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 (`