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Home My Public Portal About5015 KAUFFMAN AVE_Electrical__ 76A663 DBS SA 3-6D APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY q� COUNTY OF LOS.ANGELES MIECTRIC a pI WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL� IN DISTRICT NO. GROUP ZONE PERMIT N.D. ELECTRICIAN v � v RECEIVED BY READY FOR DATE ISSUED ADDRESS40 FIRST INSPECTION vv i CITY TEL NO. COUNTY LICENSE NO.' EXPIRES BUILDING l/ PERMIT FEES ADDRESS REE I NUMBER EACH LOCALITY t LIGHT OUTLETS NEAREST p Cl RECEPTACLES d CROSS ST. PJ y WALL SWITCHES ! OWNER l J f e P TOTAL OUTLETS zC Z e-0 MAIL I ADDRESS ELEC. RANGES 25 ELEC. HEATERS 25 CITY / TEL. NO. FIXTURES 5 nU 1 HEREBY ACKNOWLEDGE 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 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEW. MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY"DESCRIBED ABOVE. /2 & LEss $ .25 SIGNATURE OF I/2 I 2 .5O PERMITTEE 2 5 1.00 INSPECTION 4,2CORD 5 15 1.50 15 50 2.50 5O 200 5.00 200 500 10.00 - J _ 500 1000 15.00 a Z OVER 1000 20.00 d M.G. SET/FREQ. CHANGER-HP Q' WELDERS:AC-KVA O GENERATORS KW ' TRANSFORMERS - KVA TEMP. MOTORS (75% OF DRIB.) MOVED MOTORS (75% of ORIG.) MISC. SIGNS NO. NO.TRANB. APPROVALS NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: WIRING $1.00 o-a CONDUIT / FIXTURES 01.00 �-Q WIRING SUPPLEMENTARY .50 FIXTURES v - POWER TOTAL FEE >8 UTILITY CO.NOTIFIED FINAL £ 76AS63 DBS SA 3-50 APPLICATION FOR PERMIT ' DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC 1 44 WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT PI,O. -T- ELECTRICIAN RECEIVED BY READY FOR DATE ISSUED ADDRESS � FIRST INSPECTION IG� CITY TEL NO. COUNTY LICENSE NO. EXPIRES BUILDING do. PERMIT FEES ADDRESS U 'v►. NUMBER EACH FEE LOCALITY LIGHT OUTLETS NEAREST CROSS ST. am RECEPTACLES WALL SWITCHESOWNER )_7 TOTAL OUTLETS 5c S D�� • - MAIL r ADDRESS , JY� Q ELEC. RANGES 25 - - ELEC. HEATERS 25 CITY i TEL. NO. FIXTURES 5 q1 HER ACKNOWLEDGE THAT I HAVE READ THIS MISC. ! "�ell�•1'� rz L� 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 I POSSESS THE ABOVE VALID LOS NumigER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEW MVD. HP OVER INC. EACH OF THE .RESIDENTIAL PROPERTY DES BED ABOVE. %z & LEss $ .25 SIGNATURE OF I/ 2 .50 PERMITTE �A �•�� 2 5 1.00 INSPECTION CORD '5 15 1.50 15 1 50 2.50 513 200 5.00 200 500 10.00 - J 500 1000 15.013 ,Z OVER 1000 20.00 - m M.O. SET/FREQ. CHANGER-HP WELDERS:AC-KVA - O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF DRIG.) MOVED MOTORS (75% of ORIG.) MISC. SIGNS N0. NO.TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMITS DATE INSPECTOR'S NAME WIRING $1.00 CONDUIT 11 FIXTURES $1,00 WIRING /�-"�'a" a /,-T SUPPLEMENTARY .50 FIXTURES POWER it TOTAL FEE $ UTILITY CO.NOTIFIED FINAL �,(rf� 21 WORKER'S COMPENSATION DECLARATION 76A669DPW(12-97) ��®ten ®� ��.�� lS�� 76A663 �If u�u �f I hereby affirm that I have a certificate of consent to self insure, or a certificate of Worker's Compensation Insurance, or a'certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec. 3800 Lab::C.) , Policy N0. Company FOR APPLICANT TO FILL IN JOB h �. ADDRESS V Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE LOCALITY $ $ 1 / ❑ Certified co Is filed with the count buildinglns inspection 1&2-Family,.Sq. Ft. PY Y P NEAREST department. Multi-family Sq.Ft. CROSS S . Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Cutlets:Rec. Light SeOWNER OR AM I P/ ` COMPENSATION INSURANCE / pQ Jo p FIRM NM First 2 A t0 E lir jam)U Y 0 / O MAIL (This section need not be completed if the work involved by the ADDRESS S61 Lj KhO permit is for one hundred dollars`(S100)or less.) Total No.- Additional I certify that in the performance of the work for which this permit CITY i •� Tel.N is issued, I shall not employ any person in any manner so as t0 PLAN CHECK. become subject to the Workers' Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE„TO•APPLICANT:. .If, after making this Certificate of CITY Tel.No. Exemption,you should become subject.to the Workers' Compensation OTHER APPLIANCES NOT OVER 3 HP. PERMIT provisions.of the Labor Code, you must forthwith comply with such APPLIC provisions or this permit'shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT LICENSED CONTRACTORS'DECLARATION Size&Type HP,KW,,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl (commencing with Section 7000) of Division 3 of the Business and CITY Tel.No. Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. SE OR Over 50 t0 100 Incl. REGNNUM ER Class. d Over 100 DISTRICT NO. P SED BY O License Number Lic.Class V Services,Swbd.,MCC&Panelboards �� 0-399 Amp.Under 600 V FINAL Contractor Date - DATE 9 ❑ I am exempt under Sec. 400-1000 Amp.Under 600 V - �) — S W Over 1000 Amp.or Over 600 V FINAL / VALIDATION d B.&P.C.for this reason - BRANCH CIRCUIT FEES BY W Date: 15A,or 20A,120V,Lighting or Recept. _ 1.To 10 Branch Circuits Signature 11 To 40 Branch Circuits 41 Or More Branch Circuits ❑ Exemption'for Reg.Maint, Elect. 15A,20A,208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Nt• •s °a Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law - - ' for the following reason (Section.7031.5, Business and Professions Additional Sign Branch Circuits r.itSf L '�'�t Code): !TEM I, as owner of the property,will do the work and the structure Misc.Conduits&Conductors _-- " E I is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) TOTAL L 39=2 and Professions Code). D CHECK —*°25 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the CHANGE performance of.the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) Civ.C.) PLAN CHECKING FEE 0000-000 1 3/29/9-7 Lender's Name PERMIT ISSUING FEE �r� fi jli'�11= Lender's Address TOTAL FEE ° I certify that I have read this application and under penalty of purjury state that the 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 .luur SIGNATURE OF PERMITTE` / O E COUNTY OF LOS ANGELES' TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0801310012 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I .FEES PAID I BUILDING ADDRESS': 1 ITR: 14832 LT: 6 I 1 5015 KAUFFMAN AV I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ) TEMP CA 917803944 1 (ASSESSOR INFORMATION NUMBER: I . I NEAREST CROSS STREET: LOWER AZUSA 18589-017-007 IA1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl IG1 OUTLETS-LGT,SW,RECP 15.00 OUT 29;25 I I (TENANT: 1G2 LIGHTING FIXTURES 9.00 LGT 17.55 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1 1H2 RES GRBG DISP LT 3HP 1.00 DIS 10.95 101/31/08 - SR 07/29/08 1 IH4 RES RANGE HDS LT 3HP 1.00HOO 10.95 1 1 (OWNER: TEL. NO: 1H7 RES EXHAUST FANS 1.00 EX 10.95 1FIN DAT NAL BY: CODE: 1 (LAI AN MING;KUEI J . (626) 286-4184- ILB 200 AMP PANELS, MCC -1.00 PAN 38.85 1 I 15015 KAUFFMAN AV I TOTAL FEES 146.25 I 1 ITEMP 917803944 IDESCR PTION OF WORK 1 (ELECTRICAL FOR ADDITION, REMODEL AND UPGRADE SERVICE TO 1 1200 AMP 1 (APPLICANT: TEL. NO: 1 I 1KAO (626) 839-9385- 1 1 12321 FALLEN DRIVE 1 SPECIAL CONDITIONS: IROWLAND HTS CA 91748 1 ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1 11NF BUILDERS, INC. (626) 526-9840- 1 I 1120 W. CAMINO REAL AVE LIC. NO I ITEMPORARY POWER POLE I I 1ARCADIA, CA 91007 490547 B 1 1 11 I 1 1UNDERGROUND CONDUIT I I 1ARCHITECT OR ENGINEER: TEL, NO: 1 1UFER.GROUND IKAO, PEN (626) 839-9385- 12321 FALLEN DR. LIC. NO: 1 - IROUGH CONDUIT I I ROWLAND, HEIGHTS, CA 91748 C22022 1 I I I TROUGH WIRING 1 IMAIN WATER LINE Iz I I I PLASTIC Y/N METAL Y/N - I 1UTILITY COMPANY NOTIFIED( GGGI n I IZ41 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 I I I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I