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HomeMy Public PortalAbout9937 BOGUE ST_Electrical__ 76A5��+CE805.10/72 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ADDRESS �9�1 7 C isL> BUILDING AND SAFETY DIVISION LOCALITY -- NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACHI FEE OWNER OR / $ 5 FIRM NAME _AHC .5 L RECEPT 23 MAIL �J ADDRESS LIGHT 1TOTAL FIRST 20 O 25 co CITY TEL. N0. SWITCH/-(C:' OVER 20 �4j 10 O PLAN CHECK FIRST 20 ✓ APPLICANT LIGHTING � TOTAL � .25 ' OVER 20ADDRESS FIXTURES .10 RESIDENTIAL APPLIANCESPERIT CITY TEL. N0. RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP._i F.A.U. ADDRESS S/`'f'-/C- SPACE HTR. AIR COND. iA CITY TEL. NO. CLOTHES WASH.iDISHWASH. LICENSE OR CLASS. REG. NUMBER FAN -3OTHE 1.00 G 1 HEREBY ACKNOWLEDGE THATI 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 O - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF OGS CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RE ENT IAL PROPERTY. CD 1 - 10 3.00 p � U PERMITEE 10 - 50 5.00 SIGNATURE p F- 50 - 100 10.00 V DISTRICT(NO PROCESSE B W a- 100 100 - 500 15.00 ✓ z r � SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE NSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICE NOTOVER 600 VOLTS OR 200 AMP 3.00 ac UNDERSLAB WORK SERVICEOVER600VOLTS OR200AMP 10.00 ROUGH CONDUIT TEMPSERVICE,POLE, &APPURTENANCES 5.00 WIRING �. TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED �J Q� ( FINAL �U (/° V f'i 0,A) 4 A., PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 CC TOTAL FEE r PLAN CHECK VALIDATION CK. M.O. PERMIT VALIDATION CK. M.O. CASH CASMj ,n 4 z C) 11c'� ca 2 D 26 .85' SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663-CE606 3-69 0-1 'J APPLICATION FOR ELECTRIeAW iW0 COUNTY OF LOS ANGELES DEPARTMENT OF" COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS rj G JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. NO. EACH FEE Q - $ $ OWNER ` /` (/ RECEIPT._ MAIL ADDRESS LIGHT 7 TOTAL FIRST 20 .20 .sem CITY TEL.N0. SWITCHy OVER 20 •10 PLAN CHECK LIGHTING TOTAL FIRST 20 ,20 �� APPLICANT FIXTURES } 4� OVER 20 ,10 ADDRESS37 e RANGE DRYER WTR. HTR. CITY TEL.N0. STA. COOK 0ISP. F.A.U. CONTRACTOR SPACE HTR. AIR COND. ADDRESS CLOTHES WASH._DISHWASH. CITY TEL.N0. FAN OTHER 1.00 LICENSE NO. CLASS. MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. O - 1 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATEOF } 1 - 10 3.00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO d RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. O 10 - 50 5.00 V SIGNATURE oG 50 - 100 10.00 OF PERMITTEE O I-- 100 - 500 15.00 DISTRICT NO. GROUP ZO E CE SE BY u R � W SIGN,GAS SIGN AND ONE CIRCUIT 3.00 o`er /®G� '/ N TUBE, OR Z MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 '� d SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT WIRING PERMIT FEE (SUB TOTAL) FIXTURES POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL TOTAL FEE JOSEPH C. ROOHAN 4 SUPERVISING ELEC 4C ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cZc )' CASH ,Ar,4 8 8 5 PAY 12 2 D 4.2 0;4 SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 76A 66,3{-CE806 3-69 /J APPLICATION FOR ELECTRICAL PER IT COUNTY OF LOS ANGELES DEPARTMENT OF!COUNTY ENGINEER TNLAREST ILDING BUILDING AND SAFETY DIVISION DRESS �j JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGCALITY C2 FOR APPLICANT TO FILL IN OSS ST. _ NO. EACH FEE $ $ OWNER RECEIPT. MAIL IFIRST 20 .20 ADDRESS , LIGHT_L TOTAL SWITCH- Z OVER 20 ,10 CITY TEL.N0. PLAN CHECK LIGHTING TOTAL FIRST 20 .20 APPLICANT FIXTURES } OVER 20 ,t0 ADDRESS _ RANGE_DRYER_WTR. HTR. CITY / _ e TEL.NO. - .2 STA. COOK_DISP. F.A.U. CONTRACTOR SPACE HTR. AIR COND. ADDRESS CLOTHES WASH._DISHWASH. CITY TEL.NO. FAN OTHER 1.00 LICENSE NO. CLASS. MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 - 1 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR __ >> LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF 1 - 10 3.00 O V CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO CI- O RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. 10 - 50 5.00 (� SIGNATURE .� - 7 � 50 - 100 10.00 OF PERMITTEE f O 100 - 500 15.00 DISTRICT NO. GROUP� ZONE P S ED BY U SIGN,GAS SIGN AND ONE CIRCUIT 3.00 W TUBE, OR Z MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 v `• SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK i ROUGH CONDUIT n�,- `/, `l1 •��j-�-�^ _/,I WIRING PERMIT FEE (SUB TOTAL) FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2.00 Q UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL TOTAL FEE �5.o JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. CASH A 5.00 - -SEE BACK OF APPLICATION FOR COMPLETE FEF. !%CHEDIILE �" CE-806 6-- /__ y-3 v-� WORKERS'COMPENSATION DECLARATION 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that d have a certificate of consent to self CE-806G insure, or a'certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY cul or arcertified copy thereof (Sec. 3800, Lab. C. Policy rNofil�i93_42-2-fl Company FOR APPLICANT TO FILL IN JOB pJ Certified co is hereby furnished. EACH NO. FEE ADDRESS PY Y New Residential Bldgs. 8 Pools _ (� 1 & 2-Family, S f9. $ _ $ LOCALIT G fes+ Certified copy is filed with the county building inspec- y. q tion de artment. Multi-family Sq. Ft. NEAREST CROSS ST. (�� `9 �-----_may/ � Residential Swimming Pools OWNER OR u t 1 Date Applican}'(7�( / y 1, 1 FIRM NAME rel 1 CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light R Sw.� MAIL COMPENSATION INSURANCE ADDRES 'C / First 20 (This section need not be completed if the work involved by Total No. /J nCITY -Tel. No.- the permit is for one hundred dollars ($100)or less.) "`��� Additioal PLAN CHEC�jSr I certify that in the performance of the work for which this APPLICANT ��f - S 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 ADDRES 1 i Additional Total No. I CITY 1 Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: 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. CITY Tel. No. LICENSED CONTRACTORS DECLARATION Hood Fan _Other— Disp. _ Room Air Cond. LICENSE R 44 Class. I hereby affirm that I am licensed under provisions of Chapter 9 REG. NUM BER S } (commencing with Section 7000) of Division 3 of the Business DISTRICT NO. P OCESS D BY Power Apparatus & Large Appliances �. and Professions Code, and my icense is in full force and effect. yy p O Size& Type HP, KW, KVA, or KVAR' ✓ . �Q U License NumberGf. Lic. ClassFINAL Up to 1 Incl }/ j Over 1 to 10 Incl. DAT VALIDATION O Contractor) Date � a CS ❑ Over 10 to 50 Incl. FINA % W I am exempt under Sec. Over 50 to 100 Inc. BY B.&P.C. for this reason Over 100 r Z Date: Services, Swbd., MCC& Panelboards ► 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. SINGLE FAMILY Temp. Power Pole & Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 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). , 5 7 5.8 A CONSTRUCTION LENDING AGENCY # o 0 0 0 0 2 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) I. 0 0 5 ] 5 (Sec. 3097, Civ. C.). Lender's Name PLAN CHECKING FEE o 0 0 1 5 7 5 5 � I Q 2 4=8 6 Lender's Address PERMIT ISSUING FEE I 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 the a' 3 e-mentioned roperty for inspection purposes.J.�" 1 SEE REVERSE FOR EXPLANATORY LANGUAGE .lure of Permittee ate COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0804140028 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: 1TR: 16557 LT: 4 9937 BOGUE ST 1FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917802632 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1 18588-014-021 IA1 PERMIT ISSUANCE FEE 27.75 1 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl I 1G1 OUTLETS-LGT,SW,RECP 15.00 OUT 29.25 1 (TENANT: IG2 LIGHTING FIXTURES 10.00 LGT 19.50 11SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1H2 RES GRBG DISP LT 3HP 1.00 DIS 10.95 104/14/08 SR 10/11/08 I 1H3 RES DISHWASHR LT 3HP 1.00 DIS 10.95 1 1OWNER: TEL. NO: 1H4 RES RANGE HDS LT 3HP 1.00 ROO 10.95 1FINAL DATE RY: CODE: ICORRIGAN JAMES E JR;MARIE B - 1 TOTAL FEES 109.35 119937 BOGUE ST I 177-A ITEMP 917802632 1 ID SCR( TION OF WORK I I 1ELECTRICAL FOR KITCHEN REMODEL I (APPLICANT: TEL. NO: 1 1TOM O'LEARY (626) 287-0927- 1 I I 15823 AGNES AVENUE I ISPECIAL CONDITIONS: 1TEMPLE CITY CA 91780 I I 1CONTRACTOR: TEL. NO: i (APPROVALS DATE INSPECTOR SIGNATURE 1TOM O'LEARY CONSTRUCTION (626) 287-0927- 1 15823 AGNES AVENUE LIC. NO 1 ITEMPORARY POWER POLE I I I 1TEMPLE CITY, CA 91780 489354 B-1 1 I I I I I I (UNDERGROUND CONDUIT 1 1 I 1ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND I I I I LIC. NO: IROUGH CONDUIT I I I I I TROUGH WIRING I I 1MAIN WATER LINE I I I 1PLASTIC YIN METAL YIN I I I 1 (UTILITY COMPANY NOTIFIEDI I I I I I I I I I I I I I I I I I I I I I I I I I I 1 I I I I I I I I I I I I I I I I I I I I I I I I 1REPORT ID: DPR265 ROUTE TO: BS0508 1 I I I I I I I I