HomeMy Public PortalAbout9534 BOGUE ST_Electrical__ 76A663-CE806 4-68 � � �A •
APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY. ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 3 O G (9
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. c,
-��
// NO. EACH FEE
RECEPT.L $ $ OWNER
MAIL
LIGHT TOTAL FIRST.20 .20 ADDRESS
SWITCH_ / . OVER 20 .10 CITY TEL. NO.
PLAN CHECK
LIGHTING �TOTAL FIRST 20 201 . APPLICANT
FIXTURES OVER 20 10 ADDRESS
RANGE—DRYER_WTR.HTR._ CITY TEL. NO.
STA.COOK_DISP.J-F.A.U._ CONTRACTOR ti L
SPACE HTR. AIR COND.
ADDRESS . [_
CLOTHES WASH._OISHWASH._ / CITY /V �+1�n EL. NO,
FAN—OTHER 1 00 LICENSE 1-40. CSV C CLASS. CC`
MOTORS,TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. I 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.
0 - 1 1 00
I HEREBY 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 AVWDE CRIPED ESID 7 A PROPERTY.
SIGNATURE
d
50 - 100 10 00 OF PERMITTEE O
U
100 - 500 15 00
DIST ICT GRO P ZONE SE
SIGN,GAS SIGN AND ONE CIRCUIT 3 00 �O
TUBE, OR U
MARQUEE LLJ
ADDITIONAL CIRCUITS 1.00 NOTES:
SERVICE'NOT OVER 600 VOLTS OR 200 AMP 2 00 21,.0Q '
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 300 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING 9 �C
FIXTURES
PLAN CHECK FEE (507 PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 0 UTILITYCO.NOTIFIED
SU PPL EMENTA RY,PERM ITISSUING FEE 1 00 FINAL ,
TOTAL FEE ZO JOSEPH C. ROOHAN
_ SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK ,M.O CASH
2 6.3.9.;0 'NOv10 D 5-20K
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE