HomeMy Public PortalAbout10043 BOGUE ST_Electrical_5/6/1969 76A66ACE806 4�68 APPLICATION FOR ELECTRICAL PPERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
NO. IEACH FEE
$ $ 0 W N E
RECEPT. MAIL
LIGHT_ TOTAL FIRST 20 .20 ADDRESS
SWITCH OVER 20 .10 CITY TEL. N
PLAN CHECK
LIGHTING TOTAL FIRST 20 .20 U APPLICAN
FIXTURES � OVER 20 10 ADDRESS
RANGE—ORYER_WTR.HTR._ CITY TEL. NO.
STA.COO K—DISP.—F.A.U._ CONTRACTOR
SPACE HTR. AIR
COND.—ADDRESS
CLOTHES WASH._DISHWASH., CITY TEL. NO.
FAN—OTHER 1 00 LIC SE IJO. CLASS.
MOTORS,TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
0 - 1 1 00
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 - 10 3 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
10 - 50 5 00 RESIDE IN, THE A VE OESf.R IPED DENTIAL. PROPERTY.
50 - 100 10 00 SIGNATURE IZ
OF PERMITTEEO
U
100 - 500 15.00
DISTRIC O GROUP ZONE PR ESSED BY p
SIGN,GAS SIGN AND ONE CIRCUIT 3 00 1J
TUBE, OR V
MARQUEE ADDITIONAL CIRCUITS 1 00 W
NOTES: a'
f/1
Z
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK AlA
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL) q�
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) /
POWER AUTHORIZED
PERMIT ISSUING FEE 2 00 UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELE AL ENGINEER
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M.0 CASH
VAY 6 2 D 3.40
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ��