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