HomeMy Public PortalAbout4851 KAUFFMAN AVE_Electrical__ 76A663-CE806 to/74 mT cGmmm O E �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ' JOB
BUILDING AND SAFETY DIVISION ADDRESS Q.
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST,
OUTLETS N0. EACH FEE OWNER
NAME' �(/V
$ S
RECEPT._ MAIL
LIGHT
TOTAL FIRST 20 25 ADDRESS
IF
CITY L. N0. -
SWITCH_ OVER 20 10
PLAN CHECK
LIGHTING TOTAL FIRST 20 25 APPLICANT
OVER 20 ADDRESS
FIXTURES 10
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE OR CLASS,
REG. NUMBER
-FAN OTHER 1.00 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 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA ML
AM• T E LEGAL NER OF THE ABOVE
1 - 10 3.00 DESCRIPED P OP RT Y. p
V
PERMITEE
10 - 50 5.00 SIGNATURE C3
F-
50 - 100 10.00 U
DISTRICT NO. ROCE SE Y W
a
100 - 500 I5.00 D Z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICIE NOTOVER600VOLTS OR200AMP 3.00UNDERSLAB WORK
SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT
TEMP SERVI CE;,POLE, &APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT, SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED 'Cl—1, '-7,2�' 91.i9;7 .tia
FINAL S® 1;2,V,
d
PERMIT FEE -(SUB-TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 G b
TOTAL FEE 46 c>6
PLAN CHECK VALIDATION CK. Ni.0. CASH PERMIT VALIDATION C K / M.O. CASH
4 1 01,SEP 2 2~ U 6.00498
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE - '
76A663-CE8061-67 ^PPn CA MN F En EO O�r'��r"L PERK 41
(� LL u tl`�J ILC l� IIV�J !tel 11011 V t] ll
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERBUILDING `�Et
BUILDING AND SAFETY DIVISION �;; ADDRESS
JOHN A. LAMBIE..COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING•' LOCALITY'('
o - - :' . t NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO. EACH I FEE
LIGHT OUTLETS FIRST 20 $.20 $ �s OWNER
�_ MAIL
SWITCH VERADD2 1O ADDRESS
OVER 20 g�
TOTAL FIRST 20 .20 CITY TEL. N0._17 S ��
LIGHTING I
FIXTURES
FIXTURES ADD'L 10 CONTRACTOR tL�
OVER 20
RANGES DRYEITS WTR.HTRS. 1 1.00 ADDRESS ee06
GARB.DISP. STA.COOK
CITY a TEL. NO
DISHWASH. AUTO.-WASH. STATE rh
SPACE HTRS. STA. APPL. .50 LICENSE NO. _-
MOTORS: OVER NOT OVER H.P. DIST[RIC/T�NO. I GPUP � ZONE PROCE/S/S_-ED By,
O 1 1.00
1 3 1.50 INSPECTION RECORD rl
3 8 2.00
8 15 2.50 '
15 50 3.00 d
50 100 5.00 0
SIGNS: NO.TRANS
NO.LAMPS - O
SERVICE 0.60OV-NOT OVER 200A 1.00 W
SERVICE 0.600V-OVER 200 A. 2.00O_
_ H
SERVICE OVER 600V 5.00z
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.001 APPROVALS DATE INSPECTOR'S S16NATUR2
TOTAL FEE
CJG ,
L
EBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDERSLAB WORK
TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT n7
LL COUNTY ORDINANCES AND STATE LAWS REGULATING
CAL WIRING. v ��—
i WIRING i )
v v
EBY CERTIFY THAT 1 AM PROPERLY REGI D TATE OR FIXTURES
D AS REOUIR LOS ANGELES COON NO STATE OF
I AA OR THAT HE LEGAL E D INTEND TOIN,ITHE ABO E RIBED S T PR E Y. • POWER
URE UTILITY CO.NOTIFIED
MITTEE _ //
�'. FINAL Y R/-
(DATION JO EPH ROOFiAN
CK MO CASH S PERVISING ELECTRICAL ENGINEER
8 -3 AAI"14 2 D 4.00.-
76A663-CE80611/70 ;L`n1PPUCIA' 'I' MOM FOR EdC�C�4Q�(� L
COUNTY OF LOS'ANGELES V �`'�/V �1LS U V U
DEPARTMENT OF COUNTY ENGINEER BUILDINsG% y �
BUILDING AND SAFETY DIVISION AooREss.1F
�.
COLEMAN W. JENK 'IN$ E
SUPERINTNDENT OF BUILDING LOCALIT
NEAREST ,� ��.,f,1,,v
FOR APPLICANT T.O FILL IN CROSS'STVi4i.Z �.,.1'✓.Tr."FA
OUTLETS " NO. EACHI FEE ,.ar�
OWNER .�` y�,r'r-�
_ $ $
RECEPT. MAIL
FIRST 20 ADDRESS`,
LIGHT TOTAL ,, .25v s..
CITY p^sTEL NO,i„r'.� '''' :*;'
SWITCH OVER 20 10
PLAN CHECK
APPLICANT
FIRST 20
LIGHTING 1 TOTAL .25
FIXTURES
/( OVER 20, ADDRESS
.10
APPLIANCES CITY k{'r3" TEL. NO q
44: PERMIT
RANGE DRYER_WTR. HTR. "'APPLICANT/` ,�.<" a�r' '_�4 s`.,!'{•�r :�'..? i''� ' .1f",•d_.
STA. COOK DI SP.
F A U rc
ADDRESS /"* /'ti416 +,v"
SPACE HTR. AIR COND. � a �
CITY....",.;`� �", k �l:�'A :TEL. NO �
CLOTHES WASH.' DISHWASH. LICENSE NOS. , _a:{ CLASS;.r'��
FAN OTHER 1.00 % Awa 1 -HEREBY ACKNOWLEDGE)THAT I HAVE REAP THIS APPLICATION
.1 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 T0, "-
I HEREBY.CERTIFY THAT-1 AM PROPERLY REGISTERED AND/OR }
O - 1 1.00 'LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANP'STATE OF O_
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND-INTEND TO O
RESIDE IN, THE:, ABOVE''.OESCRIBED RESIDENTIAL% PROPERTY. C�
1 — 1Ot 3•.00 ul
SIGNATURE %r�,r'�f 4- /.t ,jf �
10 — 501 5.00 OF PERMITTEE i. i t �^ r � '^`
LL.
50 100 10.00 }
DI-STRI CT NO. CLASS '-'�_� ZONE PROCESSED BY
1 00 — 500 15.00 Fq� .n x " ^' w g yr
` k<f:..
SIGN, GAS SIGN AND ONE CIRCUIT- 5.00 NOTES: .., t*'" iL..81 I O
TUBE, OR
-MARQUEE ADDITIONAL CIRCUITSV 1.00 - I
SERVICE NOT OVER 600 VOLTS OR 200°AMP 3.00
SERVICEOVER 600VOLTS OR200AM10.00 APPROVALS DATE. INSPECTOR'S SIGNATURE
P
_ TEMP:_POWER POLE------------
TEMP.SERVICE,POLE, &APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00 - y
ROUGH CONDIUT - @B
WIRING, .
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SU E1 TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE - -
FINAL
PERMIT ISSUING FEE } 3.00 �..,e'�
JOSEPH C. ROOHAN
TOTAL FEE ,�✓. / "' SU,PER,VISING ELECTRICAL ENGINEER,
Y y..-
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.0. CASH
rt
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
L"4q COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
`Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Enalneer ELECTRIC I
FOR APPLICANT TO FILL,IN DISTRICT NO. GROUP I ZONE PERMIT NO.
ELECTRICIAN
p
ADDRESS O/c$6 J46f -_p RECEIVE ®Y FIRST AINSPECTION
DY FOR DATE 1 UED
CITY s TEL. NO. 7(1,)!�_ r'
COUNTY LICENSE NO. • ' EXPIRES BUILDING ���
PERMIT FEES ADDRESS
FEE
NUMBER EACH LOCALITY .--
LIGHT OUTLETS _ y` NEAREST
RECEPTACLES �, CROSS 9T. '
WALL SWITCHES OWNER
TOTAL OUTLETS 5c ._S>_9 Al%r MAIL
ELEC. RANGES t`,y 25 ADDRESS
tz
ELEC. HEATERS 25 CITY TEL NO.
FIXTURES Bs 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 CIRCUITB AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS .1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOF
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEw MvO. HP DYER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBE ABOVE.
_ %z a �EBs $ .25 IoIGNATURV—nE OF
_ I/2 2 .50 PERMITTEE
2 5 1.00 INSPECTION RECORD
5 15 1.50
15 50 2.50
50 200 5.00
200 500 10.00 J
500 1000 15.00 Q
Z
OVER 1000 20.00 Io
M.G. SET/FREQ. CHANGER-HP a
WELDERS:AC-KVA C3
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF DRIG.)
MOVED MOTORS (75% OF ORIG.) _
MISC. _
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DAITE INSPECTOR'S NAME
WIRING $1.00 CONDUIT
FIXTURES $1.00 WIRING V14 _,�Qso•.e•-�' �O �.r/r�
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE $ UTILITY CO. NOTIFIED
FINAL
76A663 DBS. 5A 4-52
WORKERS'COMPENSATION DECLARATION
• 76A663CE-806G (2-80) APnCnMN OR 2L2CTMICa6 PER T ,
_
td ;J:Jherdby affirm.that I have a certificate of consent to' self COUNTY OF LOS ANGELES BUILDING AND SAFETY
insure, or a certificate of Workers'Compensation Insurance,or
�a certified copy thereof(Sec. 3800,Lab.C.)
FOR APPLICANT TOiFILL IN JOB
Policy No. Company EACH NO.' FEE ADDRESS t
New Residential Bldgs.&Po Is -
Certified copy is hereby furnished. 1.&2-Family,Sq. Ft. $ — $ LOCALITY , -
Multi-family Sq. Ft. NEAREST
Certified copy is filed with,the county building inspection CROSS ST
• Residential Swimming Pools nn
department. - WNEROR
P RM NAME lilt t ice. 1p_4 A
Date :Applicant Outlets: RecLight Sw. �i', AI L y y�
0.®® first 20 ADDRESS [ 2/ tF f :'. <.
CERTIFICATE OF EXEMPTION,FROM WORKERS' Total No. t Additional CITY Tel No. �g
COMPENSATION INSURANCE i �� L � }
PLAN CH K' f IZ
APPLICANT_ 0
(This'section need not be completed"if the work .involvedp U
20
by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First Additional ADDRESS ,
o 'OTotal No.
I certify that in the performance,of the work for which this, Fixed Applian es Not Over 1 HP CITY. Tel No.
permit is issued, I shall not•employ any'person'in any manner PERMIT' W
so as to become subject to the Workers: Compensation Z s.. Range Heater D.W. APPLICANT O.
Oven _• Dryer_W M. ADDRESS - y
OL Top FAU _W H. ZDate II— ' 1 Applicant' / n•�.
Hood _ Fan _Other_, CITY Tel.No.
NOTICE TO APPLICANT: If, after making this Certificate of Disp. _ Room Air Cond.— LICENSE OR
Exemption, 'you should become subject to the"Workers' REG. NUMBER Class
'Compensation provisions of•the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO.. PR ESSD BY
with comply with such provisions or this permit shall'be
deemed revoked. Size&Type HP, KW, KVA;or.KVAR
Up to 1 Incl. '
FINAL
"l . Over 1 to 10 Incl. DATE' ["—' _,Q�
LICENSED CONTRACTORS DECLARATION
TL.5 Q VALIDATION
Over 10 to 50 Incl.
I hereby affirm thaf.I am licensed under provisions of Chapter Over 50 to 100 Inc. BY A
9 (commencing with Section 7000)'of Division 3 of the Bu'si- Over 100
ness and Professions.Code, and my license is in full force and
effect. Services
License Number Lic.Class 0=200 Amp. Under 600 V
201-1000 Amp. Under-600 V.
Contractor Date' Over_1000 Amp.or Over 600 V
HOME OWNER-BUILDER DECLARATION Temp. Power Pole&Appurtenances
I hereby affirm that I "am 'exempt from, the Contractor's Sign.with One Brancli. Circuit
License Law for the following`reason (Section 7031.5, Busi- Additional Sign Branch Circuits
ness and Professions Code):. \
Misc.Conduits&Conductors
I, as owner of the property, will do the work and the Other (See Complete Fee Schedule)—
structure is not intended or offered for sale (Section
7044, Business and Professions'Code). zF 5 9 a O A
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency #.0 0 0 0 0, 2
for the performance of the work for which this permit is PERMIT FEE. (Sub-Total)
issued(Sec. 3097,Civ.C.).=f (� .4 f ,I �. o`3 4,7-5
Lender's Name ��/ �`I ^ '
1. `� PLAN CHECKING FEE (One-Fourth Permit Feel
Lender's Address /Ir!✓'i* tip C/7_ LA'� "�-��`��� PERMIT
ISSUING ( o o3.475�
h J1, 19*86
I certify that-I have read this application and state that the TOTAL FEE
above information is correct:1 agree to comply with all County 01
ordinances and State lawsregulating Electrical wiring; and
hereby authorize representatives of this County to enter upon
the^above- entioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
Y
Signature of Permitte Date .
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 - ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0701050021
BUILDING AND SAFETY / LAND DEVELOPMENT - TEMPLE CITY CA 91780
PHONE: (62.6) 285-0488 EXT: .
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 5342 LT: 6 UN: .006 - 4851 KAUFFMAN AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917804245
ASSESSOR INFORMATION NUMBER: - NEAREST CROSS STREET:
8589=016-033 Al PERMITISSUANCEFEE - 27.75 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY, C
LB 200 AMP PANELS, MCC 1.00 PAN 38.85
TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
01/05/07 JK 07/04/07
OWNER: TEL. NO: FINAL PA-TE FIN A B CODE:
- KEAN WILLIAM V;CONNIE M TRS KEAN TR '(626) 285-1928- -
4851 KAUFFMAN AV 10-1- --'r �t
TEMP 917804245 DErSCRTPTION OF WORK
CHANGE OUT ELECTRICAL PANEL T F200 AMP
APPLICANT: TEL. NO:
SAME AS OWNER - -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
, LIC. NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LIC. NO: ROUGH.CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508