HomeMy Public PortalAbout4818 KAUFFMAN AVE_Electrical__ ADIFUC�AMN FOR TC�d[�CTMAL PERM
7 6 A 663-CE'8�6 10/72 O D O 0 O 0 PERM
:.' COUNTY OF LOS ANGELES
'DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING ,AND SAFETY DIVISION ADDRESS Lot 10' 4,818 Kauffman Ave.
LOCALITY
TP4111R1 Temple City
NEAREST
' FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACH FEE OWNER OR
$ $ FIRM NAME,Weber Develop t' Co.
RECEPT._jjL' MAIL �•, IIS
LIGHT
_ TOTAL . FIRST 20 25 ADDRESS. 926 1 l e Cit Blvd
SWITCH 19 64 OVER 20 (1(1 ,10 GO CITY • temple City TEL. N.O. 286-2818
4 V PLAN CHECK
LIGHTING TOTAL FIRST 20 1 25 F 40
APPLICANT '
FIXTURES _� .10
,C OVER 20 ADDRESS .
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE - DRYERWTR. HTR._ APPLICANT tt Of
STA. COOK DISP. I F.A.U.� ADDRESS P. 0 . BOX 2186 .
SPACE HTR. AIR COND. CITY .POMona TEL,:NO. 628-1221
CLOTHES WASH.�_DISHWASH.� _
LIR
CLOTHES '1533.78 CLASS. C-10
6'1
FANOTHER 5 1.00 'So �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.
O - i 100 LICENSED AS REQUIRED BY LOS ANGEL COUNTY.AND STATE OF
CALIFORNIA OR THAI' I A TZE ,/rER OF THE ABOVE
1 - 10 3.00 DESCRIOED RESIDENTIAL r
G
PERMITEE
10 -.50 5.00 SIGNATURE
O
SO - 100 10.00. IFj[DSTRICT
NO. CESS D BY W
h C
100 - 500' 15.00 � V � � C/)
1 SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR' SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICENOTOVER 600.VOLTS OR 200AMP
.l 3.00 4 50 UNDERSLAB WORK -
SERVICEOVER 600 VOLTS OR200AMP 10.00 ROUGH CONDUIT
A
TEMP SERVICE,POLE, &APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES '
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL- ��yI i7� 6ic7
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 4 50
TOTAL FEE 42,nn
PLAN CHECK VALIDATION CK. M.Q. CASH , PERMIT VALIDATION CK. M.O. CASH
4:1:20',ft 1 4 2.0 0 0188
SEE BACK OF,APPLICATION FOR COMPLETE SCHEDULE. /� '