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HomeMy Public PortalAbout4943 KAUFFMAN AVE_Electrical__ 76A663 41355A IlLSO APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRI ,fCIAN AJR- g� � �� T Iwo RECEIVED BY READY FOR DATE ISSUED ADDRESS; ^� _ c29 {T >> � FIRST INSPECTION CITY ��� 1 TEL Na.A-,-.I" 7,� / /// - ` l?/ . COUNTY LICENSE NO. EXPIRES Bl ADDRESS .G 49 4 ,Q! io,& 1A4&1 e PERMIT FEES AooREss -!1 B V �" v --- NUMBER EACH FEE LOCALITY LIGHT OUTLETS •r. NEAREST RECEPTACLES CROSS 9T. ) A' WALL SWITCHES OWNER/�?3A,6/ !edD eD TOTAL G OUTLETS Sc $ MAIL �/2/A-1 r,0L � ELEC. RANGES 25 ADDRESS ,t/ !� / /,� ELEC. HEATERS 25 CITY T6-1A.PG5`CQ-Y TEL. NO. 4 j �>w/' i FIXTURES 5 1 HEREBY ACKNOWLE GE 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 CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT I POSSESS THE A OVE VALID LOS NulaeER HORSEPOWER ANGELES COUNTY LICENSE, OR 1 TI4E LE/GA' OWN R New MVo. HP OVER INC. EACH OF THE RESIDENTIAL PROP RTY DESCRI9ED A13 VE. 12 & LESS $ .2S SIGNATURE OF %2 2 .50 PERMITTED� _ 2 5 1.00 JINSPECTION RECORD s -is- 1.50 15 50 2.50 50 200 5.00 200 .Soo 10.00 Q �,�•,•� .-.. _°'fru-�`�-� /f Sao 1000 15.00 f` (( Z OVER 1000 20.00 M.G. BET/FREQ. CHANGER-HP Q' WELDERS:AC-KVA GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% Or CRIG.) MOVED MOTORS (75 or CRIG.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO.LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 CONDUIT FIXTURES' $1.00 WIRING SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE UTILITY CO.NOTIFIED FINAL Vr !,f/LIrV I v 1l ii 6A663 CIE 10 77 / PPdCQM)Mi /M_LR U6'RPC' AL PERN U 2 ' COUNTY OF LOS ANGELES ` DE,F`Af2TMENT OF COUNTY ENGINEER JOB ADDRESS BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN LOCALITY New Residential Bldgs.&Pools EACH NO. FEE NEAREST 1 &2-Family,Sq. Ft. $ .025 — $ CROSS ST. LG' yr Multi-family Sq. Ft. 02 OWNER OR — FIRM NAME Residential Swimming Pools 25.00 MAIL ADDRESS "-/C1q Outlets: Rec Light $w. CITY �� �.r— Tel. No. First 20 .50 G — PLAN CHECK Total No. '� Additional .30 APPLICANT ADDRESS Lighting Fixtures First 20 .50 CITY 1r Tel. No. Additional .30 PERMIT' Total No. APPLICANT R / L L I Fixed Appliances Not Over 1 HP ADDRESS &,11 Range—Heater D.W. No. Oven _Dryer_W.M. R To —FAU H._ EG.NSEOR '/Q Class. 4!!5-/t Hood_Fan Other_ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Disp. - Room Air Cond. 2.50 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN- ANCES AND.STATE LAWS REGULATING ELECTRICAL WIRING. Power Apparatus&Large Appliances Size&Type HP, KW, KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM Up to 1 Incl. 2.50 THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. 0 Over 1 to I0 Incl. 5:00 v Over 10 to 50 Incl'. 12.50 PERMITTEE SIGNATURE CD Over 50 to 100 Inc. 25.00 Over 100 40.00 DISTRICT NO. PR CESD BY N Services 0- 200 Amp.Under 600 V 12.50 1 INSPECTOR'S 201-1000 Amp.Under 600 V 25.00 APPROVALS DA f SIGNATURE Over 1000 Amp.or Over 600 V 50.00 TEMP. POWER POLE UNDERSLAB WORK Temp. Power Pole&Appurtenances. 10.00 Sign with One Branch Circuit 10.00 ROUGH CONDUIT Additional Sign Branch Circuits 2.00 WIRING Misc.Conduits&Conductors 10.00 FIXTURES Other(See Complete Fee Schedule) I POWER AUTHORIZED UTILITY CO.NOTIFIED FINAL PERMIT FEE (Sub-Total) NOTES PLAN CHECKING FEE (One-Fourth Permit Feel PERMIT ISSUING FEE $7.00 TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK:. M.O. CASH 30 U 3 62 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 7SA663 °DBS 5A 11-50 APPLICATION FOR PERMIT , DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER ����� �� FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. ELECTRICIAN �r / ,rt✓,� �.r:�.�.�' ��✓ ® � �'��'��� irC, �;C' /t� RECEIVED BY READY FOR DAVE ISSUED ADDRESS FIRST INSPECTION CITY l�/>' TEL. COUNTY LICENSE NO. EXPIRES L� .J 0� BUILDING PERMIT FEES ADDRESS FEE r. NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST RECEPTACLES �L{. CROSSST. WALL SWITCHES °1.D OWNER a TOTAL OUTLETSJ, 5c $ _ MAIL ELEC. RANGES 25 _ADDRESS ELEC. HEATERS 25 �'°'►_+ CITY TEL. NO. FIXTURES 5 0 I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE 19 CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERFEF= ANGELES COUNTY LICENSE, OR I- AMTHE LEGAL OWNER NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. I/2 6 LE59 $ .25 SIGNATURE OF I/2 2 .50 PERMITTEE 2 5 1.130 ✓INSPECTION RECORD 5 1s 1.50 _ 15 50 2.50 50 200 5.00 200 500 10.00 �� J 500 1 000 15.00 z OVER 1000 20.00 / P M.G. SET/FREQ. CHANGER-HP �� /1�'� ns! -0— •/'Gu[-i r 0-i ly / WELDERS: AC-KVA �y,m� O, /� /,O, C/@.6 8� GENERATORS - KW TRANSFORMERS - KVA /A TEMP. MOTORS (75% OF ORIG.) MOVED MOTORS (75% OF ORIG.) MISC. SIGNS NO. NO.TRANS. ( APPROVALS L.N.D. NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 CONDUIT �p FIXTURES $1,00 WIRING SUPPLEMENTARY ,50 FIXTURES p� POWER 0 / TOTAL FEE $ 01 UTILITY CO. NOTIFIED rJ FINAL kg/" v WORKERS'COMPENSATION DECLARATION 20-0019 DPW 3/87 M R R M \` hereby.affirm that I.}ave a certificate of consent to self 768063 APPUCATMN FOR ELECT AL PUNT' \, O fi{ture, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or j,certified copy thereof (Sec. 3800, Lab. C.) Policy�No. Company FOR APPLICANT TO FILL IN JOB L��j�/ \ r_1 Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS % 7`L I _ $ LOCALITY ❑Certified copy is filed with the county building inspec- 1 & 2-Family, Sq. Ft. $ — �. tion department. Multi-family Sq. Ft. NEAREST Residential Swimming Pools CROSS ST. WNER OR Date Applicant FIRM NAME CERTIFICATE OF.EXEMPTION FROM WORKERS' Outlets: Rec Light Sw._ MAIL L COMPENSATION INSURANCE First 20 ADDRESS �1 I a.0.1 (This section need not be completed if the work involved by Total No. Additional CITY , C', Tel. No. - the permit is for one hundred dollars ($100)or less.) PLAN CHECK I certify that in the performance of the work for which this ) APPLICANT permit is issued, I shall not employ any person in any manner so as to become subject to the Workers'C mpens 'on L ILighting Fixtures First 20 ADDRESS Additional � Total No. CITY Tel. No. Dote G Applicant Fixed Appliances Not Over'1 HIP NOTICE TO APPLICANT: If, after making.this Certificate of APPLICATIORP �� •� �� Exemption, you should become subject to the Workers' Range— Heater—D.W. — A Compensation provisions of the Labor Code, you must forth- Oven — Dryer W.M.— ADDRESS 401- with comply with such provisions or this permit shall be Top . — FAU W.H. — deemed revoked. Hood — Fan —Other— l9 CITY c Tel. No.��� LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. REG. NUMBER Class. (commencing with Section 7000)of Division 3 of the,Business Power Apparatus& Large Appliances DISTRICT NO.. PR CESSED BY a and Professions Code,and my license is in full force and effect.. Size &Type HP, KW, KVA, or KVAR �0 d Q License Number _ql L(,r L�Lic. Class a� Up to 1 Incl. FINAL U f� --�- Over 1 to 10 Incl DATE. r 1, VALIDATION � Contractor / 'LJe �• Dote J �! / Over 10 to 50 Incl. FINAL. L' ~ ❑ U I am exempt under Sec. Over 50 to 100 Inc. BY W B.&P.C. for this reason Over 100 Services, Swbd., MCC& Ponelboards ate: Z0-200 Amp. Under 600 V D Signature n 201 - 1000 Amp. Under 600 V' ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. SINGLE FAMILY Temp. Power Pole 8 Appurtenances - HOME OWNER-BUILDER DECLARATION _ I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit H.A.I a sE Law for the following reason (Section 7031.5; Business and Additional Sign Branch Circuits Professions Code): 41`,Q,k ❑ 1, as owner of the property, will do the work and the Misc. Conduits&'Conductors ;t�, :�s structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)_ D F i-; -:. - Business and Professions Code). 'i li CONSTRUCTION LENDING AGENCY = `i 'f- 4i eAl I hereby affirm that there is a construction lending ageny for c `.sL7h1� '3- ,i Ri.l the performance of the work for.which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name1iy€-C_i i`:-�? PERMIT ISSUING FEE Lender's Address -` 1 1 R 1 certify that I have read this application and state that the TOTAL FEE 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 above-mentioned property for.inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date ©s CbUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1011010021 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I ITR: 15080 LT: 2 I I 4943 KAUFFMAN AV I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917804248 I (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: LA ROSA I 18589-017-011 - 1A1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: AS LOCALITY: TEMPLE CITY, Cl IG1 OUTLETS-LGT,SW,RECP 3.00 OUT 5.80 I I (TENANT: IG2 LIGHTING FIXTURES 8.00 LGT 15.50 (ISSUED ON: PROCESSED BY: PLAN BY: I I IH2 RES GRBG DISP LT 3HP 1.00 DIS 10.90 111/01/10 SR 1 1 1H3 RES DISHWASHR LT 3HP 1.00 DIS 10.90 1 I (OWNER: TEL. NO: 1H4 RES RANGE HDS LT 3HP 1.00 HOO 10.90 IF AL DATE FIN BY: CODE: IJONES GRIFFITH R JR;BERTHA M (626) 221-8485- " 1H5 RES WASH MACH LT 3HP 1.00 WAS 10.90 1 14943 KAUFFMAN AV 1H7 RES EXHAUST FANS 1.00 EX 10.90 ITEMP 917804248 ILB 200 AMP PANELS, MCC 1.00 PAN 38.80 (DESCRIPTION OF WORK 1 I I TOTAL FEES 142.40 (ELECTRICAL FOR KITCHEN, LAUNDRY RENOVATION AND UPGRAGE I I ISERVICE PANEL 200 AMP I (APPLICANT: TEL. NO: I I I (REGIS, CRISPIN (626) 221-8485- I I I 1 ISPECIAL CONDITIONS: 1 ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I IJONES, BERTHA (626) 221-8485- I 1 I 14943 KAUFFMAN AVENUE LIC. NO I ITEMPORARY POWER POLE I I ITEMPLE CITY, CA 91780 NONE I I I 1 (UNDERGROUND CONDUIT 1 1 1 1ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND I I I I LIC. NO: I IROUGH CONDUIT I - I I IROUGH WIRING 1 (MAIN WATER LINE I I I IPLASTIC YIN METAL YIN I I I I 1UTILITY COMPANY NOTIFIED I. I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 IREPORT ID: DPR265 ROUTE TO: BS0508 I I `�-.' 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