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HomeMy Public PortalAbout5336 FRATUS DR_Electrical__ f 76A663-VI0612_56 APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES �) DEPARTMENT BUILDING AND SAFETY DIVISION ER ,ADIDRESSG /fcu JOHN A.LAMBIE,COUNTY ENGINEER CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN- NEAREST CROSS ST ✓I PERMIT FEES OWNER ITEM NUMBER EACH FEE OUTLE $ $ MAIL T ADDRESS LIGHTS RECEPT SW / 10 [� LIGHTING FIXTURES 10 / CITY TEL NO ELEC RANGES CLO DRYERS -F-�� ELECTRIC11KN- to WATER HEATERS 50 ADDRESS ELEC SPACE HTRS DISHWASHERS CITY TEL NO ` GARBAGE'DISPOSERS AUTO- - STATE WASHERS STA COOKING UNITS 25 LICENSE NO MOTORS OVER INC HP DISTRICT GROUP ZONE PR Y O— 1/2 25 1/2- 2 .31,L 50 INSPECTION RECORD 2— 5 1 00 ' S�Q� 5— 15 150 4 711� At ell 15— 50 250 / 50-200 500 SIGNS NO TRANS NO LAMPS SERVICE 0-600V 1.00 ' SERVICE OVER 600V Soo MISC' t WIRINGPERMIT 1 00 FIXTURE PERMIT too SUPPLEMENTARY PERMIT 50 TOTAL FEE $ , � APPROVALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS,APPLICATION DATE INSPECTOR'S SIG TURF AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY a , WITH ALL COUNTY ORDINANCCS AND STATE LAWS REGULATING CONDUIT f'f ELECTRICAL WIRING WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND�OR LICENSED AB REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED R DENTIA RO PERTY POWER x " XGNATUUTILITY CO NOTIFIED F PER _FINAL `fin Z-`/`��' �.�.,y-.- _.-•�`_ ®FV MO CASH ION SURPERVISING Eij ELECTRICAL ENGINEER C MO - t . LACo a 1 2 :3 ��t� 17 2 A 3 .8 0 . 1 76A663-CE806-6-57 APPLICATION FOR ELECTRIC PE,RMITi 1� COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS S3346 N, 1--RA 7-41S JOHN A.LAMBIE,COUNTY ENGINEER CASSATT D GRIFFIN,SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST Vg S' PERNUT FEES OWNER O LIGHTS RECEPTACLES SWITCHES NUMBER 1 T E MMAIL •� > /�� /� ` /� EACH FEE ADDRESS IS-3 V O �V•/ ' /J��j ✓� TOTAL OUTLETS $ 10 $ .910 j� (y;/) ELEC RANGES, WATER HEATERS, CITY /f../"/��L G�/ J TEL NO /'IT k~b/)glf CLOTHES DRYERS 50 ELECTRICIAN ELEC SPACE HEATERS STAT Y COOK- ING UNITS, GARBAGE DISPOSERS, ADDRESS WN AUTO WASHERS, DISHWASHER 25 LIGHTING FIXTURES 10 CITY TEL NO STATE MOTORS LICENSE NO HORSEPOWER H P OVER INC DISTRICT-NO GFQU._P ON READY FOR INSPECTION 1/2 @ LESS 25 C•a[j� v�-'I/L•-� `J 1/2 — 2 5o INSPECTION RECORD 2 — 5 1 00 --�1 5 — 15 1 50 15 — 50 250 50 — 200 500 MISC. V SIGNS _ I NO TRANS NO LAMPS SERVICE O-600V too SERVICE OVER 600V Soo ' WIRING PERMIT 100 Q FIXTURE PERMIT 100 SUPPLEMENTARY PERMIT 50 APPROVALS TOTAL FEE S ITO I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 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 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER �^ DESCRIBED RESIDENTIA PR ERTY. •��� SIGNATURE J � UTILITY CO NOTIFIED � OF PERMITTE JOHN A.LAMBIE, VALIDATI ARTHUIR C.VEIT, COUNTY ENGINEER SUPERVISING ELECTRICAL ENGINEER CK MO CASH + -!rU0 3 3.5.8 f -CCT 1.5 2 3.0 0 ®v r COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0706250013 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT ILEGAL ID I FEES PAID I BUILDING ADDRESS I ITR 11492 LT 22 BL B I I 5336 FRATUS DR 1 I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803118 1 (ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET I 18590-002-025 1A1 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY, Cl I IG1 OUTLETS-LGT,SW,RECP 8 00 OUT 15 60 1 ITENANT IG2 LIGHTING FIXTURES 6 00 LGT 11 70 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON I ILB 200 AMP PANELS, MCC 1 00 PAN 38 85 106/25/07 SR 12/22/07 1 1 TOTAL FEES 93 90 I 1 1OWNER TEL NO 1 IF AL DATE FIN BY CODE I ITIEU, BAN (626) 688-4785- 15336 FRATUS DR 1 1 1 ITEMP 917803118 1 IDMCRIPTIONIOF WORK 1 I I (ELECTRICAL FOR GARAGE AN SERVICE PANEL TO 200 AMP I I I I I (APPLICANT TEL NO ITIEU (626) 688-4785- I I I 15336 FRATUS DR 1 ISPECIAL CONDITIONS 1 ITEMPLE CITY CA 91780 I 1 1 I I I I I I I I ICONTRACTOR TEL NO I 1APPROVALS DATE INSPECTOR SIGNATURE 1 ITAM AND WANG CONSTRUCTION, INC (626) 429-1884- 1 1 1 1416 W AVONDALE AVENUE LIC NO I ITEMPORARY POWER POLE I I I IMONTEREY PARK, CA 91754 771180 B I I I 1 I I I (UNDERGROUND CONDUIT I I I I I I I I 1ARCHITECT OR ENGINEER TEL NO I 1UFER GROUND I I I - 1 1 I I 1 LIC NO I IROUGH CONDUIT 1 1 / I 1 I IROUGH WIRING I I I I I I 1 1 IMAIN WATER LINE I 1 1 1 1 IPLASTIC Y/N METAL Y/N I 1 1 I I I I I I 1 I (UTILITY COMPANY NOTIFIED I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 IREPORT ID DPR265 ROUTE TO BS0508 I I I 1 VORK•ERS' COMPENSATION DECLARATION 200019 DPW 3/87 APPLICATION FOR ELECTRICAL PERMIT i I"hereby=affirm that I have a �Orficate eft consent to self CE E,oac O _ -{ iostUre, or a c ;rtificat� of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT—OF PUBLIC WORKS ora certifiec`f eopy thereof (Sec 3800_, Lab C ) PoIICy141GCompany FOR APPLICANT TO FILL IN JOB -33Al Il V lCertified copy is hereby furnished � New Residential Bldgs & Pools EACH NO FEE ADDRESS ❑ S ❑Certified copy is filed with the county building inspec- 1 & 2-Family, Sq Ft $ — $ LOCALITY i41 Ile be C f tion department Multi-family Sq Ft — NEAREST p� CROSS ST lJ l Date A licant Residential Swimming Pools OWNER OR / fit,. / Q Applicant— FIRM NAME E CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Re `! IL ht/ Sw�0 MAIL 0. ., �• COMPENSATION INSURANCE ADDRESS 0 � --.S %First 20 ' (This section need not be completed if the work involved by Total No Additional CITY �, �� 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 t is APPLICANT permit is issued, I shall not employ any person in any mana er Lighting Fixtures First 20 ADDRESS so as to become subject to the Workers'Compen on L s �b lel Total No Additional CITY Tel No Dat Applican Fixed Appliances Not Over 1 HP PERMIT T NOTICE TO APPLICANT If, er .king s Certif to of APPLICATION ✓E �I� �E d.. Exemption, you should b co subject to the Workers' Range— Heater—D W Compensation provisions of a Labor Code, you must forth- Oven — Dryer W M ADDRESS Q �� with comply with such provisions or this permit shall be Top — FAU —W H — deemed revoked Hood Fan —Other_ CITY �/jZj(� E(/ Tel No ��-VO F LICENSED CONTRACTORS DECLARATION / e7�, `Zd Disp LICENSE OR REG NUMBER Z0 Room Air Cond — Class C I hereby affirm that I am licensed under provisions of Chapter 9 i (commencing with Section 7000)of Division 3 of the Business Power Apparatus & Large Appliances DISTRICT NO PROCESSED BY and Professions Code,and my license is in full force and effect 11 r Size &Type HP, KW, KVA, or KVAR O License Number 01 Lic ClassC-—"C 4'�D Up to 1 Incl FINAL U Contractor Dat,/6 L Over 1 to 10 Incl DATE VALIDATION 0O ❑ Over 10 to 50 Incl FINAL ~ I m exempt under Se Over 50 to 100 Inc BY LUiI B&P C for this reason Over 100 d - Services, Swbd , MCC 8 Panelboards � 21 0 Q 3 A Z, Date 0-200 Amp Under 600 V — Signature 201 - 1000 Amp Under 600 V 0 0 0 0 0 2 ❑ Over 1000 Am or Over 600 V Exemption for Reg Maint Elect p ) it( ° o 5J.0,0 SINGLE FAMILY Temp Power Pole &Appurtenances OWNER-BUILDER DECLARATION 5;1. 0 0'0 ' I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit J Law for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits 0.2 6"'8 8 Professions Code) ❑ j, as owner of the property, will do the work and the Misc Conduits&Conductors structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)— , 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 I PERMIT ISSUING FEE Lender's Address t 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 re resentatives of this County to enter upon above-men propert for inspection purZes SEE REVERSE FOR EXPLANATORY LANGUAGE gnature 0 Permittee Date Os