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HomeMy Public PortalAbout10155 BOGUE ST_Electrical__ 76A663 DBS SA 3-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY 04 COUNTY OF LOS ANGELES � 3 WILLIAM J. FOX, CHIEF ENGINEER FOUFOR PPLICANTTO FILL IN DISTRICT'NO. GROUP ZONE PERMIT NO. PPLICANT TEYFILL IN v - $ J 0/ ELECTRICIAN RECEIVED BY READY FOR DATE IBGUED ADDRESS FIRST INSPECTION CITY TEL NO. y COUNTY LICENSE NO. O® EXPIRES �SADDREBUILDING/ N /Q PERMIT FEES NUMBER EACH FEE LOCALITY JI/IAw1 �� LIGHT OUTLETS ''J NEAREST J CROSS ST. RECEPTACLES 21 - f WALL SWITCHES / OWNER p TOTAL OUTLETS 5C $ e,(. MAIL �✓ ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL. NO. FIXTURES S` 5 n-4c I 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 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOB NUMBER HORSEPOWERFEE //ANGELES COUNTY LICENSE, OR 1 AMp THE LEGAL OWNER NEv( MVD. HP OVER INC. EACH OF THE RESIDENTIAL PR�O/.P��ERTY DESCRIBED ABOVE. 1 I�2 a UEsa $ .25 SIGNATURE OF/ / r s� / , l` %2 2 .50 PERMITTEE l t rT /b A A - A 2 5 1.00 QNSPECTION RECORD 5 15 1.50 15 50 2.50 50 200 5.00 200 500 10.00 J 500 1000 15.00 Z OVER 1000 20.00 M.Q. SET/FREQ. CHANGER-HP WELDERS:AC-KVA O GENERATORB - KW TRANSFORMERS - KVA ' TEMP. MOTORS (75% of DRIG.) MOVED MOTORS (75% GF ORIG.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS - FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING X1.00 © e CONDUIT 1 WIRING .G�/r.----r°/-3,W�Yl. FIXTURES X1.00 � d G � v SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE III S UTILITY CO.NOTIFIED I _ r / FINAL r u r WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91)76A663 APPLICATION FOR ELECTRICAL PERMIT I'hereby 2fjirm that I have a certificate of consent to self insure, br a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec 3800 Lab.,C.) Policy NO Company FOR APPLICANT TO FILL IN JOB V ���� ! ADDRESS ❑ �I+a� W"�L .7 Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE _ $ $ LOCALITY Elr` T Certified copy-is filed with the county building Inspection 1 &2-Family,Sq Ft. NEAREST department Multi-family Sq Ft CROSS ST Residential Swimming Pools ASSESSOR Date 3 Applicant MAP BOOK, PAGE PA EL CERTIFICATE OF EXEMPTION FROM WORKERS' p NER OR �-- �( COMPENSATION INSURANCE / •• Outlets Rec Light Sw. ' d o FIRM NAME First 20 (This section need not be completed if the work involved by the ����;;�� MAIL }� permit is for one hundred dollars($100)or less.) Total No L� Additional ADDRESS �9�JJ =1 �D � I certify that in the performance of the work for which this permit CITY �� CrT Tel No is issued, I shall not employ any person In any mariner so as t0 PLAN CHECK become,subject to the Workers'Compensation Laws Lighting Fixtures First 20 APPLICANT Total No. Additional lo ADDRESS Date - 'Applicant ' RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT,...If, after making this Certificate of CITY Tel No Exemption,you*should,become subject to the Workers' Compensation OTHER APPLIANCES NOT OVER 3 HP provisions of the Labor Code, you must forthwith comply with such PERMIT provisions or this permit shall Power Apparatus&Large Appliances APPLICANT be deemed revoked •' LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR. ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. (commencing with Section 7000) of Division 3'of the Business and CITY Tel-No Professions Code,and my license is in full force and effect. Over 10 to 50 Incl } LICENSE OR Over 50 to 100 Inc, Class REG•NUMBER 0- License License Number Lic Class Over 100 • DISTRICT NO R CES'SEED_BY O Services,Swbd,MCC&Panelboards � 0 Contractor Date 0-399 Amp. Under 600 V FINAL DATE y O ❑ I am exempt under Sec 400-1000 Amp Under 600 V 6 VVVV//// 6 VALIDATION V Over 1000 Amp or Over 600'V FINAL W B.&P.C.for this reasonBRANCH CIRCUIT FEES By" CD Date' 15A,or 20A, 120V,Lighting or Recept / Z - 1 To 10 Branch Circuits Signature 11 To 40'ranch Circwts ED 41 Or More Branch Circuits Exemption for Reg.Maint,Elect. 15A,20A,208V To 277V Lighting Br.Circuits i SINGLE FAMILY Temp Power Pole&Appurtenances r•; HOME OWNER-BUILDER DECLARATION (?L•L•I =$ I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits Code). 1 IlEll'' . I, as owner of the property,will do the work and the structure -Misc.Conduits&Conductors �? is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) ;t-`t�L 60 = 60 and Professions Code). �. -r Cf.fr I • S-: CONSTRUCTION LENDING AGENCYCH r AN- { i I hereby affirm that there is a construction lending agency for the t�` f performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE. (Sub-Total) Civ C) _ PLAN CHECKING FEE i.la�..'0,-01sr:U Lam' Lender's Name fp �r 0 d i1A1�ra _PERMIT ISSUING FEE7 Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE J' that the'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;sZon purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF PERMITTEE DA i COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 9910270036 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 16957 LT: 132 10155 BOGUE ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802703 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BALDWIN 8586-019-015 Al PERMIT ISSUANCE FEE 27.75 THOMAS-PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY LB 200 AMP PANELS, MCC 1.00 PAN 38.85 TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PLAN Y: EXPIRES ON: 10/27/99 UT 04/24/00 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: KIM YONG G;SANG S 10155 BOGUE ST TEMP 917802703 DESCRIPTIO F WURK NEW ELECTRICAL SERVICE PANEL UPGRA OOAMP APPLICANT: TEL. NO: H K ELECTRIC & CONSTRUCTION CO (562) 598-1336- 3781 FARQUHAR AVE. SPECIAL CONDITIONS: LOS ALAMITOS CA CONTRACTOR: TEL. NO: �� APPROVALS DATE INSPECTOR SIGNATURE H K ELECTRIC & CONSTRUCTION CO (562) 598-1336- 3781 FARQUHAR AVE. STE.A LIC. NO TEMPORARY POWER POLE LOS ALAMITOS CA 90720 583611 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. N0: 1111111 ROUGH,CONDUIT IROUGH WIRING �� 1n n D (� �� n /1 (JO(�K S MAIN WATER LINE I c J U ILh \\v//\w'J Iu�'u PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED �j 7-n y O a D As C� 0 Service"D REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0801030009 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE. (626) 285-0488 EXT: (LEGAL ID: 1 FEES PAID I BUILDING ADDRESS: ITR: 16957 LT: 132 I 1 10155 BOGUE ST 1 I IFEE DESCRIPTION- QUANTITY: UOM. AMOUNT: ( TEMP CA 917802703 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: BALDWIN D 18586-019-015 IA1 PERMIT ISSUANCE FEE 27.75 D THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY, Cl I IG1 OUTLETS-LGT,SW,RECP 18.00 OUT 35.10 1 (TENANT: JG2 LIGHTING FIXTURES 10.00 LGT 19.50 11SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1 I JHA FAU LESS 3HP 1.00 FAU 10.95 101/03/08 SR 07/01/08 1 (JB AC UNITS +3-10HP 1.00 AC 19.65 1 DOWNER: TEL. NO. _ 1JH ELEC HEATERS +3-10HP 1.00 HEA 19.65 IFIINAL DDAATE/J FINAL BY: CODE: 1 1KIM, JASON YONGEE (626) 203-9193- 1 TOTAL FEES 132.60 4DSCRIPTION 110155 BOGUE ST -1TEMP 917802703 OF WORK I (ELECTRICAL FOR ADDITION 1 1APPLICANT: TEL. NO I 1KIM (626) 203-9193- 1 I 110155 BOGUE ST. 1 (SPECIAL CONDITIONS: 1 1TEMPLE CITY CA 91780 1 1 1CONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE 1JASON YONGEE KIM (626) 203-9193- 1 1 110155 BOGUE STREET LIC. NO 1 1TEMPORARY POWER POLE I I 1TEMPLE CITY, CA 91780 NONE D I- I I JUNDERGROUND CONDUIT 1ARCHITECT OR ENGINEER: TEL. NO: I 1UFER GROUND I 10NAIL, CEZAR (661) 373-2747- 1 1 I J 125745 PERLMAN PL LIC. NO: I (ROUGH CONDUIT I 1 C012189 1 I I I (ROUGH WIRING I (MAIN WATER LINE I 1PLASTIC YIN METAL YIN I JUTILITY 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 II II i I I I I I I 1REPORT ID: DPR265 ROUTE TO: BS0508 1 I I I I I I I I I 1 , .