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Home My Public Portal About10534 KEY WEST ST_Electrical__ V - 7 . 76AB69./i1EB05 Ir 10-59 APPLICATION FOR E L E C 1 C PERMIT 1 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 LOCALI FOR APPLICANT TO FILL IN NEAREST PFYMT FEES CROSSST ITEM NUMBER OWNER EACH FEE MAIL OUTLETS. $ $ ADDRESS Q LIGHTS RECEPT SW 10 LIGHTING FIXTURES 10 CITY TEL ELEC RANGES CLO DRYERS ELECTRICIAN WATER HEATERS 50 ADDRESS 31,96 Q ELEC SPACE HTRS DISHWASHERS CITY TEL GARBAGE DISPOSERS AUTO- STATE - I WASHERS STA COOKING UNITS 25 LICENSE NO MOTORS OVER INC H P DISTRICT O. GROUP ZONE PR ESSED Y O— 1/2 25 ,if-- T41 1/2- 2 50 INSPECTION RECORD 2— 5 100 5— 15 150 is— 50 250 50-200 500 SIGNS- NO TRANS NO LAMPS SERVICE 0-600V 100 SERVICE OVER 600V Soo MISC WIRING PERMIT 1 00 100 FIXTURE PERMIT too SUPPLEMENTARY PERMIT 50 TOTAL FEE $ 0 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTE /I FINAL / /� 47 •vL�r�G�C�—w-� ®n ATION ARTHUR C.VEIT. cK MO CASH SUPERVISING ELECTRICAL ENGINEER I ,102) 1 9 7 Juni 14 2 0 2.0 0 r 76A663-CE806 8/63 APPLICATION FOR ELECTRI AL PER4�v COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING S -i BUILDING AND SAFETY DIVISION ADDRESS 7 111 JOHN A LAMBIE, COUNTY ENGINEER WILLIAM A JENSEN, SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST _ RECEPT TOTALNO EACH FEE OUTLETS FIRST 20 /! $20 $ d OWNER LIGHT - �C MAIL �y ADD'L 10 ADDRESS SWITCH / OVER 20 / TOTAL / CITY TEL O LIGHTING FIRST 2O 20 �i FIXTURES ADD'LO .10 ELECTRICIA OV R 2 RANGES CLO DRYERS WTR HTRS 1.00 ADDRESS (,��j !✓ . / GARB DISP STA COOK (�L/✓ TEL O� CITY DISHWASH AUTO-WASH STATE SPACE HTRS �Z- STA APP ('/a H P MAX) s0 0� LICENSE NO V MOTORS OVER NOT OVER HP D IGT � GrP� ZONE P O D 0 1 100 (� 1 3 150 INSPECTION RECORD 38 2 00 ,,,-ur6- 6 is 2 s0 _ is 50 300 ^ p� 50 100 Soo SIGNS NOTRANS NO LAMPS H Z SERVICE 0.60OV-Nor OVER 200A 1 00 SERVICE 0-60OV-OVER 200 A 200 SERVICE OVER 600V 500 MISC PERMIT ISSUING FEE 2 00 OD SUPPLEMENTARY PERMIT ISSUING FEE 1001 TOTAL FEE 18 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT n Q WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING WIRING y 1 HER IFY THAT t AM PROPERLY REGISTERED AND/OR LICENSEI?AS RE UIRED BY LO NGE S COUNTY AND STATE OF FIXTURES V CALIFORNIA OR AT 1�RO HE G L OWNER F THE ABOVE DESCRIB D RESIDE TIALEItrY—' POWER SIGNA'%l' UTILITY CO NOTIFIED OF PERM EE ims FINAL VALIDAT ARTHUR C. VEIT MO CK MO CASH SUPERVISING ELECTRICAL ENGINEER 1 3 5 1- JUL1 cj 2 D 6.80~ rQ t � - WORKERS'COMPENSATION DECLARATION 76A5,63 10/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self insure, CE-806G or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY rc opy :he�&6f(Sec 3800,Lab C) Policy No Company FOR APPLICANT TO FILL IN JOB ❑ Certified copy Is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS Q QST ❑ 1 & 2-Family,Sq Ft $ _ $ LOCALITY Certified copy is filed with the county building inspection NEAREST department Multi-family Sq Ft CROSS ST Date Applicant Residential Swimming Pools OWNER OR FIRM NAME `w-, +PCGV'L CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets RecLight -Z- Sw MAIL COMPENSATION INSURANCE ADDRESS 10,5 L{ 14.- tt�CS� (This section need not be completed If the work Involved by the First 20 d permit Is for one hundred dollars ($100) or less) Total No Additional CITY . Tel No `-q 3-` I certifythat in the performance of the work for which this permit PLAN CHECK p P APPLICANT 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 ADDRESS Total No Additional CITY Tel No Date Applicant Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT If, after making this Certificate of PERMIT Exemption,you should become subject to the Workers'Compensation Range_ Heater_ DW APPLICANT provisions of the Labor Code, you must forthwith comply with such Oven _ Dryer _ W M _ ADDRESS provisions or this permit shall be deemed revoked Top _ FAU _ WH CITY Tel No LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_ I hereby affirm that I am licensed'under provisions of Chapter 9Dlsp — Room Air Cond REGNUMBEROR Class (commencing with Section 7000) of Division 3 of the Business and Professions Code,and my license is in full force and effectpower Apparatus& Large Appliances DISTRICT NO PRO ED BY Size& Type HP, KW,,KVA,or KVAR 0 a License Number Llc Class Up to 1 Incl FINAL )3/eU Over 1 to 10 Incl DATE O Contractor Date VALIDATION ❑ Over 10 to 50 Incl FINAL � I am exempt under Sec Over 50 to 100 Inc BY W B&PC for this reason Over 100 co Services,Swbd, & Panelboards ® / Z 200 Date 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 L I hereby affirm that I am exempt from the Contractor's License Law AC C.T.a for the following reason(Section 7031 5, Business and Professions Additional Sign Branch Circuits Code) 3307 19.cd ❑ I,as owner of the property,will do the work and the structure Misc Conduits & Conductors 1 ITEMS is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) and Professions Code) TOTAL 19 -30 CONSTRUCTION LENDING AGENCY CHECK 19.310 I hereby affirm that there is a construction lending agency for the CRAKE CIO performance of the work for which this permit Is Issued(Sec 3097, PERMIT FEE (Sub-Total) Civ C) PLAN CHECKING FEE b000-0001 7/20/90 Lenders Name 5 1941 AM 7.46 PERMIT ISSUING FEE L' Lender's Address 11-2 I certify that I have read this application and state that the above TOTAL FEE 630 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 above-mentioned property r in coon purposes ��^ SEE REVERSE FOR EXPLANATORY LANGUAGE �C/ Sign t e of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0304100024 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: L,EGAL ID: FEES PAID BUILDING ADDRESS: TR: 11290 LT: 3 10534 KEY WEST ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803462 ASSESSOR N NEAREST CROSS STREET: DOREEN 8585-024-008 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 4.00 OUT 7.80 G2 LIGHTING FIXTURES 4.00 LGT 7.80 0 BY: PLAN B . TOTAL FEES 43.35 04/10/03 JK 10/07/03 OWNER: T L. N0: FINAL DATE FINAL BY: CODE: DWYER WILLIAM D (626) 443-5681- (� 10534 KEY WEST ST !� — /c?—v 3 TEMP 917803462 DESCRIPTION 0 REPLACE ELECTRICAL WIRING FOR LIGHTING FIXTURES A . SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: - APPROVALSDATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO .'�� ;�� ✓^��. 4 `�� TEMPORARYPOWER POLE UNDERGROUND CO-N—DUFF- ARCHITECT LIC. N0: ROUGH CONDUIT ROUGH WIRINGp - - MAIN WATER LTRE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED i REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0302250047 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: GAL ID: FEES PAID BUILDING ADDRESS: TR: 11290 LT: 3 10534 KEY WEST ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803462 ASSESSORNEAREST CROSS STREET: DOREEN 8585-024-008 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY LA 100 AMP PANELS, MCC 1.00 PAN 38.85 TOTAL FEES 66.60 . 02/25/03 JK 08/24/03 OW TEL. N0: FINAL DATE FINAL . DWYER WILLIAM D (626) 443-5681- (�_ l Q 10534 KEY WEST ST _` - ()-3 62 TEMP 917803462 DESCRIPTION OF WORK REMOVE FUSE PANEL;INSTALL CIRCUIT BREAKER PANEL (SUBPANEL) SAME AS OWNER SPECIAL COND TIONS: CONTRACTOR: TEL. NO: APPROVALS TE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECTI LIC. NO: ROUGH CONDUIT ROUGHWIRING q / 03 MAIN WATER LINE PLASTIC Y/N METAL Y/N COMPANYUTILITY REPORT ID: DPR265 ROUTE TO: BS0508