HomeMy Public PortalAbout9528 BOGUE ST_Electrical__ 76A663-CES06 4-68 APPLICATION FOR ELECTRICA PERMIT
-COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS , O UG^ ST;
JOHN A. LAMBIE, COUNTY ENGINEER -yam
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST //� _
FOR APPLICANT TO FILL IN CROSS ST.C,LpA LH
FN—O
L 6-
NO. EACH FEE
.L S S 2d OWNER
MAIL
TOTAL FIRST.20 20 ADDRESS
OVER 20 .10 CITY TEL'. NO.
PLAN CHECKG TOTAL FIRST 20, 20 APPLICANT
S OVER 20 .10 ADDRESS
ORYER_WTR.HTR.— CITY TEL. NO.•OK_DISP. I F.A.U._ CONTRAC TORHC. L TR. ' AIR COND.' ADD`RESSS -2- So
S WASH._DISHWASH._ iCITY O E - nl (1TEL. NO. � -3d Z OTHER ` 1.00 f? �V LICENSE NO. CLASS. G/ Q
MOTORS,-TRANSFORMERS RATING
IND HEATERS, ETC HP. KW. KVA. 1• HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO AND STATE THAT 'THE ABOVE IS CORRECT AND AGREE'TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING•
ELECTRICAL WIRING.
I BHEREY CERTIFY-THAT I AM PROPERLY REGISTERED AND/OR
1 - 10 3 00 LICENSED 'AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
10 - 50 5 00 RESIDE IN, THE A/B91n DESCRIPED RESIDENTIAL PROPERTY,.
SIGNATURECL
SO - 100 10 00 OF PERMITTEE O
U
100 - Soo 15 00 DISTRICT O G P ZONE I P D
SIGN.GAS
TUBE, OR SIGN AND ONE CIRCUIT •3 00 CJ
MARQUEE - W
ADDITIONAL CIRCUITS 1.00 NOTES: N
(]
SERVICE NOT OVER 600 VOLTS OR 200 AMP ' 2 00 - - Z"
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3 00 APPROVALS DATE 'INSPECTOR'S SIGNATURE
I .
TEMP. POWER POLE ,
UNDERSLAB WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
z
PLAN CHECK FEE (50% PERMIT FEE) FIXTURES
POWER AUTHORIZED
PERMIT ISSUING FEE 2 001 'L Q 0 UTILITY CO.NOTIFIED �r�q -
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL ly It
TOTAL FEE_ JOSEPH C. ROOHAN
SUPERVISING ELECT CAL ENGINEER
PLAN CHECK VALIDATION CK. M 0 CASH PERMIT VALIDATION CK M.0 CASH
2 2 6 9':"' OCT 16 2 D 5.2 0r'
;EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE