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Home My Public Portal About9982 BOGUE ST_Electrical__ 741A663-CE60611 7� APPLICATION FOR ELECTRIAL PERaM COUNTY..OF LOS ANGELES ��r DEPARTMENT OF COUNTY ENGINEER BUILDING C..' BUILDING AND SAFETY DIVISION — r COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST l `• FOR APPLICANT TO FILL.IN CROSS ST, - 4t�L-✓�l•'� OUTLETS NO EACH FEE $ $ OWNER ✓�' r �L��:...c RECEPT._ MAIL > �/,Lx/&=• FIRST 20 ADDRESS �.� ��r' /—'�- LIGHT� TOTAL 25 J CITY TEL. NO. /T SWITCH OVER 20 10 PLAN CHECK LIGHTING FIRST 20 251 APPLICANT TOTAL OVER 20 ADDRESS FIXTURES 10 APPLIANCES CITY TEL. N0 ' PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. -F.A.U. ADDRESS SPACE HTR. / AIR GOND. CITY TEL. NO. , CLOTHES WASH. DISHWASH. J .LICENSE NO. CLASS. FAN OTHER / 100 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 IAM PROPERLY REGISTERED AND/OR O - 1 100, LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE L OWNER OF, AND INTEND TO 1 - 10 300 �� RESIDE IN,' THE ABO E SCRIBED RES DENT RUPERTY. d SIGNATURE L`l O 10 — 50 500 OF PERMITTEE— 50 U 50 — 100 1000 0 DISTRICT NO. CLASS ZONE R ES BY O 100 — 500 1500 ( w 1 a SIGN, GAS SIGN AND ONE CIRCUIT 500 . NOTES: N Z TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 SERVI CENOTOVER 600 VOLTS OR 200 AMP 300 APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CE OV ER 600 VOLTS OR 200 AM P 10.00 TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 500 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 300 ^ / ROUGH CONDIUT WIRING I FIXTURtS t POWER AUTHORITED PERMIT FEE . (SUB TOTAL) UTILITY CO. NOTIFIED I PLAN CHECK FEE ^� FINAL PERMIT ISSUING FEE ,300 (//YOU TOTAL FEE D SUPERVISING E RICAL ENGINC.CASSH I PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION C M O. . !' 1 3 2 3 JUL R 2 D ' 1 2.0 0 SEE BACK OF APPLICATION FOR COMPLETE.SCHEDULE _ � �; ,76A663-CE806 ,,/�o APPLICATION AOR ELECTRIC L PERMIT COUNTY OF LOS ANGELES > DEPARTMENT OF COUNTY ENGINEER BUILDING Dr .1 BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY �- � COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING NEAREST J FOR APPLICANT TO FILL IN CROSS ST. L ' Al OUNO. EACH FEEOWNER RECEPT $ $ MAIL LIGHT TO'iAL FIRST 20 0 20 ADDRESS L' �_, < OVER 20 CITY y^ C L. N0. SWITCHV 10 PLAN CHECKIF LIGHTING,, FIRST 20 20 APPLICANT TOTAL FIXTURES - j" t OVER 20 10 ADDRESS APPLIANCES CITY TEL. NO. RANGE PERMIT DRYER WTR. HTR. APPLICANT i STA. COOK DISP. F.A.U. ADDRESS SPACE HTR.. y— AIR COND.� CITY TEL. NO. CLOTHES WASH. DISHWASH. LICENSE NO. -CLASS. IFAN._.CC)THER 100C� I 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 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AP-INTEND TO I - 10 300 RESIDE IN, THE ABOVE D iD R SID AL PROPERTY. 10 - 50 5.00 SIGNATURE OF PERMITTEE O V 50 - 100 t000 DISTRI CT NO. CLASS JGROrIZO?� PRO Y OC 100 - 500 1500 Q V SIGN, GAS SIGN AND ONE CIRCUIT 300 NOTES: Lu O. TUBE, OR to MARQUEE ADDITIONAL CIRCUITS 100 ? SERVI CENOTOVER 600 VOLTS OR 200 AMP 200 APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CEOVER 600 VOLTS OR 200 AMP 500 TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 300 TEMP LIGHT OR RECEPT. SYSTEM 300 UNDERSLAB WORK ROUGH CONDIUT WIRING FIXTURES PERMIT FEE (SUB TOTAL) -04 AA Q PLAN CHECK FEE (50% PERMIT FEE) POWER UTILITY CO. NOTAED PERMIT ISSUING FEE 200 FINAL SUPPLEMENTARY PERMIT ISSUING FEE 1.00 JOSEPH ROOHAN TOTAL FEE le F D SUPERVISING ELECTRICAL ENGINEER. PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION A—V M.O. CA H E Af.._� 8 .8 .81.r-- JUN2 D 110.00- SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ;s•1,V,0RKERS'COMPENSATION DECLARATION CE 806G (2-80) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANG ES /] BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or C ✓ . a certified e6 y thereof(Sec. 3800,'Lab.C.) 0. � 6 `r' a . 1e FOR APPLICANT TO FILL IN 3p — - T Policy o. ML m ny �1/L��Jl%� LY EACH NO. FEE KESS New Residential Bldgs.&Pools Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY Multi-family Sq. Ft. — NEAREST Cdepartment. Certified copy is filed with the unty building inspection CROSS ST Residential Swimming Pools OWNER OR J� ,�yt_ 1 FIRM NAME :1� /►� DateApplicant (�J�^�" Outlets Rec!Light—Sw MAIL First 20 ADDRESS CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY Z el No COMPENSATION INSURANCE •} PLAN CHECK d .(This section need not be completed if the work involved APPLICANT 17 0 by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS S � U Total No. Additional cc I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY �/ Tel No. permit is issued, I shall not employ any person in any manner PERMIT �j - • ~ so as to become subject to the Workers' Compensation Laws. Range_ Heater_D.W. APPLICAN Oven _ Dryer_W.M. ADDRESS e U) Date Applicant Top — FAU _W.H., Z Hood — Fan _Other_ CITY Tel No. NOTICE TO APPLICANT: If, after making this Certificate of Disp. _ Room Air Cond.— LICENSE R . Exemption, you should become subject to the Workers' REG.NUMBE y1P/_ Class Compensation provisions of the Labor Code, you'must forth- Power Apparatus& Large Appliances . DISTRICT'NO. P ESSED BY with comply with such provisions or this permit shall be Size&Type HP,KW, KVA,or KVAR ti deemed revoked. _/ I, (/ V Up to 1 Incl. ' FINAL Over 1 to 10 Incl. DATE • _0 LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. 8 vv11//J VAI N. I hereby affirm that I and licensed under provisions of Chapter Over 50 to 100 Inc. FINAL 9 (commencing with Section 7000) of Division 3 of the Busi Over 100 BY ness and Professions Code, and my license is in full force and effect.' Services License Numb r Lic.Class 0-200 Amp. Under 600 V ,�,{ c 201-1000 Amp. Under 600 V Contract Date f/'y '—p Q Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp. Power Pole&Appurtenances I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits ness and Professions Code): Misc.Conduits&Conductors DI, as owner of the property, will do the work and the Other (See Complete Fee Schedule)— structure is not intended or offered for sale (Section 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY 1 8 4,2 A I hereby affirm that there is" �a•construction lending agency for the performance of the work for which this permit is # 0 0 0 0 0 2 issued (Sec. 3097.,Civ.C.). PERMIT FEE (Sub-Total) Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) 2 o•o o 7.50 Lender's Address n o o o o 7,5 0 5) PERMIT ISSUING FEE I certify that, I have read this application and state that the TOTAL FEE .0 8.2 1 —8 0 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 abov -mentioned property for inspection purposes. /) SEE-REVERSE FOR EXPLANATORY LANGUAGE Signa ure of P rmittee Date 0