HomeMy Public PortalAbout4914 KAUFFMAN AVE_Electrical__ 76A663 DBS 5A 7-51 APPLICATION FOR PERMIT
RTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL 1N DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN
ADDRESS ,Z D /�p//,o,H c� /J� RECEIVED BY READY FOR DATE 19BUEDtt
//�� L AA ? FIRST INSPECTION
6jlll�
CITY h!G(.M� Ct•�kl d'I.r:� TEL. NO.�///, /�.�/��0•
COUNTY LICENSE NO. EXPIRES G ��0- V �] BUILDING
ADDRESS
PERMIT FEES _
FEE _LOCALITY r°i Nty_ /'l- C/
NUMBER EACH
LIGHT OUTLETS NEAREST
RECEPTACLES 9 CROSSST.
WALL SWITCHES // OWNERp7-�{
TOTAL OUTLETS _ 5C $ �6 MAIL ,
ELEC. RANGES 2B ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES 5 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 I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
FEE //
NEW MVO. HP OVER INC. EACH OF THE RESIDENTIAL
/PROPER TY DESCRIBED AABOVVEp�j/��,�••
I/z 6 LESS $ .25 SIGNATURE OF
I/z 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 - L9
_ M.G. SET/FREQ. CHANGER-HP Q'
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIG•)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS '
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 d0 CONDUIT
FIXTURES $1.00 (ta WIRING '%q�p'tJ \�G� � �'x """•."".
SUPPLEMENTARY . .So FIXTURES
POWER
TOTAL FEE $ /cs� UTILITY CO. NOTIFIED
FINAL /,/"j'✓��y/-�rfy(..t..L�.
COUNTY OF LOS ANGELES - TEMPLE CITY" # 0508' ELECTRICAL PERMIT _
DEPARTMENT-OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1304100027-
BUILDING AND SAFETY. / LAND DEVELOPMENT - TEMPLE CITY CA 91780
- PHONE': (626) 285-0488 -'EXT': -
(LEGAL ID: - - FEES 'PAID 1 - BUILDING ADDRESS: -
ITR: 15080 LT: 7- _ - 1 4914 KAUFFMAN'AV -
I - IFEE DESCRIPTION:' QUANTITY: UOM: AMOUNT: ( - TEMP CA 91-7804246
B
(ASSESSOR INFORMATION NUMER: 1 I NEAREST CROSS .STREET: LOWER AZUSA 1
.18589-019-018 IA1 PERMIT ISSUANCE FEE 27.80 1 _ THOMN,S PAGE: 597 GRID: .A5 LOCALITY: TEMPLE CITY CAI
I ._IG1 OUTLETS-LGT,SW,RECP 8.00 OUT '` 16.00 1 1
ITENANT: IG2 LIGHTING FIXTURES 14.00 LGT 28.00 (ISSUED ON: PROCESSED BY: PLAN BY 1
1 _ 1 R RES GREG DISP-LT3HP 1.00 DIS 11,00 104/10/13 - .SR
I IH3 RES DISHWASHR LT 3HP '1.00 DIS 11.00 1
(OWNER: _ TEL: NO: H4 RES RANGE HDS LT'3HP. 1.00 HOD 11-.06, IFI AL DATE FINAL BY: CODE: -
ICHOU, KATY (626) 927-6279- IH5 RES WASH MACH LT 3HP 1.00 WAS .11.00
149.14 KAUFFMAN AVE .TOTAL FEES 115.80- .��
(TEMPLE -CITY CA 91780 -. - I,D SCRIPTION OF WORK - -
I 1
18 OUTLETS, 14 LIGHT FIXTURES, GARBAGE DISPOSAL, DISHWASHER, 1
1 1 IRANGE HOOD AND WASHING MACHINE
'(APPLICANT: - TEL.'NO: 1
I:SAME AS OWNER
. - . - I.SPECIAL- CONDITIONS:
I.CONTRACTOR: - TEL. NO: - (APPROVALS - DATE .INSPECTOR SIGNATURE
I SAME AS OWNER
1 - - LIC. NO ITEMPORARY POWER POLE -
_1 I 1
1 - - - -- 1•UNDERGROUND CONDUIT
(ARCHITECT OR ENGINEER: .TEL. NO: - - IUFER GROUND .
_ LIC,._NO: I " - I ROUGH CONDUIT
I I I
_ - - ROUGH WIRING
_ I I
--- - ---- _ - (MAIN-WATER LINE
1 1 1PLASTIC Y/N METAL Y/N
1 I ' (UTILITY COMPANY NOTIFIED( I
I I I I I I
(REPORT ID: DPR265 ROUTE TO: ES0508