HomeMy Public PortalAbout4833 KAUFFMAN AVE_Electrical__ TEMPLE CITY
76q,663-CE806 10/72 QppUCAMN FOR ELECT ICAL. pC L3(n 7
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER gpoREss Lot 5' 483 Kauffman Ave.
BUILDING AND SAFETY DIVISION
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS T.
OUTLETS NO. EACH FEE OWNER OR
CC FIRM NAME Weber Develo m t Co.
RECEPT35 $ S AMAIL
DDRESS Blvd.'LIGHT 14 TOTAL FIRST 20 20 .25 8 00
18 OVER 20 10 CITY Temple City. TEL. NO.. 286-2818
SWITCH PLAN CHECK
FIRST 20 APPLICANT
LIGHTING TOTAL .25
FIXTURES
OVER 20 .t0 ADDRESS
� �_ ,
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR._ APPLICANT fiy1
STA. COOK DI,SP.___j_�F.A:U. ADDRESS P . 0. - BOX 2186
SPACE HTR. . _AIR COND. 'CITY •Pomona.. 'TEL. NO. 62.8-12.21
�- 1 LICEOR
REG. NUNSE
UMBER 1 .15 3 3 7 8 CLASS. C-10
CLOTHES WASH. DISHWASH.
FANA_ _OTHER 5 1:00 7 50 1 HEREBY ACKNOWLEDGE THAT (',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
- 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUVTY AND STATE•OF
'OR THAI' I AM THE LEGAL OW R O THE ABOVE
A/C 1 - 10 1 3.00 4 50 CALIFORNIACALIFORNI RESIDENTIAL P HERTY. O
PERMITEE . G.7
- 10 - 50 5.00 SIGNATURE C
� O
50 - 100 10.00 DISTRICT N0. OCES 'D BY ~
V
`1 - W,
100-•500 15.00 N
Z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE .INSPECTO,JKSIGNATURE
TUBE, OR _
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICENOTOVER600VOLTSOR200AMP 3.00 UNDERSLAB WORKSO I
-
SERVI CE.OVER 600 VOLTS OR 200 AMP 10.00 - ROUGH CONDUIT
TEMPSERVICE, POLE, &APPURTENANCES, 5.00 - WIRING ��( r9��fl '*,/tr�
TEMP LIGHT OR RECEPT. SYSTEM. 3.00 FIXTURES
- POWER AUTHORIZED -
UTILITY CO. NOTIFIED
- FINAL
PERMIT FEE (SUB TOTAL) 17. NOTES:55
PLAN CHECK FEE -
PERMIT ISSUING FEE - 3.00 4150 _
TOTAL FEE
42 0 15
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K M.O. CASH
°3:6 JET', D, e10 5 aft;
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE �' /�