HomeMy Public PortalAbout10686 KEY WEST ST_Electrical__ 76A663-CE1806 10/72 APPLICATION FO �"LE"CTRI)ZjL .PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER roe
•' BUILDING AND SAFETY DIVISION ADDRESS r
1 LOCALITY ,e/A
NEAREST
FOR APPLICANT TO FILL IN CROSS ST:
OUTLETS' NO EACH FEE' _ o N NAME
RECEPT. / MAIL
FIRST 20 25 ADDRESS - -
LIGHT�' TQ,T !J'� _ - -
CITY •/ NO..
SWITCH OVER 20 tp
- PLAN CHECK -
-FIRST 20 ' ,,��•-yup APPLICANT
LIGHTING TOTAL - 25u — -
}1' OVER 20 10
- ADDRESS f` ,� �•;
FIXTURES _, - -• -
RESIDENTAPPLIANCES CITY' i '� eTEL, N0:
'RANGE DRYEPiWTR.'HTR. -• PERM LTAPPLICANT 1`
STA. COOK DISPF.A.U. - ADDRESS D ��A �•- ,
SPACE HTR. -•-AIR•COND.
CLOTHES WASH. DISHWASH. - LICENSE OR -
REG..,NUMBER
FAN OTHER 1-00 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 ' Tp
I HEREBY, CERTIFY THATI AM PROPERLY REGISTERED AND/OR
O — 1 100 LICENSED AS REQUIRED BY LOS ANGE S COUNTY ANS ST TE_
OF
CALIFORNIA OR T l I AM THE LE L OWN R OF HE ABOVEI 'L
1 — o. 300 OE 5 f,P IP,ED 'RES NT IAL PROPERTY,
CCCC TTT���.. CD
O.•".
_ - PERMITEE - V
10 — 50 500 - SIGNATURE C4
CD
50 -x100 1000
DISTRICT NO, CE ED BY W
`100 — 500 , 1500 �� N
SIGN,GAS SIGN'AND ONE CIRCUIT 500 -APPROVALS DATE •INSPEC OR'SSIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 ; TEMP. POWER POLE ,
SERVICENOTOVER 600 VOLTSOR 200AMP X3.00 UNDERSLAB WORK
SERVICEOVER 600,VOLTS OR 200AMP 1000 ROUGH CONDUIT - -
TEMP SERVICE,,POLE,'&APPURTENANCES 500 WIRING - `g/j-7 VA
Z ".r
TEMP LIGHT OR RECEPT.!SYS TEM 3,00 FIXTURES
°• - INOTES,.
UTHORIZED '
CO. NOTIFIED
— /7 c//� .
PERMIT FEE (SUB TOTAL)` - lz
PLAN CHECK FEE �-
PERMIT iSSUING.FEE, 300 ,
.TOTAL FELE �.
PLAN CHECK VALIDATION, CK •M 0 CASH, PERMIT VALIDATION CK' •M 0 CASH
5 4 7 2 -U .1 a '7.5 0
SEE BACK OF'APP LICATION FOR COMPLETE SCHEDULE ,v f,
76A663�CE806'11-71 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS !O
LOCALITY �o j Civ
NEAREST C �OhY� �•r
FOR APPLICANT TO FILL IN CROSS ST. C -/
OUTLETS NO. EACH FEE
_ OWNER C70 7
Lp 11
RECEPT.qe $ $ MAIL / --Ta d
LIGHT FIRST 20 O Q ADDRESS e 1/ _
TOTAL
SWITCH / OVER 20 r
p f0 ` Q CITY f'C a d 2 j� _ TEL. NO. �1f' }7•
_
PLAN CHECK
FIRST 20 ! l� 25 APPLICANT
LIGHTING Jl( TOTAL J !v
!� OVER 20 ADDRESS
FIXTURES 10
RESIDENTIAL APPLIANCES PERMIT
CITY TEL. N0.
RANGE DRYER / WTR. HTR. APPLICANT •�O -all `' J-0-
STA. COOK DI SP- F.A.U. / ADDRESS,
SPACE HTR. AIR COND. CITY TEL. NO. /
CLOTHES WASH. DISHWASH- / LICENSE NO. oT78a CLASS.
FAN' OTHER c�' 100 / 00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IIVJJ AND STATE THAT THE•ABOVE 15 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;AND INTEND TO
1 - lO 300 RESIDE IN, THE ABOVE SCRIBED RE IDENTIAL PROPERTY. O
SIGNATURE
10 - 50 500 OF PERMITTEE l/✓y ' O
50 - 100 1000 �j
DISTRICT NO. CLASSZONE PROCESSED BY !!J
1 DO - 500 15 00 Q j y
z
SIGN,-GAS SIGN AND ONE CIRCUIT 500 NOTES;
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100
SERVICENOTOVER600VOLTSOR200AMP ` ' 300 00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICE OVER 600 VOLTS OR 200 AMP 10.00
TEMP.POWER POLE
TEM PSERVICE,POLE, &A PPU RTENAN CES 500
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 300
ROUGH CONDIUT `
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIE
PLAN CHECK FEE
PERMIT ISSUING FEE 3.Of 3 6 0,
TOTAL FEE-
•PLAN CHECK VALIDATION CK. M 0. - CASH
PERMIT VALIDATION CK. M.O. CASH
UI o, 2 2 7 . DEL 11 2 D- 2 5,8 5 N.
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE -
•76A663-CE8069!`1/70 APPLICATION FOR ELECTRICAL PERMIT -• Ll
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER TAR
G
BUILDING AND SAFETY DIVISION s c (�
_ TY
COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING 4
TFOR APPLICANT TO FILL IN ST.OUTLETS NO. EACH FEE_ -
RECEPT._ $ Is
OMAIL '
WNER ADDRESS 3 U&//.a 11.5-7,9d/:
LIGHT TOTAL ' 10
FIRST 20 P9 - •
CITY /� TEL.
SWITCH OVER 20 NO.yG( 77`a,
10 PLAN CHECK '
LIGHTING FIRST 20 25 APPLICANT
TOTAL
FIXTURES
OVER 20 10 ADDRESS
• '
APPLIANCES CITY TEL. NO.
.PERMIT
4--
�7 ( /
RANGE DRYERWTR. HTR. APPLICANT G
STA. COOK DISP. •F.A.U. ADDRESS / 7. L 7< . ,a A&,
SPACE HTR. AIR COND. CITY o f9 - TEL. N0.i-ly. }'e
CLOTHES WASH. DISHWASH. LICENSE NO. QQ GJ. CLASS.rO
FAN OTHER 100 I 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 LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO >-
1 — 10 300 O RESIDE IN, THE ABOVE 6ESCRIBED SIDENTIAL PROPERTY 0-
SIGNATURE V
10 - 50 500
OF PERMITTEE - iL!/v
50 - 100 1000 DIST ICT NO. CLASS ZONE CESSE O
100 - 500 1500 , D ! a
SIGN, GAS SIGN AND ONE CIRCUIT 500 NOTES: N
.Z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 '
SERVICENOTOVER600VOLTS OR200AMP 300
APPROVALS DATE' INSPECTOR'S SIGNATURE
SERVICEOVER 600 VOLTS OR200AMP 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 y7,1
FINAL
PERMIT ISSUING FEE 300
• ^ � JOSEPH C. ROOHAN
TOTAL FEE (1 'SUPERVISING ELECTRICAL ENGINEER.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK M O. CASH
4- 3 4BEE 27 . . 2 D 6:Q0—
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE