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.