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Home My Public Portal About4918 KAUFFMAN AVE_Electrical__ 7GA663 DBS SA 7-51 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN SMITH ELECTRIC _ B23D RAVENDALE DR. RECEIVED'BY READY FOR DATE ISSUED, ADDRESS FIRST INSPECTION clTv AT.5-3304-`aAN G RI—CA IS.– ®-%t4 COUNTY LICENSE NO. 11Gc L EXPIRES ,' 3--+S3 BUILDING PERMIT FEES ADDRESB 7 ------- FEE NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST CROSS ST. RECEPTACLES 3 /� WALL SWITCHES / OWNER ,b�ly�1�_�_— TOTAL OUTLETS 5C $ ,��_ MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 _ CITY TEL. NO. FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT I HAVE .'ZERO 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 NuMEER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEw MvD. HP OVER INC. EACH OF THE RESIDENTIAL—PROPERTY DESCRIBED>'^ABOVE �/2 6 LESS $ .2S SIGNATURE OF y %p 2 .50 PERMITTEE— _ 2 B 1.00 INSPECTION RECORD 5 is 1.50 is so 2.50 so 200 5.00 200 500 10.00 0. � \ y J 500 I 10130 15.00 �l♦ /� •T1/ /� Z OVER 1000 20.00 ( �7 M.G. SET/FREQ. ,CHANGER-HP (( a WELDERS: AC-KVA GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG.) __ y MOVED MOTORS (7s% OF ORIG.) _ L/ MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS I DATE INSPECTOR'S NAME FOR EACH PERMIT: WIRING $1.00 Q GI CONDUIT FIXTURES $1.00 OO WIRING SUPPLEMENTARY' .50 FIXTURES POWER TOTAL FEE old UTILITY CO. NOTIFIED FINAL 76A663 D655A 11-49 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF-LOS ANGELES Fm� c I WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR NO. GROUP I ZONE PERMIT NO. ELECTRICIAN / f 26 a REC IVED READY FOR DATE IBS ED ADDRESS lr-A FIRST INSPECTION CITY i EL. NO. COUNTY LICENSE NO. 141170EXPIRES ' Q BUILDINGp? PERMIT FEES ADDRESS FEE—NUMBEROUTLETS EACH LOCALITY on _ i ®S.• LIGHT Sc B NEAREST CROSS ST. RECEPTACLES 5 � �'�-• FIXTURES 5 - OWNER ti•e��`/ ,,� __ WALL SWITCHES 5 MAIL n ' ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 lICITY TEL. NO. MISC. I I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS NUMB_ ER 'OF CIRCUITS INSTALLED: TOTAL APPLICATION AND STATE THAT THE ABOVE IS CORRECT LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING. NUM-BER HORSEPOWER FEE I CERTIFY THAT I .POSSESS THE ABOVE VALID LOS NEw Mv_D. HP OVER INC. EACH ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER %2 6 LESS $ .2S ;z OF THE RESIDENTIA/LPROPERTY DESCRIBED ABOVE. %2 2 .50 SIGNATURE OF 2 5 1.00 PERMITTEE fXeY 5 is 1.50 INSPECTION RE OFfD 75 5o 2.50 50 200 5.00 200 Soo 10.00 /<% /JF�T,� s'—mr� A....✓ r. 500 1000 15.00 �,�,� OVER 1000 20.00 M.G. SET/FREQ. CHANGER-HP L3 I WELDERS: AC-KVA �"� L�lIi6l.a R GENERATORS - KW �.e!.,e.__�-�..r O TRANSFORMERS - KVA �.fl-.4fL� ��•9—•QAry _ _ _ TEMP. MOTORS (75% OF ORIG•) MOVED MOTORS (75% OF OR1(3.) MISC. SIGNS ��i--rte �. TYPE: NO.TRANS. TYPE: NO. LAMPS APPROVALS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 �, �� CONDUIT //_ WIRING � FIXTURES $1.00 Aw 1C_� SUPPLEMENTARY .50 FIXTURES 2 POWER TOTAL FEE ..f�y' UTILITY CO. NOTIFIED FINAL V WORKER'S COMPENSATION DECLARATION 9 DPW 9/89 b�'i11�PL4- CA 0 �®II�'J FOR E�ECTMICAL� PERMT 76A66 f'fiereby affirm that I have a certificate of consent to Belt insure, 76A663 u�u ,_for a�4rpificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. cUpy thereof(Sec.3800 Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS//`�, ElCertified copy is hereby furnished. New Residential Bldgs.&Pools EACH NO. FEE -- $ LOCALITY ❑ Certified copy Is filed with the'county 66ilding inspection 1 &2-Family,Sq.Ft. $ NEAREST department. Multi-family Sq.Ft. CROSS ST. �' C� iFJ�•z'L,j , Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK • - - /•� PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Sw. OWNER OR '/ J COMPENSATION INSURANCE Outlets:Rec.�/_Light / -` eoo FIRM:NAME N A First 20 �f MAIL ./�� A (This section need not be completed if the work involved by the Total No. � Additional ADDRESS" //?11-AaFF� Pj - permit is for one hundred dollars($100)or less.) I certify that in the performance of the work for which this permit CITY Tec No. Z,. q 00, is issued, I shall not employ any person in any manner so as toD PLAN CHECK become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No._s Additional / Date Applicant ADDRESS lv�1G(`f'��0//.� l/�i NOTICE TO APPLICANT: If, after making this Certificate of 15 OR 20A,120V BRANCH CIRCUITS CITY ""� ' i Tel.No. Exemption,you should become subject to the Workers' Compensation 1 TO 10 INCLUSIVE EACH PERMIT lu provisions of the Labor Code, you must forthwith comply with such 11 TO 40 INCLUSIVE EACH APPLICANT provisions or this permit shall be deemed revoked. 41 OR MORE BRANCH CIRCUITS EACH LICENSED CONTRACTORS DECLARATION - ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 15 OR 20A,208V TO 277V LIGHTING EACH (commencing with Section 7000) of Division 3 of the Business and CITY '�•• , Tel.No. �. Professions Code,and m license is in full force and effect. Y RESIDENTIAL APPLIANCES UP TO 3HP Power Apparatus&Large Appliances LICENSE OR ER Class. Q License Number -Lic.Class Size T pe HP,KW,KVA,or KVAR DISTRICT NO. v P OCESSED BY Ip to 3 Incl �C/ �s�tJ W Over 3 to 10 Incl. FINAL / (- Contractor Date -• DATE , Z ❑ Over 10 to 50 Incl. ^ ,1b — I am exempt under Sec. Over 50 to 100 Incl. VALIDATION -- - Over 100 FINAL ' B.&P.C.for this reason ' BY Services,Swbd.,MCC&Panelboards,r Q Date: 0-200 p.Under 600 V �CjJ d/ Signature 201 -1000 Amp:Under 600 V ❑ " Over 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole&Appurtenances - HOME OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuitsw` ` Code): -- - E❑/ I,as owner of the property,will do the work and the structure -Mist.Conduits&Conductors ' ._ is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) D `I I'« w. = 'r and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) Civ. C.) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the above TOTAL FEE information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above-mentioned .property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNASOF-APPLICANT OR AGENT DATE