HomeMy Public PortalAbout9823 KEY WEST ST_Electrical__ J
76A663CE-806NF 6/78 APPLICATION OR ELECTR AL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SA ETY
FOR APPLIGANTTO FILL IN JOB
New Residential Bldgs &Pools- EACH NO FEE ADDRESS
1 &2-Family,Sq Ft $ — $ LOCALITY
Multi-family Sq Ft — - NEAREST
Residential Swimming Pools CROSSST
OR IL
.. - -. •
FIRM NAME
Outlets Rec Light SwMAIL
First 20 ADDRESS �J w
Total No Additional CITY r No
PLAN CHECK
APPLICANT
Lighting Fixtures _ First 20 ADDRESS
Total No—Is, Additional
CITY Tel No
Fixed Appliances Not Over 1 HP PERMIT
APPLICAN
Range_Heater_ D W ADDRESS
Oven_Dryer_W M— las' G1�
Top _FAU _ W H CITY Tel No
Hood_Fan --Other— LICENSE-OR
Disp —Room Air Cond REG NUMBER -Class
I HEREBY.ACKNOWLEDGE THAT I HAVE READ THIS APPLICA-
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
Size&Type HP, KW, KVA,or KVAR COMPLY WITH ALL-COUNTY ORDINANCES AND STATE LAWS
REGULATING ELECTRICAL WIRING
Up to 1 Incl I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR O
Over 1 to 10 Incl LICENSED ASREQUIRED B ANGELES UNTY AND STATE OF V
CALIFORNIA OR THAT AM HE LEGAL NER E ABOVE09
Over 10 to 50 Incl DESCRIBED_RESIDENTI PRO ER TY O
Over 50 to 100 Inc
Over 100 PERMITEE .
SIGNATURE N
Services DISTRICT NO PROC SED BY
0 200 Amp Under 600V
201-1000 Amp Under 600 V v v V
`
Over 1000 Amp or Over 600 V -^ -.= Z
p
Temp Power Pole&Appurtenances Q
Sign with One Branch Circuit
Additional Sign Branch Circuits INSPECTION >
INFORMATION
Misc Conduits&Conductors ON REVERSE z 2'5 1 61 9 A
Other(See Complete Fee Schedule) SIDE v
i # oo19. 2
- 2o o19,80
JPERMIT FEE (Sub-Totol) lo'o o 1 9,8 0
PLAN CHECKING FEE (One-Fourth Permit Feel O
0'627'-79
PERMIT ISSUING FEE c
Q
TOTAL FEE >
r
INSPECTION FINALED
W
date3 /77 By /� Z' ps
O .
76A663-CES06 107 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
'DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
,OUTLETS NO EACH FEE OWNER
NAME
$ $
RECEPT._ MAIL
LIGHT TOTAL
FIRST 20 25 ADDRESS
CITY EL. NO.
SWITCH_ OVER 20 ip
PLAN CHECK
LIGHTING TOTALFIRST 20 25 APPLICANT
J}
FIXTURES OVER 20 10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO
PERMIT
RANGE DRYER_WTR HTR, APPLICANT
STA. COOK DISP F.A.U. ADDRESS 0 ;
SPACE HTR. AIR COND CITY 4a TEL. NO //yy
CLOTHES WASH DISHWASH. LICENS OR CLASS.Vc
REG. NUM9ER
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
O — 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE c�
1 — 10 300 DESCRIPEO RESIDENTIAL P PERTY U
PERMITEE w
10 - 50 500 SIGNATURE
U
50 - 100, 1000 L+.1
DISTR 0. 0 SSED BY
' � N
1 00 - 500 15001 Z
SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS' DATE INSPECTOR GNATURE
TUBE, OR
MARQUEE ADDITIONAL'CIRCUITS 100 TEMP. POWER POLE ,
SERVICENOTOVER600VOLTSOR200AMP 300 UNDERSLAB WORK
SERVICEOVER 600 VOLTS OR 200AMP 1000 ROUGH CONDUIT
TEMP SERVICE, POLE, &APPURTENANCES 500 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 300 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL Z�
PERMIT FEE (SUB TOTAL) NOTES
PLAN CHECK FEE
PERMIT ISSUING FEE 3004ow0 004=0
'
TOTAL FEE 16 mmo
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK, M o CASH>
4. 2-rr-'mov 7 2 6.0 0
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
� &�f 0� � ,IVJPj.L' �IT_Y
76A663-CE806 ,A,74 � ICATION FOR ELEC 'fl
TRICXL PERMIT
COUNTY OF LOS ANGELES
' DEPARTMENT OF COUNTY ENGINEER .JOB
BUILDING AND SAFETY DIVISION ADDRESS
LOCALITY7
NEAREST
FOR APPLICANT TO- FILL IN CROSS ST
OUTLETS NO EACH FEE OWNER OR
FIRM NAME i
RECEPT.gr $ $ MAIL
FIRST0 ADDRESS 7
LIGHT TOTAL V *._
CITY TEL' NO
SWITCH OVER 20 , p
PLAN CHECK
LIGHTINGTOTAL 1 FIRST g o� APPLICANT
)} ��O
VER 20 ADDRESS
FIXTURES 0
RESIDENTIAL APPLIANCES CITY TEL. No.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT /► G opti
STA COOK• DISP./F A U. ADDRESS Q
SPACE HTR. AIR COND. CITY TEL. N0.
CLOTHES WASH DISHWASH LICEN E OR CLASS. Q,
REG. NUMBE
FAN OTHER 10 ov 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 00 LICENSED AS RED IR ED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE Cl-
1
1 - 10 0 DESCRIPED RESIDENTIAL PERTY O
U
10 — 50 g PERMIT EE
SIGNATURE O�
F_
50 — 100 10 U
DISTRICT NO, PROM,) BY
LJ
100 — soo +g i
TUBE, OR j�`` z
SIGN, GAS SIGN AND ONE CIRCUIT g APPROVALS DATE INSPECTOR'S SIGNATURE-'
MARQUEE ADDITIONAL CIRCUITS 1 0 TEMP POWER POLE
SERVICE NOTOVER 600 VOLTS OR 200 AMP 3 UNDERSLAB WORK
SERVICEOVER600VOLTS OR200AMP 10 0 ROUGH CONDUIT
TEMP SERVICE,POLE, &APPURTENANCES g WIRING
TEMP LIGHT OR RECEPT, SYSTEM 3 0 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL "ZJ
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE '
PERMIT ISSUING FEEp
TOTAL FEE J�
PLAN CHECK VALIDATION CK M 0 CASH PERMIT V L DATION CK M 0 CASH
5 4 6rrdOV 3 2 1 9.2 0 :96
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE