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Home My Public Portal About10511 KEY WEST ST_Electrical__ � r , 76A663-CE806 8-62 APPLICATION FOR RECTRICAL P IT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE, COUNTY ENGINEER WILLIAM A JENSEN, SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST RECEPT TOTAL NO I EACH FEE OUTLETS FIRST 20 $20 $ OWNER LIGHT MAIL SWITCH ADD'L 10 ADDRESS OVER 20 TOTAL CITY TEL'NO LIGHTING FIRST 20 20 FIXTURES ADD'L10 ELECTRICIAN OV R 2O RANGES CLO DRYERS WTR HTRS 100 ADDRESS GARB DISP STA COOK 4�� r CITY e4a&vXj2qd TE DISHWASH AUTO-WASH STATE SPACE HTR9 ' STA APP (%t H P MAX ) 50 LICENSE NO MOTORS OVER NOT OVER HP DIST ICT NO GROUP ZONE PR ESSED BY O 1 too 1 s 150 INSPECTION RECORD 3 S 200 6 15 250 15 50 Soo d 50 100 500 0 SIGNS NO TRANS NO LAMPS C O H SERVICE 0-60OV-NOT OVER 200A 100 SERVICE 0.600V-OVER 200 A 200 D' LIP) SERVICE OVER 600V 500 z MISC PERMIT ISSUING FEE 200 SUPPLEMENTARY PERMIT ISSUING FEE 100 TOTAL FEE $ O I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT I 41 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING WIRING I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR / yy LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES S 1 CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE [/ DESCRIBED RESIDEN PROPERTY POWER SIGNATURE UTILITY CO NOTIFIED OF PERMITTEE FINAL LIDATION ARTHUR�C. NEIT CK MO CASH SUPERVISING ELECTRICAL-ENGINEER cq ".� llACO 2'1 6 7Q. 100 4 2 D 3.0 0" WORKERS' COMPENSATION DECLARATION, CE-806 loiel APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent io self CE-8066• ' insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec 3800, Lab C ) i Policy No Company FOR APPLICANT TO FILL IN JOB � t ❑ Certified copy is hereby furnished New Residential Bldgs & Pools EACH rNO FEE ADDRESS �� 9 ��1 &2-Famil Ft $ S LOCALITY eCertified copy is filed with the county budding inspec- Y� Sqtion department Multi-family Sq Ft NEAREST CROSS ST Date Applicant Residential Swimming Pools OWNER ORi /5'f/ FIRM NAME /� CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL �. COMPENSATION INSURANCE Outlets Rec Light Sw f / ADDRESS l i,> /l :$ s section neenot completed if the work involved b First 20 J (Thitid t b p Y Total No— Additional CITY C1 Tel No the permit is for one hundred dollars (;100)or less.) PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any pers n ny manne so as to become subject to the Worke s'C e ation w Lighting Fixtures First 20 ADDRESS Total No Additional CITY Tel No xDate ./ Applicc' Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLI ANT If, after mo ng this Certificate of APPLICANT Exemption, 'you should become s lett 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 CITY- Tel No deemed revoked LICENSED CONTRACTORS DECLARATION Hood _ Fan _ Other— Disp _ Room Air Cana REG LICENSE OR NUMBER Class I hereby affirm that I am licensed under provisions of Chapter 9 k (commencing with Section 7000) of Division 3 of the Business Power Apparatus & Large Appliances DISTRICT NO PROCES D BY >_ and Professions Code,and my license is in full force and effect I 9L Size & Type HP, KW, KVA, or KVAR Q Q License Number Lic Class _ Up to 1 Incl FINAL V Over 1 to,10 Incl DATE •y _ VALIDATION O Contractor Date Over 10 to 50 Incl FINA � C� F-1V I am exempt under Sec Over 50 to 100 Inc BY / W B&P C for this reason Over 100 ILZ Date Services, Swbd , MCC & Ponelboards ► ��'`p 3 0 -200 Amp Under 600 V Signature 201 - 1000 Amp Under 600 V #atal� ❑ 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 2,-,o 3 1.50 1 hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits - ° ° ° O Law for the following reason (Section 7031 5, Business and 3 1, P- Professions Code) ' • t ❑ 1, as owner of the property, will do the work and the Misc Conduits 8 Conductors 0 71 p 9—84 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 ,Q 5 Lender's Address �Q 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 I s r gulating Electrical wiring, and ` hereby authorize epre enta ves of thi County to enter upon th o -men ned prop rty for ns chon purposes SEE REVERSE FOR EXPLANATORY LANGUAGE - Signature Per t e Date COUNTY Or SOS ANGELES TEMPLE CITY # 0508 CLEC"Ni'A PERMIT DEPARTMENT OF OUBLJC WORKS 9701 LAS TUNAS EL 06C8 0404250020 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA Q1780 PHONE: (626) 2II5-C-i88 EXT: LEGAL ID: FEES PAID BU LDING DDR TR: 11290 LT: 12 BL: C I �� 10511 KEY WEST ST f EE DESCRIPTION: �;L'Akl 1TY: UOM: AMS'" _-i ; TEMP CA 9178034(-.' ASSESSOR OR . ION ER: NEAREST CROSS STP_ET: LOiJER AZU'SA 8585-023-051 lA1 PERMIT ISSUANCE FEE 27.71 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, C IF2 ZOII, 277V LIST BR CKT 1.00 BR 27.'0 T� 4 T: IS! OUTLETS-LGT,SW,RECP 45,00 OUT 72.75 IS 'JED ON: PROC SSED PLAN BY: RES urs: IG2 LIGHTING FIXTURES 15.00 LIST 20_25 .09/?5/04 JK 03/27/05 _1143 RES DISHWASHR LT 3HP 1.00 DIS iC.>'� ' OWNER: TEL. NO: 14 RES RANGE HDS LT 3HP x.00 HOO 10.95 �Le r1NIL ST: CODE: CdEd HWAJ S;ALISON C (909) 932-9259 QHS RES WASH MACH LT 3HP 1.00 WAS 10.55 18G3 LAKE!OOD AVE. IH7 RES EXHAUST FANS 2.00 EXUPLAND, CA 91784 i'_B 200 ANP PANELS, MCC 1.00 PAN 39.II; DE . N OF WORK ICTAL FEES 250.b5 IELECTPICAL FOR ADDITION AND UPGRADE SERVICE TO 200 AMPS APPLICANT, TEL. 0: A H ACCORD GROUP INC. (626) 308-9983- _ 821 S. GA141ELD AVE I�cCiAL CONDITIONS: -� AL',AMBRA. CA 91801 I i 1CUKIRACT01'; — TLL. NO: ____I H ACCORD GROUP INC. X626) 308-9983 -FATt INSPECTOR SIG.ATUfc 821 S. GARFIELD AVE., #202 LIC. NO i T URARY N R POLL ALHAMBRA, CA 91801 757675 C16 IUNDEf ROUND CONDUIT ARCHITECT- OR ENGINEER: TEL NO: 'I I- — - OAVID (626) 286-181 U CP, GFOJt:C 1i555 :,9 EARLE ST LIC. N0: I12ODU�i CGNSUII IS1iv GABRIFL, CA 671176Ba I — RO' :N-R:Rit:G 1 (MAIN WATER LIR_E__ (PLASTIC Y/N METAL UN 11-TIL= ` COMPANY OTIFIF_ ! I I _ REPORT ID: DPR265 ROUTE TO: BS0508