HomeMy Public PortalAbout5030 KAUFFMAN AVE_Electrical__ 76A663-CE806-9=S7 rL I C A T�®'N FR ,E L mq q .R�V PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION
AD RE
L� d
JOHN'A.LAMBIE,COUNTY ENGINEER ��7 / 1
CASSATT D.GRIFFIN,SUP'T OF BUILDING. LOCALITY •--i L�,P
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. O.SdZ.-
ITEM PEST .FEES
NUMBER EACH FEE OWNER. / it J
OUTLET $ //}} MAIL
LIGHTS .RECEPT. SW. .f0 0 ADDRESS �.
LIGHTING FIXTURES .10 jQ CITY TEL.NO.
`ELEC.RANGES. CLO.DRYERS - ELECTRICIAN
WATER HEATERS .50 -
- ADDRESS
ELEC.SPACE HTRS, DISHWASHERS -
GARBAGE DISPOSERS- AUTO.- CITY ,{/ TEL.NO.
WASHERS STA.COOKING UNITS .25. STATE.
_t LICENSE NO. '
MOTORS: OVER INC. H.P. rRR
DISTRICT NO. ,gl� JGROUP� ZONE READY FOR INSPECTION
O — 1/2 25 15' �r
1/2 — .2 .50
a: INSPECTION RECORD
2 — S. 1.00
5 — 15 1.50
15 — 50 2.50
50— 200 - 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00 .
SERVICE OVER 600V 5.00 ..
MISC.
a
WIRING.PERMIT 1.00
FIXTURE PERMIT 1.00 :*
SUPPLEMENTARY PERMIT .50'
TOTAL FEE $ APPROVALS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE
AND.STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS. REGULATING
ELECTRICAL WIRING. - WIRING �.•>✓ /- .
. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENT OP RTY.`
SIGNATURE /// n. UTILITY CO.NOTIFIED /
OF PERMITTE
...__ .: _ .i,�:_. - :,'.±t. ..-..:.�,•. a z-r,r_ •„t,aa.�:,. .s, FINAL
VALIDATION •ARTH R C.VEIT,
• cx MO SUPERVISING ELECTRICAL ENGINEER;
LACD-1 5 6 0 v° EES 2°7 2 A
320 :�.