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HomeMy Public PortalAbout5126 KAUFFMAN AVE_Electrical__ 76A663-CE806 1-68 fAPL�y1l �CAYMN� F` E111yC1('RO I�ERf�J/ 7 COUNTY OF' LOS ANGELES ELECTROC fill ILssl��00tltltltll❑1 DEPARTMENT QF COUNTY ENGINEER BUILDING ARID SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS ` COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSSST. NO. EACH FEE _ RECEPT. $ $ ;OWNE.R MAIL LIGHT TOTAL FIRST 20. .20 ADDR SS TEL. NO. - o-" • SWITCH OVER 20 .10 CITY Lq, PLAN CHECK LIGHTING �TOT/�L FIRST 20 .20 .APPLICANT Ml FIXTURES OVER 20 .10 ADDRESS 'r RANGEDRYER--WTR.HTR._ .CITY TEL. NO. Air � STA..COOK_DISP. F.A.U._ COfv TRACTOR- "" SPACE HTR. AIR GOND. ADDRESS o9 000, - CLOTHES WASH._OISHWAS-H. CITY EL. NO: � FAN-OTHER 1.00 LICENSE NO. CLASS k MOTORS,TRANSFORMERS RATING - IND. HEATERS, ETC. HP.. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP PLI'CATION � _ AND STATE-THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING - .ELECTRICAL WIRING. - 0 - 1: 1.00 - I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 - 10 - 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER'OF I AND INTEND TO a 10 - 50 5.00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY'. O V 50 - 100 10.00 SIGNATUREOF PERMITTEE i 100 - 500 15.00 DIS�2ICT NO. G OUP ZONE P C3C ED ~ SIGN.,GAS W TUBE, OR SIGN AND ONE CIRCUIT 3.00 /• Ct/ MARQUEE ADDITIONAL CIRCUITS 1.00h NOTES: Z SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 -• SERVICE OVER 600 VOLTS OR 200 AMP 5.00 - e TEMP SERVICE, POLE. & APPURTENANCES 3100 ,,�i. - APPROVALS DATE INSPECTOR'S SIGNATURE tA y IFINAL P. POWER POLE ERSLAB WORKGH CONDUIT 1D UPERMIT FEE (SUB TOTAL) NGURES PLAN CHECK FEE (50% PERMIT FEE) ER AUTHORIZEDPERMIT ISSUING FEE 2.00 ITYCO.NOTIFIEDSUPPLEMENTARY PERMIT ISSUING FEE 1.00 91lzll: TOTAL FEE JOSEPH C. ROOHAN ' - SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION ;CK.'j M.O. CASH . . IEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 76A669-CE806 9=67 Nle IJ QPUC 110H FOR ELE(C7 �C/f\\ Iw,/YnVnl�� COUNTY UOF❑LOS ANGELES IN �7 �VCrt1 ll L�11�1❑V❑ u u DEPARTMENT OF COUNTY ENGINEER. BUILDING �1 BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY _ 'r:P:k ,.w r'+•'d s. _ �, -. NEAREST k FOR APPLICANT TO FILL INJ CROSS ST. {� NO. EACH FEE RECEPT;L� ��// $ $ OWNER "• MAIL r' LIGHT TOTAL FIRST 20 O .20 ADDRESS SWITCH_ OVER 20 .10 Zo CITY fAkTEL. NO. LIGHTING �T L FIRST 20 .20 l CONTRACTOR ;d FIXTURES OVER 20 .10 ADDRESS "t RANGE—DRYER—WTR.HTR._ CITY TEL. NO. 'i. STA.COOK—DIS P. F.A.U.— LICENSE NO. SPACE HTR. AIR COND. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CLOTHES WASH._DISH WAS H._ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. FAN—OTHER 11.00 1 HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS!CRIBED NGELE COUNTY AND STATE OF - MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT I AM THEGAL O NER OF, AND INTEND TO �AOIND. HEATERS, ETC. HP. KW. KVA. RESIDE IN, TH V RESIDENTIAL P PERTY., SIZE & TYPE OVER TO SIGNATURE O — 1 1.00 OF PERMITTEE a .1 - 10 3.00 DIS-T-RICaT R _ C ` 10 — 50 5.00 v ((�� � 50 — 100 10.00 NOTES: F- to � 100 — 500 15.00 �� D- N TUBE,A SIGN AND ONE CIRCUIT 3.00 z MARQUEE ADDITIONAL CIRCUITS 1.00 /�f� SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 CIO SERVICE OVER 600 VOLTS OR 200 AMP 5.00 ` TEMP SERVICE, POLE, &APPURTENANCES 3.00 d APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK i ROUGH CONDUIT rj WIRING - ISSUING FEE 2.00 ;' FIXTURES +SUPPLEMENTARY ISSUING FEE 1.00 POWER AUTHORIZED PERMIT FEE "7 UTILITY CO.NOTIFIED PLAN CHECK FEE (50% PERMIT FEE) ''FINAL TOTAL FEE +" JOSEPH C. ROOHAN 7 ,..�� SUPERVISING ELECTRICAL ENGIN PLAN CHECK VALIDATION ` CK. M.o. cA+sH PERMIT VALIDATION CK. M.O. CASH Lffuo2 7. 1 9- c:t,�15 2 0 9.2 J- IN SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 76A663 DBS SA 11-50 APPLICATION FOR PERMIT DEPP,RTMIENT OF BUILDING AND SAFETY .,.� COUNTY OF LOS ANGELES T I. WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICTO. GROUP ZONE PERMIT NO. ELECTRICIAN �j /� '-- R EIVED BY READY FOR DATE ISSUED ADDRESS G►. ,C,' 7 � , FIRST INSPECTION, / CITY �(,�a' '�'{ TEL. NO:a COUNTY LICENSE NO. �� EXPIRESG J'6- '->-„ BUILDING n / PERMIT FEES ADDRESS FEE NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST 9 RECEPTACLES ROSS ST. WALL SWITCHES I OWNER �-+ �'. TOTAL OUTLETS W.65c $ 2 MAIL ELEC. RANGES 25 � ADDRESS - C'✓t�w ELEC. HEATERS + 25 CITY TEL. NO. d� IXTURES 5 S41:11) 1 . HEREBY ACKNOWLEDGE THAT I 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 I CERTIFY THAT I POSSESS .THE ABOVE VALID LOS ANGELES COUNTY LICENSE, OR. 1 AM'THE LEGAL OWNER NUMBER HORSEPOWER FEE NEW MVD. HP OVER I INC. EACH OF THE RESIDENTIAL PROPERTY- DESCRIBED ABOVE. 1/2&-LESS $ •.25 0 SIGNATURE OF - 1/2 - 2 .50 - PERMITTEE r 2 s 1.00 INSPECTION RECORD s 15 1.50 15 50 2.50 ' '..I 50 200 5.00 200 500 10.00 500 1000 15.00 Z OVER 1000 20.00 M. G. SET/FREQ. CHANGER-HP IY WELDERS: AC-KVA GENERATORS-KW ' TRANSFORMERS-KVA TEMP. MOTORS (75%OF ORIG.) MOVED MOTORS (75%OF ORIG.) MISC. SIGNS NO. NO. TRANS. APPROVALS NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: WIRING $1.00 IT FIXTURES $1.00 tLi�1- WIRING � - SUPPLEMENTARY :50 I FIXTURES POWER TOTAL FEE UTILITY CO. NOTIFIED (Z ® FINAL •���Jivt. '� /��- �7s WORKERS' COMPENSATION DECLARATION '20-0019 DPW 3/87 /p� �p n pp+22 (n� � np �2n/�/� O 4'her6'+affirm that I have a certificate of consent to self CE 663 APPUC�AMN FOR ELtbLSCTMICAL� IJ-LS11�11V H insure, ora certificate of Workers' Compensation.Insurance, COUNTY OF LOS ANGELES DEPT:OF PUBLIC WORKS ora certified copy thereof (Sec. 3800, Lab. C.) Policy No. Company art r., VC/ FOR APPLICANT TO FILL IN JOB ❑Certified copy is hereby furnished. New Residential Bldgs. & Pools' EACH NO. FEE ADDRESS .�I Io r4M FraIA.+/ AVc ❑Certified copy is filed with the county building inspec- 1 & 2-Family, Sq. Ft. $ — $' LOCALITY tion department. - Multi-family Sq. Ft. CROSS NEAREST ST. D �/ Gl Residential Swimming Pools Date 9� APPlicantR� ISG WNER OR FOIRM NAME M,ker ab4/O CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw._ MAIL COMPENSATION INSURANCE ADDRESS 'Jt-/'.� ,¢µr ry 0-V First(This section need not be completed if the work involved by Total No. Additional CITYT� Tel. No. the permit is for one hundred dollars ($100)or less.) PLAN CHECK 'I certify that in the performance of the,work for which this APPLICANT permit is issued,I shall not employ any person in any manner 1 so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Additional Total No. CITY •Tel. No. Date Applicant J Fixed Appliances Not Over 1 HP PERMCATION IT .NOTICE TO APPLICANT: If, after making'this,Certificate of APPLIi✓ Exemption, you should become- subject- to the Workers' Range— Heater—D.W. — LEG IQrC Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W.M.— 'ADDRESS A.p© S. G'9��Fvsi�1/7r� with comply with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked. CITYDN�o✓��i Tel. No. Hood '— Fan —Other— S�Q LICENSED CONTRACTORS DECLARATION LICENSE OR 9 I hereby affirm that I am licensed under provisions of Chapter Disp. Room\it Cond. REG. NUMBER .i�7��0 Class.C=/O (commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO. P O ESSED BY >_ and Professions Code,and my license is in full force and.effect, d Size&Type HP, KW, KVA, or KVAR � �cJ `'� e�Q7 Q License Number s-T6? -V ` Lic. Class_C 10 C) { Up to 1 Incl. FINAL Contractor^' -FLEe/r rc 7 Over 1 to 101ncl. DATE �j VALIDATION o_ ❑ Date O"ver 10 to 50 Incl. FINAL O I am exempt under Sec. Over 50 to 100 Inc. BY ('� C) B.&P.C. for reason Over 100 ` �-/ 1� a D Z Date: Services, Swbd.; MCC & Panelboards Z 0;200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Exemption for Reg. Maint..Elect. Over 1000 Amp. or Over 600 V SINGLE FAMILY' Temp. Power Pole &Appurtenances HOMEOWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit „` a Law for the following reason (Section 7031'.5, Business and Additional Sign Branch Circuits 1 1.:'-_; ,•s• Professions Code): j ❑ I, as owner of the property, will do the work and the Misc. Conduits &Conductors Other See Complete Fee Schedule structure is not intended or offered for sale(Section 7044, ( P )— Business and Professions Code). D "RL dt CONSTRUCTION LENDING AGENCY ` I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is-issued PERMIT FEE Sub-Total (Sec. 3097, Civ. C.). UU PLAN CHECKING FEE Lender's Name 2 __._ _ PERMIT ISSUING FEE /✓ ___; ? 's =_li -� Lender's Address I certify that I have read this application and state that the TOTAL FEEjr above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize re resentat.ives of this County.to enter upon the above-mentio d property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE T-i Signature o Permittee Date ©sl 10, NORKERS' OMPENSATION DECLARATION 76A663 110/81 ( /o r no p (o 0 I hereby affir"m•that I have a certificate of consent to self CE-80613t a6; II�L��CA750 'PQR EL E.C7 �15,� % �IE�IIV<l�;ll insure, or a certificate of Workers' Compensation.`Insurance, - 'CQlJY�1TY OF LOS ANGELES BUILDING"AYbD SAFEYY ora"certified copy thereof (Sec: 3800,Lab. C.) = Policy No. Company (k ° , FOR APPLICANT-TO FILL IN: . ', JOB Certified copy is hereby furnished. New Residential Bldgs. & Pools EACH NO. FEE ADDRESS ? Certified copy is filed,with The' ©untybuildi g•inspec- 1 &2 Family, Sq. Ft g — g —LOCALITY � RMA ' e ar ment. Multifamily Sq. Ft. — NEAREST tion d � CROSS ST. Date f Applicant Residential Swimming Pools OWNER OR J� FIRM NAME CE IFICATE OF EXEMPTION FROM ORKERS' MAIL ADDRESSCOMPENSATION INSURANCE Outlets: Recce/ LigF tSw. q V This section need not be'coleted if the work involved b First 20' v ( tim p Y Total No. CITY _ Tel. No.d the permit is for one hundred dollars (;100)or less.), Additional I certify at thin the for'mance of the for this PLAN CHECK P ere woror wAPPLICANT _ permit is issued,1 shall not employ any person in any manner so as to become subject to the Workers''Compensation Laws. lighting Fixturessryy First 20 ADDRESS 6� Additional To Total No. CITY Tel. No Date Applicant Fixed Appliances Not Over 1 HP PERM c NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT+- Exemption, you should become subject to the WorkersRange_ Heater—D.W. — Compensation provisions of the Labor Code,you must forth- Oven _Dryer W.M.— . ADDRESS with comply.'with such provisions or this. permit 'shall beTop FAU —W.H. AA deemed revoked.. Hood Fan Other_ CITY' Tel. No. LICENSED.CONTRACTORS'DECLARATION U6E SE OR "\ ,.I hereby affirm that I am licensed under-provisiohs of Chapter Disp. _ Room'Air Cond. - RE . NUMBER. (ry! Cla `(commencing with Section 7000) of Division 3 of the Business -Power Apparatus& Large Appliances DISTRICT NO. PROCESSED Y and Professions Code,.ond my license is in full force and'effect. U CL Site,&Type HP, KW, KVA, or KVAR' l 0 License Number Lic.'Class ,.Up to 1 Incl. FINAL - u Over 1 to 10 Incl. DATE VALIDATIO Contractor Date J ' ElOver 10 to 50 Incl. ,FINLy I am exempt under Sec. Over 50 to 100 Inc. BY " w LU B.&P.C, for this reason Over 100 Services, Swbd., MCC&Ponelboards Date: 0 -200 Amp. Under 600 V Signature 201' - 1000 Amp. Under 600 V 0.0 0.,0.2- Over 1000 Amp..or Over 600 V, Exemption for Reg Mamt Elect. 0 1-9.5 Q SINGLE FAMILY Temp. Power Pole &Appurtenances. �•� 9,5 HOME OWNER-BUILDER DECLARATIONQ 8 Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch:Circuits Law for the following reason (Section 7031.5, Business and Professions Code): a1, as owner of the property, he will do the work and tMisc. Conduits&Conductors - structure is not intended. or offered for sale (Section Other (See Complete Fee.Schedule)_ D 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is,issued PERMIT FEE J (Sub-Total) i (Sec. 3097,.Civ. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE U Lender's Address ('certify that have read this application and state that the TOTAL_FEE �So 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 EXPLAfdATORY LANGUAGE Signature of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT - DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1103220006 BUILDING AND SAFETY,/ LAND DEVELOPMENT TEMPLE CITY CA 91780 - PHONE: (626) 285-0488 EXT: ILEGAL ID: FEES PAID I BUILDING ADDRESS: ITR: 15683 LT: 19 5126 KAUFFMAN AV I IFEE DESCRIPTION: QUANTITY: UOM: AM0UNT: 1 TEMP CA 917803945 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LA ROSA 18589-010-019 1Al PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl ' IG1 OUTLETS-LGT,SW,RECP 24.00 OUT 44.30 , (TENANT: IG2 LIGHTING FIXTURES 9.00 LGT 17.50 IISSUED ON: PROCESSED BY: PLAN BY: 1 I IHA FAU LESS 3HP 1.00 FAU 10.90 103/22/11 SR I - 1Hl RES ELEC OVEN LT 3HP 1.00 OVE 10.90 I 10WNER: TEL. NO: IH2 RES GRBG DISP LT 3HP 1.00 DIS 10.90 (FINAL ATE FIN L BY: CODE: 1 IBUBALO MIKE;MERCY L (626) 446-2519- IH3 RES DISHWASHR LT 3HP 1.00 DIS 10.90 - f� 112 OLD RANCH RD IH4 RES RANGE HDS LT 3HP 1.00 HOO 10.90 I• `\ (ARCD 910076170 IH5 RES WASH MACH LT 3HP 1.00 WAS 10.90 ID S IPTION OF WORK 1 I IH7 RES EXHAUST FANS 1.00 EX 10.90 (ELECTRICAL FOR REMODEL KITCHEN, BATHROOM, POWDER ROOM AND 1 1 _1H9 RES APPL LT 3HP 1.00 RES 10.90 (HVAC SYSTEM -(APPLICANT: TEL. NO: IJB AC UNITS. +3-10HP 1.00 AC 19.70 ISACCOMAN, FRANK (626) 358-3360- I TOTAL FEES 196.50 1408 HEATHER HEIGHTS I - ISPECIAL CONDITIONS: 1 (MONROVIA, CA - I - 1 1 ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1 IBUBALO, MIKE (626) 446-2519- 1 I 112 S. OLD RANCH ROAD LIC. NO 1 ITEMPORARY POWER POLE 1ARCADIA, CA 91006 NONE 1UNDERGR0UND CONDUIT 1 I 1ARCHITECT OR ENGINEER: TEL. NO: 1 IUFER GROUND I LIC. NO: IROUGH CONDUIT - R0UGH. WIRING IMAIN WATER LINE - IPLASTIC YIN METAL YIN I I I I i I 1 1 (UTILITY COMPANY NOTIFIEDI I 1" I I I I I I I I 1 I 1 1 I I I I I I I I I I I I I I I I I I I I I I I 1 I I I I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 1 1 1 I I