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HomeMy Public PortalAbout10133 BOGUE ST_Electrical__ 76A563 DBS SA 3-50 : _LrdXTION FOR PERMIT DEPARTMENT CO NTY OF LOS ANGELES EEL 1 WILLIAM J. FOX, CHIEF ENGINEER FO"PPLICANT7TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. // '' [/ S ` �/ 61-3 ELECTRICIAN �// �l RECEIVED BY READY FOR DATEE9 ISSUED ADDRESS a 6 ,J-n . yE,_L/` FIRST INSPECTION /©/ / 7 CITYJ_-t.cboOO�_� TEL NO. N E p�e (cep COUNTY LICENSE NO. 6 EXPIRES � O BUILDING B �{/r /G ��7 t7 (,g PERMIT FEES pt NUMBER EACH FEE ADORELOCALITY � JVyf LIGHT OUTLETS NEAREST RECEPTACLES CROSS ST. WALL SWITCHES OWNER L.rd-iLl.��n TOTAL OUTLETS -� SC $ a MAIL V ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL. NO. FIXTURES 5 40 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. 11 APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS a.L- 16 AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR IAM THE LEGAL OWNER NEw MVD. HP OVER INC. EACH OF THE RESIDENT AL JPRRJ13PERTY DESCRIBED ABOVE. %2 6 LEBB $ .25 SIGNATURE OF V2 2 .50 PERMITTEE 2 5 1.00 'INSPECTION RECORD 5 15 1.50 1 5 SO 2.50 50 200 5.00 200 500 10.00 J 500 1000 1s.00 Z OVER 1000 20.00 D M.G. BET/FREQ. CHANGER-HP Q' WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORID.) MOVED MOTORS (7S% OF ORIa.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: WIRING $1.00 ` d Q CONDUIT - FIXTURES $1.00 / 8 WIRING L�I i v SUPPLEMENTARY .50 FIXTURES _ POWER TOTAL FEE UTILITY CO.NOTIFIED n� FINAL V 76A663-CE806 4_68 APPLICATION FOR ELECTItICAL PER - 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 ,. RECEPT. - $ $ OWNER MAIL ' LIGHT TOTAL FIRST 20 20 ADDRESS SWITCH OVER 20 10 CITY L. NO. --------- PLA C LIGHTING �TOTALFIRST 20 20 APPLICANT FIXTURES OVER 20 10 ADDRESS RANGE_DRYER—WTR.HTR.— CITY TEL. NO STA.COOK_DISP._F•A.U._ CONTRACTOR SPACE OiJTRACrORSPACE HTR.-L-AIR COND. ADDRESS CLOTHES WASH._DISHWASH._ CITY TEL. NO,? FAN__L_OTHER 1 00 061LICENSE 1-40 °O 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 RED IRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO 10 - 50 5.00 RESIDE IN, THE ABOVE DESCRIP•ED RES DENTIAL PROPERTY SIGNATURE SO - 100 10 00 OF PERMITTEE U 100 - 500 15 00 pC DISYI��IO. GR UP _7E PR SSED BY O SIGN,GAS SIGN AND ONE CIRCUIT 3 00 G7 / V TUBE, OR // /// �- LLj MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: {tel •�� 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 ROUGH CONDUIT WIRING PERMIT FEE (SUB TOTAL) FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED /J PERMIT ISSUING FEE 2 00 0 UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL TOTAL FEE 19 JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.0 CASH PERMIT VALIDATION cK M.0 CASH - - [ ql' 1 1 �� JLL29 2 o 6.6' iEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE �� WORKERS'COMPENSATION DECLARATION r 76A663 1 CE-806G (2-80) . APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I, have a certificate,of consent to self COUNTY OF LOS ANGELES �'. �— BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec. 3800,Lab C.)Compensation- FOR APPLICANT TO FILL IN ,IDB Policy No.--7—Company ADDRESS New Residential Bldgs.&Pools EACH NO. FEE - — Fl. $ LOCALITY,• Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. i(/1 � Multi-family Sq. Ft! — NEAREST ❑ Certified copy is filed with the county building inspection CROSS ST c department. , Residential Swimming Pools OWNER OR •' _ , q FIRM NAME Date Applicant ' Outlets Rec �__L'ight__�_Sw MAIL ' First 20 tADDRESS- CERTIFICATE OF EXEMPTION FROM WORKERS' Total No :2 Additional CITY Tel No. 'COMPENSATION INSURANCE" PLAN CHECK tl APPLICANT ,-- O (This section need not be completed if the work involved (� U 'r by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures Fd0 ADDRESS' � I ) - 'Additional Total No.--�?"-- CITY Tel No. T0' I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP I V permit is issued, I shall not employ any person in any manner PERMIT lL so-as to become subject to the Workers' Compensation Laws. Range_ Heater_D.W.' APPLICANT J . (itJ, G/ tl Oven _ Dryer_W.M. ADDRESS " S �. N �- �f/��j I Top _ FAU _W.H. z (NOTICE te�O-"'�Applicant OJ G.�'> ��� /j L�cC-% CITY el No. Hood Fan _Other TO APPLICANT. If, after making this.Certificate of, Disp. Room Air Cond,_ Sd •O emption, you should become -subject to 'the ,Workers' REG. NUMBER d tS Class Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROCESSED BY .with comply with such provisions or this permit shall be deemed revoked. Size&Type HP,KW, KVA,or KVAR. Up to 1 Incl Over.1 to 10 Incl. r' FINALDATE LICENSED'CONTRACTORS DECLARATIONVALIDATION Over-10,to 50 Incl. s ( ; I hereby"affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL BY 9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 nessr and Professions Code, and my license is in full force and , I, effect. Services /I ^ y� 0-200 Amp. Under 600 V License Number Lic. Class - �^ -ly _ .201-1000 Amp. Urider 600 V t�� 76 Contractor"lrldL� 1 /Date _7''c .t Over 1000 Ainp.or Over 600 V 1 HOME OWNER-BUILDER DECLARATION Temp.Power Pole_&Appurtenances _ I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit its License Law for the following reason (Section 7031.5, Busi- �. Additional Sign Branch Circu - _. ness and Professions Code): [�'1. G 8 A Misc.Conduits& Conductors s. El I, as owner of the property,,will do the work and the Other (See Complete Fee'Schedule)— structure is not intended or offered for sale (Section # o o o o,0 2, ' 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is alconstruction lending agency 2- o 0 1 9, 5 ' for'the performanceof-the work for which this permit is �� , 0 o a- issued (Sec. 3097,Civ. PERMIT FEE( (Sub-Total) 0 1 9,5' 0 C.). - � � Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) 2,2 0_81 Lender's Address PERMIT ISSUING FEE , I certify that I have read this application and state that the TOTAL FEE ` above information is correct.Fagree to comply with all County ordinances and State laws rbgulating Electrical wiring, and _ hereby authorize representatives of this County to enter upon the ab=ed o ed property for in tion purposes. f `' SEE REVERSE FOR EXPLANATORY LANGUAGE Si ature of Permittee Dates e WORKERS'COMPENSATION DECLARATION 76A663 10/81 I�Piereby afm that I have a certificate of consent to self Insure, CE-806G. APPLICATION FOR ELECTRICAL PERMIT', ai'*a X. rtificy�:e of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY. G ofyj thereof,(Sec.3800,Lab.C)' i ° - - FOR APPLICANT TO FILL IN '• " 'JOB i, Poli(t N��r .sr Company : ADDRESS417(5 3 ISO C1 u:& S T.' TP44&U ❑ Certified copy is hereby fur,mshed New.,Residential Bldgs& Pools EACH NO' 'FEE 'LOCALITY Certified,copy is filed with, the county building'mspectlon 1 & 2-'Family,Sq Ft $ — $ department., s•; 'Multi-famlFy-Sq Ft. NEAREST. 4„ y 'CROSS ST -- Date A hcant' Residential Swimming Pools OWNER,DR pp s / .It - FIRM NAME, q./' CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL Outlets Rec� Light _ .Sw•' �7� 44 qc?0i (This'sec COMPENSATION INSURANCE:, 'ADDRESS. �"1 3 1 tVAGNOF `•CAK alb, Q-C� First 20°` tion need not'be completed.if the work involved by the,. CITY 1i�4[,N�f , Tel'No permit Is for one hundred dollars($100) or less.), Total No.. Additional e PLAN CHECK - • , certify that in,the.perfor""mance of the.work for which this permit 'APPLICANT WA-Ij r 7 u �f •' is Issued;,I shall'not,employ any person In any manner so as-to become subject toile Workers'Compensation Laws Lighting Fixtures First 20 ADDRESS C• f30u , Additional TicTotal'No. ,�. CITY ,Tel No.' Date Applicant. Fixed Appliances Not Over 1 HP NOTICE •TO ••APPLICANT.•If; after, making„this' Certificate of PERMIT ./ ( r - _ APPLICANT rw o S°4,e�x c �'S �f(GF+I Exemption,yowshould become subject"to the Workers'-Compensation _ Range Heater-_ D W ,.. provisions of the Labor Code;-you must forthwith comply'with'such : Oven Dryer; WM ADDRESS 'e'?provfsions•or.this permit shall be deemed revoked -Top FAU _ 'W H LICENSED'CONTRACTORS Hood Fan Other DECLARATION e CITY, Tel No _ I hereby afftrm'that I'am licensed undeF provisions of Chapter.9LICENSE OR (corrimencing,with'Section 7000) of Dlvisi6n,3•of-the Business and Disp Room Air Gond REG —• Class 'NL'IMBER Professions-,.Code,and-my-license is in full,force'and effectDISTRICT NO, P ESSED BY Power,Apparatus i& Large Appliances / } Size& Type-HR,KW, KVA,or,KVAR License NumberLIc,Class - Up to 1 Incl FINAL U ' Over 1,to 10 Incl DATE VALIDATION 0 Contractor Date "" Over 10 to 50 Incl �� �_ ❑ FINAL I am exempt under Sec Over 50 to 100 Inc B 1 W BAPC for this-reason Over.100 �. Services,Swbd.;MCC & P.anelboards Z� Elate ' 0-200 Amp Under 600 V Signature'- 201 - 1000 Amp Under 600 V Over•1000 Amp.or Over 600 V' ; Exemption for Reg.Mairit Elect -SINGLE FAMILY- Temp Power Pole-& Appurtenances 7 HOME OWNER-BUILDER DECLARATION Sign with'On'e Branch Circuit " " -' wt� v a I hereby affirm that-I am'exempt from,the Contractor's License Law ; ACC 1•T for the followmg:reason(Section 7031.5, Busmess and Professions Adddional,Slgn Branch Clrcwts code) 3307 14.0(1- •Mlsc Conduits'& Conductors' • 1 ITEMS• . I_as owner of•the property,will,do the work and,the structure V is not Intended or'offered for sale (Section 7044,,Business. Other•(See•Complete Fee Schedule) TOT - a 00 and Professions Code) ' ' CHECK 14.00 CONSTRUCTION LENDING AGENCY - 1.hereby affirm.that•there is a construction lending agency for the CHANGE .00 - performance of the work for which this permit Is issued(Sec-3097, PERMIT FEE• .(Sub tctaI) r- ' CIv.eC)'', 7„ PLAN CHECKING FEE . 0000- 1 9/19/89' Lender's Name Y %� c-f �y { �W Q PERMIT ISSUING FEE V Jr,7t,h i hql, Lio� - Lender's Address - p� I certify that'l have read,this application and state that the above TOTAL FEE v ` .information is"correct I agree to comply with all County ordinances and State laws regulating Electrical-wiring, and hereby authorize c representatives of this County to enter upon the above-mentioned property for-inspection purposes. ` SEE REVERSE FOR EXPLANATORY LANGUAGE /Q{ nature of P mittee Date W