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HomeMy Public PortalAbout10628 BOGUE ST_Electrical__ 7BA869_CESOG-6-57 APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 10628 'RORIIA JOHN A.LAMBIE,COUNTY ENGINEER /� } CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY e -Vi y - NEAREST FOR APPLICANT TO FILL IN CROSS ST. PERNUT FEES _ LIGHTS RECEPTACLES SWITCHES], _ OWNER COTZin® ' NUMBER 1 T E M EACH FEE MAIL Ilk TOTAL OUTLETS $ .10 $ 60 ADDRESS ELEC. RANGES, WATER HEATERS, CITY TEL.NO, CLOTHES DRYERS .50 ELEC SPADE EATERS, STAT'Y. COOK- ELECTRICIAN & Son �1eC r C H ING UNITS, GARBAGE DISPOSERS, ADDRESS 0 0 N, Grandview Ave* AUTO WASHERS, DISHWASHER .25 p LIGHTING FIXTURES .10 1 20' CITY S San Gabriel TEL.".0-2007 MOTORS STATELICENSE NO. HORSEPOWER H.P.- OVER INC. - DISTRICT NO. GROUPI ZON READY FOR INSPECTION � /,q� FA +/2 a LESS .25 A +/2 — 2 .50 ,,gkINSPECTION RECORD 2 — 5 1.00 �� 5 15 1.50 `•Y /9�y G✓�1� ?�✓ ���i%�.6ti'l r� /��s rsd. 15 — 50 250 Q ,rr 50 — 200 5.00 MISC. � SIGNS I NO.TRANS �.H:�1 �� .�i NO.LAMPS ./�4e SERVICE O-600V 100 1.'00 � 1-y4. v l/ " —� r L� 'n' SERVICE OVER 600V Boo WIRING PERMIT 1.00 Lu v jL\ FIXTURE PERMIT 1.00 1-00 SUPPLEMENTARY PERMIT 50 vAPPROVALS I HEREBY YOACKNOWE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT y WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING Q /`L��iC,•yLf/ !/// I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 POWER T LEG OWNER OF THE ABOVE DESCRIBED RESIDENT L ROPE ! 7 SIGNATURE UTILITY CO.NOTIFIED L!Py"�;� / „%� ��/yo•L,/�1j OF PERMITTEE FINAL / X I<✓�ifn�✓C tom, JOHN A.LAMBIE. A ATION ARTHUR C.VEIT, COUNTY ENGINEER cx Mo CASH SUPERVISING ELECTRICAL ENGINEER i 9 8,3: FEB 5 2 A 9.3 0 76A663-CE606 12/75 APPLICATION FOR ELECTRICAL PERMIT l COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION ADDRESS D� FOR APPLICANT TO FILL IN LOCALITY New Residential Bldgs & Pools EACH NO. FEE41 NEAREST 1-& 2-Family, Sq. Ft. $ .025 — $ CROSS ST. OWNER OR Multi-family Sq. Ft. .02 — FIRM NAME Residential Swimming Pools 20.00 MAIL ADDRESS Outlets: Light, Switch & Receptacle CITY Tel.No. 7 ,5Vl7 First 20 ' •50 PLAN CHECK Additional .30 APPLICANT ADDRESS Lighting Fixtures First-20 .50 CITY Tel.No. Additional .30 PERMIT- APPLICANT Fixed Appliances Not Over 1 HP ADDRESSaO_q Range_Heater_D.W._ CITY Tel.No. _ D� Oven_Dryer_W.M._ LICENSE OR CJS TO FAU _W.H._ REG NUMBER �O Top _ �6SD Class. Hood_ Fan ___ 2.00 I MEHEBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION Disp—A.C. ___ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. Power Apparatus& Large Appliances Size Type HP, KW, KVA, Or KVAR LIHEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR LIC AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF '.. Up t0 1 Incl. 2.00 CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE ®„ Over 1 to 10 Incl. 5.00 DESrRIrED RESIDENTIAL PROPERTY Over 10 t0 50 Incl. 10.00 PERMITEE 7 V /• Over 50 to 100 Incl. 20.00 SIGNATURE N� Over 100 30.00 DISTRICT NO. P OC ED BY Q Services V w 0- 200 Amp. Under 600 V 12.50 INSPECTOR'S p, 201-1000 Amp. Under 600 V 25.00 APPROVALS TE SIGNATURE y Over 1000 Amp. or Over 600 V 50.00 TEMP.POWER POLE Temp. Power Pole & Appurtenances 10.00 UNDERSLAB WORK Sign with One Branch Circuit 10.00 ROUGH CONDUIT Additional Sign Branch Circuits 2.00 WIRING ( r (Other) FIXTURES POWER AUTHORIZED UTILITY CO.NOTIFIED ]FINAL Oz's i PERMIT FEE (Sub-Total) NOTES PLAN CHECKING FEE (One-Fourth Permit Feel PERMIT ISSUING FEE $6.00 TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 2 U El-ii6t SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663-CE806 10-62 APPLICATION FOR , ELECTRI-CAL PERMIT COUNTY OF LOS ANGELES DEBUILDING PARTMENT LD NG AND SAFETY DIVISION UIADDRESS 10628 E• 'BO Ll6 l- JOHN A. LAMBIE, COUNTY ENGINEER -WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY t NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT. TOTAL FNO. EACH FEEOUTLETS FIRST 20 $20 $ OWNER j1LIGHT MAIL19 ADD'L ADDR�SSSWITCH. OVER 20 .10 LIGHTING FIRST 20 :20 TOTAL CITY TEL. NO. � FIXTURES /� ADD'L ELECTRICIAN ea BCtriC L OVER 20 10 r� RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS 2 - El Mercado - GARB.DISP. STA.COOK - - CITY Montery ParkTEL. NoAT 14581 DISHWASH. AUTO.-WASH. STATE /, - SPACE HTRS. STA.APP.('/z H.P.MAX.) ,5O LICENSE NO. 145595. MOTORS: OVER NOT OVER H.P. DISeTTIcT N GRO Z NE P)�CSCESS/ED B/lf• O 1 1.00 . 1 3 1.50 INSPECTION RECORD' 3 8 2.00 8 15 2.50 .. y 15 50 3.00 7SS��JJ 50 100 .-5.00 0....).).) SIGNS: NO.TRANS. C' NO.LAMPS - SERVICE 0-60OV-Nor OVER 200A 1.00 SERVICE 0.60OV-OVER 200 A. 2.00 - SERVICE OVER 600V 5.00 - MISC. PERMIT ISSUING FEE 2.00 2.00 ' SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE $ (1 ^Q 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 CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING //J�ff' ELECTRICAL,WIRING. WIRING /(/ r ,t, �(�7 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LDESCRIBED ENSED AS REQUIRED,BY,LOS ANGELES COUNTY AND STATE OF FIXTURES- IFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE RESIDENTIAL PRO ERTY. - POWER " GNATURE UTILITY CO.NOTIFIED PERMITTEE FINAL `S` �- _ 7 IDATION 'ARTHUR C. VEIT CK O CASH SUPERVISING ELECTRICAL ENGINEER LJ �uo 5.5 6 6- FEB 14 2 D 4.2 Q- WORKERS'COMPENSATION DECLARATION 76A663 10/81 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 o certified copy thereof (Sec 3800, [lab C ) Policy NorS_/5963 7 Company FOR APPLICANT TO FILL IN JOB C .tified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO FEE ADDRESS �/— Certified copy is filed with the c rity building inspec- I & 2-Family, Sq Ft $., _ $ LOCALITY tion dep rtment. Multi-family Sq.,Ft 1! NEAREST _ -a CROSS ST Res denhal Swimmin Pools ti' * `5 Date—L/ r— Applicant 9a �.., ' ` =t OWNER OR FIRM NAME CER IFICATE OF EXEMPT N FROM16RKERS' Outlets Rec Light r Sw AMAIL DDRESS COMPENSATION IN RAN E First 20 (This section need not be completed if the work involved by Total No. CITY Tel No. the permit is for one hundred dollars ($100)or less.) Additional ,,IV I certifythat in the performance of the work for which this PLAN CHECK e P 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 Applicant 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,53,5 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 Y per„' and Professions Code,and my license is in full force and effect. Power Apparatus & Large Appliances ( O Size Type HP, KW, KVA, or KVAR U License N tuber Lic. Class_ X ---Up to 1 Incl. / FINAL Controc Date Over 1 to l0.lncl DATE / '� �� VALID TION V t ❑ Over 10 to 50 Incl. NAL Ld I am exemptFI under Sec Over 50 to 100 Inc FI B.&P C. for this reason Over 100Z 4 , Services, Swbd., MCC & Panelboards Date: 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ 'Exemption for Reg. Maint. Elect Over 1000 Amp-. or Over 600 V SINGLE FAMILY Temp Power Pole & Appurtenances 3 0_4,8;A'• ' HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit # e o o:o b 2, I hereby affirm that j m exempt from the Contractor's License Additional Sign Branch Circuits o Low for the followingreason Section 7031.5, Business and Professions Code): t' 2.---' 85 ❑ I, as owner of the property, will do the work and the Misc. Conduits &Conductors a O structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)— , 7044, Business and Professions Code). 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.) 21 PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE U - Lender's Address r I certify that I have read this application and state that the I TOTAL FEE l above information is correct I agree to comply with all County ordinances an tate laws regulating Electrical wiring, and hereb utho representatives of this County to enter upon the ov - e tioned property for inspection Pur os SEE REVERSE FOR,EXPLANATORY LANGUAGE , gn re o Per tee Date (`