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Home My Public Portal About9906 BOGUE ST_Electrical__ TION 76A66 WORKERS' COMPENSATION,have certificate of corse CE-806 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 a certified copy thereof (Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB ,r Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS 4?Q4o ❑ 1 & 2-Family, S Ft. $ — $ LOCALITY Certified copy is filed with the county building inspec- Y. q• tion department. Multi-family Sq. Ft. NEARESTi- CROSS ST. Residential Swimming Pools OWNER OR 1 Date Applicant FIRM NAME � V, L(6 jQ CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec�Light 3 Sw. MAIL COMPENSATION INSURANCE ADDRESS First 20� (This section need not be completed if the work involved by Total No.� Additional CITY ~ Tel. No. the permit is for one hundred dollars ($100)or less.) that in the performance of the work for which this PLAN CHECK I certify p. APPLICANT CW e Lr permit is issued, I shall not employ any person in any manner J so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS 6-r-, � /� Total No. Additional 2`9 6 ApplicantZffc LOGO ��GxT.�, -� CITY p Tel. No. Date �.0 Fixed Appliances Not Over 1 HP PERMIT NOTIC TO A PLICANT: If, after making this Certificate of / APPLICANT ll 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 r with comply with such provisions or this permit shall be Top _ FAU —W.H. — deemed revoked. Hood _ Fan _ Other— �« CITY 4/, Tel. No. �6 LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. REG. NUMBER Class. C�� (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PROCESSED BY and Professions Code, and my license is in full force and effect. Power Apparatus& Large Appliances �j 0 Size &Type HP, KW, KVA, or KVAIR O License Number 1405Lic. Class CAO Up to 1 Incl. FI lie 6 /� Over 1 to 10 Incl DATE 1 VALIDATION Contractor if/C&Ce-Q Date 24 Over 10 to 50 Incl. Fl o W. ❑ 1 am exempt under Sec. Over 50 to 100 Inc. p Over 100 N B.&P.C. for this reason Z Services, Swbd., MCC& Panelboards Date: 0 -200 Amp. Under 600 V ;2 3 9 ('� Signature 201 - 1000 Amp. Under 600 V # 0 0 0 0 7S ❑ Over 1000 Amp. or Over 600 V o - 21.50 Exemption for Reg. Maint. Elect. SINGLE FAMILY Temp. Power Pole & Appurtenances o 0 0 2 1,5 6 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 01,30-86 I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits Law'for the following reason (Section 7031.5, Business and Professions Code): ❑ I, as owner of the property, will do the work and the Misc. Conduits &Conductors 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.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE DS2 r Lender's Address ✓ I certify that I have read this application and state that the TOTAL FEE J/ above information is correct. I agree to comply with all County ordinanc nd State laws regulating Electrical wiring, and hereb u ri represe atives of this County to enter upon the e- a ion operty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Z�I gnature erm ttee Difte7 76A663-CE80610/72 APPLICYONR ELECTL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER .JOB �y BUILDING AND SAFETY DIVISION ADDRESS Gr LOCALITY FOR APPLICANT TO FILL IN CROSSS T. b�fl /IJ'G OUTLETS NO. EACH FEE OWNER OR L�y $ S FIRM NAME RECEPT._ MAI L LIGHT TOTAL FIRST 20 25 ADDRESS c CITY r TEL. NO. SWITCH OVER 20 ,10 PLAN HECK LIGHTINGFIRST 20 25 APPLICANT TOTAL OVER 20 ADDRESS FIXTURES .10 RESIDENTIAL APPLIANCES CITY / TEL. N0PERM 'et//J/�/ i RANGE ORYER WTR. HTR. APPLIICANT C L /�� =/C �/� STA. COOK DISP.-I—F.A.U. - ADDRESS SPACE HTR. AIR COND. CITY �:ret ✓/ TEL. N0. CLOTHES WASH. DISHWASH.� LICENSE OR CLASS. �f REG. NUMBER FAN OTHER 1.00M 1 HEREBY ACKNOWLEDGE THAT I 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 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE 1 - 1O 3.00 DESCRIFED RESID TIA /PR�O�PERR TTY. d PERMITEE U 10 - 50 5.00 SIGNATURE. fl`/�/¢J c O 50 - 100 10.00 DISTRICT NO. OC SED BY IU 100 - 500 15.00 r ,�I i Lu SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPE R'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICENOTOVER 600 VOLTS OR 200AMP 3.00 UNDERSLAB WORK SERVICEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT 4. TEM PSERVICE, POLE, &APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL 14T PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE _ PERMIT ISSUING FEE 3.00 TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALID TION CK. M.0. CASH I 8 g 4 c"t SEP 12 2,D/ , /� 9.0 0 A96 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE t WORKERS' COMPENSATION DECLARATION CE-806 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 a certified copy thereof (Sec. 3800, Lab. C.) G Policy No. Company FOR APPLICANT TO FILL IN JOB r ❑ Certified co is hereby furnished. EACH NO. FEE ADDRESS PY Y New Residential Bldgs. & Pools ❑ LOCALITY— .r Certified copy is filed with the county building inspec- 1 8 2-Family, Sq. Ft. $ $ tion department. Multi-family Sq. Ft. CROSS NEARESTT . Residential Swimming Pools OWNER OR Date Applicant FIRM NAME i r' CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Recg MAIL COMPENSATION INSURANCE / Li ht First 20 ADDRESS (This section need not be completed if the work involved by Total No. f CITY Tel. No. the permit is for one hundred dollars ($100)or less.) Additional I certify that in the performance of the work for which this PLAN CHECK ` Y 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 Additional 1 c' !i ',f° Total No. CITY Tel. No. t Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICI? TO A PLICANT: 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 411 with comply with such provisions or this permit shall be Top _ FAU —W.H. — I' deemed revoked. CITY Tel. No. Hood Fan Other_ E LICENSED CONTRACTORS DECLARATION :.� I hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. REG. NUMBER Class Q�Qt i (commencing with Section 7000) of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO. PROCESSED BY V and Professions Code, and my license is in full force and effect. � 4r^ Size &Type HP, KW, KVA, or KVAR W_ License Number L i- - Lic. Class '• r Up to 1 Incl. FINAL ate DATE Contractor Over 1 to 10 Incl. VALIDATION ° D / f ! C.' y ,� Over 10 to 50 Incl. FINAL I� ❑ 1 am exempt under Sec. Over 50 to 100 Inc. BY 0 B.&P.C. for this reason Over 100 0- Services, Swbd., MCC & Panelboards pop.Date: 0 - 200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V Over 1000 Amp. or Over 600 V a ❑ Exemption for Reg. Maint. Elect. SINGLE FAMILY Temp. Power Pole & Appurtenances l HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit II I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits Law for the foblowing reason (Section 7031.5, Business and Professions Code): ❑ I, as owner of the property, will do the work and the Misc. Conduits &Conductors 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.). PLAN CHECKING FEE Lender's Name _ PERMIT ISSUING FEE Lender's Address 1 certify that I have read this application and state that the TOTAL FEE above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon 4 the above-mentioned property for inspection purposes. (/ } SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee D to COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9609030029 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 15159 LT: 9 9906 BOGUE ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802631. ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BALDWIN 8588-015-017 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 2.00 OUT 3.90 TENANT: H7 RES EXHAUST FANS 1.00 EX 10.80 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: H9 RES APPL LT 3HP 1.00 RES 10.80 09/03/96 TC 09/03/97 TOTAL FEES 53.25 OWNER: TEL. NO: FINAL DATE FINiAll BY. CODE: BEYER DOUGLAS D;MARTHA A (818) 285-3692- 9906 BOGUE ST a'� TEMP 917802631 DESCRIPTION 0 WORK CHANGE EXISTING TUB TO INCL E CIRCULATING TUB APPLICANT: TEL. NO: SAM VAN CONSTRUCTION (310) 207-3835- SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAM VAN CONSTRUCTION (310) 207-3835- 1538 07-3835 1538 S. CARMELINA AVE. LIC. NO TEMPORARY POWER POLE LOS ANGELES, CA 90025 720037 B UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. N0: _,, �� yq ��a ;� � UFER GROUND LIC. N0: _ �� =viii �� ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508