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HomeMy Public PortalAbout10680 KEY WEST ST_Electrical__ 76A663-CE806 11_71 - APPLICATION FOR ELECTRICAL PERMIT LJ COUNTY OF LOS ANGELES DEPARTMENT OF,COUNTY ENGINEER BUILDING D �iD BUILDING AND SAFETY DIVISION ADDRESS a IIIIIIIIIIIIIII LOCALITY' _ NEAREST l•1► .tib • FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE OWNER $ $ RECEPT._ MAILADDRESS 3 d FIRST 20 25 �J '7 LIGHT TOTAL CITY R TEL. N0. ,�,y�-7/ SWITCH -OVER 20• 10 PLAN CHECK FIRST 20 I APPLICANT LIGHTING l TOTAL 25 J( I ADDRESS FIXTURES . OVER 20 Ip RESIDENTIAL APPLIANCES clry TEL. N0. PERM' T ,� n RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS, SPACE HTR. AIR COND. CITY TEL. NO. CLOTHES WASH. DISHWASH. 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 I AM PROPERLY REGISTERED AND/OR •� 0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF d CALIFORNIA-OR THAT I AM,THE LEGAL OWNER OF, ND INTEND TO 1 - 1O 300 RESIDE IN, THE ABO DESCRIBED R IDEN L P OPERTY. 0 10 - 50 500 SIGNATUREWL �. OF PERMIT E O 50 — 100 1000 DIS11 TRICTNO rL.ASS ZONE PROC DY �. 100 - 500 1500 G� cl '4C N Z SIGN, GAS SIGN AND ONE CIRCUIT 500 NOTES: TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 SERVICE NOT OVER600VOLTS OR200AMP 300 SERVI CE OVER 600 VOLTS OR 200 AMP 10.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 500 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM .300 ROUGH CONDIUT WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE PERMIT ISSUING'FEE 300 � (/ � FINAL �7,, TOTAL FEE O� PLAN CHECK VALIDATION CK. M 0. CASH PERMIT VALIDATIO CK_ ,_ M.D. CASH 8.00SSEP 2 2 D .8.00— SEE EE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76,tb63-CE.a-0611-71'. APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING 106 go 1�g BUILDING AND SAFETY DIVISIONDo RES LOCALITY Cop ( l NEAREST FOR APPLICANT TO FILL IN CROSS ST. /Oh�S OUTLETS NO. EACH FEE ryry OWNER S Lp 1 RECEPTJ.z $ $ MAIL t76 LIGHT// TOTAL FIRST 20 � •pg � Q ADDRESS D SWITCH-Ml V 3 OVER 20 3 10Q ® CITY �-c adC�� TEL. NO. �7 PLAN CHECK LIGHTING TOTAL I 25 FIRST 20 APPLICANT �� ADDRESS OVER 20 FIXTURES �� 10 RESIDENTIAL APPLIANCES CITY TEL. N0. RANGE DRYER WTR. HTR. PERMIT,APPLICANTC l I-I STA. COOK DISP.-F.A.U. 1 ADDRESS, `� �pE,07 G(° V�, SPACE HTR. AIR COND. •CITY N(`,i TEL. NO. - 7 CLOTHES WASH. DISHWASH. LICENSE NO. 11 CLASS. G`LO ..1 FAN I OTHER L 100 S4D D I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION v 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 O — I 100 LICENSED A5 REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTENDJ0 O 1 — 10 300 RESIDE IN, THE ABO V DESCRIWSIDENTIAL PROPERTY. V SIGNATURE 10 - 50 5.00 OF PERMITTEE CZE 50 - 100 1000 G DISTRICTNO. CLASS ZONE PROCESS D BY 100 500 1500 , 0S, (� I SIGN, GAS SIGN AND ONE CIRCUIT 500 NOTES: ? TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 SERVICENOTOVER 600 VOLTS OR 200AMP / 300 160 APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 500 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 300 ROUGH CONDIUT WIRING ' FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE FINAL PERMIT ISSUING FEE 300 3 0 TOTAL FEE D 5 PLAN CHECK VALIDATION CK. M.o CASH PERMIT VALIDATION �� CK. M.O. CASH t o u x:.11 2 D 2 4-0,5f- SEE -0,5f=SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663CE-606(6/78) ' APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN JOB Lam,, Fld,Applionces idential Bldgs &Pools, EACH NO FEE ADDRESS 10680 Ke •West• • -Family,Sq.Ft $ 025 — $ LOCALITY TeMle Ci -family Sq Ft ' 02 . — NEAREST 25 00 CROSS ST ential Swimming Pools OWNER OR -- FIRM NAME Mit ie Rec Light Sw MAIL- First AIL First-20 ' 50 ADDRESS 10680 Ke West, No Additional, 30 CITY;Te 'le. Cl Tel No 4� PLAN CHECK APPLICANT Fixtures First 20 50 ADDRESS Additional -30 No CITY Tel No pplionces Not Over) HP PERMIT e_Heater_ D W. _ APPLICANT Morales Electric _Dryer—W-M - •ADDRESS. 88 Mission Drive ' Top _FAU — WH CITY Tel No 280-426o Hood Fan _Other_ LICENSE OR Disp _-Room Air Cond 2 50 REG NUMBER Class I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP,PLICA= Power Apparatus&Large Appliances ,TION'AND STATE THAT, THE ABOVE IS CORRECT AND-AGREE TO Size&7 COMPLY•WITH ALL,,,,COUNTY, ORDINANCES'AND-STATE LAWS, Type HP, KW,-KVA,or KVAR \ �* .� REGULATING ELECT RICAL;WIRING Up to 1 Incl 2 50 l :..w' �' ' 1\� 1,• • :,r ,; w� k\1'\ O HER CERTIFY TFi 4T AM PROPERLY REGISTERED AND/OR _ton A Over 1 to 10 Incl 5 00 LICENSED AS,REQUIRED.BY LOS ANGELES COUNTY AND STATE OF 09 CALIFORNIA`OR-+THAT�Ie.AM THE LEGAL OWN R OF THE ABOVE �' Over 10 to 10 Incl - 12 50 DESCRIBED RESID -AL PROPERTY` �•� Over 50 to 100 Inc 25 00 2 40.00 PERMITEE Over-100 SIGNATURE Services, DISTRICT NO -Y.� - PRO- ED B 0- 200 Amp''Under.600 V 12 50 201--1000 Amp, Under 600 V 25 00 Over 1000 Amp or Over 600 V 5000 / Z Z _ Temp Power Pole&Appurtenances 10 00 Q Sign with One Branch Circuit 10 00 Additional Sign Branch Circuits 2 00 INSPECTION INFORMATION ' w 0 2 6 A' Misc Conduits&Conductors 10 00 ON REVERSE U, Other,(See Complete.Fee Schedule) SIDE- Z # 0 0 0 0 0 2 32'a o 1200 PERMIT FEE ISub--Total, - 0 0 0 1 2 0 0 5 ' - Z PLAN CHECKING FEE (One-Fourth•PermitFeel O 0 9, 1- 3-18 PERMIT ISSUING FEE $7.00 7 c J TOTAL FEE 12.0 .4 �t INSPECTION FINALED ^ / W date y���7/ B CfO�Z> v Os.