HomeMy Public PortalAbout4819 KAUFFMAN AVE_Electrical__ 76A663-CE80ti 10/72 TEMPLE CITY
APPUClaMN -FOR REC IrMC AL [PERM
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FFIRM
S Lot 3 4819 Kauffman A
BUILDING AND SAFETY DIVISION
- ITY �
Ia�eVe City
ST
FOR. APPLICANT TO FILL IN ST. _
OUTLETS NO. EACH FEE OR
$ $ AMEWeber Devel'O ntCo.
RECEPT.
Blvd-
LIGHT--1-5- TOTAL, FIRST 20 .25 ADDRESS
CITY Temple City' TEL. NO. 286-2818
SWITCH-M OVER 20 46 10 6 90 - -
PLAN CHECK
LIGHTING TOTAL V
FIRST 20 16 .25 6 0 APPLICANT
FIXTURES
,C OVER 20 .10 ADDRESS „
__
RESIDENTIAL.APPLIANCES CITY TEL. NO.
PERMIT tl n
RANGE DRYER WTR. HTR._ APPLICANT C McGee Electric Inc.
STA. COOK, TISP. 1 F.A.U. 1 ADDRESS P . 0• BOX 2186 .
SPACE HTR: AIR COND. - CITY Pombna TEL. NO. 62g_l 991
CLOTHES WASH.___J_OISHWASH.__ . G LIC NNUMBERSE OR - 153378 CLASS:C_10.
FAN _OTHER7' 5 1.00 ! 50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE. 15-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 1.00 LICENSED AS REQUIRED BY LOS ANGELE COUNTY AND STATE OF
CALIFORNIA OR THAI I THE LEG OW £R OF THE ABOVE
1 -"1 O 3.00 5D OE S CR IP.ED� RESIDENTIAL
O
PERMITEE .C.7.
10 - 50 5.00 SIGNATURE
O
50 - 100 10.00 . C.3
DISTRICT NO.. OCE SED B W.
100 - 500 15.00 D Z
SIGN., GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPEC R'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICENOTOVER600VOLTS OR200AMP3.00 UNDERSLAB WORK
SERVI CE OVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT
TEMP'SERVICE,POLE, &APPURTENANCES 5.00 WIRING.
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES- -
POWER AUTHORIZED '
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES: ,
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 450
TOTAL FEE A9 3f)
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.D. CASH.
28 .2 1). 4 203 0 &�8
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE /-�