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HomeMy Public PortalAbout5125 FRATUS DR_Electrical__ 76A663-CE80610/72 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB �/ n��vs �� BUILDING AND SAFETY DIVISION ADDRESS LOCALITY 7'L4jf�Oj.,NEAREST lr- FOR APPLICANT TO FILL IN CROSS ST OUTLETS NO EACH I FEE OWNER OR RECEIPT0 S S FIRM NAME t- /� /1 MAIL J )/( -i TvS VA ADDRESS /r/ LIGHT � TOTAL FIRST 0 25 V CITY SPL G!T y ��4-?93 OVER 20 TEL NO SWITCH • I 10 PLAN CHECK FIRST 20 APPLICANT LIGHTING > OEM TOTAL I 25 - OVER 20 ADDRESS FIXTURES 10 RESIDENTIAL APPLIANCESPERIT CITY TEL NO RANGE DRYER_WTR HTR_ APPLICANT P STA COOK DISP F A U ADDRESS SPACE HTRAIR COND CITY 7,C- TEL NO �Sr(a � G LICENSE UMBER CLOTHES WASH DISHWASH CLASS FAN OTHER 100 1 HEHEBI ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING W ITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND HEATERS, ETC HP KW KVA ELECTRICAL WIRING SIZE & TYpE OVER TO I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR O - 1 100 LICENSEDAS REOU IRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI I AM THE LEGAL OW ER OF THE ABOVE 1 - 1O 300 DESCRIFED RESIDENTIAL PROPERTY d O PERMITEEC.2 10 - 50 500 SIGNATURE '�'� � O 50 - 100 1000 v DISTRICT NO CE ED BY W 100 - 500 1500 08 SIGN GAS, SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE SERVICENOTOVER600VOLTS OR200AMP 3'AD v UNDERSLAB WORK SERVICEOVER 600VOLTS OR200AMP 1000 ROUGH CONDUIT TEMPSERVICE,POLE, &APPURTENANCES 500 WIRING TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES POWER AUTHORIZED UTILITY CO NOTIFIED .vr FINAL 90- 6 PERMIT FEE (SUB TOTAL) NOTES f� '�I� CGyL2 Mp PLAN CHECK FEE ERMIT ISSUING FEE OTAL FEE PLAN CHECK VALIDATION CK M 0 CASH ` PERMIT VALIDATION /' C/KM o CASH 8 6 R 2.5 2 U1 3.8 0 OF APPLICATION FOR COMPLETE SCHEDULE /!' 78A889 CESO812-58 APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES mammisam DEPARTMENT OF COUNTY ENGINEER ADDRESS .%�/Z s 1 BUILDING AND SAFETY DIVISION � T� S JOHN A.LAMBIE,COUNTY ENGINEER CASSATT D GRIFFIN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST 1- CROSS ST /r/L C/'Al PERMIT FEES OWNER ITEM NUMBER EACH FEE T MAIL _ S OUTLETtS U LIGHTS J RECEPT yQ SW $ f0 $ ADDRESS .7�v S LIGHTING FIXTURES 10 CITY off( - 'i� TEL NO 3 ELEC RANGES CLO DRYERS ELECTRICIAN W A T E R HEATERS 50 ADDRESS ELEC SPACE HTRS DISHWASHERS CITY I TEL NO GARBAGE DISPOSERS AUTO- STATE WASHERS STA COOKING UNITS 25 LICENSE NO MOTORS OVER INC H P mulmomomm DISTRICO G OUP Z NE PR B O— 1/2 P5 1/2— 2 50 IN PECTION RECORD 2= 5 100 1 5— 15 150 NW ,—) +4-1 y1-2 -15— 50 2 50 500 SIGNS NO TRANS rr / , f 5 �7 Ie NO LAMPS ]+1L/' 1 `'_ �y ` SERVICED-600V 1 00 �..bUk 1/ 0�//G�/1 , SERVICE OVER 600V Soo ' C'_.,U J-ll9 Cli O/1 I i2 MISC I �u 7L"�✓,� %rr.�^C!I/I k,n a.. '— cu//'/i.q I�Dar.o,k� WIRINGPERMIT 1 OO h'h q ho4— IIA. Gold,%lam FIXTURE PERMIT 1 00 Al -�� A �� / 7 r, 1-11— SUPPLEMENTARY -1 '1-.SUPPLEMENTARY PERMIT 50 TOTAL FEE APPROVALS IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR WIRING 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 SIGNATUREUTILITY CO NOTIFIED OF PERMITTEE e / FINAL ®" VALIDAT ARTHUR C VETT. CK MO CASH SUPERVISING ELECTRICAL ENGINEER l_Afo 6 3 8 6 in -Ay 14 2 A 5.9 0 76A663 DBS SA 11-513 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 I ZONE PERMIT NO. ELECTRICIAN + n RECEIVED BY READY FOR DATE IMBUED ADDRESS 51 4 �T. ACa c-i P, Si-„ FIRST INSPECTION CITY ROX Gib, TEL NO AT 68583 L2 3 COUNTY LICENSE NO 1104 EXPIRES BUILDING 5125 Fratus Dre ADDRESS PERMIT FEES FEE Temple City NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST CROSS ST. RECEPTACLES WALL SWITCHES OWNER B. E. Turner TOTAL OUTLETS SC $ MAIL ELEC RANGES 25 ADDRESS ELEC HEATERS 25 CITY TEL. NO. FIXTURES 5 - 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 i 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 PROPERT--PESCRIBED ABOVE. I/2 & LESS $ 25 SIGNATURE OF I/2 2 .50 PERMITTEE 2 5 1 Do INSPECTION RECORD 5 is 1 50-- is O15 50 250 50 200 500 _ 200 500 10 00 J 500 1 000 15.00 Z Z OVER 1000 2000 [J M G HET/FREQ CHANGER-HP it WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIO) MOVED MOTORS_ X75% OF DRID) MISC SIGNS NO NO TRANS APPROVALS NO NO LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: WIRING ,$1.00 CONDUIT FIXTURES $1 OO 10WIRING SUPPLEMENTARY 50 FIXTURES POWER TOTAL FEE 41 ,3- 1 UTILITY CO NOTIFIED FINAL WORKERS'COMPENSATIONDECLARATION 63 CE806G (2 80) APPLICATION FOR ELECTRICAL PERMIT CE 8 -1 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 co y thereoff/(Sec 3800,Lab ) 7 { �� FOR APPLICANT TO FILL IN JOB Policy No Company � ADDRESS New Residential Bldgs &Pools EACH NO FEE r^� " Certified copy is hereby furnished 1 &2-Family,Sq Ft $ — $ LOCALITY T /,3�III Multi-family Sq Ft NEAREST Certified copy is filed with the county building inspection ¢Qv CROSS ST department Residential Swimming Pools o OWNER OR / `h{ J� _/ � , /fO FIRM NAME .1� Date Applicant G� Outlets Rec_Light�/ Sw MAIL First 20 ADDRESS (' CERTIFICATE OF EXEMPTION FROM WORKERS' Total No Additional CITY Tel No � /J COMPENSATION INSURANCE 0- PLAN CHECK (This section need not be completed if the work involved APPLICANT by the permit is for one hundred dollars ($100) or less) Lighting Fixtures First 20 ADDRESS JLf0J J, s���gei/d- 0K* Total No Additional yCr_ I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY L4JK1 U /� Tel No p-_?o permit is issued, I shall not employ any person in any manner PERMITS� � J �JJ� so as to become subject to the Workers' Compensation Laws Range_ Heater_D W APPLICANT d Cn Oven Dryer_W M ADDRESS f ITS S Z Date Applicant Top FAU _W H Hood Fan _Other_ CITY Tel No NOTICE TO APPLICANT If, after making this Certificate of Disp Room Air Cond_ LICENSE OR 7 Exemption, you should become subject to the Workers' REG NUMBER b_ Class Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO PROCESSED BY with comply with such provisions or this permit shall be deemed revoked Size&Type HP, KW, KVA,or KVAR a X Up to 1 Incl v FINAL LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl DATE �f )"fes VALIDATION Over 10 to 50 Incl // Q - BY I hereby affirm that I am licensed under provisions of Chapter Over,50 to 100'1 nc FI 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 �•-fj3 �) -0-200 Amp Under 600 V License Number U3 Lic Class G 201-1000 Amp Under 600 V Contractor.` ' "'I ����� Date__ ci —� 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 ❑ I, as owner of the property, will do the works and the Other (See Complete Fee Schedule)— structure is not intended or offered for sale (Section 7044, Business and Professions Code) 4 0 t�5 A CONSTRUCTION LENDING AGENCY i hereby affirm that there is a construction lending agency # 0 0 01'0 0 2 for the performance of the work for which this permit is PERMIT FEE (Sub-Total) i issued (Sec 3097,Cry C) 0 2 ° ° 5 8 5 0 Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) ! ° °'05a50 :65 Lender's Address 4 PERMIT ISSUING FEE 0 1 9'-8 2 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' Signature of Permittee Date