HomeMy Public PortalAbout5043 KAUFFMAN AVE_Electrical__ •. p 2 (fin 2 5� ,
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COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER Joel
BUILDING AND SAFETY DIVISION ADDRESS
LOCALITY
NEAREST
FOR APPLI'CA'NT TO FILL IIN CROSS.S.T.
OUTLETS NO. EACH FEE OWNER OR
r .$ gr' FIRM NAME
RECEPT., MAIL
FIRST 20 _ ADDRESS G /
LIGHT TOTAL - .25 _
Cl TY ��T. TEL. N 5rc
SWITCH-- OVER.20 .10
.PLAN -CH EC
LIGHTING TOTAL FIRST 20 . ;25 - APPLICAN.T'
ADDRESS -FIXTURES. OVER.OVER 20 .10
RESID,EN I L APpLIANCfS
CITY I.. TEL. N0:'
PERMIT
RANG RYE •WTR.. HTR._ - APPLICANT
STA. COOK- 'DISP. . F.A.U. 'ADDRESS
SPACE HTR... AIR COND. - . CITY._' _ /i,,, TEL.'N�d„�"
vT .
CLOTHES•WASH.' DISHWASH. LICENSE OR REG. NUMBER 'CLASS.
' FAN OTHER 1.00 ' ,() 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
- ✓� AND STATETHAT THE•ABOVE' IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY. ORDINANCE5 AND. STATE LAWS REGULA TJ NG
I.ND. HEATERS, ETC. HP. KW. KV,A. ELECTRICAL WIRING. - -
SIZE & TYPE OVER .TO
.. - I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND
0 — .1 1.00 LICENSED AS REQUIRED'�BY LOS ANGELES COUNTY ANO STATE OF
CALIFORNIA OR THAI` i AM THELEGALOWNER OF THE ABOVE }
1O ,3.00 DESORIf.EDRfSIDE� TIAL. PROP.E
O
P.ERMITEE U
10 - 50 5.00 SI GNATUR y �
O
50 - 100 10.00 1-
DISTRICT N0. PROCESSED BY W
100 - 500 1.5.00
"SIGN, GAS _ SIGN AND ONE CIRCUIT .5.00' APPROVALS .DATEINSPECTOR'S SIGNATURE
TUBE, OR - -
`MARQUEE ADDITIONAL CIRCUITS- 1.00, _ - TEMP`- POWER POLE '
SERV�I,CENOT OVER.600VOLTS OR200AM '00 J UNDERSLA.B WORK
S-ER'VI CE OVER 600 VOLTS OR 200 AMP'• -"10.00 ROUGH CONDUIT
TEMP SERVICE, POLE, &APPURTENAN'CES 500 +• WIRING
TEMP LIGHTOR RECEPT.'SYSTEM 3.00 tI ,FIXTURES
POWER AUTHORIZED
UTILITY�C O. NOTIFIED. 42--1,-71V
FINAL ^2.C/�7 •!il/.r�l�LGfT�'
PERMIT FEE (SUB-TO TAL) -NOTES:
PLAN CHECK FEE -
PERMIT ISSUING FEE 3.00 -
TOTAL FEE U
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. /M.0. CASH•
SEE BACK'OF APPLICATION FOR COMPLETE SCHEDULE ., '