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HomeMy Public PortalAbout5042 KAUFFMAN AVE_Electrical__ 76A663 DBS SA 25M SETS 11-48 APPLICATION FOR. PERMIT. DEPARTMENT OF BUILDING AND SAFETY ' -- COUNTY OF LOS ANGELES `_." WILLIAM J. FOX, CHIEF ENGINEER DISTRICT NO. GROUP I ZONE PERMIT NO. FOR APPLICANT TO FILL IN ELECTRICIAN RECEIVED BY READY FOR DATE ISSU/ED FIRST INSPECTION ADDRESS l/• I S d ...�Q.�' CITY TEL. NO. �i BUILDING ///[�/ �"� /, J•� LICENSE NO. EXPIRES ADDRESS A>Z lS 1J sA DESCRIPTION OF WORK �r NUMBER OUTLETS EACH FEES LOCALITY .0 r CROSS �— LIGHTS Sc $ CoQ STREET -17. (� RECEPTACLES 5 8 D FIXTURES 5 j n a OWNER r��Ar / (o WALL SWITCHES 5 �Q MAIL - � � -/A�'+ ADDRESS ) Graf 1.. , ELEC. RANGES 25 .r""' fi+ ® ELEC. HEATERS 25 2 CITY TEL. N MISC. I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER OF CIRCUITS INSTALLED: ANGELES COUNTY LICENSE. LIGHTS RECEPTACLES Of MOTORS ELECTRICIAN. NUMBER HORSEPOWER FEE J NEw MVD. HP OVER INC- EACH I AM THE LEGAL OWNER OF THE RESID N IAL,pyROP- I/2 fi LESS $ .25 ERTY DESCRIBED ABOVE, �,{� y � x!4.:7: 2 5 1.00 ,1,,.� OWNER:' 5 is 1.50 INSPECTION RECORD 15 so 2.50 so 200 5.00 200 Soo 10.001 Soo 1 000 15.00 -� OVER 1000 I 20.00 z M.G. SET/FREQ. CHANGER-HP WELDERS:AC-KVA 0 GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG-) MOVED MOTORS (75% OF ORIG.) MISC. SIGNS TYPE: NO.TRANS- TYPE: NO. LAMPS APPROVALS PERMIT FEE DATE INSPECTOR'S NAME FOR ISSUING PERMIT: _ CONDUIT WITHOUT FIXTURES $1•'00 � WIRING .2 WITH FIXTURES 15 7 - FIXTURES SUPPLEMENTARY .50 ®� POWER TOTAL. FEE �r.®® $ UTILITY CO.,NOTIFIED (({��� FINAL 76AG63 DSS 5A 25M SETS 11-48 APPLICATION FOR PERMIT DEPARTMENT.OF BUILDING AND SAFETY COU'RTY-OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER Y DISTRICT NO. GROUP ZONE PERMIT NO. FOR APPLICANT TO FILL IN — / `1 . ELECTRICIAN RECEIVED BY /READY FOR DATE ISSUE _ - FIRST INSPECTION j,. ADDRESS _ „Cr. `,,,, � tf CITY TEL..NO. 888 BUILDING LICENSE NO. EXPIRES ADDRESS DESCRIPTION OF WORK FEES � NUMBER OUTLETS EACH LOCALITY CROSS ,.�• ' LIGHTS Sc $ �a STREET y^ RECEPTACLES 5 $ FIXTURES 5 �'Hl OWNER , WALL SWITCHES 5 �; MAIL ADDRESS _ _ ELEC. RANGES 25 ..-. ELEC. HEATERS 25 ,. CITY TEL. N "N i .. M19C. I CERTIFY THAT I POSSESS THE ABOVE VALID LOS - NUMBER OF CIRCUITS INSTALLED:, ANGELES COUNTY LICENSE. " LIGHTS RECEPTACLES MOTORS ELECTRICIAN. NUMBER HORSEPOWER FEE NEW MVD. HP OVER INC. EACH + 1 AM THE LEGAL OWNER OFT Ef'RESID'EN:TIAL�P CP- I/2 S. LESS $ ,.25 ERTY DESCRIBED ABOVE. 1/2 2 .50 - 2 5 1.00 v /I' .. OWNE - s is 1.sD INSPECTION.RECORD ` 15 So 2.50 50 200 5.00 200 . 500 10.001 Soo1000 15.00 - Id F- ❑VER+11300 I 20.00 [a] M.G. SET/FREW. CHANGER-HP -I IL WELDERS:AC-KVA m GENERATORS KW ' TRANSFORMERS--.KVA TEMP. MOTORS (7t% OF ORIG•) MOVED MOTORS (7S% OF DRIG.) MISC. SIGNS TYPE: NO.TRANS. TYPE: NO. LAMPS APPROVALS PERMIT FEE DATE INSPECTOR'S NAME FOR ISSUING PERMIT: CONDUIT WITHOUT FIXTURES $1.400. I WIRING WITH FIXTURES '1.25 (s - FIXTURES SUPPLEMENTARY .50 , y POWER TOTAL FEE v{ .s.s'® $ U � UTILI rY CO.NOTIFIED (off j FINAL 4 D.B.S.SA 25M SETS 10-47 LIGATION TSt.4D ERNIT ,DEPARTMENT OF BUILDING AND SAFM �d 1 COUNTY OF LOS ANGELES WM. J. FOX CHIEF ENGINEER _ Z a NAME ®ISTRICT NO. GROUP I ZONE PERMIT NO. ADDRE53 4 C)(S 2- � _ U CITY TEL NO. REC IVED B READY FOR DATE ISSUED .I COUNTY FIRST INSPECTION W -CERT.NO. - EXPI RES ( �P - APPLICANT FILL. IN HEAVILY OUTLINED PORTION ONLY � DESCRIPTION OF WORK. ADDRESS NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS LIGHT OUTLETS SW. PLUGS FU[T CROSS ST ST. .`//..'A/�4'4 . CIRCUIT A B C D E F G 1.1 tr NAME Z L:e/ A,�,PLe Z MAIL ADDRESS /Y/`6 /J O CITY ,/A,4I - �'GEL.NO.AM THE LEGAL POSSESSOR•4OF THE "XBOVE ANGELES COUNTY CER•PIFICATE OF QUALIFICATION.. EIECTRIC3AN. II OAM HE LEGAL OWNER OF THE PROFFRTY DESCRIBED AJ3 -�+I��rp�gg 77�p77v OWNER. coBEJY.9A crlo.NS V J Q Z_ 0 O TOTAL No. of OUTLETS i $ APPROVALS NO. OF FIXTURES $ Y DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS $ FIXTURES ' ISCE LA EOUS $ POWER �p PERMIT FEE $ [� J O UTILITYCO.NOTIFIED -� � Q r/ of _5" TOTAL FEE FINAL 76A663 CE-806R 9/76 �CL `APPUCAIMN [BOOQ ELE��L� C�Q��� - ` COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION ADDRESS 5r0�4+�2 ..N. FOR APPLICANT TO FILL IN LOCALITY , 1li1'1CIE New Residential,Bldgs.''&Pools EACH NO. FEE NEAREST $ CROSS ST. 1 &2-Family,Sq. FY: .025 — $ OWNER OR WT, �1S�Dn Multi-family Sq. Ft. .02 — FIRM NAME 1W1'L..'1W.r S Residential Swimming Pools 20,.00 MAIL ADDRESS SAIVE Outlets: Rec Light_Sw. ,CITYTW + 'CI Tel.No.286-4819' 1 First 20 .50 PLAN CHECK Tocol No. Additional .30 APPLICANT ADDRESS Lighting Fixtures First 20 .50 CITY Tel No. Additional Total No. 30 APPLICANT TRME. HCC j Fixed Appliances Not Over 1 HP ADDRESS Range_HeaterD.W. Clrr S. EL 1�NTE Tel.Na. � 579-1982 Oven _Dryer- W.M. LICENSE OR Top —FAU —W.H._ REG.•NUMBER Class. Hood-Fan. —Other— I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Disp. _ Room Air Cond. 2`00 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 2.00 REQUIRED BY LOS ANGELES COUNTY AND E OF CALIFORNIA OR THAT I.AM Up to Ind. THE LEGAL OWNER OFTHEABOV DY ED SIDE IAL PROPERTY. Over 1 to 10 Incl. 5.00 Over 10 to 50 Incl. 10.00 PERMITTEE Over 50 to 100 Inc. 20.00 SIGNATURE 30.00. I9 Over 100 DISTRICT NO. R@CYS1SED BY O Services 4 50 V ` 0.-200 Amp. Under 600 V 12.50 MmJ INSP APPROVALS DATE E IS v�1 201-1000 Amp.Under 600 V 25.00 SIGNATOR URE Over 1000 Amp.or Over 600 V 50.00 TEMP. POWER POLE, UNDERSLAB WORK Temp, Power Poie&Appurtenances 10.00 Sign with One Branch Circuit - 10.00 ROUGH CONDUIT 2.00WIRING Additional Sign Branch Circuits Misc.Conduits&Conductors 5.00 FIXTURES ti Other(See Complete Fee Schedule) POWER AUTHORIZED UTILITY CO.NOTIFIED FINAL PERMIT FEE (Sub-Total) 4, 50 NOTES PLAN CHECKING FEE (One-Fourth Permit Feel PERMIT ISSUING FEE $6.00 4150 TOTAL FEE 9.00 Vf0ffKM 1ftMP E.NSAn"rIOWSH PESMITVALIDATION CK.' M.0. CASH POLICY HOLDER:: o� ��- ^� 2 4 BSEP 6 -2 0 .(D C) A-9 SE '�� GY NUN1BERo�OE�SCCE�J0:*..." �. ©5 176AI63C- CEBiB I¢<75 p PUM700aFOR MEUR R NEW7e,� _/ � BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN SOB , I, New Residential Bldgs.&Pools EACH NO. FEE ADDRESS 5042 N. KAUFF�IAN AVE, 1 &2 Finaily Sq. Ft.' $ — $ LOCALITY TEMPLE CITY Multi-family Sq. Ft. — NEAREST Residential Swimming Pools CROSS ST. �Yt �LG-T�p7 WNER OR FO RM NAME RO''ERO S Outlets: Light, Switch & Receptacle MAIL SAMADDRESS First TEMPIZ CITY 286-4819. Additibonal CITY Tel. No. t PLAN CHECK A\ Lighting Fixtures APPLICANT V First 20 ADDRESS Additional CITY Tel. No. PERMIT nn�� Fixed Appliances Not Over 1 HP APPLICANT TEAM HCC Range Heater_ D.W. ADDRESS 20-34.N. PECK M. Oven Dryer T W.M. Top F A U A— W.H. CITY SO. EL MDNTE Tel. N, 579-7952 Hood _ Fan LICENSE OR 265094 _ p Class. Disp.' A.C. � REG. NUMBER v I' HEREBY ACKNOWLEDGE THAT 1 HAVE READ-THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 0 Power Apparatus'& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING F- 1 ELECTRICAL WIRING. Size&T V ype HP, KW, KVA,or KVAR w o_ Up to 1 Incl vi 1'HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR z Over 1 to 10 Incl. r1n 'LICEN SEO AS REpUIR ED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE C Over 10 to 50 Incl. DESCRIBED RESIDENTIAL PROPERTY. ^ _ Over 60 to 100 Inc 1. PERMITEE Over 100, SIGNATURE Owl DISTRICT NO. PROCESSED BY Services (f;, � Dc � _.,�Ut 0-200 Amp. Under 600 V ` 201 - 1000 Amp. Under,600 V APPROVALS DATE INSPECTOR'S Over 1000 Amp.or Over 600 V SIGNATURE TEMP. POWER POLE Temp.,Power Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT (Other) WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee) F 'AI PERMIT ISSUING FEE NOTES TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 5 .4 6:-SEP 1 2 D 10.5 0 � WCIRICERS'COMPENSATION DECLARATION CE-806G (2-80) CAp I�lC L� CA Il U N COQ EL E ll UCAL� PERUWII� ll ' - CE-8 I hereby affirm that I have a certificate of consent to self COUNTY OF LOS AN ES BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof 1$ c. 38 Lab.C.) ; �,• D PT !J'/✓/� FOR APPLICANT TO.FILL I J Pol cy o. O Com an ��/ / EAC NO. FEE � J — New Residential Bldgs.&Pools DRESS,527 Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ $ LOCALITY Y ' - — Certified copy is filed with the county building inspection Multi-family Sq. Ft: NEARESTCROSS ST / department. // Residential/Swimming Pools FO RM NAME �y. Date pplica 1 �`'` /. �>`��"� Outlets: Rey�ightt-Sw.� - ,(J 0 0 ADDRESS,_ OO First 20 CERTIFICATE OF EXEMPTION FROM WORKERS' Total Noyes/ Additional -2 CITY �Ge I No a COMPENSATION INSURANCE PLAN CHECK O (This section need not be completed if the work involved ��( \ APPLICANT U by the permit is for one hundred dollars Fixture s ($100) or less.) s First 20 ADDRESS Additional cc Total No.(,�) 1 ,O I certify that in the'performance of the work for which this Fixed Appliances'Not Over 1 HP CITY l� Tel No. U permit is issued, I shall not employ any person in any manner PERMITlL so as to become subject•to the Workers'Compensation Laws, Range_ Heater_D.W. APPLICANT/.E / G �� a Oven Dryer_W.M`.J ADDRESSLU to Top _ FAU _W.H.. z Date Applicant - � Hood Fan _Other_ a� CITG�f✓ Tel No / NOTICE TO APPLICANT: If, aDisp.fter making this Certificate of _ Room Air Cond.— C� LICENSE OR / Exemption, you should become subject to. the 'Workers' REG. NUMBER Z� Class Compensation provisions of the Labor-Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO PROC S Y with comply with such provisions or this,permit "shall be Size&Type HP, KW, KVA,or KVAR 6/ deemed revoked. e V Up to 1 Incl. ` FINAL , Over 1 to 10 Incl. DATE �a LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. �® VALI DATI ' I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc.' FINAL / 9 (commencing with Section 7000 of Division 3 of the Busi- BY ( g ) Over 100 ness and Professions.Code, and my license is in,full force and effect. Service's License Numbed Lie.Class 0-200 Amp. Under 600 V 6�� �7 201-1000 Amp. Under 600 V t� ContrWy--) lb- .Date Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp. Power Pole& Appurtenances I, hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit License Law for thAdditional'Sign Branch Circuitse following reason (Section 7031.5, Busi- ness and Professions Code): Misc.Conduits&Conductors I, as owner of the property, will do the work and the Other (See Comp lete.Fee,Schedule)— structure is not' intended or offered for sale (Section 7044, Business and Professions Code). Q A CONSTRUCTION LENDING AGENCY # I hereby affirm that there is a construction lending agency 2-o 0 24,7 0- for .for the performance of the work for which this, permit is PERMIT FEE (Sub-Total) issued (Sec. 3097,Civ.C.). 7 v�ry o 0 o 2 k 7 0 y Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) ' Lender's Address 0 7 2 9.-8 0 PER ISSUING FEE I 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 here y authorize representatives of this County to enter upon the love-mentioneded property purposes SEE'REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date