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HomeMy Public PortalAbout5327 FRATUS DR_Electrical__ r 76A663-CE806 9-64 APPLICATION' FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING ✓ BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE, COUNTY ENGINEER COLEMAN W JENKINS, SUPT OF BUILDING LOCALITY NEAREST `jl _ FOR APPLICANT TO FILL IN CROSS ST RECEPT J TOTNO EACH FEE _ LIGHT OUTLETALS FIRST 20 6 $20 $ OWNER ©AEfii/p �G/��d MAIL SWITCH / ti, ADD'LI 1O ADDRESS s OVER 20 TOTAL CITY TEL NO LIGHTING I = iF7RST 20I 20 FIXTURES ADD'L 10 ELECTRICIAN Ute/� L OV R 20 RANGES CLO DRYERS WTR HTRS too ADDRESS GARB DISP STA COOK , CITY TEL NO DISHWASH AUTO WASH F U _ STATE SPACE HTRS , STA APP (l/a H P�MAX ) 50 Q LICENSE NO MOTORS OVER NOT OVER H P DISTRICTNO GRO P Z NE. PROC SSED BY O 1 100 1 3 ISO INSPECTION RECORD s 8 200 IL O 8 15 250 V 15 50 300 O I- 50 100 500 u W SIGNS NO TRANS V) NO LAMPS Z SERVICE O 600V NOT OVER 200A 100 SERVICE 0-60OV-OVER 200 A 200 SERVICE OVER 600V Soo MISC PERMIT ISSUING FEE 200 SUPPLEMENTA13Y PERMIT ISSUING FEE 1 00 TOTAL FEE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBE;�RES IDENTI PROPERTY POWER SIGNATURE UTILITY CO NOTIFIED OF PERMITTEE FINAL �LI JOSEPH C ROOHAN C MOO CAS CASH SUPERVISING ELECTRICAL ENGINEER -- LIDO 2 2 0 1:� AY 2 0 2 D 3,']Q v <_ %• - ,.lamll ,.. (- ���� ,` ` 76A863"CE806P10-8,1� APPLICATION FOR AECT ICAL PERMIT) COUNTY OF LOS ANGELES' ' DEPARTMENT OF^COUNTY^ ENGINEER FU BUILDING �. r 'BUILDING AND SAFETY DIVISION r` -ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER '�• WILLIAM A'JENSEN, $UP'T OF BUILDING _ LOCALITYT ' 'p, r E NEAREST FOR APPLICANT TO FILL IN CROSS $T' 1 T E M NO EACH FEE ' OUTLETS '(FIRST 20) •� = `;O, $20 $ 'OWNER _ �CkHV I LIGHTS RE 'SW f L 0O' MAIL- OUTLETS' (AOD'L UNITS) ' yy^� - q ADDRESS - LIGHTS RECEPT" ,SW i J / 16 JAC LIGHTING'FIXTIJRES (FIRW20), ' >�j/ 20 D Oc °CITY I .0 , TEL'NO ' LIGHTING,FIXT,URES_„(ADDITIONAL) -.f0 ELECTRIC/I�ANOY'3 ( (,.mac RAN_GES a' 'CLO DRYERS ,WTR HTRS too •i ADDRESS /t GARB DISP'1', ),-STA COOK z •' r ,i�; _ CITY„ G.���-'1'�crh� . TEL NO ,DISH WASH ” ''AUTO`-WASH 2 z °,r STATE " O SPACE HTRS'. 'I STA APP (+/z H P MAX ) "� 5O ._ r 'LICENSE NO IkI s 3 MOTORS „OVER s• 'NOT OVER HP DISTRICT NO. GROUP N P ESSED-BY 1 ' 1 00 `INSPECTION REGO11D 150 3' � 200 � �. p� -Q� 815 250 f 15 - s .50 3 00 � O r - Y/N I-„V '/�)r✓Y dJ!"i4aF�'LI"'� z 50' _ _100 500 - ..S�YI SIGNS ' NO TRANS ' .K' - ' NO LAMPS a i - 4 ) �' .__�,_ .�L�.�^`O� SERVICE 0.600V-NOT OVER 200A' 1 00 J Q ��kk SERVICE'0.600V-OVER 200 A �- •' 2 00 +' _ •, , 4! �, Y{ ,,� .,c .� SERVICE OVER 600V- W,- 5 00, PERMIT,ISSU1NG FEE 2'00 _ Z� 00 r . `SUPPLEMENTARY,PERMIT'ISSUIlid FEES 1-00 �_wrTOTAL,FEE $ ��►� T ' - 1 HEREBY'ACKNOWLEDGE-THAT°I:'HAVE'-READ THIS APPLICATION -APPROVALS ,=DATE INSPECTOR'S SI GNATURE 'AND STATE THAT'THE ABOVE IS CORRECT'AND AGREE-TO COMPLY CONDUIT- -WITH' ALL COUNTY''ORDINANCES AND STATE LAWS REGULATING _ ELECTRICAL WIRING' WIRING 1 HEREBY CERTIFY'THAT I AM'PROPERLY REGISTERED AND�OR — .LICENSED AS REQUIRED'BYi LOS ANGELES,COUNTY ANDSSTATE OF FIXTURES: CALIFORNIA 'OR eTHAT, 1 AM`��; 76A663CE-806(11 /78) APPLICATION FOR ELECTRICAL PERMIT + r' COUNTY OF LOS ANGELES BUILDING AND SAFETY _ FOR APPLICANT TO FILL IN JOB New,Residential Bldgs &Pools EACH NO FEE _ ADDRESS 1 &2 Family Sq Ft $ 025 — $ LOCALITY ` Multi family Sq Ft 02 — NEAREST ` Y 25 00 ' CROSS ST Residential Swimming Pools OWNER OR.. - - -� FIRM NAME Xv— Outlets Rec Light Sw _ _ MAIL First 20 50 1 ADDRESS Total No 30 CITY Tel fV i _ Additional -- t- PLAN CHICK APPLICANT Lighting Fixtures First 20 50 ADDRESS Additional - 30 Total No CITY Tel No Fixed Appliances Not Over 1 HP _ _ PERMIT Range_Heater_D W APPLICANT "Oven_Dryer_W"M— ADDRESS - Top _FAU W H CITYTel No d Hood-_Fon _Other_ LICENSE OR _ ry Disp C _Room Air ond 2 50 REG NUMBER Class I HERE 'LEME THAT I HAVE READ THIS APPLICA 3 Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size&,,T HP KW KVA,or KVAR COMPLY WITH ALL COUNTY-ORDINANCES AND'STATE'LAWS ype 2 50 REGULATING ELECTRICAL WIRING Up to 1 Incl_ 1 HEREBY CERTIFY THAT I AM'PROPERLY REGISTEREDANR �V Over 1 to 10 Incl 500 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF at Over 10 to'50 Incl 12 50 CALI OR THAT I AM THE LEGAL OWNER OF THE ABOVE ( ,_O 25 00 DESC ED IDENT PERTY pe Over 50 to 100 Inc N Over 100 4000 PER ITE j SIGN N Services - - - -•- � 'DISTRICT NO t. " PRESSED 0 200 Amp Under 600 V 12 50 ! ' 201 1000 Amp Under 600 V 25 00' I/V _- Over 1000 Amp or Over 600 V 5000 n Temp Power Pole&Appurtenances -1000 �!O .1 _ -7 Sign with One Branch Circuit 10 00 T T Additional Sign Branch Circuits 2 00 INSPECTION` > a ` 10 00+ INFORMATION Misc Conduits&Conductor's ON REVERSE x Other(See Complete Fee Schedule) SIDE ..Q �'S 7 2 Ql i t J d # 0000:o2 PERMIT FEE (Sub Total) 2oa3200 ZD _ j - PLAN CHECKING FEE Ione Fourth Permit Feel _ '2 0 ° ° 3,2 0 0 U PERMIT ISSUING FEE $7 00 }• .+ -.c 07,27-7 9 TOTAL FEE > INSPECTION FINALED W d date By I ��' ©s WORKERS' COMPENSAO-�LARATION 76A663 10/81 here) affirmr�at I have a c� to of consent to self CE-806G APPLICATION FOR ELECTRICAL PERMIT' insurea-or a nrtificcoe of Workers'< mpensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a cerhfigdd.copy;�ereof (Sec ifr U, Lab C ) PoIiCti Na'`* Company FOR APPLICANT TO FILL IN JOB /.� ry ^1� KAT'V` L_ Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS �.V 3Z r AT J ❑ Certified copy is filed with the county building inspec- I & 2-Family, Sq Ft $ _ $ LOCALITY V_ tion department Multi-family Sq Ft NEAREST �1 Residential Swimming Pools CROSSSOWNER T FIRM NAOR ME t eLv v tr Dote Applicant V ti LET -QJ 9,LZ Out CERTIFICATE OF EXEMPTION FROM WORKERS' ✓ . Outlets Rec L ght f� Sw_ MAIL C� ° ADDRESS COMPENSATION INSURANCE First 20 �'. °-e=�✓' ' �' \��' ' '' _ (This section need not be completed if the work involved by Total No 5 kdd,ional '` CIPI Tel No'�^� the permit is for one hundred dollars ($100)or less ) PLA I certify that in the performance of the work for which this ,/ A PLICANTK 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 )l q��`/� Total No Additional CITY Tel No Date e . `�pplic t * '" Fixed Appliances Not Over I HP PERMIT {� NOTICE TO APPLICANT If, after making this Certificate o - APPLICANT CSC r`` Exemption, you should become subject to the Worke Range_ Heater_D W Compensation provisions of the Labor Code, you must forth- Oven _ Dryer — W M — ADDRESS Z' i W-N ii with comply with such provisions or this permit shall be Top FAU —W H _ deemed revoked Hood Fan _ Other_ CITY- Tel No 3 —� LICENSED CONTRACTORS DECLARATION LICENSE R Disp _ Room Air Cond Class /' I hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBER 7 C t (commencing with Section 7000) of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO ESSED BY d p and Professions Code, and my license is in full force and effect TJU (� Size &Type HP, KW, KVA, or KVAR License Number Lic Class G l 0 Up to 1 Incl FINAL ��^Ay t� -� Over 1 to 10 Ind DATE / 0A VALIDATION t Contractor Fy ate G�(J`—�� Over 10 to 50 Incl �!J ❑ FI W I am exempt under Sec Over 50 to 100 Inc e A 53 2 8 A � B&P C for this reason Over 100 # 0 0 0 0 0 2 Z Services, Swbd , MCC & Panelboards y Date 0 -200 Amp Under 600 V ® I ° - 23,50 Signature 201 - 1000 Amp Under 600 V o 0 0 2 3 5 0 5 Over 1000 Amp or Over 600 V ❑ Exemption for Reg Mai,nt Elect 0 a 2 8 s 8 b SINGLE FAMILY Temp Power Pole & Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 1( 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) ❑ 1, as owner of the property, will do the work and the Misc Conduits &Conductors ' 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 „j 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 q ve-mentioned property for inspection purposeszo , iiiiiiiii SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of ermittee Date