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HomeMy Public PortalAbout9924 BOGUE ST_Electrical__ 76A663-CE80610.61 APPLICATION FOR ELECTRICALERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS O JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN, SUP'T OF BUILDING LOCALITY _ NEAREST FOR APPLICANT TO FILL IN CROSs ST. I T E M _ NO. EACH FEE OUTLETSW FIRST 20) } 20 $ OWNER LIGHT RECEPT. -7 sw MAIL OUTLETS: (ADD'L UNITS) 10 ADDRESS O LIGHTS RECEPT. SW. LIGHTING FIXTURES: (FIRST 20) .20 CITY TEL. NO � tf r LIGHTING FIXTURES: (ADDITIONAL) .10 ELECTRICIAN C RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK CITY TEL.NO. DISHWASH. AUTO.-WASH. STATE SPACE HTRS.. STA.APP.(�/=H.P.MAX.) ,50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTRI T GR JPNE PR B O 1 1.00C 1 s 1.50 INSPECTION RECORD d 3 S 2.00 4 O ' 8 is 2.50 U 15 50 8.00 0 50 100 5.00 _ C SIGNS: NO.TRANS. v Z NO.LAMPS SERVICE 0-60OV-NOT OVER 200A 1.00 SERVICED.60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00Or SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE $ 1HEREBY 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 r� ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. POWER SIGNATUREUTILITY CO.NOTIFIED i __ OF PERMITTEE FINAL LI ARTHUR C. VEIT CK MOO CAS CASH SUPERVISING ELECTRICAL ENGINEER 5 .9 78A663-(:80610/74 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION �7ADDRESS LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH I FEE OWNER OR FIRM NAME RECEPT.� $ $' MAIL FIRST 20 ADDRESS LIGHT T0� CITY � ryEL. N0. SWITCH_L 7 L OVER 20 10 PLAN EC LIGHTING FIRST 20 Y TOTAL FIXTURES 10 APPLICANT ' 1 TOVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY EL. NO. s� CLOTHES WASH. DISHWASH. LICENSE OR O CLASS REG. NUMBER FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ANO 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 CERTIF�' AT I AM P PERLY REGISTERED AND/OR 0 — 1 100 LICENSED AS REOINRED Y LOS A LES COUNTY AND STATE OF CALIFORNIA OR,THAI AM THE E AL OWNER OF THE ABOVE O / 1 — 10 300 DESCRIP�ED R IDE I PROP U 10 - 50 500 PERMITE - SIGNAT1 1 U 50 - 100 1000 ILLJ DISTRICT NO. PROCESSED BY N 100 — 500 1500 Z r2cvn�,'L/ SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS DAFE PECTOR'SSIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER OLE SERVI CENOT OVER 600 VOLTS OR 200 AMP 300 UNDERSLAB SERVICEOVER600VOLTS OR200AMP 10.00 -RPP.+" CONDUIT,04A 6— TEMP SERVICE,POLE, &APPURTENANCES 500 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE ' PERMIT ISSUING FEE _ TOTAL FEE Q PLAN CHECK VALIDATION CK. M 0 CASH PERMIT VALIDATION CK' M 0 CASH SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE WORKEth COMPENSATION DECLARATION CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT `I herefi�`af6r•m, that I have a certificate of consent to self CE-806G insure, or'a"lcl'14ficote,of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec 3800, Lob �C.) Policy No 75601MCompony! > `I� ��1� FOR APPLICANT TO FILL IN JOB ertified co is hereby furnished EACH NO FEE ADDRESS PY Y New Residential Bldgs 8 Pools LOCALITY Certified copy is filed with the county building tnspec- 1 8 2-Family, Sq Ft $ — $ NEAR tion department Multi-family Sq. Ft CEST ROSS ST )L� �� ©f � Residential Swimming Pools OWNER OR Date_ u``� LApplican FIRM NAME CERTIFICATE OF EXEMPTION FROM ORKERS' Outlets: RecLO—Light Sw— MAIL COMPENSATION INSURANCE First 20 ADDRESS (This section need not be completed if the work involved by Total No. CITY - Tel. No g- the permit is for one hundred dollars ($100)or less.) Additional L.O I certifythat in the performance of the work for which this PLAN CHECK r P APPLICANT N 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. c Date Applicant NOTICE TO APPLICANT Fixed Appliances Not Over 1 HP PERMIT 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 -L CITY Tel. No, LICENSED CONTRACTORS DECLARATION _ Other /1 Disp j Room Air Cond � (,/ LICENSE OR I hereby affirm that 1 am licensed under provisions of Chapter 9 T REG NUMBER Class. (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. PRO BY and Professions Code, and my license is in full force and effect. Power Apparatus 8 Large Appliances ^� (/ Size&Type HP, KW, KVA, or KVAR Jv� V pp-4 56 License Number Lic Class_ Up to 1 InclFINAL /) r �7 Over 1 to 10 Incl. DATE ContractoDate ATION t/ VA F— � � Over 10 to 50 Incl FINAL W ElI am exempt under Sec. Over 50 to 100 Inc BY N B.&P.C. for this reason Over 100 z Date. Services, Swbd , MCC& Panelboards U 0 -200 Amp. Under 600V 265a6A Signature 201 - 1000 Amp Under 600 V, Over 1000 Amp or Over 600 V # o o;o o o 2 Exemption for Reg. Maint. Elect. SINGLE FAMILY Temp. Power Pole & Appurtenances 4•o'a 4 a•O O x HOME OWNER-BUILDER DECLARATION Cl Q O O c� Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License n Branch Circuits Law for the following reason (Section 7031 5, Business and Additional Sigo226,=87 Professions Code)- Misc Conduits&Conductors I, as owner of the property, will do the work and the 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 I certify that I have read this application and state that the TOTAL FEE A �Q 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 the ve-me n d property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature oTPermitteeDate