HomeMy Public PortalAbout4946 KAUFFMAN AVE_Electrical__ 76A663A-CE806A 4/72 AFMCA ON F LEC D uL PERM
s COUNTY OF LOS ANGELES �C
REPARTMENT OF COUNTY BUILDING AND SAFETY DIVISION BU'
ADDLDINRESS G 4 (D Klot0S A-IV U�
LOCALITY — L 'Ty
NEAREST _ ( r^�
FOR APPLICANT TO FILL IN CROSS ST. C �' 7y et_I/ .
OUTLETS NO. EACHI FEE
))&`` OWNER N CSU �"-
RECEPT.� '-1 $ $ MAIL ,
S TOTAL FIRST 20 OGV o a ADDRESS (c U FP/LA&k.)
LIGHT CITY ��. 'TEL. NO. 'j�'�, ,
SWITCH � OVER 20 �Z �� PLAN CHECK
FIRST 20 ,-y APPLICANT
LIGHTING TOTAL ��O
�v '
FIXTURES
VER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
RANGE DRYER WTR. HTR. PERMIT_ APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. Z- AIR COND. CITY �~ EL. NO.
CLOTHES WASH. DISHWASH. LICENSE N0. CLASS.
FAN OTHER I O� I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY O
MOTORS,/TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING V
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
S IZE & TYPE OVER' TO O
I HEREBY CERTIFY THAT IAM PROPERLY REGISTERED AND/OR H
0 - 1 LICENSED AS RED IRED BY LOS ANGELES COUNTY AND STATE OF W
CALIFORNIA OR THAT I A THE LEGALDO NER OF, AND 1 TEND TO
. 1 - 10 RESIDE IN, THE BOVE DESCRIPED ESIDE NTIAL OPERTY. y
10 - 50 SIGNATURE
OF PERMITTE
50 - 100
DISTRICTNO. J'aASS IZ9 E SED B
100 - 500 �/ b
SIGN, GAS SIGN AND ONE CIRCUIT NOTES:
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS
SERVICE NOTOVER 600 VOLTS OR 200 AMP /
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AMP
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES
� UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL) -
UTILITY CO: NOTIFIED
PLAN CHECK FEE
0
PERMIT ISSUING FEE FINAL -24
TOTAL FEE
PLANCHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.0. CASH
4-4 7tio-AUG 3 2 0 2 6.8 0.a9c
76A663 DS5 SA 3-50 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 ZONE PERMIT NO.
ELECTRICIAN C v
�y ;1-,I—� ei RECEIVED BY READY FOR DATE ISSUED
ADDRESS
FIRST INSPECTION _
CITY m,?!�5 • _ TEL. NO //
COUNTY LICENSE NO. EXPIRES 4 E U I L D I N a "
PERMIT FEES ADDRESS �s E✓ may✓
NUMBER EACH FEE LOCALITY 7,
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS ST. A GS. A
WALL SWITCHES I OWNER ,ps,m 10.p ® Y s
TOTAL OUTLETS 5C $ MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES D S I 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 1 CERTIFY THAT' 1 POSSESS THE ABOVE VALID LOS
FEE
NumuER I HORSEPOWER ANGELES COUNTY LICENSE, OR 1 AM THE .LEGAL OWNER
NEW MVD. HP OVER -INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
I/2 S LESS $ .25 - SIGNATURE OF A9
I/2 2 .50_ PERMITTEE
—
2 S. 1.00 INSPECTION RECORD
5 1s 1.50
15 50 2.50
50 200 5.D0
200 500 10.00 - J
5D0 1000 15.00 Z
OVER 1000 20.00 ('
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.
NO. NO. LAMPS APPROVALS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 o 6
CONDUIT /
FIXTURES $1.00 l ® ® WIRING
v
SUPPLEMENTARY .50 rFIXTURES '
,,ee DD Qa
TOTAL FEE $ Y c0.NOTIFIED
v �J