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Home My Public Portal About5059 FRATUS DR_Electrical__ 76A6%3-CE906-10/74 APPLICATION FOR ELECTRICAL PERMIT -COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER gpDREss BUILDING AND SAFETY DIVISION LOCALITY e C L NEAREST FOR APPLICANT TO FILL IN 7 CROSS ST OUTLETS NO EACH I FEE OWNER NAME L C. RECEPT $ $ AMAIL DDRESS / LIGHT / TOTAL FIRST 20 25 U ^� CITY TE�NO SWITCH , OVER 20 10 PLAN CHECK LIGHTING 25 FIRST 20 APPLICANT i TOTAL ADDRESS FIXTURES 2, OVER 20 10 RESIDENTIAL APPLIANCES CITY EL NO PERMIT RANGE DRYER_WTR HTR APPLICANT Ad L S STA COOK DISP F A U ADDRESS 7-33" L[/i SPACE HTR AIR COND CITY TEL NO S 2 CLOTHES WASH DISHWASH LICENSE GENNUMBER ASSel_:f FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND HEATERS, ETC HP KW KVA ELECTRICAL WIRING SIZE & TYPE OVER TO I , I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 — 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF }. CALIFORNIA OR THAI I A E LEGAL OWNER OF ABOVE CD Y 1 — 10 300 U U oES CAIPED RES DE NTI OPERTY U PERMITEE 10 - 50 500 SIGNATURE U 50 - 100 1000 W DISTRICT NO ROCSSED BY n- N Jf ` 100 - 500 1500 o 6 % SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPE R'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE SERVICENOT OVER 600 VOLTS OR 200 AMP 300 UNDERSLAB WORK SERVICEOVER 600 VOLTS OR 200AMP 1000 ROUGH CONDUIT 7k "i;X TEMPSERVICE, POLE, &APPURTENANCES 5 D WIRING TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES +FINAL UTHORIZED CO NOTIFIED ' / yy..►..� PERMIT FEE - (SUB TOTAL)PLAN CHECK FEE PERMIT ISSUING FEE 300 � TOTAL FEE PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M D CASH 7 0 3 JUL .29 2 L) 7.5'U C, SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663 Des SA 11-SEI APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ( ZONE PERMIT NO. ELECTRICIAN R. Til. Walton RECEIVED BY READY FOR DATE ISSUED ADDRESS 5134 N. Acacia St. •A � FIRST INSPECTION CITY San Gabs TEL. No AT 6 COUNTY LICENSE NO. 1104 EXPIRES BUILDING ADDRESS 5059 Fratus Dro PERMIT FEES NUMBER EACH FEE LOCALITY Temnle City LIGHT OUTLETS NEAREST RECEPTACLES CROSS ST. WALL SWITCHES OWNER Be E. Turner TOTAL OUTLETS Sc s MAIL ELEC RANGES 25 ADDRESS ELEC HEATERS 25 �} CITY TEL. NO. FIXTURES 5 3+.Z�1`.!] 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER FEE NEW MVD HP OVER INC EACH OF THE RESIDENTIAL PROP ESCRIBED ABOVE. I/ a LEGS $ .25 SIGNATURE OF _ %2 2 5O PERMITTEE. 2 5 1 0o INSPECTION RECORD I _ 5 15 1 50 15 50 2.50 _ 50 200 5 00 _ __2Do _soo 1 D DD J _ 500 1 O00 1 5 OD Z Z OVER 1 000 2000 (y M G SET/FREQ. CHANGER-HP WELDERS:AC-KVA 0 GENERATORS - KW _ TRANSFORMERS - KVA TEMP MOTORS (75'-'/o OF ORIS) MOVED MOTORS (75% OF CRIS.) MISC SIGNS NO NO TRANS APPROVALS NO NO LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 CONDUIT FIXTURES $1 00 � WIRING _/ Gi!!�&s'a&E3/�� / SUPPLEMENTARY .50 FIXTURES ® POWER TOTAL FEE $ UTILITYCO NOTIFIED FINALi*e' WORKER'S COMPENSATION DECLARATION 20 DPW(12 91) APPLICATION FOR ELECTRICAL PERMIT 76A663 I hereby affirm that I have a certificate of consent to self Insure, 76A663 or a certificate of Worker s Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV copy thereof(Sec 3800 Lab C) Policy No Company FOR APPLICANT TO FILL IN JOB ADDRES ,I Certlfied copy's hereby furnished New Residential Bldgs &Pools NO EACH FEE 40� v - — $ $ LOCALITY G F 7 Certified co is filed with the count building inspection 1&2 Family,Sq Ft PY Y 9 P NEAREST department Multi family Sq Ft CROSSST Date Applicant Residential Swimming Pools ASSESSOR 5 PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERSOWNER OR COMPENSATION INSURANCE Outlets Rec —Light Sw FIPM NAME .a First 20 MAIL (This section need not be completed If the work Involved by the ADDRESS � perm itis for one hundred dollars($100)or less) Total No Additional i I certify that t,In th'e performance of4e work for which this permit CITY Tel No Is issued, I shall not employ any person in any manner so as to PLAN CHECK ' become,sublect to the Workers Comp tion Laws Lighting Fixtures First 20 APPLICANT ��/ 9 r Total No Additional ADDRESS Date / Applican RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT If; a ter making this Certificate of CITY Tel No Exemption, you shouldrbecome subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP IT provisions of the Labor Code, you must forthwith comply with such APPIICAN � l provisions or this permit shall be deemed'revoked ' � Power Apparatus&Large Appliances LICENSED CONTRACTORS'DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS &_L°G`y� �7_ I hereby affirm that I am licensed under'provisions of Chapter 9 Over 3 to 10lncla- (commencing with Section 7000) of Division 3 of the Business and ,_ CITY Professions Code,and my license is in full force and effect Over 10 to 50 Incl Over 50 to 100 Incl LICENSE OR �/ M1, Class >_REG NUMBER 1 a License Number Ic Class / Over-100 DISTRICT NO PFO SED BY O V Contractor !/ / r �C - SerypQs„Syvbcjp�P e 6 0 apords / �� FINAL DATE _G 0 ❑ (j(4�OU/0 3/1905 p n er 00 V - ~ I am exempt under Sec VALIDATION V Over 1000 Amp or Over 600 V FINAL d B&P C for this reason - - BRANCH CIRCUIT FEES BY Date 15A,or-20A,120V,Lighting or Recept Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits -;- - _- 41 Or More Branch Circuits - r - o'°-P-1 ❑Y Exemption for Reg Maint Elect 15A 20A,208V To 277V Lighting Br Circuits _ 1 ssrEr,_r SINGLE FAMILY Temp Power Pole&Appurtenances -° HOME OWNER BUILDER DECLARATION - T I11 i;L 41035 1 hereby affirm that I am exempt from the Contractors License Law Sign with One Branch Circuit ^for We following reason (Section 7031 5, Business and Professions Additional Sign Branch Circuits '_ _ 6-. t5 Code) '� _ _ t' ❑ � �°'. I, as owner of the property,well do the work and the structure Misc Conduits&Conductors is not Intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) and Professions Code) - CONSTRUCTION LENDING AGENCY qt I hereby affirm that there is a construction lending agency for the i11 i N z°31 performance of the work for which this permit Is issued (Sec 3097, PERMIT FEE (Sub-Total) Civ C) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address J �� I certify that I have read this application and under penalty of purlury state TOTAL FEE that the 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 u n the above-mentioned property - �UIRIFPER�MIT-TEE SEE REVERSE FOR EXPLANATORY LANGUAGE SIG DATE WORKERS'COMPENSATION DECLARATION CE 806G 10/81 APPLICATION FOR ELECTRICAL PERMIT jb�reby affirm that I have a certificate of (bnsent to self lisure, or a certificate of Workers' Compensation Insurance, 5� 'COUNTY OF LOS ANGELES BUILDING AND SAFETY lr a certified copy'thereof (Sec 3800, Lab C ),„' _ ?ollcy No Company ` _—�� FOR APPLICANT TO FILL IN JOB ADDRESS 17 Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE _ ElCertifiedcopy is filed with the county building inspec - 1 & 2-Family, Sq Ft �Ct�� $ _ $ LOCALITY j /"L1— Lf'" NEAREST CROSS ST I t 1K✓ l�+ i/� tion department Multi-family Sq Ft �f'(� !V �� (J Residential Swimming Pools r1" OWNER OR Date Applicant FIRM NAME Pk p CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets RecLight / Sw 'ADDRESS S �/l J {/h COMPENSATION INSURANCE First 20 r (This section need not be completed tf the work involved by Total No Additional (f CITY � P1 )_7 LI Tel No the permit is for one hundred dollars (:100)or less ) PLAN CHECK 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 Work Compensation Laws qLighting Fixtures First 20 ADDRESS � Additional`gc p/ Total No CITY Tel No Date I 4J Applicant Fixed Appliances Not Over 1 HP PERMIT 5�l°1 /,/ f/"/j� NOTICE TO APPLICANT If, after making this Certificate of APPLICANT j �TbC I— CJrS 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 Z ADDRESS 2 Z_0 YlLt 4 VF with comply with such provisions or this permit shall be Top _ FAU —W H '7 deemed revoked Hood _ Fan _ Other_ CITY LQS 6r G�sTel N 1i3 723- LICENSED CONTRACTORS DECLARATION LICENSE OR J v 9,1/ 1 hereby affirm that I am licensed under provisions of Chapter 9 Disp _ Room Air Cond REG NUMBER _ 117–.1- CI- ss (commencing with Section 7000) of Division 3 of the Business DISTRICT NO PROC and Professions Code, nd m license is in full force and effect Power Apparatus 8 Large Appliances f� 0 0 0 y Size &Type HP, KW, KVA, or KVAR 6 V _ 7 5 Q License NuIm mb ® Lic Class ^/0 U to 1 Incl FINAL = V /�.�� Over 1 to 10 Incl DATE — 2 v Q Contractor Date s� Over 10 to 50 Incl v� FINAL ` ~ ❑ I am exempt under Sec Over 50 to 100 Inc BY ,O t 6 CL B &P C for this reason Over 100 Z Date Services, Swbd , MCC & Panelboards , ,G, � — 0 - 200 Amp Under 600 V '/;Z 75- Signature 201 - 1000 Amp Under 600 V Over 1000 Amp or Over 600 V I Exemption for Reg Maint Elect SINGLE FAMILY Temp Power Pole &Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits Law for the following reason (Section 7031 5, Business and Professions Code) ❑ Misc Conduits 8 Conductors I, as owner of the property, will do the work and the structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)- 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 issued PERMIT FEE (Sub-Total) (Sec 3097, Civ C ) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address 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 here y authorize representatives of this County to enter upon th ove-mention perty r inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE , Signature o Permittee Date