HomeMy Public PortalAbout4911 KAUFFMAN AVE_Electrical__ 76A663 DBS SA 11 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT O. GROUP I ZONE PERMIT N.D.
ELECTRICIAN
C- / RECEIVED BY READY FOR DATE ISSUED
ADDRESS`p 2 -?C? [/Y,L(J f.'✓! ! /.Q� /�/// � FIRST INSPECTION �
CITY S,4.N /L-A k7 Nt`P.�/ TEL. NO. 4 /3a 1/ .�??A-�iY./— O I—S-3 -v
COUNTY LICENSE NO. EXPIRES BUILDINSSG 7 ,�11
PERMIT FEES ADDRE (I
LIGHT
y7��, hid-b/
NUMBER EACH FEE _LOCALITY ��//y 1.2/1i (/, /_)/
LIGHT OUTLETS NEAREST
CROSS ST.
RECEPTACLES ,�
WALL SWITCHES _OWNER -
TOTAL OUTLETS ,3 2 Sc "y /0O MAIL
ELEC. RANGES 25 ADDRESS
0
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES S 410
1 HEREBY ACKNOWLEDGE THAT I 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 CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEW MVD. HP OVER INC. EACH OF THE RESIDENTI/A/L.PPROOPPEERTT7DESC91BED
ABOVE.
I/2 6 LESS $ .25 SIGNATURE OF l
%2 2 .50 PERMITTEE
2 5 1.130 INSPECTION RECORD
5 is 1.50
_
is 50 2.50
so 200 5.00
200_ Soo 10.00 J
_ 500 1000 15.00 4
Z
OVER 1000 20.00
M.G. SET/FREQ. CHANGER-HP F .
WELDERS: AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (7S% OF ORIG.)
MOVED MOTORS (75% OF ORIG.)
MISC..
SIGNS
NO. NO.TRANS. I APPROVALS
NO. NO. LAMPS II
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
WIRING $1.00 d'O CONDUIT �
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE $ "! UTILITY CO.NOTIFIED
FINAL G/ /G
76A663-CE806 1-67 APP CAWN FOR �n 2C 1Uf MC�L nERMIr
COUNTY OF LOS ANGELES 1��C u 1�G 11
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE:.COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING 'l LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. CI TOTAL - NO. EACH FEE
OUTLETS FIRST 20 �$.20 $ ( OWNER
LIGHT
SWITCH ADD'L 10 /� ADDRESS
OVER 20 (1
TOTALO CITY NO.
FIRST 20 ,20
LIGHTING 1 FIX RES -
FIXTURES I ADD•L 10CONTRACTO• /'Lehi/
OVER 20 J
RANGES .DRYERS WTR.HTRS. 1.00 ADDRESS?
GARB.DISP. STA..COOK _TEL '/ S7 n
CITY
DISHWASH. AUTO.-WASH. STATE
I SPACE HTRS. STA. APPL. 5O -�f LIC SE -
MOTORS: OVER NOT OVER H.P.
DISTRICT GR P ZONE P D B
O 1 1.00
3; 1 3 t.so INSPECTION RECORD
3 8 2.00
8 15 2.50
15 50 3.00
Y 50 100 5.00 0
SIGNS: NO.TRANS IxO
NO.LAMPS __
SERVICE 0.60OV-NOT OVER 200A 1.00 W
IL
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00 —
� OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'S SIGNATURE
I TOTAL FEE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERS LAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY _„ ROUGH-CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. A� WIRING
I HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF. AND INTEND TO POWER �+^^—
RESIDE IN,THE ABOV DESCRIBED SIDENTIA4 P O ERTY.
SIGNATURE �G •?'. UTILITY CO.NOTIFIED
OF PERMITTEE
FINAL a'
LIDATION JOSEPH C. ROOHAN
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
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