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Home My Public Portal About10528 KEY WEST ST_Electrical__ 76A663-CE8061_68 APPLICATION FOR ELECTRICAL ERMIT COUNTY OF LpS ANGELES DEPARTMENT OF COUNTY 6E, NGINEER BUILDING BUILDING AND SAFETY IJIVISION ADDRESS r k/CST JOHN A LAMBIE, COUNTY ENGINEER �1�I COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY ^/YJ 1C� G//' NEAREST FOR APPLICANT TO FILL IN CROSS ST L-0 A NO EACH FEE $ $ OWNER GD A-//US RECEPT MAIL LIGHT TOTAL FIRST 20 20 ADDRESS SWITCH r OVER 20 10 CITY TEL NO PLAN CHECK LIGHTING �ToTAL FIRST 20 20 APPLICANTFIXTUREJSOVER 20 10 ADDRESS — RANGEDRYER—WTR HTR — CITY TEL NO STA COOK_DISP F A U CONTRAC rOR SPACE HTR AIR COND ADDRESS CLOTHES WASH DISHWASH CITY TEL NO FAN—OTHER 1 00 LICENSE IJO CLASS. MOTORS,TRANSFORMERS RATING IND HEATERS, ETC HP KW KVA I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING 0 - 1 1 00 `I HEREBY CERTIFY THAT I AM, PROPERLY REGISTERED AND/OR 1 - 10 3 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO d 10 - 50 5 00 RESIDE IN, THE ABOVE PESyfplrED RESIDENTIAL PROPERTY CL SIGNATURE C 1 V 50 - 100 10 00 OF PERMITTEE O-'� iw 100 - 500 15 00 O DISTRIC O GROUP ZONE P CESS D BY Ij TUBE,A SIGN AND ONE CIRCUIT 3 00 - �� - a MARQUEE ADDITIONAL CIRCUITS 1 00 NOTES 1110 L / Z SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 .2 � u� •dCL'i Cs-K .0 aly SERVICE OVER 600 VOLTS OR 200 AMP 5 00 � - TEMP SERVICE, POLE, & APPURTENANCES 3 00 APPROVALS DATE I PECTOR'S SIGNATURE TEMP POWER POLE UNDERSLAB WORK ROUGH CONDUIT PERMIT FEE (SUB TOTAL) WIRING FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2 00b UTILITYCONOTIFIED 1 SUPPLEMENTARY PERMIT ISSUING FEE 00 FINAL v TOTAL FEE O JOSEPH C. ROOHAN SUPERVISING EL CAL ENGINEER PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M 0 CASH �7 2 4 6� txv12 2 D 5.00~ v Q �L - - EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 3 , 76A6&1 GE zefiR 10,77 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB /Q 8 BUILDING AND SAFETY DIVISION ADDRESS FOR APPLICANTTO FILL IN LOCALITY e5t ' 9i1;ve�o New Residential Bldgs &Pools EACH NO FEE CNEAREST ROSS ST 1 &2 Family,Sq Ft $ 025 — $ OWNER OR Multi family Sq Ft 02 — FIRM NAME Residenfidl Swimming Pools 2500 ADDRESS / ;utletsi-Rec.r Light_SwCITY; a /Tel No 50 �. _ First 20 PLAN CHECK r Total No Additional 30 APPLICANT ADDRESS, Lighting Fixtures First 20 50 CITY Tel No Additional 30 PERMIT dq Total No APPLICANT Fixed Appliances Not Over 1 HP ADDRESS 3T l Range_Heater_D W CITY Te No Oven _Dryer_W M_ LICENSE OR Top, —FAU —W H REG NUMBER Class Hood Fon —Other— I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Disp Room Air Cond 250 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN ANCES AND STATE LAWS REGULATING,ELECTRICAL WIRING Power Apporatus,&Large Appliances Size&Type HP, KW, KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM d Up to 1 Incl - 2 50 THE LEGAL OWNER OF THE AB VE DESCRIBED RESIDEN7�PTY O Over 1 to 10 Incl 500 Over 10 to 50 Incl 1250 PERMITTEE o Over 50 to 100 Inc 2500 SIGNATURE Over 100 4000 DISTRICT NO PaESE BY N Services 0 200 Amp Under 600V 1250 INSPECTOR S 201 1000 Amp Under 600 V 2500 APPROVALS D T SIGNATURE Over 1000 Amp or Over 600 V 5000 TEMP POWER POLE - UNDERSLAB WORK Temp Power Pole&Appurtenances 1000 - Sign with One Branch Circuit 1000 ROUGH CONDUIT Additional Sign Branch Circuits 2-00 WIRING ��' s J FIXTURES � Misc Conduits&Conductors 1000 Other(See_Complete Fee Schedulei POWER.AUTHORIZED' UTILITY CO NOTIFIED FINAL l i PERMIT FEE (Su'b Total) NOTES PLAN CHECKING FEE Ocie Fourth Permit Feei PERMIT ISSUING'FEE' $700 ,y TOTAL FEE D S� N ° ° ' N0 PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION a -O CK MO CASH 1, O SD o J UT d1 o N co O 'O N CH SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0511020017 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS TR 11290 LT 3 UN 002 10528 KEY WEST ST FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803462 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 8585-024-044 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID C4 LOCALITY TEMPLE CITY, C G1 OUTLETS-LGT,SW,RECP 2 00 OUT 3 90 TENANT G2 LIGHTING FIXTURES 2 00 LGT 3 90 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON TOTAL FEES 35 55 11/07/05 JK 05/01/06 OWNER TEL NO FINAL DATE FINAL BY CODE CHAU, HUNG (626) 484-6862- 10528 KEY WEST ST Y 4 TEMPLE CITY CA 91780 DESCRIPTION OF WORK 2 OUTLETS, 2 LIGHT FIXTURES APPLICANT TEL NO SAME AS OWNER - SPECIAL CONDITIONS CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC NO TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER TEL NO UFER GROUND LIC NO ROUGH CONDUIT , ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID DPR265 ROUTE TO BS0508