Loading...
HomeMy Public PortalAbout4909 FRATUS DR_Electrical__ 76A663 APPLICATION ATION F®R . LEC Y RIC PERMIT Y9®YI ■ 3.55 76A66 "DIVISION OF BUILDING AND SAFETY_ t DepaTtment of County Engineer r✓ _ County of Los Angeles ` AADDR s f WM.J. FOX. COUNTY ENGINEER / _ CASSATT D. GRIFFIN.SUPT OF BUILDr a it LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST. l U NUMBER EACH FEE - OWNER LIGHT OUTLETS MAIL �i; .� RECEPTACLES ADDRESS - WALL SWITCHES TOTAL OUTLETS ,:./�_ ��} 5¢ $ CITY 1 ,J' TEL. NO. ELEC. RANGES ..� 25 ELECTRIC-[AN _ELEC. HEATERS 25 ADDRESS KW EA -( CITY –TEL-No - FIXTURES }`� —T_ Y _ 5 LICENSE NO. ✓1 NUMBER OF LIGHT CIRCUITS - DISTRICT NO. GROUP I ZONE READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS 41, ej----I � MOTORS f w NUMBER HORSEPOWERFEE INSPECTION RECORD NEW MVD. HP OVER INC. EACH i I12&LESS $ .25 1/2 2 .50 2 5 1.00 5 15 1.50 I5 50 2.50 50 200 5.00 MISC. NO.SIGNS - NO.TRANS. -NO.-SIGNS NO.LAMPS FOR EACH PERMIT: WIRING $1.00 I ` FIXTURES $1.00 SUPPLEMENTARY .50 APPROVALS �� TOTAL FEE $ DATE p� INSPECTOR'S SIGNATURE 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 �4' a l 4,..�.^_-N-_ ELECTRICAL WIRING. I HEREBY CERTIFY THAT I AM PROPER Y REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT V AM THE LEGA OWNRXOTHE ABOVE POWER Gl DESCRIBED RESIDENTIAL( ROP TY. / J 4 t I !v ¢ Fn �' UTILITY CO.NOTIFIED '� 1 .1,1 6�d _ I SIGNATURE p y{ OF PERMITTEE FINAL -rrj!d,"Po WILLIAM J. FOX. COUNTY ENGINEER / VALIDATION A. C.VEIT.CHIEF ELECT. INSPECTOR 8 4 0 i" 10,AY 21 2 6.15 7 WORKERS' COMPENSATION DECLARATION 76-663 10/81 APPUCATION FOR ELECTRICAL PERMIT I hereby,affirm that I have a certificate of consent to self insure, CE-806G or'a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copAtheleof(Sec.'`3800,Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN - .JOB �O Certified copy is hereby furnished. New Residential BldEACH NO. FEE ADDRESS gs.& Pools LOCALITY ❑ Certified copy is filed with the county building inspection 1 & 2-Family,Sq.Ft. $ _ $ All department. Multi-familq Sq.Ft. NEAREST CROSS ST. Date Applicant Residential Swimming Pools OWNER OR ®fit M(+ CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL ^ COMPENSATION INSURANCE Outlets:Rec Light — Sw. — ADDRESS ` V (This section.need not be completed if the work involved b the First 20 p-�� u � P y Total No. Additional CITY l� G( Tel.No Q Vto permit is for one hundred dollars($100)or less.) I certifythat in the performance of the work for which this permit PLAN CHECK 11 �/ P -APPLICANT Oa;� " I � :�'A`�, �-C�'y is issued, I shall not employ any person in any manner so as to S become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS _ 1 Total No. Additional CITY Tel.No , dJ 1 L _ r r y .�) Date o-h-B G//Z Applicant E 7,67 7 NOTICE. TO APPLICANT: If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT APPLICANT Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. provisions of the Labor Code, you must forthwith comply with such Oven _ Dryer _ W.M._ ADDRESS provisions or this permit shall be deemed revoked. Top — FAU _ W.H. _ CITY Tel.No. LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ I hereby affirm that I am licensed under provisions of Chapter 9LICENSE OR �. Disp. Room Air Cond. REG.NUMBER Class.1�rti0;� (commencing with Section 7000) of Division 3 of the Business and Professions Code,and my license is in full force and effect. Power Apparatus& Large Appliances DISTRICT NO.� g PR SED BY C Size& Type HP,KW,KVA,or KVAR ` Q License Number--3 !�` Lic.Class A Up to 1 Incl. FINAL Over 1 to 10 Incl. DATE -C VALIDATION 0 Cor ractor �'"'� �� Date Over 10 to 50 Inc). FINAL V I,am exempt under Sec. Over 50 to 100 Inc. BY 0 B.&P.C.for this reason Over 100 N' Services,Swbd.,MCC& Panelboards ® Z 66Da e 0- 200 Amp.Under 600 V Signature 201 - 1000 Amp.Under 600 V ❑ Over 1000'Amp.or Over 600 V Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole & Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit p •nr ,a. I hereby affirm that I am exempt from the Contractor's License Law a=V1 .7 for the following reason(Section 703.1.5, Business and Professions Additional Sign Branch Circuits _ Code): 33, rt a. El 1, Conduits& Conductors 0 I,as owner of the property,will do the work and the structure Other(See Complete Fee Schedule) is not intended or offered for sale (Section 7044, Business ® 711 7 -� . and Professions Code). --a-_e cc CONSTRUCTION LENDING AGENCY !Eke -E7 I hereby affirm that there is a construction lending agency for the 1-CH-FiN;I(" i )-( performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) Civ.C.). PLAN CHECKING FEE f(( I}?-•}i ._,w Lender's Name PERMIT ISSUING FEE Lender's Address ( # 1 Ail 10�4'f 1 certify that I have read this application and state that the above TOTAL FEE ��� 35 information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize represent fives of thi County to enter upon the above-mentioned proper`��or i P. n pu oses. 7/ a,- SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date l WORKERS' CdMPENtATION DECLARATION76A663 APPLICATION FOR ELECTRICAL PERMIT O d(,phi)' •' 20-001 DPW hereby affiPm that I have a certificate of consent to self CE-806G insure, or a:cePiificate of Warkers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or'a certified copy thereof (Sec. 3800, Lob. C. �i�tl 1L� Policy No ompany cIF � r� IF=1i FOR APPLICANT TO FILL IN JOB C 1, Certifi d co is hereby furnished. EACH NO. FEE ADDRESS PY Y New Residential Bldgs. & Pools rtifi d copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ — $ LOCALITY.- tion department. Multi-family Sq. Ft. CROSS NEARESTT. Dat _! Applicant �{, Cl� �"�? Residential Swimming Pools OWNER OR �� FIRM NAME '1 CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: RecLight!L Sw. MAIL COMPENSATION INSURANCE �� O ADDRESS First 20 (This section need not be completed if the work involved by �j1 CITY-�� ' Total No. Additional Tel. No: �,,,C• the permit is For one hundred dollars ($100)or less.) PLAN CTIECK I certify that in the performance of the work for which this' APPLICANT permit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Additional Total Na' CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICATION V� r Exemption, you should' become subject to the Workers' Range Heater—D.W. Compensation provisions of the Labor Code, you must forth- Oven Dryer W.M.— ADDRESS with comply with such provisions or this permit shall be Top FAU W.H. deemed revoked. ! �� / �Q Hood Fan Other— CITY Tel. No JC LICENSED CONTRACTORS DECLARATION -[_ — (p Disp. Room Air Cond. — LICENSE Class. I hereby affirm that I am licensed under provisions of Chapter 9 REG. NUMBER (commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NC SSED BY >_and Professions Code,and my licens iPOs in full force and effect. n O J/ Size &Type HP, KW, KVA, or KVAR d License Number < Lic. Class Up to 1 Incl. FINAL V Contracto L{� � Over 1 to 10 Incl. DATE 9-11 VALIDATION 0 Date - � '"" DD Over 10 to 50 Incl. FINAL ~ I am exempt under Sec. Over 50 to 100 Inc. BY U O 100 LL B.&P.C. for this reason Over CL Services, Swbd., MCC& Panelboards ZU) Date: 0-200 Amp. Under 600 V — Signature 201 - 1000 Amp. Under 600 V £ El Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V SINGLE FAMILY Temp. Power Pole &Appurtenances , HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit y I hereby affirm that I am exempt from the Contractor's License ;; :ti.'; Low for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits _ Professions Code): Misc. Conduits&Conductors T`t I, as owner of the property, will do the work and the i s:It t structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)_ Business and Professions Code). 10Tf;`L 93 = 30 CONSTRUCTION LENDING AGENCY ?:ra,�,_! I hereby affirm that there is a construction lending agency for Ifs'its F,., _ 1-'t_ the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) �Q Q o (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name / 110 0 €`_10I_1 1'2 i=; PERMIT ISSUING FEE Lender's Addressr O v l., (y ;l a I certify that I hove read this application and state that the TOTAL FEE V above information is correct. 1 agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon thea entioned pro erty for inspection urposes. SEE REVERSE FOR EXPLANATORY LANGUAGE j ©s Signature of Pe ittee COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508-9704030007 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 22321 LT: 9 4:069-FRATUS DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803720 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: RIO HONDO 8590-030-034 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 10.00 OUT 19.50 TENANT: G2 LIGHTING FIXTURES 5.00 LGT 9.75 . ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 57.00 04/03/97 TC 04/03/98 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: FLORES RICHARD;MARY E (818) 390-9167- 4909 FRATUS DR ., TEMP 917803720 D SCRIPT ON OF WURK- ELECTRICAL FOR NEW 18' X 40' GARAG APPLICANT: TEL. O: TOM O'LEARY CONSTRUCTION (818) 287-0927- SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE TOM O'LEARY CONSTRUCTION (818) 287-0927- 4856 ARDSLEY DRIVE LIC. NO TEMPORARY POWER POLE TEMPLE CITY, CA 91780 489354 B-1 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. 0: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING Z MAIN WATER LINE , PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0011080013 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 22321 LT: 9 4909 FRATUS DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803720 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: RIO HONDO 8590-030-034 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY C2 SPAS, HOT TUBS, OTHR 1.00 SPA 54.45 TENANT: G1 OUTLETS-LGT,SW,RECP 10.00 OUT 19.50 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: G2 LIGHTING FIXTURES 5.00 LIST 9.75 11/08/00 UT 05/08/01 HA FAU LESS 3HP 1.00 FAU 10.95 OWNER: TEL. NO: TOTAL FEES 122.40 FINAL DATE FINAL BY: CODE: FLORES RICHARD;MARY E (818) 390-9167- 4909 FRATUS DR TEMP 917803720 DESCRIPTION OF WORK ELECTRICAL FOR REMODELING MASTER BATHROOM APPLICANT: TEL. NO: TOM O'LEARY CONSTRUCTION (818) 287-0927- SPECIAL CONDITIONS: CONTRACTOR: TEL. N0: /r�� ��, ��\, APPROVALS DATE INSPECTOR SIGNATURE TOM O'LEARY CONSTRUCTION (818) 287-0927- 1,'% 5823 AGNES AVENUE LIC. NO TEMPORARY POWER POLE TEMPLE CITY, CA 91780 489354 B-1 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. N0: LIFER GROUND i LIC. N0; ROUGH CONDUIT - ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED 1- s - REPORT ID: DPR265 ROUTE TO: BS0508