HomeMy Public PortalAbout10531 BOGUE ST_Electrical__ 76A663 CE806 10-62 APPLICATION FOR ELECTRICAL PERMIT,, --
• COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER o
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. t TOTAL NO. EACH FEE v 4•
OUTLETS FIRST 20 aO $20 $ 4 ,,O OWNER
LIGHT bx
MAIL o
SWITCH. ADD'L � ADDRESS
OVER 20 .10
•
TOTAL
LIGHTING FIRST 20 ,�� 20 CITY TEL. NO. — 5")v)
0
FlxruRes ADD'L 10 ELECTRICIAN
OVER 20kb
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP..I STA.COOK CITY TEL. NO. .•+u,
DISHWASH. ' AUTO.-WASH. STATE '
SPACE HTRS. STA.APP.(yi H.P.MAX.) .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DIST C O. G UPJ Z E. P CESS B
O 1 1.00
i 3 1.50 INSPECTION RECORD'
3 8 2.00 �-
C.
8 15 2.50 0
V
15 50 3.00 OC
50 100 5.00 O
SIGNS: NO.TRANS. d
NO.LAMPS
N
SERVICE 0.600V-NOT OVER 200A 1.00
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00 Q� -
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 -
TOTAL FEE $ �Q
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OIR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL P OPERTY. POWER
SIGNATUPERM E UTILITYCO.NOTIFIED �—
4�
FINAL
A IDATION ARTHUR C. VEIV
MO CASH SUPERVISING ELECTRICAL ENGINEER
CK
V l;o 1 o -i juL 7 2 D 1 8.9 O- 4
c
76A669�CES0610-62 APPLICATION FOR ELECTRICA PERMIT
df
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 10531 Bogue St . Lot # 24
JOHN A. LAMBIE, COUNTY ENGINEER Rxkxmxt Temple City
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN CROSS s Pal Mal
RECEPT. TOTAL NO. EACH FEE
OUTLETS FIRST 20 $20 $ OWNER Baldwin Builder,",
LIGHT MAIL
ADD'L ADDRESS 4116 NO.. Baldwin Ave-.
SWITCH. OVER 2O •1D
I 357
LIGHTING TOTAL FIRST 20 ,20 CITY El Monte TEL. NO. 10
FIXTURES ADD'L f0 ELECTRICIAN Brown's Electric'
1 OVER 20
78 E. Emerson Place
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADD CRrESS
GARB.DISP.- STA.COOK CIT•YSO. San [Gabriel TEL. NG3 t 0 0535
DISHWASH. AUTO.-WASH. STATE 19 1.5
SPACE HTRS. STA.APP.(yp H.P.MAX.) .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT NO. GROUP ZONE PROCESSED BY
0 i 1.0o S, D J�
1 3 1.50j,l`) INSPECTION RECORD
3 a 2.00 d
a 15 2.50 Ov
15 50 3.00 09
50 100 5.00 - - O
SIGNS: NO.TRANS. a
NO.LAMPS N
z_
SERVICE O-GOOV-Nor OVER 200A 1.00
SERVICE 0.60OV•OVER 200 A. 2.00
SERVICE OVER 600V 5.00 MISC.
PERMIT ISSUING FEE 2.00 &
Z -
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LCALIFORNIA
AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES -
OR THAT 1 AM THE LEGAL•OWNER OF THE ABOVE
D RESIDENTIAL P RTY. POWER
URE UTILITY CO.NOTIFIED
MITTEE FINAL { "' � 7►ClU"1 +``
(DATION ARTHUR C.'VEIT`
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
�i1�o 4 3 8 7 00T.1 4 2 D 3:50- v
7iA6'6� CIt'806 3-69
APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
I DEPARTMENT OF COUNTY ENGINEER FD
ILDING
BUILDING AND SAFETY DIVISION DRESSJOHN A. LAMBIE, COUNTY ENGINEERCOLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGCALITYARESTFOR APPLICANT TO FILL IN OSS ST. r,T !/
NO. EACH FEE
RECEIPT. $ $ _OWNER
MAIL /7
LIGHT 3 TOTAL FIRST 20 ,20 ADDRESS �
SWITCH OVER 20 .10 CITY R, TEL.NO.Ve4a 3i:�k
PLAN CHECK
LIGHTING TOTAL FIRST 20 ,20 APPLICANT
FIXTURES }_ OVER 20 ,10 ADDRESS
RANGE DRYER WTR. HTR. CITY TEL.N0.
STA. COOK_DISP. F.A.U. CONTRACTO
SPACE HTR. AIR COND. 'ADDRESS
CLOTHES WASH._DISHWASH. CITY TEL.NO.
FAN OTHER - 1.00 LICENSE NO. CLASS.
MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT•I HAVE READ THIS APPLICATION
IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY ,t
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
i ELECTRICAL WIRING.
0 - 1 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF
1 - 10 3.00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO d`
RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. O
10 - 50 5.001 1 V
SIGNATURE a:
50 - 100 10A0 OF PERMITTEE OI
100 - SOO 15.00 DISTRICT NO. ZO CESSED B u
UP
SIGN,GAS SIGN AND ONE CIRCUIT 3.00 � N
TUBE, OR _ Z
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: '
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 ISUB TOTAL) FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED •
PERMIT ISSUING FEE 2.00UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
TOTAL FEE JO EPH C. ROOHAN-
SUPERVISING ELECTRICAL ENGINEER-
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CA
1 �►�'2 U,;,R- .o Q0 'DGI 1 2 D
SEE BACK OF APPLICATION FOR•COMPLETE FEE SCHEDULE
7TA663-5 E80,+ 3-69
f APPLICATION FOR ELECTRICAL PER
�Ai
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FADDREDISS O�� 3 U 6 o1�
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGALITY 1"'C: /h 1 �� ]"RESTFOR APPLICANT TO FILL IN SS ST. L H-41-
RECEIPT.
EACH FEE ,A /�
$ $ OWNER A4 A q S
RECEIPT._ MAIL
ADDRESS
LIGHT . TOTAL 'FIRST 20 .20 za Ls /
C ITY �`fYl f i„t' �l y TEL.NO.
SWITCH OVER 20 .10
PLAN CHECK
LIGHTING TOTAL F
IRST
20 .10 RST 20 ,20 ?1J APPLICANT N LFIXTURES
ADDRESS $'S ( tF m IQ-� ac ,
V
RANGE_DRYER_WTR. HTR. CITY ia
■9uk;,J1 L-" TEL.NO.Cl n6 k'���
STA. COOKDISP. F.A.U. CONTRACTOR
SPACE HTR_ AIR COND. ADDRESS /,%-nS 1 4 A
CLOTHES WASH. DISHWASH. CITY L/�-i��/�p/l/!T�C`rTEL.N0. 7 rLAo
FAN OTHER 1.00 LICENSE NO. CLASS. O
MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND, HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
�7') ELECTRICAL WIRING.
/
O - 1 / 1.00 (/" IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED A5 REQUIRED BY LOS ANGELES COUNTY AND 5TATEOF
I - 10 3.00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO d
RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. O
10 - 50 5.00 V
SIGNATURE n �! G/�� �
50 - 100 , 10A0 OF PERMITTEE O
100 - SOO 15,00 DISTRICT NO. GROUP ZONE PRO E SED BV
U
11.1
SIGN,GAS SIGN AND ONE CIRCUIT 3.00 �`o� -/ N
TUBE, OR Z
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES:
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
PERMIT ISSUING FEE 2.00 'z ro UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL /
TOTAL FEE2 D JOSEPH C. ROOHAN
J SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
1 y
(` �'ry 1-'9.3 �•o ScP 2 2 2 0 3.4 0 a
SEE BACK OF APPLICATION FOR COMPLETE FEE tCHFDULF_
WORKERS'COMPENSATION DECLARATION 10/81 APPLICATION FOR ELECTRICAL PERMIT
I•�ieretfy aff�t►m that I have a certificate of consent to self CE-806G 7�
nsure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY Ilufl
or a certified copy there{! (Sec 300, Lab C )
Policy No Company FOR APPLICANT TO FILL IN JOB //�� LL
Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS (%J 6( C
❑ $ $ LOCALITY
Certified copy is filed with the county building inspec- 1 & 2-Family, Sq. Ft 1
tion department Multi-family Sq Ft. — NEAREST t�7
Ct
Residential Swimming Pools CROSS ST Pm OWNER OR �
Date Applicant t 6
FIRM NAME Pg /V I ui 'Y
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets- Rec Light Sw._ MAIL i f1 19
COMPENSATION INSURANCE ADDRESS . QS
This section need not be completed if the work involved b First
( P y Total No. Additional20 CITY fhr� I d Lit 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 tothe Wa' Compensat n LawsLighting Fixtures First 20 ADDRESS
Total No. AdditionalCITY Tel. No.
Date ApplicanFixed Appliances Not Over 1 HP, PERMIT -+ I
NOTICE TO APPLICANT- If, after making this Certificate of APPLICANT A41 ' /1 - /%
Exemption, 6-00
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 CITY �� N Tel. No.7'1'y��
LICENSED CONTRACTORS DECLARATION Hood _ Fan _ Other_ t'
LICENSE OR
1-hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. REG NUMBER y Class. &-_ }
(commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PRO D BY n-
and Professions Code,and my license is In full force and effect. Power Apparatus 8 Large Appliances �}t`J�/ U
Size & Type HP, KW, KVA, or KVAR L (�
License Number a 7 / T?- Li(cf Class 0� U to 1 Incl FINAL 0=
�-•Q��� f�r :sy�u, �X Over 1 to 10 Incl DATE V ATION
C❑ontrac({yFL[ a Over 10 to 50 Incl FINAL W
I am exempt under Sec. Over 50 to 100 Inc. BYCL
/
B.BP.0 for this reason Over 100 Z
Date Services, Swbd , MCC & Panelboards
/ 0 -200 Amp Under 600 V
Signature y m l/ 201 - 1000 Amp. Under 600 V
❑ Exemption for Reg. Maint Elect Over 1000 Amp.,or Over 600 V
�643,.1 •A
SINGLE FAMILY Temp Power Pole 8 Appurtenances # o o 0 o o 2
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit i� o o 7.50
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 7'S O=
Professions Code): o o o
❑ I, as owner of the property, will do the work and the Misc. Conduits 8 Conductors i
O r ee Complete Fee Schedul _ ► 0 �'2 9 8 7
structure is not intended or offered for sale (Section ( P,
7044, Business and Professions Code) r e «
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for
the performance of the work for which this permit is issued PERMIT FEE (Sub-Total)
(Sec. 3097, Civ C ).
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
here authorize representatives of this County to enter upon
the e-mentioned pr rty for inspe tion 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 0209060014
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 28607 LT: 24 10531 BOGUE ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802817
ASSESSOR INFORMATION UMB : NEAREST CROSS STREET: PAL MAL
8586-011-069 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY
LB 200 AMP PANELS, MCC 1.00 PAN 38.85
TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PLAN BY: EXPI ON-
09/06/02
:09/06/02 JK 03/05/03
OWNER: TEL. NO: FIN FINAL BY: CODE:
WILBUR PATRICK J;SUZANE E (626) 448-7949-
10531 BOGUE ST
TEMP 917802817 ES I T 0 WORK
UP ADE ECTRICAL PANEL TO 200AMP
APPLICANT: TEL. NO:
SAME AS OWNER
SPECIAL CONDITIONS:
CONTRACTOR: TEL. N0:
SAME AS OWNER _ / G ,� APPROVALS DATE INSPECTOR SIGNATURE
/ y �f' \!\
LIC. NO ��i �� � A��� TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: - 'l ' �7 j_�,'¢ ��1 - _� UFER GROUND
LIC. NO-'" '�__I� I ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
- - ------
UTILITY COMPANY NOTI IED
REPORT ID: DPR265 ROUTE TO: BS0508