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Home My Public Portal About10627 BOGUE ST_Electrical__ 76A663-CE80610-59 APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A JENSEN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST. A-- l- x �� ITEM NUMBER OWNER EACH FEE MAIL C OUTLETS: $ ADDRESS LIGHTS RECEPT. SW. .10 LIGHTING FIXTURES 10 CITY L /3.B✓¢ TEL.NO. ELEC.RANGES CLO.DRYERS ELECTRICIAN �� C?�L�i�C-r WATER HEATERS .50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS CITY TEL. NO. ✓ Z7 GARBAGE DISPOSERS AUTO.- STATE /'� WASHERS STA.COOKING UNITS .25 LICENSE NO. C_ 1D �✓�2- MOTORS: OVER INC. H.P. DISTRICT N GROUP ZONE PRO ESSED BY O— 1/2 .25 D-1/2— z 50 6 INSPECTION RECORD 2— 5 1.00 5— 15 1.50 is— 50 2.50 50-200 5.00 NO.TRANS. SIGNS: NO.LAMPS SERVICE 0-600V 1.00 SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERM IT /% !�` .50 TOTAL FEE Is Z ad IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE'THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING, 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE -f ry, FINAL 6 /- , JL1lLa.-�_ ®PYJHJDATION ARTHUR C.VEIT.' CK MO CASH SUPERVISING ELECTRICAL ENGINEER - I:. •' 4 7eA*dveso63•69 . APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DF-PARTMENT OF COUNTY ENGINEER701m� BUILDING AND SAFETY DIVISION ADDREISS JOHN A. LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN CROSS sT. PERMIT FEES OWNER ITEM NUMBER I EACH FEE MAIL OUTLETS: /�� $ $ 7 ADDRESS LIGHTS RECEPT. SW. IQ T .10 / LIGHTING FIXTURES Q 10 f �Q CITY r KA !? TEL.NO. ELEC.RANGES CLO.DRYERS ELECTRICIIAN �� /i•��7�/G WATER HEATERS .50 �v ADDRESS / �� •c�G.gra2 T�.�, ELEC.SPACE HTRS.,DISHWASHERS CITY J Kms¢- TEL. NO. U 3---. -;Z 3 GARBAGE DISPOSERS AUTO.- ../'f STATE WASHERS STA.COOKING UNITS ,/'moi .25 �! LICENSE NO. �� 3 t . MOTORS: OVER INC. H.P. DISTRICT NO. I GROUP I ZONE I P CESSED BY A— I 1/2 1/2— 2 .50 INSPECTION RECORD 2— 5 1.00 5— 15 1.50 15— 50 2.50 50-200 5.00 '4 U� NO.TRANS. SIGNS: v P � N O.LAMPS -f ( 'v SERVICE 0-600V 1.00 / O ✓ A.� SERVICE OVER 600V 5'00 MISC. 1 WIRING PERMIT 1.00 / 0 L! FIXTURE PERMIT 1.00 Q '; SUPPLEMENTARY PERMIT .50 ^ TOTAL FEE .� 9 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT / / qq ELECTRICAL WIRING. a WIRING ly / I HEREBY CERTIFY THAT I AM 'PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIA ROPE Y. - POWER SIGNATURE UTILITY CO.NOTIFIED OF PERM]! L `,,4P.I7^ FINA ®P DATION ARTHUR C.VEIT, c MO CASH SUPERVISING ELECTRICAL ENGINEER L�'1LQ 3 1 6 7 1 JUL 2 D 9.95 i. -WORKERS' COMPENSATION DECLARATION 76A663 10/81 r ' I hereby affirm that I have a certificate of consent,to self insure, ,CE-806G APPLICATION FOR.,r.,-ELECTRICAL. F PERMIT ,or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS-ANGELES ',;: BUILDING.AND-SAFETY copy thereof(Sec 3800,Lab.C.) 5 Policy No' Company FOR APPLICANT TO FILL IN ' JOB" "•" - ❑ Certified copy is hereby furnished New Residential Bldgs.&,Pools ' EACH NO. - •`FEE ADDRESS goXl ❑ Certified copy is filed with-the'county budding inspection 1 & 2-Family,Sq Ft $ _ $ LOCALITY department' Multi-family Sq.,Ft NEAREST, + Residential Swimmm Pools CROSS ST4._'�\�(�'0A,k Date Applicant g OWNER OR FIRM NAME' ' 4 `� ' CERTIFICATE OF EXEMPTION FROM WORKERS'• 'Outlets.-Rec Light'l Sw MAIL — — COMPENSATION INSURANCE = -ADDRESS (This'section need not be-completed if the work involved'by the . First 20 rCITY „ Total No Additional t ,Tel No: permit Is for one:hundred dollars($100),or less.), ,,�;• _ ,^* „ ,, r •' PLAN CHECK 1 ` I;certrfy that in the'peHoFrrlance of the work for which this permit j' APPLICANT; Q`+. is•issued,-I shall not employ any person in'any manner, so as to, subject to the Workers'Compensation Laws. Lighting Fixtures First 20; ' ADDRESS Oy ; Additional j I \- �� Total No CITY G Tel Date'\\-,k5: Applicant � l'ti/r � - �'— Fixed Appliances Not Over 1 HP PERMIT ^.NOTICE TO APPLICANT If, after makmg'I this Certificate of Exemption,you should become subject,to the Workers'Compensation Range_ Heater_ D.W. APPLICANT provisions of the Labor Code, you must forthwith comply with such Oven'= Dryer _ W.M. ADDRESS I_ - ty iii, provisions or-this permit shall be deemed revoked Top 'FAU WH - VQ _ , �s� Tel N N CITY LICENSED CONTRACTORS DECLARATION Hood.— Fan Other_ 1•'hereby affirm that I am licensed,under.provisions of.Chapter 9UCENS , R O Class �' ( (commencing with Section 7000) of Division,3 of,the Disp Room Air-Cond he Business and REG NUMBS�40,, 0 Oy Professions Code,and my license is in,full force and effect. power Apparatus& Large Appliances - DISTRICT NO P ESSED BY 'Size& Type HP,KW,KVA,-or KVAR o License,Number A-y)(]`L Lic Class �_(O Up to 1 Incl. - FINAL ' V ��0`� `�> kd%w Date.0-0 QJ- s� Over 1.to 10 Incl. _t DATE VALIDATION O Contracto e Over 10 to 50 Incl. F- FINAL [� ❑ 'I am exempt under Sec r ' Over 50 to 100 dnc BY- W B&P C for this reason.V\ ��_�A �f�d Over'100 G"' erv,ce _ wbd,MCCpgy�pa el r s Date20 y�aer O Signature' S. W2'01 - 1000 AmpYYUnder 600 V, 7 Over 1000 Amp or Over 600 V 'Exemption-for Reg Maint Elect', �e�(,Ra,r _ - AGGTes - - t SINGLE FAMILY Temp Power Pole & Appurtenances 6 -_ - _ 33D3_ _„= o6D HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law Additional Sign Branch Circuits 1 ITEMS• , for the following reason(Section 7031 5, Business and Professions Code): TOTAL 65_60 ❑ Misc'Conduits&Conductors" G CHECK 65.60 I,as owner of the property,'will do the work and the structure is not intended or offered for sale (Section 7044;•Business Other(See Complete.Fee Schedule) DD and Professions Code). CHANGE', ` o CONSTRUCTION LENDING AGENCY I hereby affirm that there is.a construction lending agency for the ODDD—DDD,: 11/13/95 performance of the work for vdhich this permit is issued(Sec 3097, PERMIT FEE (Sub-Total) Q Civ C) 3276 . 1 AM1D�`3 PLAN CHECKING FEE: _ ; Lender's Name PERMIT ISSUING FEE Lender's Address / I certify that I have read this application and.state that the above TOTAL FEE 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 - - - - Sign ture of,PerTnittee Date ;