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Home My Public Portal About5324 FRATUS DR_Electrical__ ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1311140060 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT ILEGAL ID I FEES PAID I BUILDING ADDRESS ITR 11492 LT 20 BL B I 5324 FRATUS DR I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803118 (ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET OLIVE 18590-002-022 1A1 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY CAI IH1 RES ELEC OVEN LT 3HP 1 00 OVE 11 00 I 1 ITENANT IH2 RES GRBG DISP LT 3HP 1 00 DIS 11 00 (ISSUED ON PROCESSED BY PLAN BY 1H3 RES DISHWASHR LT 3HP 1 00 DIS 11 00 111/14/13 SR 1 1 1H4 RES RANGE HDS LT 3HP 1 00 H0O 11 00 1 1 IOWNER TEL NO IH7 RES EXHAUST FANS 1 00 EX 11 00 IFINAL DATE FI Y CODE 1 (LAM BRANDON L,CYNTHIA T - IT2 NO PERMIT R3 OWN-BLD 171 90 DOL 171 90 1 1 15324 FRATUS DR TOTAL FEES 254 70 1 1 ITEMP 917803116 ID CRI TION OF WORK I 1 IELECTRIC OVEN, GARBAGE DISPOSAL, DISHWASHER, AND EXHAUST FAN1 1 _I IFOR KITCHEN REMODEL 1 1APPLICANT TEL NO 1 ' SAME AS OWNER I 1 (SPECIAL CONDITIONS I I - I _I I ICONTRACTOR TEL NO 1APPPOVALS _ 1 DATE INSPECTOR SIGNATURE ISAME AS OWNER LIC NO i TEM=JRARY POWER POLE I I I 1 (UNDERGROUND CONDUIT 1 1ARCHITECT OR ENGINEER TEL NO 1UFER GROUND LIC NO IROUC'-I CONDUIT 1 1 1 I I I 1 I ROU 3d WIRING 1 1 I I I IMAM WATER LINE 1 IPLAILIC YIN METAL YIN I 1 IUTI_ITY COMPANY NOTIFIEDI I I I I I I I I 1 1 I I I I I 1 1 I I I 1 1 I I I I I I I I I I I I 1 1 I I 1 I I I I I 1 I I I I I IREPORT ID DPR265 ROUTE TO BS0508 • OFFERS' COMPENSATION DECLARATION 76-663 10/e1 CE-806G APPLICATION FOR ELECTRICAL PERMIT r -Lhe�eii ffirm tl}gt I_t12ye & certificate of consent to self insure, , or a certificat® of Workers Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec 3388]00 Lab C J_ "{L Policy No"'' Ia, Company ' n! J F-1 FOR APPLICANT TO FILL IN JOB14 Certified copy is hereby furnished 1 New Residential Bldgs & Pool /j EACH NO FEE ADDRESS 53 S ` Certified copy is filed with the county building inspection 1 & 2-Family,Sq Ft �V $ _ $ LOCALITY G NEAREST department, ^ Multi-family Sq Ft CROSS ST 9-8-`�7 Applicant A" ,A `�� L ^- Residential Swimming Pools OWNER OR �S 6',&J _ . 1 N Date �-'t/l.C� FIRM NAME CERTIFICATE OF EXEMPTION FROM"WORKERS' Outlets Rec Light Sw ' MAIL COMPENSATION INSURANCE ADDRESS (This section need not be completed if the work involved by the First 20 permit is for one hundred dollars ($100)or less) Total No Additional' CITY Tel No PLAN CHEC I certify that in the performance of the work for which this permit APPLICANT K 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 Total No Additional CITY Tel No Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If, after making this Certificate of APPLICANT Exemption,you should,become subject to the Workers'Compensation Range_ Heater_ DW _ provisions of the Labor Code, you must forthwith comply with such Oven _ Dryer _ WM ADDRESS' provisions or this permit shall be deemed revoked Top — FAU _ WH �(�7 LICENSED CONTRACTORS DECLARATION Hood — Fan Other_ CITY Tel No J-7 5 I hereby affirm that j am licensed under provisions of Chapter 9 Disp — Room Air Cond LICENSE OR (commencing with Section 7000) of Division 3 of the Business and REG NUMBER Zi�4-8 OL Class G Professions Code,and my license is in full force and effectDISTRICT NOT PROC SSED BY Power Apparatus_& Large Appliances 236 G^`O Size& Type HP,KW,KVA,or KVAR O License Number Lic Class Up to 1 Incl FINAL O Over 1 to 10 Incl DAT L}-12 C�r9C4 �; ��_ g7 E Contractor Date G VALIDATION O FIN- ❑ Over 10 to 50 Incl I am exempt under Sec Over 50 to 100 Inc g W B&P C for this reason Over 100 f'.L Services,Swbd,MCC & Panelboards Z Z Date 0-200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V ❑ over 1000 Amp or Over 600 V ;27869A Exemption for Reg Maint Elect '# 0`0 0 0 0 2 - SINGLE FAMILY Temp Power Pole & Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 9 0 5 0- I hereby affirm that I am exempt from the Contractors License Law for the following reason(Section 7031 5, Business and Professions Additional Sign Branch Circuits _ Code) '0 ° ° 9 Q'5 0 c5 E] 1,as owner of the property,will do the work and the structure Misc Conduits & Conductors =r '0 9,08-. 87 is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) 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(Sec 3097, PERMIT FEE (Sub-Total) - O v Civ C) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE s Lender's Address I certify that I have read this application and state that the above TOTAL FEE t J r D 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 propefty for inspection purposes —1 (yam Q_e— �� SEE REVERSE FOR EXPLANATORY LANGUAGE 7 n Signatur f Permittee Date 'WORKERS'that COMPENSATION DECLARATION CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE-806G y,n%ur�!; z,T a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY , or a certified copy thereof (Sec 3800, Lab C ) 7 Policy No Company FOR APPLICANT TO FILL IN JOB ADDRESS Certified copy is hereby furnished New Residential Bldgs & Pools EACH' NO FEE Certified copy is filed with the county building inspec- rl & 2-Family, Sq Ft $ — $ LOCALITY TG tion department Multi-family Sq Ft — 'NEAREST CROSS ST Date A lica Residential Swimming Pools OWNER OR pp FIRM NAME i CERTIFICATE OF EXEMPTION FR W KER MAIL Outlets Rec Light Sw COMPENSATION INSURANCE ADDRESS �B Lel+-Lj� (This section need not be completed if the work involved by First 20 the permit is for one hundred dollars ($100)or less ) Total No Additional CITY Tel No I certify that in the performance of the work for which this PLAN CHECKAPPLICANT 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 ' Total No Additional CITY Tel No Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If, after making this Certificate of / Exemption, you should become subject to the Workers' Range_ Heater_D W APPLICANT6c��Z�ie6� E�,FiY� Compensation provisions of the Labor Code, you must forth- Oven _ Dryer — W M — ADDRESS/,,O� -A- with comply with such provisions or this permit shall be Top — FAU —W H — deemed revoked CITY Tel NoZ��3G Hood Fan _Other_ LICENSED CONTRACTORS DECLARATION Disp Room Air Cond LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBER Class (commencing with Section 7000) of Division 3 of the Business power Apparatus& Large Appliances DISTRICT NO PROCE and Professions Code,and my license is in full force and effect �' d Size & Type HP, KW, KVA, or KVAR V c 0 License Number Lic Class Up to 1 InclV FINAL _ Over 1 to 10 Incl DATE z VALIQIION 0 Contractor Date a Over 10 to 50 InclH FINAL I am exempt under Sec Over 50 to 100 Inc BY LU Over 100 d B &P C for this reason H Services, Swbd , MCC & Ponelboords Z Date 0 - 200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V ❑ 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 I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits c 7 5 2 5 A Law for the following reason (Section 7031 5, Business and Professions Code) 17771__— # o 0 0 0 0 2 I, as owner of the property, will do the work and the Misc Conduits 8 Conductors structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ ( o o 2550 7044, Business and Professions.Code) 2 5 5CONSTRUCTION LENDING AGENCY -,o 0 I hereby affirm that there is a construction fending agency for 7,24-87 the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec 3097, Civ C ) ' PLAN CHECKING FEE Lender's Nam _ O /�/ PERMIT ISSUING FEE Q Lender's Address e 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 jaws 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 � Z Signature,o rmit a Dat