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Home My Public Portal About9219 KEY WEST ST_Electrical__ 76A663-CE80610/72 APPLICATION FOR ELECTRICAL PER COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB 1 BUILDING AND SAFETY DIVISION ADDRESS a e -T l LOCALITY n p 1 NEAREST FOR APPLICANT TO FILL IN CROSS ST OUTLETS NO EACH I FEE O N NAME •V $ $ iE RECEPT MAIL LIGHT_ TOTAL FIRST 20 25 ADDRESS CITY TEL NO OVER 20 SWITCH 10 PLAN CHECK LIGHTING TOTAL FIRST 20 25 APPLICANT FIXTURES OVER 20 10 ADDRESS RESIDENTIAL APPLIANCES CITY TEL NO PERRAN DRYER WTR HTR APPLIII ANT STA COOK DISP A U ADDRESS 0 _ SPACE HTR AIR COND CITYTEL NO CLOTHES WASH DISHWASH A- LICENSE R l REG NUMBER 27 2 CLASS FAN I OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ANO 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 CALIFORNIA ORTHAI I AM THE LEGAL OWNER OF THE ABOVE 1 - lO 300 DESCRIPED RESIDENTIAL PROPERTY O U 10 - 50 500 PERMITEE SIGNATURE L p I- 50 - 100 1000 DISTRICT NO R SSED B w w 100 - 500 1500 /� ` N (1 Z SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPEC R'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE SERVI CENOT OVER 600 VOLTS OR 200 AMP 300 UNDERSLAS WORK SERVI CEOVER 600 VOLTS OR 200 AMP 1000 ROUGH CONDUIT TEMPSERVICE, POLE, &APPURTENANCES 500 WIRING ��✓ TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES o - r POWER AUTHORIZED UTILITY CO NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES PLAN CHECK FEE PERMIT ISSUING FEE 300Co TOTAL FEE PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION cK M 0 CASH 5 8 7, JUN 1.8, 2 D 8.5 0 A�8 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE xy 76AS63 DBS SA 11-SCI APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC 1 WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. ELECTRICIAN S RECEIVED BY READY FOR DATE ISSUED ADDRESS 5134 N, Acacia FIRST INSPECTION " CITY San apb, TEL NO. AT 68583 17`C„A�MV COUNTY LICENSE NoI104 EXPIRES ABUILDING DDRESS 9219 fey West St. PERMIT FEES NUMBER EACH FEE LOCALITY Temple Cit LIGHT OUTLETS NEAREST CROSS ST. RECEPTACLES 1-� WALL SWITCHES OWNER B. E. Turner TOTAL OUTLETS 5c $ MAIL ELEC. RANGES 25ADDREBS ELEC HEATERS 25 CITY TEL. NO. FIXTURES 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC APPLICATION AND STATE THAT THE ABOVE IS CORRECT a NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES _ NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEW MVD. HP OVER INC- EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. I/2 6 LESS $ .25 SIGNATURE OF %2 2 .50 PERMITTEE 2 s 1.00 INSPECTION RECORD 5 is 1.50 15 I so 2.50 — _ 6O 200 5.00 200 5130 10 OO J SOD 1000 is oo Z OVER 1000 20.00 M G. BET/FREQ. CHANGER-HP WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORI(3.) MOVED MOTORS (75% OE DRIG.) MISC SIGNS NO. NO TRANS. APPROVALS No NO LAMPS El FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 10 CONDUIT FIXTURES $1.00 WIRING SUPPLEMENTARY .50 FIXTURES 'f y POWER TOTAL FEE UTILITY CO. NOTIFIED I , FINAL , A • r WORKERS'COMPENSATION DECLARATION CE-863 10/81 APPLICATION FOR ELECTRICAL PERMIT {� I hereby affirm,that I have a certificalte of consent to self insure, CE-8o8G LJ or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy theVof(Sec 3800 Lab C) Policy No '• Company FOR APPLICANT TO FILL IN _ JOB . C ' ❑ ADDRESS Certified copy is hereby furnished EACH NO FEE , New Residential Bldgs & Pools' , 1 & 2-Family,Sq Ft $ — $ LOCALITY -department copy is filed with the county building Inspection NEAREST department t Multi-family Sq Ft CROSS ST ' Date+- Applicant Residential 11 Swimming Pools OWNER OR � / FIRM NAME YV' CERTIFICATE OF EXEMPTION FROM WORKERS' - MAIL Outlets Rbc— Light _ Sw COMPENSATION INSURANCE ADDRESS (This section need not be completed if the work involved by the First 20 fed✓+�, permd is for one hundred dollars ($100)or less) Total No Additional, CITY r Tel No _ I certify that in the,performance of the work for_Which this permit : PLAN CHECK is issued, 1 shall not employ any person in'ariy manner so as to - «- -• APPLICANT . become subject to the'Workers'Compensation Laws Lighting Fixtures' First 20 ADDRESS , Total No Additional Date Applicant CITY Tel No NOTICE TO -APPLICANT"If, after making' this .Certificate of Fixed Appliances Not Over 1 HP PERMIT ' Exemption,you should become subject to the Workers'Compensationt Range_ Heater_' DW - APPLICANT _ provisions of the Labor Code, you must'forthwith comply with such., 4 Oven Dryer _ WM 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 9 LICENSE OR (' -(commencing vMh Section 7000) of Division 3 of the Business and Disp — Room Air Cond REG NUMBER Class Professions Code,and my license is in full force and effect"' = DISTRICT NO�+ PROCES BY Power Apparatus& Large Appliances _ _ Size&Type HP,KW,KVA,or KVAR License Number Lic Class Up to 1 Incl FINAL U ContractorOver 1 to 10 Incl DATE /b'-174% Date O Over 10 to 50 Incl VALIDATION ❑ FINAL y I am exempt under Sec M1 Over 50 to 100 Inc_ BY B&P C for this reason Over 100 N Services,Swbd,MCC& Panelboards 0'. Z Date 0- 200 Amp Under 600 V V �s Signature 201 - 1000 Amp Under 600 V ❑^ Exemption for Reg Maint Elect Over 1000 Amp or Over 600 V_ - - - -SINGLE FAMILY ' - Temp Power Pole'& Appurtenances 2 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circud /��/� I hereby affirm that I am exempt from the Contractor's License Law ACCT.AL 4 for the'following reason(Section 7031 5, Business and Professions ' Additional Sign Branch Circuits ��y Code), - 3307 25.50 " Misc Conduits & Conductors I,as owner of the property,will do the work and the structure 1 ITEMS tS is not intended or offered for sale (Section 7044, Business Other,(See Complete Fee Schedule) TOTAL �•�, and Professions Code) ®. 1 _tai. 4 5O 3.its.�,..� CONSTRUCTION LENDING AGENCY �` 25.511 I,hereby,affirm that,there is a construction lending agency for the, performance of the work for which this permit is issued(Sec'3097, pERMIT.FEE (Sub-Total) CHS °� CIV C) PLAN CHECKING FEE f1tyn Lender's Name Ott-0001 10!10/8n x• PERMIT ISSUING FEE Q Lender's Address -6143 1 -010:1.0 I certify that I have read this application and state that the above TOTAL FEE 5 01 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 ' .a property for inspection purpo s �� SEE REVERSE.FOR EXPLANATORY LANGUAGE / Signa ure o rmdtee Date ; WORKER'S COMPENSATION DECLARATION 76A0663 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT I hl3reby'�dfferm than I have a certificate of consent to self insure, q;a cettAcate of Worker's Compensation Insurance, or a dertified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV cony thereof(Sec 3800 Lab C) P❑OIICy NO Company FOR APPLICANT TO FILL IN JOB ADDRESS Certified copy is hereby furnished New Residential Bldgs &Pools NO EACH FEE LOCALITY Certified copy is filed with the county building nspection 1 &2-Family,Sq Ft — $ $ NEAREST v department Multi-family Sq Ft CROSS ST Date�V Z `� Applican Residential Swimming Pools ASSESSOR �J i d %O PAGED` PAACEL/ 1 ' CERTIFICATE OF EXEMPTION FROM WORKERS' � f OWNER OR COMPENSATION INSURANCE Outlets Rec Light First 20 FIPM NAME MAILG (This section need not be completed if the work involved by the o� ADDRESS j j�� permit is for one hundred dollars($100)or less) Total No G Additional `��' �iJ /L��G I certify that in the performance of the work for which this permit CITY Tel No is issued, I shall not employ any person in any manner so as to D PLAN CHECK L, become subject to the Workers' Compensation Laws , Lighting Fixtures ,may First 20 APPLICANT Total No Additional ADDRESS Date Applicant - NOTICE TO APPLICANT If, after making this Certificate of RESIDENTIAL APPLIANCES NOT OVER 3 HP CITY -' Tel No Exemption, you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP royisions of they y p _Labor Code, you must forthwith comply with such PERMIT p — APPLICAN provisions oPower Apparatus&Large Appliancesr this permit shall be deemed revoked '` 'LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed'under provisions of Chapter 9 Over 3 to 10 Incl �' (commencing with Section 7000) of Division 3 of the Business and CITY Tel No Professions Code, and my license is in full force and effect Over 10 to 50 Incl C LICENSE OR /��✓ "�6 Class Over 50 t0 100 Incl REG NUMBER License Number /� u LIC Class Over 100 DISTRICT NO O p� PRO SED BY Services,Swbd,MCC&Panelboards / 0-399 Amp Under 600 V FINAL Q Contra CSO y e DATE ❑ "r 400-1000 Amp Under 600 V �Q (� 3 VALIDATION V I am exempt under Sec Over 1000 Amp or Over 600 V FINAL W B&P C for this reason BRANCH CIRCUIT FEES BY a• 44 Date 15A,or 20A, 120V,Lighting or Recept Z_ 1 To 10 Branch Circuits Signature zy 11 To 40 Branch Circuits ❑ 41 Or More Branch Cucwts Exemption for Reg Maint Elect 15A,207,208V To 277V Lighting Br Circuits 2 L SINGLE FAMILY Temp Power Pole&Appurtenances r s HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit �` '�°a I hereby affirm that I am exempt from,the Contractor's License Law for the following reason (Section 7031 5, Business and Professions Additional Sign Branch Circuits Code) � TTT�hi I, as owner of the property,will do the work and the structure El Mlsc Conduits&Conductors 1`�"� is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) f l l I AL 27 m and Professions Code) -7 CHECK 1_7�°�-' CONSTRUCTION LENDING AGENCY tt I hereby affirm that there is a construction lending agency for the CHANGE performance of the work for which this permit is issued (Sec 3097, PERMIT FEE 0 (Sub-Total) Civ C) PLAN CHECKING FEE CIS-t(110/ 07't,' Lender's Name PERMIT ISSUING FEE O�¢ 62K 1 AN Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE that the above Information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize represen�ofthisty to enterupon the above-mentioned property or mspeSEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATUR OF PPMITTE `� DATE ` 7 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0211080013 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING-ADDRESS: TR: 16475 LT: 93 9219 KEY WEST ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803730 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: FRATUS 8590-027-019 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY LB 200 AMP PANELS, MCC 1.00 PAN 38.85 TENANT: TOTAL FEES 66.60 ISSUED 0 C . 11/08/02 JK 05/07/03 OWNER: TEL. N0: FI AL AT FINAL Y: . ENG•TIMOTHY AND JENNIFER (626) 282-7321- 921� KEY WEST ST TEMP 917803730 D N UPGRADE SERVICE PANEL TO 200AMP APPLICANT: TEL. NO. SAME AS OWNER SPECIAL CONDITIONS: CONTRACTOR: TEL. N0: Gii�, !' r�� 9U s� APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER ///��° ��✓ii�� LIC. NO i/it �f"` V�� TEMPORARY POWER POLE ;w_ \\ UNDERGROUND CONDUIT OR E L. GROUND LIC. NO , �,_____� , , � �� G CONDUIT -M WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N - -- - - -- - UTILITY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508