HomeMy Public PortalAbout10611 KEY WEST ST_Electrical__ 76A663-CE806 6-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS g
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN, SUP T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST Doreen
RECEPT TOTAL I NO 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'L 10 ELECTRICIAN 8
OV R 2O
RANGES CLO DRYERS WTR HTRS 1.00 ADDRESS 10048 Fen St.
GARB DISP STA COOK 88
t
TEL NO.
DISHWASH AUTO-WASH
Iv-, 01
SPACE HTRS STA APP (yz H P.MAIaI) 6 50 W
MOTORS OVER NOT OVER HP NQ GR UP Z NE P ESSED BY
1 0 1 100 ], 00 !�
1 3 is SPECTI N RECORD v
3 a 200
6 15 250 J d
O
15 50 300 u
50 100 Soo
O
NO TRANS ~
SIGNS NO LAMPS W
D_
H
SERVICE 0.60OV-NOT OVER 200A 100 Z
SERVICE 0-60OV-OVER 200 A 200
SERVICE OVER 600V 500
MISC
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 1100 1 VV
TOTAL FEE 00
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LLCALIFRNIA
AS REQUIRED BY LOB ANGELES COUNTY AND STATE OF FIXTURES
OR THAT 1 THE LEGAL OWNER OF THE ABOVE
RESIDENTIAL PERTY POWER
RE UTILITY CO NOTIFIED
ITTE INAL
IDATION ARTHUR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
LiCo4 9 2 5-0 JAN 28 2 D 5.00cki
-
, • ---' - _
76A663-CE806 5-62 APPLICATION FOR ELE Cf RICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERBUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY Temple
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. nnrppn
RECEPT, TOTAL NO. EACH FEE
1 OUTLETS FIRST 20 20 $20 $ ZF 00 -OWNER Rertra.-
LIGHT rp
ADD'L
SWITCH-23
OVER 20 58 .10 5 $V ADDRESS
LIGHTING TOTAL FIRST20 .20 CITY TEL. NO.
FIXTURES } 1'l IOv�R20 •10 ELECTRICIAN Mansfield
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS luu48 Fern St-
GARB.DISP. 1 STA.COOK CITY S. E1 Monte TEL. NO. -.V
DISHWASH.1 AUTO.-WASH. STATE Op
SPACE HTRS, STA.APP.('/.H.P.MAX.) 2 .5j0 1 oo LICENSE NO. 1 1$8
MOTORS: OVER NOT OVER H.P. DIST CT L G O P Z NE CESSED�BY
0 1 1.00 - 7-"tom.-� r ._LC
1 3 1.50 INSPECTION RECORD
3 8 2.00
8 15 2.50 d
O
15 50 3.00 u
50 100 5.00 Od
O
SIGNS: NO.TRANS U
NO.LAMPS LU
_-_-- D_
to
SERVICE 0.60OV-NOT OVER 200A 1.00 1 00 Z
I SERVICE 0.60OV-OVER 200 A. 2.00
`I SERVICE OVER 600V 5.00
MISC.
A .I
PERMIT ISSUING FEE 2.00 2 00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $ 17 20
!I 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
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING ��
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR r�
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL ROPE RT Y. /- POWER J
SIGNATURE ` I f j4 UTILITY CO.NOTIFIED 4- ��0-
C
- C
OF PERMITTEE
FINAL 4 -
LIDATION ARTHUR C. VEIT d
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
V_L0$ 5 7 2 JAN 17 2 D 1 7.2 0