HomeMy Public PortalAbout9247 KEY WEST ST_Electrical__ 76A889-CEBOB-11-sr, APPLICATION FOR -ELECTRIC PERMIT - 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING /y
BUILDING AND SAFETY DMSION ADDRESS d
IOHN A. LAMSIE, County En neas
CASSATT D. GRIFFIN,Sup t oI In LOCALITY
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
PEMT FEES
ITEM NUMBER EACH FEE OWNER
OUTLET $ $ y��j��''yy MAIL
LIGHT R CEPT 8W 10 G V- ADDRESS �,�
LIGHTING FIXTURES 10 CITY , ✓T NO 7d
ELEC RANGES ^CLO DRYERS ELECTRICIA ,
WATER HEATERS 50
ELEC SPACE HTRS DISHWASHERS ADDRESS
GARBAGE DISPOSERS AUTO- CITY TEL NO
WASHERS STA COOKING UNITS 25 STATE
LICENSE NO
MOTORS OVER INC H P
0 1/2 25 DISTRICT GROUP READY FOR INSPECTION
` 1/2 — 2 50
INSPECTION RECORD
2 — 5 100
5 — 15 150
15 — 50 250
50— 200
500
SIGNS NO TRANS
NO LAMPS
SERVICE 0-600V 100
SERVICE OVER 600V Soo
MISC
WIRING PERMIT 1 00
LDESCRIBED
RE PERMIT 1 00
EMENTARY PERMIT 50 -
TOTAL FEE $ APPROVALS
EBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP ICA ION DATE INSPECTOR'S SIGNATURE
ATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUITLL COUNTY ORDINANCES AND STATE LAWS REGULATING
ICAL WIRING. WIRINGREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/ORFIXTURES -ED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF RNIA OR THAT I AM THE LEGAL OWNER F THE ABOVE POWERG°'BED RESIDENTIAL PROPERTY.TURE UTILITY CO NOTIFIEDERMITTE FINAL
VALMATIQN, ARTHUR;d.VETT.
CK Mo yH SUPERVISING ELECTRICAL ENGINrzR -
LACO5 1 9 9u° SEP 25 2 A 3.70 ,
1 aA6a3-eeaos a-aa PAX PU C A T p N F®® E L E C T��C PERMIT I
COUNTY OF LOS ANGELES B e �p
DEPARTMENT OF COUNTY ENGINEER BUILDING �/
BUILDING AND SAFETY DIVISION ADDRESS "/
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN,SUP'T OF BUILDING z LOCALITY .e
FOR APPLICANT TO FILL IN NEAREST
PERMT FEES CROSS Sr
OWNERI'C'-
0
i �C
ITEM NUMBER EACH FEE
FG
MAIL
RECEPT SW $ 1O $ ADDRESS
FIXTURES / 10 Q CITY EL NO
S CLO DRYERS ELECTRICIANER HEATERS .50 ADDRESS C C 4 I \
ELEC SPACE HTRS. DISHWASHERS CITY j,. TEL NO b
GARBAGE DISPOSERS AUTO- STATE
J
WASHERS STA COOKING UNITS 25 LICENSE NO
y MOTORS: OVER INC H P DISTRICT NO. I CAJOI.J,P O E P D BY -..,
O— 1/2. .25 e0
1/2— 23 .so INSPECTION #Ecom
2— 5 100
5— 15_ 150 1
N�«,� ,•
1s— 50 250 _ Iy
50-200 Boo y LAO
SIGNS: NO TRANS �' / AeN 'f.Al R� _
NO LAMPS '�. I \
SERVICE 0-600V too
�l 7
SERVICE OVER 600V Boo 1
MISC 1 y�
a
v WIRING PERMIT 100 [l L9 >
8
FIXTURE PERMIT too
SUPPLEMENTARY PERMIT 50
TOTAL FEE $ j�
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSFJECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY f Appl
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUITL �L, U' �( Y
ELECTRICAL WIRING
1 HEREBY CERTIFY THAT I AM 'PROPERLY REGISTERED AND/OR ° WIRING
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES -
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PE POWER
SIGNATURE G UTILITY CO NOTIFIED _ ✓,
OF PERMITTE
FINAL
®p DATION SUPERVISING ELEC
MO CASH TRICAL ENGINEER
CK -
tj,,a0' 9 7 1 0 my 18 2 A 2,9 - L
76A669 Des'SA 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DIST ICT NO. [GROUP ZONE PERMIT NO.
ELECTRICIAN R. F. Walton lxx?" 1'x
REDY FOR
ADDRESS 5134 N. Acacia St. RECEIVED BY FIRST INSPECTION DATE ISSUED
CITY San Gab. TEL. No. AT 68583 //—
COUNTY LICENSE NO. 1104 EXPIRES BUILDING 9247 Rey West St.
ADDRESS
PERMIT FEES
NUMBER EACH FEE LOCALITY Temple City
LIGHT OUTLETS NEAREST
CROSS ST.
RECEPTACLES 'G�
WALL SWITCHES _ OWNER B. E. Turner
TOTAL OUTLETS SC $ MAIL
ELEC. RANGES 25 ADDRESS
ELEC HEATERS 25 CITY TEL. NO.
FIXTURES 5 I HEREBY ACKNOWLEDGE THAT 1 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 I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
Nume[R HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PR TY DESCRIBED ABOVE.
At
I/z a LESS $ .25 SIGNATURE OF
%z 2 .50 PERMITTEE-_ -�
2 B 1.130 INSPECTION RECORD I
5 1s 1.50
is s0 2.50
60 200 5.00
_ 200 Boo10.00 J
500 10130 15.00 Z
OVER 1000 20.00
M G SET/FREQ. CHANGER-HP Q'
WELDERS: AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OP ORIG)
MOVED MOTORS (75% 04 ORIo.)
MISC
SIGNS
N0 NO TRANS.
APPROVALS
NO NO LAMPS
FOR EACH PERMIT: DA/TE INSPECTOR'S NAME
WIRING $1.00 C/V CONDUIT
S�/' 1
FIXTURES $1.00 Z-) WIRING .5-%A d/rl
v
SUPPLEMENTARY .50 FIXTURES SG
40 POWER
TOTAL FEE UTILITY CO. NOTIFIED ,
FINAL
TEMPLE CITY
76A669=CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER r!OCALITYL-Z--(?::'��
UILDING
BUILDING AND SAFETY DIVISION DDRESS
JOHN A LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN, SUPT OF BUILDING
NEAREST i
FOR APPLICANT TO FILL IN CROSS ST
RECEPT TOTAL NO EACH FEE
OUTLETS FIRST 20 $20 $ O OWNER
LIGHT MAIL
ADD'L 10 ADDRESS �a
SWITCH OVER 20 _
, CITY TEL NO
LIGHTING TOTAL
1 F1R5T20 .20
FIXTURES 1 / 10 ELECTRICIAN Cf
R
OVVER 20
2
RANGES CLO DRYERS WTR HTRS 1.00 ADDRESS
GARB DISP STA COOK
CITY TEL NO
DISHWASH AUTO-WASH, STATE
SPACE HTRS STA.APP (%a H P MAX ) 50 LICENSE NO
MOTORS OVER NOT OVER HP DISTRICT N GROUP N P E Y
0 1 100 (,
1 3 ISO INSPECTION RECORD
3 S 200
S - 15 250 - ..c-'C"l-'•"�./Q-���
50 foo 500
SIGNS NO TRANS
NO LAMPS O
r
SERVICE 0.600V-Nor OVER 200A 100 ,��i��(� ri
a
SERVICE 0.600V-OVER 200 A 200 Z
SERVICE OVER 600V 56o f ' t�j� �/',� �j � a
MISC
PERMIT ISSUING FEE 1200 lab
SUPPLEMENTARY PERMIT ISSUING FEE "1 00
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS /} DATE. INSPECTOR'8 SIGNATURE
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT // %✓�
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWDLPA OF T ABOVE
DESCRIBED RESIDENTIAL PROP POWER
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTEE
LIDATION ARTHUR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
1 0 5 3 OCT 4 2 D 4.0 0
WORKERS',COMPENSATION DECLARATION76-663 O10/81 APPLICATION 1=0R ELECTRICAL PERMIT
I hereby affgm'that I have a certificate of consent to self insure, �, CE-806G �,,.
or a certificate of Workers'Compensation Insurance, or,'a certified .
COUNTY,OF}LOS ANGELES. ' BUILDING.AND SAFETY
copy.thereof'(Sec 3800,Lab C9 r
Policy NOrCOmpan'y' t 3 FOR APPLICANT'TO FILL IN, , 'JOB'
0 ,„Certified copy is hereby<furmshed t ADDRESS _ 7y&J o
New Residential Bldgs & Pools ,, ` EACH NO FEE „
e °` + i ' 1 & 2-Family, Sq Ft $ F $ LOCALITY �.f: -,r a ,• ,
'Cerfified copy is 4iled',with the county budding inspection
Fdepartment-" d Multi-family Sq Ft NEAREST
CROSS-ST
Date A licant Residential,Swimming Pools , s` OWNER ORP+
I,PP - - ,,, . y i ,. FIRM NAME - - -
p ' CERTIFICATE'OF EXEMPTION°FROM;WORKERS' MAIL
r' rw COMPENSATION'INSURANCE' ` ' „ Outlets Rec— Light —'Sw _ ADDRESS �_`
,(This,section need.not•be'completed if the work Involved by the' First 20
permit Is,for one hundred dollars,($100) or less^),
Total No ' Additional ' CITY �" el No
PLAN CHECK ,
rl,certrfy that in the performance of'the-work for which this permit
APPLICANT,,
il any person m any manner,so as to
s issued, I shalnotemploy Y
become subject to,the,Workers'Compensation,Laws, Lighting Fixtures'_ First 20 ADDRESS
O Additional
// " i ' TotaltNo, CITY Tel No
Date jJ\ppIican
NOTICE,.,TO= APPLICANT-;If, •after, making,;this 'Certificate` of -Fixed Appliances Not OverpJ HP PERMIT
Exemption,you should become subject to the Workers'Compensation Range_ Heater_`DW APPLICANT
provisions of,the,Labor,Code, you must-forthwith comply with such Oven,_ Dryer =` W M ADDRESS 4 a$ V
Provisions or,_this permit shall be,deemed revoked
Top', FAU ,_. WH .. -
* Tel No
CITYk "tyy�
LICENSED CONTRACTORS DECLARATION' Hood — Fan Other_ _ "", v
I hereby,affirm that I am,hcerised under, provisions, Disp of,Chapter-9 M Room Air Cond LICENSE OR
Class,' l.:^ f Q _
—
(commencing with Section 7000) of,Division 3 of the Business and ' k REG NUMBER
Professions Code,'and my license is in full force and effect' ' , DISTRICT No PROCESSED BY • d.
Powe-Apparatus 8y Large Appliances.
(/ Size& Type HP, KW,KVA„or KVAR �/`0O 0
License Number c Class Cr L' Up'to 1 Incl FINAL U
gOL7r 'cyj2 G — Over 1,to 10 Incl r, DATE O
Ceritractor Bete #, VALIDATION
❑ Over 10 to 50 Incl :,)--
' FINAL ,1 "U
I arhexempt under Sec Over 50 to 100 Inc BY W
'B&PC for this reason Over 100 Services,Swbd,MCC&'Panelboards , Z
Date 0-200 Amp Under 600 V
A _ _
Signature 201 1000 Amp_Under,600 V
0+ • Over 1000 Amp or,Over'600 V ,f
Exemption for Reg Maint Elect
SINGLE FAMILY Temp Power Pole& Appurtenances
HOMEOWNER-BUILDER DECLARATION' Sign,with,One•Branch Circuit 'V`
,l hereby afflrm,that I am exempt from'the Contractor's License Law, ,. Addifional Sign Branch�Qrcuits `
;for the fol low ing'reason,(Section 703.1 5, Business and Professions „ ._'_ l �s
Code) s + 5 r s
Misc`Conduits &,,Conductors, ` `-' a ,i •.. t e3tj 1� ",+ _' r 1'1 a _}
,I,as owner of the property,will do the work and the structure r
is not intended or offered for sale (Section 7044, Business Other,(See Complete,Fee Schedule) y T j i� �•
sand Professions Code)
TuTAL
51 6 825 '
CONSTRUCTION LENDING AGENCY e _' - Y
I hereby,affirm'that there pis a construction lending agency for the Ha .I�a
erformance cif the work,for which this permit is issued Sec 3097; r . •1'
P P ( PERMIT�FEE' `(Sub-Total) ^—
Civ C) 'r, 4 �, a , _+7f�1��. e�
PLAN CHECKING FEE•
,Lender's Name A/0, q
f i PERMIT,ISSUING,FEE k R
Lender's Address'
I certify that I have read this application and state that the above TOTAL'FEE'
41,
information is correct I agree to comply with all County ordinances
'and State laws regulating' Electrical wiring, and hereby authorize
r representatives of this County to enter upon the above-mentioned '�''” , �` r'•
property,for,inspection purposes '
1' , ,SEE-REVERSE F,OR_EXPLANATORY LANGUAGE
Signature of Per i ee z Date
\�
WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91)
76A663 APPLICATION FOR ELECTRICAL PERMIT
'
I hereby affirm,that I have a certificate of consent to self insure,
or,a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV.
copy thereof(Sec. 3800 Lab.,C.)
FOR APPLICANT TO FILL IN JOB Q
P64�-
olicy No. Company G
ADDRESS
Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. $ EACH $ FEE LOCALITY
❑ Certified copy is filed with the county building inspection 1 &2-Family,Sq.Ft. NEAREST
department. Multi-family Sq.Ft. CROSS ST.
�/O ON c7
Date Applicant- Residential Swimming Pools ASSESSOR
MAP BOOK PAGE PARCEL
CERTIFICATE OF EXEMPTION FROM WORKERS'
Outlets:Rec. Light 1 Sw. 3 OWNER OR
COMPENSATION INSURANCE FIRM NAMEFirst 20
(This section need not be completed if the work involved by the p MAIL
permit is for one hundred dollars($100)or less.) Total No. Additional
I certify that in the performance of the work for which this permit CITY Te.No.
is issued, I shall not employ any person in any manner so a5 t0 PLAN CHECK
become subject to the Workers' Compensation.Laws. Lighting Fixtures First s APPLICANT
Total No. z Additional
ADDRESS
Date ApplicantR E ES OVER 3 HP. 2 63
NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel.No.
Exemption,you should become subject to the Workers' Compensation OTHER APPLIANCES NOT OVER 3 HP.
IT
provisions of the Labor Code, you must forthwith comply with such APPLICANT
provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances
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. >_
LICENSE Class.
Over 50 t0 100 Incl. REG.NUMBB ER �
Over 100 DISTRICT NO. PRO ESSED BY
License Number Lic..Class (�
Services,Swbd.,MCC&Panelboards Q
Contractor Date 0-399 Amp.Under 600 V FINDATE O
El 400-1000 Amp.Under 600 V (�
I am exempt under Sec. VALIDATION
Over 1000 Amp.or Over 600 V FINAL W
B.&P.C.for this reasonBRANCH CIRCUIT FEES BY A
Date: 15A,or 20A, 120V,Lighting or Recept. Z_
1 To 10 Branch Circuits
Signature 11 To 40 Branch Circuits /
ElLi41 More Branch Circuits
Exemption for Reg.Maint. Elect. 15A,20A,208V To 277V Lighting Br.Circuits
SINGLE FAMILY Temp.Power Pole&Appurtenances y.
HOME OWNER-BUILDER DECLARATION n with One Branch Circuit :k;'r
I hereby affirm that I am exempt from the Contractor's License Law SigajL
for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits
Code):
I,as owner of the property,will do the work and the structure Misc.Condit t&CondLctors
is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) _
and Professions Code). 41 —- in
CONSTRUCTION LENDING AGENCY -:I HL y -' _ _L Lai
I hereby affirm that there is a construction lending agency for the DR s_`33 , "j=
performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) O s_r
Civ. C.) -
PLAN CHECKING FEE _
Lender's Name
PERMIT ISSUING FEE �° __; }•- s` af.Y
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
representatives of this County to enter upon the above-mentioned property
for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
g� /2zfgy
SIGNATURE OF&ERmiTTEE RIATE
n
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0704300010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID 1 BUILDING ADDRESS
ITR 16475 LT 88 9247 KEY WEST ST
IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803730
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET 1
18590-027-014 1A1 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 596 GRID JS LOCALITY TEMPLE CITY
I IC2 SPAS, HOT TUBS, OTHR 1 00 SPA 54 45 I 1
(TENANT IG1 OUTLETS-LGT,SW,RECP 3 00 OUT 5 85 11SSUED ON PROCESSED BY PLAN BY EXPIRES ON 1
1 TOTAL FEES 88 05 104/30/07 JK 10/27/07 1
I I I I
10WNER TEL NO 1 IF AL DATE FIN Y CODE 1
(MAIDENS RANDY L,PATRICIA C,LODWICK (626) 287-4804- I 1
19247 KEY WEST ST I 1
(TEMP 917803730 I IDE CRIPTION bF WORK
I I (REPLACING OLD CONCRETE A""'ll) POOL AND ADDING NEW ELEC FOR
1 I (GRILL AND SPA I
(APPLICANT TEL NO I
ISAME AS OWNER - 1
I I (SPECIAL CONDITIONS
I I I I
I I I I
ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE
ISAME AS OWNER - I I
I LIC NO I (TEMPORARY POWER POLE I I
I I - 1 1-1 I
I I (UNDERGROUND CONDUIT I I 1
I I I I I I
(ARCHITECT OR ENGINEER TEL NO 1 1UFER GROUND I I I
LIC NO i TROUGH CONDUIT
I I (ROUGH WIRING r 1 Gi 1
I I IMAIN WATER LINE I I I
I I IPLASTIC Y/N METAL Y/N
I I I
I I (UTILITY COMPANY NOTIFIEDI I 1
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I (REPORT ID DPR265 ROUTE TO BS0508