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Home My Public Portal About10143 BOGUE ST_Electrical__ .... ... SA 7-51 APPLICATION FOR PERMIT � DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER DISTRICT NO. GROUP ZONE PERMIT NO. FOR APPLICANT TO FI/LL. IN ELECTRICIAN BY READY FOR DA/ 19BUED ADDRESS/4�I/%/',J /'�-P' �-'�1': �✓?-h . r 477 FIRST INSPECTION CITY �}/�-+ Cpp%�==j'//`` TEL. NO. / V COUNTY LICENSE NO. /J 1(p 9 EXPIRES 15-1�1 BUILDING � /43 s PERMIT ADDRESS If FEES FEE p� NUMBER EACH LOCALITY LIGHT OUTLETS NEAR EST V G� CRDSS ST RECEPTACLES -- WALL SWITCHES OWNER S�/'`LS� �'_• ` 47 TOTAL OUTLETS 5C $ _ MAIL ELEC. RANGES 25 —ADDRESS 'ELEC. HEATERS _25 CITY TEL. NO. FIXTURES _5_ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS 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 NUMf1ER HORSEPOWERFCE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEW -MVD. HP OVER INC. EACH _ OF THE RESIDENTIAPROPERTY DESCRIBED ABOVE. I/2 d LESS $ .25 SIGNATURE OF 1"2 2 .50 PERMITTEE 2 5 1.00 INSPECTION RECORD 5 is 1.50 15 so 2.50 _ so 200 5.00 200 _500 10.00_ J Soo 1000 15.00 Z OVER 1000 20.00 13 M.G. BET/FRED. CHANGER-HP Q' WELDERS: AC-KVA O GENERATORS - KW ' TRANSFORMERS - KVA TEMP. MOTORS (75% OF DRIG.) MOVED MOTORS (75% OF ORIG.) _ MISC. SIGNS NO. NO.TRANS. APPROVALS No. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: WIRING $1.00 dL.�J' CONDUIT FIXTURES $1.00 i WIRING -S� SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE 'Z / UTILITY CO. NOTIFIED FINAL WORKERS' COMPENSATION DECLARATION CE-806 10i81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE-806G insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C.). 6 Policy No. Company FOR APPLICANT TO FILL IN JOB Certified co is hereby furnished. EACH NO. FEE ADDRESS A) J J copy Y New Residential Bldgs. & Pools ❑ 1 & 2-Famil S Ft. $ _ $ LOCALITY Certified copy is filed with the county building inspec- Y, q tion department. Multi-family Sq. Ft. CROSSNEAREST. Date Applicant Residential Swimming Pools OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw.— MAIL COMPENSATION INSURANCE ADDRESS 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 this APPLICANT 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 Total No. Additional CITY Tel. No. Date Applicant41— Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT Exemption, you should become subject to the Workers' Range— Heater_D.W. — Compensation provisions of the Labor Code, you must forth- Oven — Dryer _ W.M.— ADDRESS with comply with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked. Hood — Fan — Other— CITY Tel. No. LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. REG. NUMBER Class. (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PROCESSED BY d Power Apparatus & Large Appliances and Professions Code, and my license is in full force and effect. 4 �_, r+' O Size &Type HP, KW, KVA, or KVAR .: !' U License Number Lic. Class Up to 1 Incl. FINAL '' UJI DATE Over 1 to 10 Incl. VALIDATION U.Contractor Date Over 10 to 50 Incl. >' ❑ FINAL pe I am exempt under Sec. Over 50 to 100 Inc. BY Q B.&P.C. for this reason Over 100 0 Date: Services, Swbd., MCC & Panelboards ► d 0 -200 Amp. Under 600 V W Signature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. SINGLE FAMILY Temp. Power Pole &Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 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): I ❑ I, as owner of the property, will do the work and the Misc. Conduits &Conductors ~ I structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ ► • w a a 4 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for E, the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). Z 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 ✓" ,�'"` above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date ` COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1205170026 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID• FEES PAID TR: 16957 LT 130 BUILDING ADDRESS: -- 10143 BOGUE ST I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 ., TEMP CA 917802703 1 (ASSESSOR INFORMATION NUMBER: I I , NEAREST CROSS STREET: BALDWIN 18586-019-013 1Al PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE: 597 GRID: B3 LOCALITY- TEMPLE CITY, Cl I - IG1 OUTLETS-LGT,SW,RECP 20.00 OUT 40.00 I I (TENANT- IG2 LIGHTING FIXTURES 26.00 LGT 47 10 (ISSUED ON: PROCESSED BY: PLAN BY. ILA 100 AMP PANELS, MCC 1.00 PAN 38.90 105/17/12 SR -I I TOTAL FEES 153 80 1 (OWNER TEL. NO: I IFIDJAL 11ATEP FI AL CODE IHALL FRANKLIN;HIROKO 0 (323) 712-2991- 1 I - 110143 BOGUE ST _ I_ ITEMPLE CITY CA 91780 1 - 1DESCRIPTION OF WORK 1 IREWIRE EXISTING SYSTEM AND EPLACE MAIN PANEL TO 100 AMP 120 OUTLETS AND 26 LIGHT FIXTURES 1 1APPLICANT. TEL. NO: I ICHEN, PAUL (323)" 256-5255- 1210 ST. ALBANS AVE 1 ISPECIAL CONDITIONS: 1 ISO. PASADENA 91030 1 I I I I " ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE IALBANS CONSTRUCTION CO. (323) 256-5255- ( 1_, . I 1210 ST ALBANS AVE LIC. NO I 1TEMPORARY POWER POLE I I ISOUTH PASADENA CA 91030 604723 1-_ 1 _ 1 I (UNDERGROUND CONDUIT 1 1ARCHITECT OR ENGINEER: TEL. N0: UF'SR GROUND LIC. NO: IROi7GH CONDUIT_ 1 IROUGH-WIRING 1 1 I IMAIN WATER LINE I Y 1 I I 1PLASTIC YIN METAL YIN I I I I I (UTILITY COMPANY NOTIFIED( 1 . 1 I I I-8g4- 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 1REPORT% ID: DPR265 ROUTE TO: BS0508 I I I