City of El Segundo

Electrical Permit Web Submission Screen

Use this screen to Submit a Electrical Permit Application to the Building Department

***** Under Development - Feel Free to explore our web *****

***** Actual Submittal of Permits will be available soon. *****

 

Residential or Commercial Permit:
Permit Type (Electrical):
Applied Date:
Are you the Owner or Contractor?:
Applicant Information
Applicant Name:
Applicant Address:
City:
State:
Zip Code:
Phone:
E-Mail Address:
Property Owner Information
Name:
Address:
City / State / Zip:
Phone:
Job Site Information
Street Number:
Direction:
Street Name:
Street Suffix:
Floor #:
Suite #:
Description of Work to be Done:
Contractor Information (If you are a contractor, All information below must be filled out.)
Company Name:
Compnay Address:
Company City:
Company State:
Company Zip Code:
Company Phone:
Contractors License Number:
License Expiration Date:
Contractors License Class:
Workers Comp Policy Number:
Workers Comp Expiration Date:
Workers Comp Carrier:
Do you have a City Business License:
City Business License Number:
Electrical Permit Fees Please Enter the Quantities of the Items you Need:
  Rate Qty Fee
Issuance Fee $15:00 1 $15.00
Plan Retention Fee 8 1/2 x 11  $01.00 1 $01.00
Service - Not over 200 amp $10.00
Switches / Receptacles $00.50
Motors - Not Over 5 HP $06.50
Temporary Power Pole Not Over 200 amp $20.00
Outlets - 5 feet of wire mole $02.00
Fixtures - Change of Fixture Ballast $00.50
Applicances - Commercial $08.00
Busways - 0 to 99 amp per foot $01.00
Busways - Conduit Only $60.00
Fire Warning Devices / Communications $00.50
Fire Warning / Communications - Control Panel $15.00
       
Total Fees    

 

OWNER-BUILDER DECLARATION

 

I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Sec. 7000) of Div. 3 of the Business and Professions Code) or that he or she is exempt there from and the basis for the alleged exemption. Any violation of Sec. 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).):

 

  I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he or she did not build or improve for the purpose of sale.).

 

I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) license pursuant to the Contractors License Law.).

 

I am exempt under Section , B.&P.C. for this reason

 

LICENSED CONTRACTORS DECLARATION

 

I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.

 

WORKERS' COMPENSATION DECLARATION

 

I hereby affirm under penalty of perjury one of the following declarations:

 

  I have and will maintain a certificate of consent to self-insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.

 

I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are stated above.

 

(This section need not be completed if the permit is for one hundred Dollars ($100) or less)

 

I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers* compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Sec. 3700 of the Labor Code, I shall forthwith comply with those provisions.

 

WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.