HomeMy Public PortalAbout10640 BOGUE ST_Electrical__ Lot #V76A663
DBS-5A I1.55APPLICATION
O RE S a q R IC PERMIT
DIVISION OF BUILDING AND SAFETY /�
Department of County Engineer FADDRESS
1 �(3�4�3 Bogue t
County of Los Angeles
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN, SUPT OF BUILDING LITY Tamp.le Eli ty
FOR APPLICANT TO FILL'IN NEAR sr. El Ment,P A v�_
PERMIT FEES
NUMCBER OWNER Miller Price
15 LIGHT OUTLETS MAIL
RECEPTACLES ADDRESS
29 WALL SWITCHES FEE CITY TEL. NO.
TOTAL OUTLETS @ 5¢ $ ` 1412ELECTRICIAfZouthland EleCtric �c.
ELEC. RANGES 25 ADDRESS- 403 E Broadwaj S
ELEC. HEATERS 250
KW EA CITY 1 TEL. NO.At
STATE
FIXTURES S
LICENSE NO. 1 55718
MOTORS 1
DISTRICT NO. I GROUP I ZONE,I READY FOR INSPECTION
NUMBER HORSEPOWER FEE •---'IF+- I(jLA'�4[`
NEW MVD. HP OVER INC. EACH
3 yz LESS $ .25 75 ' INSPECTION RECORD
Ih 2 .50
2 5 1.00
5 15 1.50
15 50 2.50
50 200 5.00
M ISC.
NO. SIGNS NO.TRANS.
NO. SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING $1.00
FIXTURES $1.00 1 o
SUPPLEMENTARY .50 C,
APPROVALS
TOTAL FEE $ DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT-THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF E ABOVE POWER
DESCRIBED RESIDENTIAL OPERTY.
SIGNATURE a UTILITY CO.NOTIFIED
OF PERMITTEE - T FINAL
JOHN A.LAMBIE, COUNTY ENGINEER VALIDATION ARTHUR C.VEIT.CHIEF ELECT.INSPECTOR
CK MO CASH
L� 2:.8 7. 2'1%? N V 2 6-6-5
' - m
76A663-CE806 I1,7p APPLICATION FOR ELECTRICAL PERMIT
1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL-IN CROSS ST,
OUTLETS NO. EACH FEE
OWNER
RECEPT. MAIL
LIGHT TOTAL FIRST 20 29
ADDRESS
SWITCH OVER 20 ip CITY TEL. NO.
PLAN CHECK
LIGHTING FIRST 20 25 APPLICANT
FIXTURES10
]LI
OVER 20 ADDRESS
'
APPLIANCES CITY TEL. JO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. •F.A.U. ADDRESS
SPACE HTR, AIR COND. CITY TEL. NO. 3:7/&7
CLOTHES WASH.' DI SHWAS H. LICENSE NO. CLASS. 5�
' FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT- I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING I WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP KW. KVA ELECTRICAL WIRING.
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
O - 1 1 0 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 - lO 300 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. CL
SIGNATURE
10 - 50 500 OF PERMITTEEf�/
50 - 100 10.00 Q
DISTRICT NO. CLASS ZONE PROCESSED BY F-
100
100 — 500 1500 O — c LU
CL
SIGN, GAS SIGN AND ONE CIRCUIT 500 NOTES: - h
TUBE, OR t ?
MARQUEE ADDITIONAL CIRCUITS 100
SERVICENOTOVER600VOLTS OR200AMP 300
APPROVALS DATE INSPECTOR'S SIGNATURE
S ERVI CE OVER 600 VOLTS OR 200 AM P 1000
' TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 500
TEMP LIGHT OR RECEPT, SYSTEM3.00 UNDERSLAB WOR j
ROUGH GOND
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOT �
PLAN CHECK FEE
PERMIT-ISSUING FEE 300 _ .� FINAL
JOSEPH C. ROOHAN
TOTAL FEE `' SUPERVISING ELECTRICAL ENGINEER.
PLAN CHECK VALIDATION CK. M O. CASH PER VALIDATION �qck.� M 0. _ CASH
a �? rr'� �j[L n�
1.,x,0 ? . :v�• 2.€3 2 D 5.�}0-
.SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
C
.76A663-CE806 1 1-71 APPLICATION FOR ELECTRICAL PERMIT LI
COUNTY OF LOS ANGELES
DEPARTMENT OF'COUNTY ENGINEER BUILDING r
BUILDING AND SAFETY DIVISION ADDRESS �. 6
7 N
LOCALITY v��1n�y (�
FOR APPLICANT TO FILL IN CROSSNEARES T.
OUTLETS NO. EACH FEE
OWNER
RECEPT._ MAIL -
LIGHT TOTAL
FIRST 20 25i ADDRESS IP
CITY EL. NO.
SWITCH OVER 20 10
PLAN CHECK/
LIGHTING TOTAL FI RST 20 25 V APPLICANT
OVER 20 ADDRESS
FIXTURES 10
RESIDENTIAL APPLIANCES CITY A TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK OISP. F.A.U. ADDRESS f
SPACE HTR. AIR COND. CITY EL. N0.
CLOTHES WASH. DISHWASH. LICENSE N0. CLASS. ,/
FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC HP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS REOU IRED BY LOS ANGELES COUNTY AND STATE OF a
CALIFORNIA OR THAT I A THE LEGAL OWNER OF, D INTEND TO
1 - 10 300 RESIDE IN, THE ABO DESCRIBED RESIDE .A PER O
SIGNATURE
10 - 50 500 OF PERMITTEE-
f0
50 - 100 1000
DISTRICT 0. CLAS ZL ONE 7-1 ED By W
100 - Soo 1, 00 �.(� a
AL U)
Z
SIGN, GASSIGN AND ONE CIRCUIT 500 NOTES:
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100
ISERVICENOTOVER 600 VOLTS OR 200 AMP 300
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICEOVER 600 VOLTS OR 200 AMP 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 300
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED / n
PLAN-CHECK FEE
I�� FINAL �[/ J �J�.
PERMIT ISSUING FEE _ 300 41 —
TOTAL FEE 4P 00
PLAN CHECK VALIDATION CK. M.0 CASH PERtlT V>IDATION cK M.O. CASH
t/
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
ORORS' COMPENSATION DECLARATION 2o-ootvDPW ais7 APPL��A���� ®R ELECTRICAL PERMIT
L here ffirm that I have a certificate of consent to self CE.806
CE-806G
insure,`, a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS
or a certifiedcopy thereof (Sec. 3800, LaK
Policy No Company FOR APPLICANT TO FILL IN JOB /�( / O
❑ Ad
Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS `6 (I F .
❑Certified copy is filed with the county building inspec- 1 & 2-Family, Sq. Ft. $ — $ LOCALITY T.4!� � C
tion department. Multi-family Sq. Ft. NEAREST
CROSS ST.
Date Applicant I„-7-40 Residential Swimming Pools OWNER OR
i FIRM NAME (��
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec— —Li ht�Sw MAIL- Q
COMPENSATION INSURANCE g f-ADDRESS O 10 • B�
'(This section need not be completed if the work involved by First 20
Total No. Additional CITY K C �- Tel. IN y
the permit is for one hundred dollars ($100)or less.)
I certify that in the performance of the work for which this PLAN CHECKAPPLICANT
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
Additionol
Date r Total No CITY Tel. No.
Applicant
NOTICE TO APPLICANT: If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT Z
Exemption, you should become subject to the Workers' Range— Heater—D W — APPLICATION
Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W.M.— ADDRESS
with
0
with comply with such provisions or this permit shall be Top — FAU —W.H. —
deemed revoked Hood — Fan —Other— CITY orJ -4 Tel. o. 3s s?
LICENSED CONTRACTORS DECLARATION LICENSE OR I �p
I hereby affirm that I am licensed under provisions of Chapter 9 Disp — Room Air Cond. REG NUMBER 4" Z a Class.
(commencing with Section 7000)of Division 3 of the Business Power Apparatus & Large Appliances, DISTRICT NO. PROCESSED BY a
and Professions Code,and my license is in full force and effect �)
if /bSize Type HP, KW, KVA, or KVAR (.,
License Number Lic. Class ?� Up to 1 Incl. FINAL V
�R �, ( •WZ .. Over 1 to 10 Incl DATE �/5 CC
VALI ION
Contractor Date f Over 10 to 50 Incl. FIN O !
❑ I am exempt under Sec. Over 50 to 100 Inc. BY W
B&P. C. for this reason Over 100 U)
Services, Swbd., MCC& Panelboards z
Date: 0- 200 Amp. Under 600 V Z
Signature 201 - 1000 Amp. Under-600 V
Exemption for Reg Maint. Elect �,1 Q 7 7 A
❑ Over 1000 Amp. or Over 600 V # o a o 0 o.2
SINGLE FAMILY Temp. Power Pole &Appurtenances -.-A 6,7 5
HOME OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's.License Sign with One Branch Circuit o o'0 1 6 7 5 c=�
Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits 1 1. 07 -88
Professions Code):
Ell, as owner of the property, will do the work and the Misc. Conduits&Conductors
structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)—
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.).
PLAN CHECKING FEE
Lender's Name
PERMIT ISSUING FEE V/1
, [�
Lender's Address
I certify that I have read this application and state that the TOTAL FEE
above information is correct 1 agree to comply with all County
ordinances and State jaws regulating Electrical wiring, and i
hereby authorize r present tives of this County to enter upon '
thea ve-me ed pro rty for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE
-- g Y
gnature f Permittee Vote ®'