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Home My Public Portal About4908 FRATUS DR_Electrical__ Ig �ll 11 76A663-CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING �. BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE, COUNTY ENGINEER ,J p WILLIAM A JENSEN, SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN CROSS ST A10/ 1,6 O RECEPT TOTAL NO EACH FEE ,�J T rte- C OUTLETS FIRST 20 $ 20 $ OWNER r7/�//ol/�/�G /7• QG G LIGHT 2� MAIL /P/�T�S ADD'L 10 ADDRESS / S SWITCH � 'ER 20 LIGHTING TOTAL FIRST 20 20 CITY �j�/ TEL NO FIXTURES I ADD'L 10 ELECTRICIAN QW N EUZ OVPR 20 RANGES CLO DRYERS WTR HTRS 100 '` ADDRESS q GARB DISP �"1 STA COOK CITY TEL NO DISHWASH 'C AUTO-WASH STATE SPACE HTRS STA APP ('/a H P MAX ) 3 50 / �(J LICENSE NO MOTORS OVER NOT OVER HP DISTRICT NO GROUP ZONE PROCESSED BY O 1 100 1 3 1 5OBa ��o INSPECTION� RECORD,-- 3 3 200 P_PJ6 � f✓ �, AL�s 8 15 250 15 50 300 ` d a 50 100 Soo O V NO TRANS SIGNS NO LAMPS O (- SERVICE O 600V NOT OVER 200A 100 u W SERVICE 0-600V OVER 200 A 200 D- N SERVICE OVER 600V 500 ? MISC PERMIT ISSUING FEE 200 o SUPPLEMENTARY PERMIT ISSUING FEE 1100, TOTAL FEE $ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS ADATE f INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT ,( �i:9, ��76i`f WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING WIRING �iJV= //" _./� /`✓.� 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY POWER �$ ,�Yd J ,� SIGNATURE - UTILITY CO NOTIFIED lyEplrl9!OF PERMITTEEINALaLA (DATION ARTHUR C. VETT MO CASH SUPERVISING ELECTRICAL ENGINEER CK 0 ho 6.7 DEIS SA 9 55 APPLICATION LICA 6 ION F®Y { ELECTRIC PERMIT DBS 5A DIVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles BUILDING WM J FOX. COUNTY ENGINEER ADDRESS r! CASSATT D GRIFFIN Sup, OF BUILDING LOCALITY G�. FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST LIGHT OUTLETS NUMBER EACH FEE OWNER MAIL ` RECEPTACLES ADDRESS ~ / WALL SWITCHES / {� TOTAL OUTLETS r 5¢ $ CITY TEL NO ELEC RANGES 25 ELECTRICIAN a� / _ELEC HEATERS 25 ADDRESS KW EA CITY � TEL NO)tf7 FIXTURES 5 LICENSE NO NUMBER OF LIGHT CIRCUITS - DISTRICT NO GROUP ZONE READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS A FEE I MOTORS NUMBER I HORSEPOWER INSPECTION RECORD NEW MVD HP OVER INC EACH If2&LESS S 25 1/2 2 50 2 5 1 00 5 15 1 50 15 50 2 50 50 200 500 MISC NO SIGNS NO TRANS NO SIGNS NO LAMPS FOR EACH PERMIT �I WIRING $1 00 FIXTURES SI 00 SUPPLEMENTARY 50APPROVALS TOTAL FEE S7/07 DATE INSPECTOR S SIGNATURE I HEREBY ACKNOWLEDGE THAT 1 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 1ICHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LENSED AS REQUIRED BY LOSNGELES, COUtI7Y ND STATE OF CALIFORNIA OR TH `f I AM T §1 LEG4V OW R THE ABOVE POWER DESCRIBED RESIDEN IA.l. ROPE SIGNATURE �� .� UTILITY CO NOTIFIED I OF PERMITT FINAL milid WILLIAM J FOX. COUNTY ENGINES - VALIDATION # A C.VEIT.CHIEF ELECT INSPECTOR LACO7 5 0 2 APR 2 4 2 1 .1 0 $ DBS 5A 5A 3 55 ■APPLICATION OR ELECTRIC PERMIT i D ' DIVISION OF BUILDING AND SAFETY Department of Cotinty Engineer �r County of Los Angeles FBUILDING SS WM J FOX, COUNTY ENGINEER CASSATT D GRIFFIN SUPT OF BUILDING LOCALITY "/ � -moi FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST NUMBER EACH FEE / LIGHT OUTLETS OWNER RECEPTACLES MAIL ADDRESS WALL SWITCHES TOTAL OUTLETS -/_ `�I 5¢ S CITY �T7EL NO ELEC RANGES 25 ELECTRICIAN 1/ ELEC HEATERS 25 ADDRESS KW EA CITYNO4f• FIXTURES 5 LICENSE N 146 '2 �F NUMBER OF LIGHT CIRCUITS - DISTRICT NO GROUP I ZONE READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS I -I ,fj/l MOTORS //Tz NUMBER HORSEPOWER FEE INSPECTION RECORD NEW MVD f-IP OVER INC EACH 'Q I�&LESS 25 I/1 2 50 2 5 100 5 15 1 50 15 SO 2 50 50 200 500 MISC NO SIGNS NO TRANS NO SIGNS NO LAMPS FOR EACH PERMIT WIRING S1 00 FIXTURES S1 00 SUPPLEMENTARY 50 APPROVALS TOTAL FEE I$ I� gDATE INSPECTOR S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY pp WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ZS�1 Y1l�lw..�J ELECTRICAL WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY-,/AND STATE OF CALIFORNIA OR THAT AM THE L � NE THE ABOVE POWER DESCRIBED RESIDENTIA P E`RTY UTILITY CO NOTIFIED SIGNATURE y /��}�• OF PERM I' FINAL WILLIAM J. FOX. COUNTY ENGINEER VALIDATION A C VEIT.CHIEF ELECT. INSPECTOR f.1ALO 8 4 07- MaY 2 1 2 6.1 5 WORKERS'COMPENSATIONDECLARATION CE 806G (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'Compensation Insurance,or a certified copy thereof(Sec 3800,Lab C) FOR APPLICANT TO FILL IN JOB Policy No Company EACH NO FEE ADORE F-1Certified Residential Bldgs &Pools Certified copy�s hereby fu ed 1 &2-Family,Sq Ft $ $ LOCALITY Multi-family Sq Ft NEAREST Certified co i ed with the county building inspection CROSS ST depart Residential Swimming Pools OWNER OR /7 FIRM NAME - D Apphcant Outlets Rec Light Sw MAIL First 20 ADDRESS CERTIFICATE OF EXEMPTION FROM WORKERS' Total No AdditionalCITYe _ Tel No`7q 1 } COMPENSATION INSURANCE PLAN CHECK ti (This section need not be completed if the work involved APPLICANT O t 20 F t F Lighting Fixtures First by the permit is for one hundred dollars ($100) or less) LigADDRESS Total No Additional Cr I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No permit is issued, I shall not employ any person in any manner PERMIT W so as to become subject to the Workers' Compensation Laws Range_ Heater_D W APPLICANT a cn //�� ®® � Oven _ Dryer_W M 'ADDRESS �� Datpphcant, Zq4e� To _ FAU _W H _ ((��//////'' `` Hood _ Fan _Other_ CITY Tel No NO ICE TO APPLICANT If, after making this Certificate of Disp _ Room Air Cond_ LICENSE OR Exemption, you should become subject to the Workers' REG NUMBER Cla'� Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT,NOPR39-q' 9ED BY with comply with such provisions or ,this permshall be Size&Type HP, KW, KVA,or KVAR deemed revoked .,., Up to 1 Incl FINAL _ Over 1 to 10 Incl DATE (?LICENSED CONTRACTORS DECLARATION �> VALIDATION Over 10 to 50 Incl � _ � �`� 1 hereby affirm that I am licensed under provisions of-Chapter Over 50 to 100 Inc FINAL d—_ 9 (commencing with SectionBYn 7000) of Division 3 of the Busr- Over 100 ness and Professions Code, and my license is in full force and effect Services r License Numb�L•7fl/Z Lac Class Gr 0-200 Amp Under 600 V 201-1000 Amp Under 600 V Z Contracto�„�A44;Date Z.J� Over 1000 Amp or Over 600 V 9 HOME OWNER-BUILDER DLYLARATION Temp Power Pole&Appurtenances _ I hereby affirm that I am exempt from the Cn+6—ctor's Sign with One Branch Circuit License Law for the following reason (Sect �031 5, Busr Additional Sign Branch Circuits ness and Professions Code) 9 4'5 6 4 A Misc Conduits&Conductors I, as owner of the pro y, will do the work and the Ot er( ee mplete Fee Schedule)— # o Eo 0 0 0 2 structure 's not 1 ded or offered for sale (Section _ �s^� 7044, Business Professions Code) 2 -1- 40.50 CO RUCTION LENDING AGENCY I hereby-okerm that there is a construction lending agency r o 0 - 40.5010 for t performance of the work-for which this permit is PERMIT FEE (Sub-Total) Q 2 5—8 2 � Civ � r(j�ed (Sec 3097,CC) � Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE !0 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 property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE s u Signature of Permittee Date �-