OF APPLICATIOWFOR COMPLETE FEE SCHEDULE I' WORKERS'COMPENSATIONDECLARATION 63 CE806G (2 801 APPLICATION FOR ELECTRICAL PERMIT CE 8IJ 1 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 Compensation Insurance,or a certified copy thereof(Sec 3800,Lab C) FOR APPLICANT TO FILL JOB Policy No EACH NO FEE ADDRESS Company N New Residential Bldgs &Pools F1 Certified copy is hereby furnished 1 &2-Family,Sq Ft $ — $ LOCALITY ��W ❑ Multi-family Sq Ft — NEAREST _ Certified copy is filed with the county building inspection CROSS ST�W department Residential Swimming Pools ORM NOR AME t D c �a cS Date Applicant Outlets Rec_Light Sw MAIL First 20 ADDRESS CERTIFICATE OF EXEMPTION FROM WORKERS' Total No Additional CITY COMPENSATION Tel No Z9 >_COMPENSATION INSURANCE PLAN°CHECK d APPLICANT r LJ Q >0 0 (This section need not be completed if the work involved U Lighting Fixtures First 20 ADDRESS by the permit is for one hundred dollars ($100) or less) Additional Total No I certify that in the performance of the work for which this CITY No 0 Fixed Appliances Not Over 1 HP permit is issued, I shall not employ any person in any manner PERMIT 0 LU so as to become subject to the Workers' Compensation,Laws Range_ Heater_D W APPLICANT O a-1��5 d Oven _Dryer_W M ADDRESS U) FAU _W H Z Date Applicant Top _ ' 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 p PR C S D BY with comply with such provisions or this permit shall be Size&Type HP,KW, KVA,or KVAR y deemed revoked Up to 1 Incl !J Over 1 to 10 Incl Q FINAL / LICENSED CONTRACTORS DECLARATION DATE VALIDATION Over 10 to 50 Incl a I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc FINAL �f 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 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 ;20409A HOME OWNER-BUILDER DECLARATION Temp Power Pole&Appurtenances I he by affirm that I am exempt from the Contractor's Sign with One Branch Circuit # 0 0 0 0 0 2 s Additional Sin Branch Circuits Lw se Law for the following reason (Section 7031 5, Busr g r 2 0 0 1 ,700 ne and Professions Code) + Misc Conduits& Conductors o o o 1 70060 [, as owner of the property, will do the work and theOi V er (See Complete Fee Schedul e)— structure is not intended or offered for sale (Section / az_ 71.2,0-81 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 PERMIT FEE (Sub-Total) 0 issued(Sec 3097,Civ C) Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE 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 the above-mentioned perty for inspection purposes I SEE REVERSE FOR EXPLANATORY LANGUAGE L�`� 1 Signature of Pe i e Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0606260002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS TR 22321 LT 12 4881 FRATUS DR FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803718 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET RIO HONDO 8590-030-037 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID JS LOCALITY TEMPLE CITY, C LB 200 AMP PANELS, MCC 1 00 PAN 38 85 TENANT TOTAL FEES 66 60 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 06/26/06 JK 12/23/06 OWNER TEL NO FI�ALFy / FINAL BY � CODE OTODAWNER MASAFUMI,EIKO - Cc/J�,J�`y��—?C/�/ ��1[�4\`�� 4881 FRATUS DR TEMP 917803718 DESCRIPTION OF WORK SERVICE UPGRADE FROM 100 AMP TO 200 AMP APPLICANT TEL NO BAHENA (626) 454-1216- 4136 EUNICE AVE SPECIAL CONDITIONS EL MONTE CA 91731 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE BAHENA ELECTRIC (626) 454-1216- 4136 EUNICE AVENUE LIC NO TEMPORARY POWER POLE EL MONTE, CA 91731 486181 C10 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER TEL NO UFER GROUND LIC NO ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED ' G i REPORT ID DPR265 ROUTE TO BS0508 r• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0711150051 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS ITR 22321 LT 12 4881 FRATUS DR I IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917803718 1 (ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET RIO HONDO 18590-030-037 1A1 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 596 GRID J5 LOCALITY TEMPLE CITY, Cl I IG1 OUTLETS-LGT,SW,RECP 5 00 OUT 9 75 1 ITENANT 1G2 LIGHTING FIXTURES 2 00 LGT 3 90 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 1 I 1 TOTAL FEES 41 40 111/15/07 SR 05/13/08 1OWNER TEL NO 1 IFINAL DATE FINAL Y CODE 1 ITODA MASAFUMI,EIKO (626) 285-0311- I 14881 FRATUS DR 1 1 14-� ITEMP 917803718 1 IDES RIPT ON OF WORK I (ELECTRICAL FOR ADDITION (APPLICANT TEL NO 1 I ITODA (626) 285-0311- 1 1 14881 FRATUS DR I ISPECIAL CONDITIONS I ITEMPLE CITY CA 91780 1 I 1 I I I ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE 1 ITODA, MASAFUMI (626) 285-0311- 1 1 I 14881 FRATUS DR LIC NO I ITEMPORARY POWER POLE I I I ITEMPLE CITY, CA 91780 NONE I I I I I I 1UNDERGROUND CONDUIT I I I (ARCHITECT OR ENGINEER TEL NO 1 IUFER GROUND I I I I I I ITODA, MASAFUMI (626) 285-0311- 1 I I I 14881 FRATUS DR LIC NO I IROUGH CONDUIT I ITEMPLE CITY, CA 91780 NONE I I I I 1 i ROUGH WIRING I I IMAIN WATER LINE 1 1 (PLASTIC Y/N METAL Y/N I I I I (UTILITY COMPANY NOTIFIEDI I I I I I I I I I I I I I I I I I I I I 1 1 I I I I I I I I I I 1 I I I I I I I I I I I I IREPORT ID DPR265 ROUTE TO BS0508 I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1108090035 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT ILEGAL ID FEES PAID BUILDING ADDRESS ITR 22321 LT 12 I I 4881 FRATUS DR I IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917803718 I (ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET RIO HONDO I 18590-030-037 lAl PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 596 GRID J5 LOCALITY TEMPLE CITY, Cl G1 OUTLETS-LGT,SW,RECP 1 00 OUT 1 90 I 1 ITENANT IG2 LIGHTING FIXTURES 1 00 LGT 1 90 (ISSUED ON PROCESSED BY PLAN BY IRA FAD LESS 3HP 1 00 FAU 10 90 108/09/11 VG 1 1JB AC UNITS +3-10HP 1 00 AC 19 70 1 1 (OWNER TEL NO 1 TOTAL FEES 62 20 IF AL DATE FIN BY CODE 1 ITODA MASAFUMI,EIKO (626) 285-0311- _ I 14881 FRATUS DR I � 1 ITEMP 917803718 IDESCRIPTION OF WORK v1 1ELECTRICAL FOR HVAC I (APPLICANT TEL NO 1 I ICONTRERAS, CARRA (626) 286-3157- 1 ISPECIAL CONDITIONS I I ICONTRACTOR TEL NO JAPPROVALS DATE INSPECTOR SIGNATURE 1 ICONNOR AIR CONDITIONING (626) 286-3157- 1 14931 ENCINITA AVE LIC NO I ITEMPORARY POWER POLE 1 I I ITEMPLE CITY, CA 91780 403735 C2O 1 (UNDERGROUND CONDUIT 1 ARCHITECT OR ENGINEER TEL NO i IUFER GROUND I I II 1 LIC NO 1 IROUGH CONDUIT 1 I I I TROUGH WIRING I I 1 1 IMAIN WATER LINE I 1 I 1 1 IPLASTIC Y/N METAL Y/N 1 (UTILITY COMPANY NOTIFIEDI I I I I I 1 I I I I I I I I I I I I I I I 1 1 I I I I I I I I I I 1 I I I I I I I I I I I I I I I I I I I 1 (REPORT IO DPR265 ROUTE TO BS0508 i 1