HomeMy Public PortalAbout5014 KAUFFMAN AVE_Electrical__ 76A66Z3-CE806=10/72 QPPUCAIMH FOR ELECTf,°3 AL p D NU
COUNTY OF LOS ANGELES
DEBULDING AND SAFETY DIV SIONTMENT OF COUNTY ENGINEER ADDRESS p ,nJ' -
LOCALITY
NEAREST s�
FOR APPLICANT TO FILL IN CROSS ST. pu
OUTLETS NO. EACHI FEE OWNER OR
FIRM NAME Q
RECEPT._ $ $ MAIL
Vs.eAtn
LIGHT TOTAL'
FIRST 20 25 ADDRESS 1
CITY �- TEL. NO.
SWITCH_ OVER 20 .10
PLAN CHECK
LIGHTING TOTAL FIRST 20 25 APPLICANT
FIXTURES
OVER 20 .10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE OR
REG. NUMBER CLASS.
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 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 REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI' I AM THE LEGAL OWNER OF THE ABOVE d
1 - 1O 3.00 OES CRIP-ED RESIDENTIAL OPERTY. �
V
PERMITEE
10 - 50 5.00 SIGNATUR
50 - 100 10.00 W
DISTRICT NO. ROCES ED BY
100 - 500 15.00 15163
Z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECT 'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICENOTOVER600VOLTS OR200AMP 3.00 oQ UNDERSLAB WORK
SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT
TEMP SERVICE, POLE, &APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED •Z6 "�
UTILITY CO. NOTIFIED �tCl
FINAL
�p
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 00 ~u r
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VAL D TION cK. M.O. CASH
15 4 D VI 29 0 0 ON
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
• _ Ley ILIA //��� �L��LII 1F}ILII �L�}tra �/�}�� II�� �
76A�63-CEQ06 1"'1.j71 AL1 PLS�CIr'U��OII V FOR LSLECU�CAL �- RMOT
L.1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION `ADDRESS (.f
LOCALITYYr�
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. r
® �
OUTLETS N0. EACH I FEE
OWNER',41 ,f
RECEPT.7- MAIL -
q FIRST 20 25, ADDRESS
LIGHT .:;7 TOTAL /
SWITCH .7 CITY TEL. Nb.a9 -673
OVER 20 .1p
PLAN CHECK �
LIGHTING
FIRST 20 .25 APPLICANT -
T TAL
FIXTURES
OVER 20 10 ADDRESS
.
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE, /��
!� DRYER L WT HTR. APPLICANT ,m-e- _l��
STA. COOK �DISP. A.U. ADDRESS,
SPACE HTR, AIR COND. - p •CITY � TEL. NO.
CLOTHES WW_ASH. : DISHWASH. y LICENSE NO. CLASS.
FAN ✓ OTHER 1.00 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND 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 IN TYPE OVER TO
_ I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
O - 1 100 LICENSED AS REQUIRED B7 LOS ANGELES COUNTY AND STAT.E.OF d
CALIFORNIA OR THAT I AM.TME LEGAL OWNER OF, AND INTEND .TO 0
I - 10 3.00 RESIDE IN, THE ABOVE DESCRIBED. RESIDENTIAL PROPERTY.
U
SIGNATURE ix
10 - 50 5.00 OF PERM TE O
50'- 100 10.00
DISTRICT NO. CLASS PROC SSED BY .0
100 - 500 15.00 a I a
N
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: ?
TUBE, OR 7
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICE NOT OVER 600VOLTS OR200AMP .3.00
APPROVALS DATE INSPECTOR'S SIGNATURE.
SERVI CEOVER 600 VOLTS OR 200AMP . 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 5.00
IUNDERSLAB WORK
TEMP LIGHT OR RECEPT, SYSTEM 3.00
ROUGH CONDIUT
WIRING
;FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL) s�
UTILITY CO. NOTIFIED
PLAN CHECK FEE f/�g'/(y j�/y J//6/y
:7
-, PERMIT ISSUING-FEE 3.00 FINAL /-
TOTAL FEE /2'06) _
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT V 'TION CK. M.O. CASH
�K'l 2L'0'&�' I
{.. ..
,SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
'761663-CE ,AIl cA U go V FOR ECTUCAL 11 ISRbwou
0
COU OF LOS ANGELES
` DEPARTMENT OF COUNTY ENGINEER BUILDING �--
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING 'LOCALITY '1
NEAREST
FOR APPLICANT TO FILL IN cRoss sr, c^`
RECEPT../ T&AL NO. I EACH FEE
OUTLETS FIRST 20 $20 $ p OWNER a
LIGHT MAIL
ADD'L ADDRESS N' O
SWITCH. OVER 20 .10 �j ...
LIGHTING
TOTAL FIRST 20 .20 CITY EL. NO. v
i � -
FIXTURES 1( ADD'L 10ELECTRICIAN
OVFR 2O
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK /
CITY TEL.NO.
DISHWASH. AUTO.-WASH. STATE
l�I -
SPACE HTR9. STA.APP.('AH.P.MAX.) .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRIC ,NO. GRO E ESSED B 0 , 1 1.00 7 4 ,
0 1 s 1.50 INSPECTION RECORD a a
O
3 8 2.00 7 'E�*�� •,..s�•a/1�..�s� ' I�dSa'� '.�: .+t..i°�J�'C�
8 15 2.50 d'"�� 33
15 50 3.00 ' V
50 100 5.00 d
N
SIGNS: NO.TRANS z
NO.LAMPS
SERVICE 0-600V-NOT OVER 200A 1.00
SERVICE 0-60OV.OVER 200 A. 2:00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $
I CA
HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPL TION APPROVALS DATE INSPECTOR'S SIGNATURE
V AND.STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY CONDUIT R t
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING _
ELECTRICAL WIRING. yf f'•
WIRING �-�� v, � J�.tAGwt./
1 HEREBY CERT IF
LIY THAT 1 AM PROPERLY REGISTERED AND/OR ./V
CENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF � .FIXTURES ` �(
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. �,(////� POWER
SIGNATURE LKUTILITY CO.NOTIFIED -''�..`'�-
OF PERMITTEE I AL
VALIDATIO ARTHUR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
LA,Lo 3 6321-0 NOV 5 2 D 8.0- 0, U