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Home My Public Portal About4934 KAUFFMAN AVE_Electrical__ calif, 76A663-CES06 1/70 APPUCAIMN FOR ELEC UR"COAL PERAU e COUNTY OF LOS ANGELES DEBPARTMEN-T OF COUNTY UILDING AND SAFETY DIVISION BUILDING 4934 Kauffman ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY m COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING NEAREST FOR APPLICANT TO FILL IN CROSS ST. 7�rt.,,� T OUTLETS NO. EACH -- FEE OWNER 1'110 t1 a Killen RECEPT._ $ Is MAIL LIGHT TOTAL SWITCH OVER 20 ,Ip FIRST 20 .20 ADDRESS as job O CITY TEL. NO. 285=7363 PLAN CHECK LIGHTINGTOTAL FIRST 20 20 APPLICANT FIXTURES 10 OVER 20 ADDRESS - APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT Cobine electric CO STA. COOK DISP. F.A.U. ADDRESS 1607 Chestnut St. SPACE HTR. AIR COND. CITY A h TEL. N0. CLOTHES WASH. 01SHWASH. LICENSE NO. 229847 CLASS.C-10 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 W ITH 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 1.00 LICENSED AS RED IRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I-AM THE LEGAL OWNER OF, AND INTEND TO 1 - 10 3.00 RESIDE IN, THE ABOVVVE�E DESCR.IPED RESJDENTIAI, PROPERTY. } CL 10 — 50 5.00 OF PERMRITTEE /(/' �� 0 V 50 — 100 10.00 DISTRICT NO. CLASS JGRX ZONE P OC SSE Y O 100 — 500 15.00 �' 0 V SIGN, GASW SIGN AND ONE CIRCUIT 3.00 - INOTES: 7 �� RCo N TUBE, OR I .�. � MARQUEE ADDITIONAL CIRCUITS 1.00 di, SERVICE NOT OVER 600 VOLTS OR 200 AMP 1 2.00 3 00 - APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CE OVER 600 VOLTS OR 200 AM P 5.00 TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 3.00 UNDERSLAS WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 o ROUGH CONDI UT WIRING FIXTURES PERMIT FEE (SUB TOTAL) PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED UTILITY CO. NOTIFIED PERMIT ISSUING FEE 2.00 3 00 FINAL SUPPLEMENTARY PERMIT ISSUING FEE 1.00 _ JOSEPH C. ROOHAN TOTAL FEE SUPERVISING ELECTRICAL ENGINEER, . PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. CASH AL*O2 7.2.:5_* U160 :? o.:" "6.d 0 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ., • 6A663-CE806`/ 70 APPUClaMH FOR RECUR Qd °�CaG` U ' COUNTY OF LOS ANGELES DEPARTMEKT OF COUNTY ENGINEER EBUIING4yBUILDING AND SAFETY DIVISIONsJOHN A. LAMBIE, COUNTY ENGINEER TY COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGT FOR APPLICANT TO FILL IN ST. OUTLETS NO. EACH FEE OWNER RECEPT._ $ $ MAIL LIGHT_ TOTAL FIRST 20 PO ApDRESS�,[/ OVER 20 CITY i - TEL. NO. SWITCH--Z .10 PLAN CHECK LIGHTINGTOTAL I FIRST 20 20 -APPLICANT FIXTURES OVER 20 -10 ADDRESS APPLIANCES CITY TEL. NO. PERMIT - RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS ' SPACE HTR. AIR COND. CITY EL. NO,,57(Y a CLOTHES WASH. DISHWASH. LICENSE NO. CLASSC,_:-- FAN - OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ANP 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 EOUIRED BY LOS ANGELES COUNTY AND STATE OF J CAL FORN IA OR AT I AM LEGAL OWNER OF, AND INTEND TO • 1 - 1O 3.00 RESIDE IN, T AB ES CRIBED RESIDENTIAL PROPERTY. SIGNATURE a 10 - 50 5.00OF'PERMITT O U 50 - 100 10.00 DISTRICT NO. CLASS GR ZONE P ES ED BY CK 100 - 500 15.00 SIGN, GAS tJJ SIGN AND ONE CIRCUIT 3.00 NOTES: 9 p TUBE, OR / h MARQUEE ADDITIONAL CIRCUITS 1.00 z SERVI CENOT OVER 600 VOLTS OR 200 AMP 2.00 APPROVALS DATE INSPECTOR'S SIGNATURE S ERVI CE OVER 600 VOLTS OR 200 AMP, 5.00 TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 3.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT �� WIRING FIXTURES PERMIT FEE (SUB TOTAL) POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) UTILITY CO. NOTIFIED PERMIT ISSUING FEE 2.00 � FINAL 0 7 �% SUPPLEMENTARY PERMIT ISSUING FEE 1.00 JOSEPH C. ROOHAN TOTAL FEESUPERVISING ELECTR AL ENGINEER, 1 PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION cK M.0. CASH , Gc 2 2 7 1.4 SSP 7 2. D SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE WORKERS'COMPENSATION DECLARATION 76-663 n l�fp�ll C /A 1'��®N FOR E 2C5�Ip IC n p PER (;�,GI�1T CE-806G.(2-80) G�llrlf L� fi�1 U UV I!- I1S Lr-,LCIS Il h`6 '�oL`�1L� If�L�,I1�UC`111 Il I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES T � BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec. 3800,Lab.C.) FOR APPLICANT TO FILL IN JOB Policy No. Company ADDRESS NewNew Residential Bldgs.&Pools EACH NO. FEE 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 OWNER OR department. FIRM NAME / O •Date Applicant Outlets: Rec fight Sw. MAIL 7 First 27— Q '36 42 ADDRESS CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional S COMPENSATION INSURANCE CITY �� G Tel No. } PLAN CHE d APPLICANT O (This section need not be completed if the work involved vd by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First ADDRESS o � Total No. tUT Additional . 0 I certify that in the'performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No. L,, permit is issued, I shall not.employ any person in any manner PERMIT V 0 so as to become subject to the Workers'-Compensation Laws. Range_ Heater_D.W. APPLICANT LU Cn Oven Dryer-J_W.M. ADDRESS 2/ ( / Z Dat, 42 Applican Top _ FAU _W.H. — Hood _ Fari I—Other_ CITY A r 4t 10 Tel No. ` 6G NOTICE TO APPLICANT: If, after making this Certificate of Disp. _ Room Air Cond.— ZI O. 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. PROCES ED BY with comply with such provisions or this permit shall be Size&Type HP,KW, KVA,or KVAR T deemed revoked. J i V Up to 1 Incl d d Over 1 to*10 Incl. o.a FDATEINAL &s_ LICENSED CONTRACTORS DECLARATION �*�� VALIDATION Over 10 to 50 Incl. I hereby affirm that-I am licensed under provisions of Chapter Over 50 to 100 Inc: FINAL 9 (commencing with-Section 7000) of Division 3 of.the Busi- Over 100 BY ness and Professions.Code, and my license is in full force and effect. /./ /15 Services License Numbeti ,�6 v 1 Lia Class 0200 Amp. Under 600 V 201-1000 Amp. Under 600 V Contractor a Date —Z. Over 1000 Amp.or Over 600 V C� k HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances Sign with.One Branch Circuit I hereby affirm that I am exempt from the Contractor's Additional Sign'Branch Circuits o License Law for the following reason (Section 7031.5, Busi- ' z.3 2 1, 1 'A ness and Professions Code): Misc.Conduits&Conductors #,o o•0 0•0 2 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 210,0 37.3,0' 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY ` I hereby affirm that there is a construction lending agency 0.00 7J 7 3 r , for the performance of the work for which this permit is PERMIT FEE (Sub-Total) Q issued(Sec. 3097,Civ.C.). - 0 3 0 9-8 2 Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEE e 1.certify that I have read this application and state that the TOTAL FEE v above 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 abo entioned prop.9 t for inspection purposes. SEE-REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date