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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