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Home My Public Portal About5121 KAUFFMAN AVE_Electrical__ 76A668�-CE806 12-58 ,- APPLICATION FOR .,ELECTRIC PERMIT s COUNTY OF LOS ANGELES rDEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS Hq 71 11T tlnaaflf'.>wraa - JOHN A:LAMBIE,COUNTY ENGINEER CASSATT D.GRIFFIN,SUPT oF'BUIL6wG LOC PERMIT FEES t�9AT71T3l A 04�'+-,v - _` FO R`APPLICANT'TO' FILL IN NEAREST C cRoss sr. WNER I! esnt��-F4 -I,T E M _ NUMBER .EACH 'FEE O --- FL�IUGHTING LE}TnS:- �q� MAIL . TS`sµ RECEPT.�, SW.I';1,,. J1, .10 ADDRESS ' FIXTURES •� ..10 � CITY, TEL.NO. .RANGES "CLO.DRYERS ELECTRICIAN 1"4nim1 min- R„' P,1-'..w4--4.A - F W'AT E R,.,,H EATERS .50 - ADDRESS 101(') !j �-sv rx ro�sarr S.nc A v.w ELEC.SPACE.HTRSADISHWASHERS CIT'gn gpin j-_n vv4,_7TEL.NOA .orf#_`�]f�.17 GARBAGE DISPOSERS -AUTO.- 1 J q/^✓ R ,I,,. STATE q «�r��r .p WASHERS STA COOKING UNITS - .25 LICENSE NO. 9 'S.J hlf9 nzm C.s0. MOTORS OVER 'INC:- H.P. - I N D S,TRIC O. GROUP �Z ONE P OtCESSED BY fTJf -^ 1i2 z ao INSPECTION RECORD'I z 5.' 1.00 5— ..fig , 1.50 - 1g— 50 2.50 - 50 200- �- - 5.00. - .SIGNS NO.TRANS NO.LAMPS `SERVICE_0=.600V., i '� - 1.00 +:SERVICE`-OVER 600V 5.00 - MI$C - - - .WIRING PERMIT - .1.00 �•- ('�(� - FIXTURE.PERMIT - 1 1.00.. 'SUPPLEMENTARY PERMIT. .50 - - - •TOTAL.FEE.._ .: $ '� gGS. n APPROVALS . "( HE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE. INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT'AND• AGREE TO'COMPLY - .".WITH ALL,-COUNTY.ORDINANCES AND STATE LAWS REGULATING CONDUIT 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 II)AM J'THE.•iL-EGAL OWNER- OF THE ABOVE DESCRIBED, RES IDE NT;AL IPROPERTY:, - + POWER e SIGNATURE { 1 UTILITY CO.NOTIFIED - ,'OF,PERMITTEE• �^� •� "'` �~ -- bs. FINAL ;. ®P VALIDATION ARTHUR C. VEIT, SUPERVISING ELECTRICAL.ENGINEER ... MO CASHIg - ^' 76A669-CEB06 12-58 APPLICATION FOR ELECTRIC LECTRIvPaRM COUNTY OF LOS ANGELES 75 DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 5121 N. Kauffman JOHN A.LAMBIE,COUNTY ENGINEER CASSATT D.GRIFFIN,BUFT OF BUILDING :¢'. LOCALITY Temple C i t FOR APPLICANT TO FILL IN CROSS ST. �� •+ t �/J fCVJiT PERMIT FEES OWNER C o chetto 1 TE M NUMBER EACH FEE OUTL TS: - g g MAIL LIGHTS . RECEPT-k SW4 3'p •10 1 , po ADDRESS LIGHTING FIXTURES .10 CITY TEL.NO. ELEC.RANGES CLO.DRYERS ELECTRICIANConlee & SonLIentric _ W A T E R HEATER S .5O ADDRESS �030 N. CT i 'randyiew Aire, ELEC.SPACE HTRS DISHWASHERS CITIOp S A TEL.NO GARBAGE DISPOSERS AUTO.- 1 25 STATE WASHERS STA.COOKING UNITS .25 u LICENSE NO. 137567 C-10 _ MOTORS: OVER INC. H.P. DISTRICT NO. 'GROUP . ONE P CESSED BY ajLO— 1/2 .25 1�2— 2 .50 INSPECTIO RECORD .,. � gg c7 _ 2— 5 1.00 .d,b fi { �, �• �Jl!/ttit/ /f!1 t!•t ✓i.Gde.�/ 5— 15 1.50 15— 50 2.50' 50-200 5.00 SIGNS: NO.TRANS. NO.-LAMPS SERVICED-600V Ex.isting_ 1.00 SERVICE OVER 600V 5.00 MISC. - LWFIXTURE G PERMIT 1.00RE PERMIT 1.00 0EMENTARY PERMIT .50TOTAL FEE S 3 85 APPROVALS REBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE. TATE THAT THE ABOVE IS CORRECT AND AGREE:TO COMPLYALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUITpRICAL WIRING. WIRING -p -1, �EREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND�ORSED AS REQUIRED BY .LOS ANGELES COUNTY AND STATE OF FIXTURESORNIA OR THAT�AM HE GAL OWNER OF THE ABOVEIBED RESIDENT'�{A.LPRO ER Y POWER ATURE 1 ^. UTILITY CO.NOTIFIEDPERMITTEE ! FINAL IK Of,• CK LI ARTHUR MO CASH SUPERVISINGELECTRICAL ENGINEER s'� .6 2 0 JUN 2 9 2 A 3 .8 5 �` WORKERS'.COMPENSATION DECLARATION iE-863 ioisi APPU faA��ON ,F®R En ECTMICA P2(�f�, T '� llfl.. — I hereby�af0m that I have a certificate.of consent to self insure, ce-aoBG ��o I�l��ll I_L X1.0 �y t4o L�U9UFgp or a.cerC6riata of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY ghvy thereof�(Sec. 38]00 Lab C) • �Policy NO. CompanyF"�� FOR APPLICANT TO FILL IN - JOB• . Certified copy is herebyfurnished. EACH NO. FEE ADDRESS Tj'a E, New Residential Bldgs.& Pools 1 & 2-Famil $ — $ LOCALITY C( Certified copy is filed with the 'county building inspection y,S q Ft. If / department. Multi-family Sq.Ft. — NEAREST Residential Swimming Pools Date Applicant CROSS ST.' U j OWNER OR j. :FIRM NAME CERTIFICATE OF'EXEMPTION FRO WORKERS' Outlets:Rec tight S. MAIL — .•.COMPENSATION INSURANCE _ �.. ADDRESS SSE .(This section need not be completed if the work involved by the First 20 Total No. 3a Additional CITY Tel.No. permit is for one hundred dollars ($160)or less.) - I certify that in the performance of the work for which this permit PLAN CHECK 10 APPLICANT is.issued, I shall,not employ any person in any manner so as to " 'become subject,to the'N/orkers"Compensation Laws. Lighting,Fixtures First 20 ADDRESS Additional Total-No.. _ CITY Tel.No. Date Applicant Fixed Appliances.Not Over 1 HP PERMIT 'NOTICE TO APPLICANT: If,,•after making this Certificate of APPLICANT A t nSxn fir^9O CQS L4 Exemption,you should become subject to the Workers'.Compensation Range_ Heater_ D.W. + �" ` proJisions of'the Labor Code, you must forthwith comply with such Oven Dryer _ W.M._ ADDRESS �', (5*voy AyLn provisions'or this permit.shall be deemed revoked. Top FAU 'W.H. LICENSED CONTRACTORS DECLARATION' Hood Fan Other_ CITY CT: COVI el.No. I.hereby affirm that I am licensed under provisions of Chapter 9 LICENSE OR 11 ��•pp _I (commencing with Sectioh 7000) of Division 3 of the Business and Disp.- �. Room Air.Cond. REG.NUMBER c s? Class.,6 Professions-Code,and my license is in full force and effect. DISTRICT� .Power Apparatus& Large Appliances UX P SSE Y q Size&-Type HP,KW,KVA,or KVAR Q License Number ��! Lic.Class �� Up to 1 Incl. ' ' - FINAL U Over 1 to 10 Incl. DATE / Contracr Date d. VALIDATION 0to ❑ Over 10 to 50 Incl. / V FINAL I am exemp under Seca Over 50.to 100 Inc. BY, W G. B.&P.C.for Over 100 this reason N Services,Swbd.,MCC& Panelboards /1 D Date:. 0,- 200 Amp.Under 600 V 0 /S 0 Signature 201 - 1000'Amp.Under 600 V Over 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. ',. SINGLE FAMILY Temp. Power.Pole& Appurtenances 2 HOME OWNER-BUILDER DECLARATION, Sign with One Branch Circuit ACCT.a I hereby affirm that Fam exempt from the Contractor's License Law 4 -Additional Sign Branch Circuits for the following reason,(Section 7031.5, Business and Professions Code): 3:Y! Misc.Conduits& Conductors I ITMS GttGo°'rt' a 1,as owner of the property,will do the work and the structure is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) and Professions Code). TOTAL, 68.25 CONSTRUCTION LENDING AGENCY DECK, I hereby affirm that there is a construction lending agency for the CHAla .'00 performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) Civ.C.). PLAN CHECKING FEE ?/26/0.9- 2b/� . Lender's Name '' pry �1 7/ + PERMIT ISSUING FEE 5892 1 19f 1 .9'.12 Lender's Address I certify that I have read this application and state that the above TOTAL FEE , 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 inspction purposes.' SEE REVERSE FOR EXPLANATORY LANGUAGE lkln Signature of Permitte ate 1 COUNTY OF LOS ANGELES` TEMPLE CITY -#( 0508 ELECTRICAL"PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0511010008 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 15683 LT: 39 5121 KAUFFMAN AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803946 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8589-011-011 Al PERMIT ISSUANCE FEE - 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C G1 OUTLETS-LGT,SW,RECP 6.00 OUT 11.70 TENANT: G2 LIGHTING FIXTURES 3.00 LGT 5.85 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 45.30 11/01/05 JK 04/30/06 OWNER: TEL. NO: - - FINAL DATE FINAL BY: CODE: TAKEDA NORMAN L;SUZANNE (626) 287-8771- 2/ � 5121 KAUFFMAN AV .• d ( - TEMP 917803946 DESCRIPTION OF WORK ELECTRICAL FOR BATH REMODEL APPLICANT: TEL. NO: TOM O'LEARY - (626) 287-0927- 5823 AGNES AVE - SPECIAL CONDITIONS: TEMPLE CITY CA 91780 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE TOM O'LEARY CONSTRUCTION (626) 287-0927- - 5823 AGNES AVENUE LIC. NO TEMPORARY POWER POLE , TEMPLE CITY, CA 91780 489354 B-1 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND ' LIC. NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE. - PLASTIC YIN METAL YIN UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508