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Home My Public Portal About9229 KEY WEST ST_Electrical__ 76A663-CE806 8-62 APPLICATION OR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING [� r7 !� y BUILDING AND SAFETY DIVISION ADDRESS ! a "yz JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY eI9„ G NEAREST FOR APPLICANT TO FILL IN CROSS ST. REC EP T, TOTAL NO. EACH FEE OUTLETS FIRST 20 a) A $.20 $ OWNER Y L:3 0 LIGHT d�V IV -MAIL -y/— Z'I6 ADD'L 1O ®/q ADDRESS 2 ex SWITCH. / OVER 20 LJJ �- LIGHTINGL-71 TOTAL FIRST 20+ .20 CITY �% TEL. NO. FIXTURES ADD'L 10 ELECTRICIAN .3'C fyy a �les-Z' OV R 2O RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS J." 3 e e GARB.DfSP. STA.COOK �y � CITY TEL. NO. Cl0 DISH WASH � AUTO.-WASH. � STATE- SPACE HTR STA.APP.(yz H.P.MAX. .SO LICENSE NO. MOTORS: OVER NOT OVER H.P. DIST RJJCT NO. GROUP ZONE I P CESSED B O 1 1.00 1 3 1.50 INSPECTION RECORD 3 8 2.00 8 15 2.50 15 50 3.00 CL 50 100 5.00 u SIGNS: NO.TRANS Ix NO.LAMPS O SERVICE 0.600V-NOT OVER 200A 1.00 Iii a SERVICE 0.60OV-OVER 200 A. Zoo z SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTA13Y PERMITASSUING FEE 1.00 TOTAL FEE $ �, 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 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT l ` ,,r. ry ELECTRICAL WIRING. WIRING . 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR - - �'�`;,._1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY NO STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER THE ABOVE c _ DESCRIBED RE91DE IAL RO RTr. POWER '�/� SIGNATURE• (� J UTILITY CO.NOTIFIED OF PERMITT FINAL(: V LIDATION ARTHUR C."VETT CK MO CASH SUPERVISING ELECTRICAL ENGINEER Lr �1-O s 4 9 2 y FEB 13 2 D 1 2.80- 76AS63 OBS SA 11-50 APPLICATION FOR PERMIT l5EPARTMENT OF BUILDING AND SAFETY 1 COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER Co 1 FOR APPLICANT TO FILL IN DISTRICT NO. GROUPZONE PERMIT NO. z 7' ELECTRICIAN P,. F. ZV �{Oyl RECEIVED BY READY FOR DATE ISSUED ADDRESS 5,134_ TiA_nacia St. FIRST INSPECTION CITY San Gab® TEL NO.AT 68583 COUNTY LICENSE NO. 1104 EXPIRES BUILDING PERMIT FEES ADDRESS 9229 Key Iffest St. NUMBER EACH FEE LOCALITY Temple City LIGHT OUTLETS /GJ NEAREST RECEPTACLES CROSS ST. WALL SWITCHES OWNER Bo E. Turner TOTAL OUTLETS y 5C $ at) MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL. NO. FIXTURES 5 X+ l I HEREBY ACKNOWLEDGE THAT I. HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT 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 MVC. HP OVER INC. EACH OF THE RESIDENTIAL PRO DESCRIBED ABOVE. I/2 & LESS $ .25 SIGNATURE OF _ I/2 2 .50 PERMITTEE 2 5 1.00 INSPECTION RECORD 5 15 2.50 ` 15r2OO 0 2.50 50 5.00200010.005000 15.00 Z Z.' OVER 100❑ 20.00 (' M.G. SET/FREQ. CHANGER-HP --- LY WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% Or ORIO-) MOVED MOTORS (7S% OF ORIC.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS /DATE INSPECTOR'S NAME FOR EACH PERMIT: WIRING $1.00 t CONDUIT / �y � d FIXTURES $1.00 _L v WIRING �Y•t= "•..�� V SUPPLEMENTARY ,50 FIXTURES POWER F TOTAL FEE 91 s� UTILITY CO.NOTIFIED n FINAL vprm that COMPENSATION DECLARATION CE-806 10/81 APPLICATION FOR ELECTRICAL PERMIT I herby affirm that I have a certificate of consent to self CE-806G insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C.) Policy No. Company s 1__�1164 -J FOR APPLICANT TO FILL IN JOB r ®- Certified co is hereby furnished. EACH NO. FEE ADDRESS "S/ PY Y New Residential Bldgs. & Pools ❑ 1 & 2-Family, S Ft. $ — $ LOCALITY l G/. r Certified copy is filed with the county building inspec- Y. q• el z-_ department. Wulti-family Sq. Ft. — 'NEAREST --K"esidential Swimming Pools OWNER CROSS T. Date 1 Applicant FIRM NAME / �� /"/� �/3/`✓c CERTIFICATE OF EXE OM WORKERS' Outlets: Rec Light Sw. AMAIL DDRESS L COMPEN ATION INSURANCE STs a�' This section need not be completed if the work involved b First 20 ( p Y Total No. Additional CITY/ l `r Tel. No.3��'/�'/ the permit is for one hundred dollars ($100)or less.) I certifythat in the performance of the work for which this PLAN CHECK P APPLICANT permit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Total No. Additional CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT Exemption, you should become subject to the Workers' Range_ Heater_D.W. — Compensation provisions of the Labor Code, you must forth- Oven Dryer W.M.— ADDRESS with comply with such provisions or this permit shall be Top FAU W.H. — deemed revoked. CITY Tel. No. Hood LICENSED CONTRACTORS DECLARATION _ Fan _ Other— Disp. Room Air Cond. LICENSE OR Class. I hereby affirm that I am licensed under provisions of Chapter 9 REG. NUMBER (commencing with Section 7000) of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO Y PROCES D Y and Professions Code, and mylicense is in full force and effect. Size &Type HP, KW, KVA, or KVAR' License Number Lic. Class Up to 1 Incl. FINAL �� Contractor Date Over 1 to 10 Incl. DATE ��J VALID ION ❑ Over 10 to 50 Incl. FINA I am exempt under Sec. Over 50 to 100 Inc. BY B.&P.C. for this reason Over 100 Services, Swbd., MCC& Panelboards , / ' Date: 0 -200 Amp. Under 600 V ` g 2 O a 2 A Signature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V # 0 0 0 0 0 2 Exemption for Reg. Maint. Elect. 0 0 SINGLE FAMILY Temp. Power Pole&Appurtenances .I 1 [J, O O HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 0 0 0 1 p,Q p I hereby affirm that 1 am exempt from the Contractor's License Law for the following reason (Section 7031:5, Business and Additional Sign Branch Circuits o a 2 1 —85 Professions Code): ❑ I, as owner of the property, will do the work and the Misc. Conduits&Conductors structure is not intended or offered for sale (Section Other (See Complete Fee Schedule)_ ► 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address 1 certify that I have read this application and state that the TOTAL FEE above 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 property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE _ r � -�/-- ?S of Permittee z�=� Date