HomeMy Public PortalAbout5127 KAUFFMAN AVE_Electrical__ -76A663 OBSSA 11-49 - - APPLICATION FOR, PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOP. APPLICANT TO FILL IN DISTRICT NO. GROUPZONE PERMIT N .
.5- I .O
lLft,obl.3
ELECTRICIAN �I .®?r .
RECEIVED BY READY FOR DATE ISSUED
ADDRESS l FIRST INSPECTION
CITY TEL. NO a�
COUNTY LICENSE NO. EXPIRES AD RESSG
PERMIT FEES
FEE
NUMBER OUTLETS EACH ` OCALITY
LIGHT gc $ '-NEAREST 7
�h 'CROSS 5T. pr`�
RECEPTACLES 5
FIXTURES 5rOWNER OWNER ANA /
WALL SWITCHES 5 MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
NUMBER OF CIRCUITS INSTALLED: dl
4
TOTAL / tJr APPLICATION AND STATE THAT THE ABOVE IS CORRECT
LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING.
NUMBER HORSEPOWER. FEE I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NEW Mvo. HP OVER INC. EACH ANGELES COUNTY LICENSE, OR A+4 THE LEGAL OWNER
%2 & LESS $ .25 OF THE RESIDENTIAL P PERT -B D ABOVE.
2 .50 SIGNATURE OF � ` .
_ 2 5 1.00 PERMITTEE
5 1 s 1.So INSPECTION RECORD
is s0 2.50
50 200 5.00
200 Soo 10.00
500 1 000 15.00 J
OVER 1000 20.00 Z
M.G. SET/FREQ. CHANGER-HP (g
WELDERS:AC-KVA Q'
GENERATORS - KW ❑
TRANSFORMERS - KVA - P
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (75% OF ORIG.)
M ISC.
SIGNS
TYPE: NO.TRANS.'
TYPE: NO:LAMPS APPROVALS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRJNG $1.00 -9 CONDUIT
FIXTURES $1.00 e0-0 WIRING
SUPPLEMENTARY .50 FIXTURES '
POWER
TOTAL FEE $ ' UTILITY CO. NOTIFIED
76AG63 DBS 5A 11-49 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNT' OF LOS ANGELES
WILLIAM J. FOX, CHIEFENGINEER
FOR APPLICANT TO FILL IN
DISTRICT NO. GROUP ZONE PERMIT N.O.
%,,.,_ ` II
ELECTRICIAN / dCa
..rRECEIVED�/BY READY FOR DATE
ADDRESS .! � �� ��,F°��/ FIRST INSPECTION
CITY � �Fl,
COUNTY LICENSE NO. /�� O EXPIRES w BUILDING
PERMIT'FEES ADDRESS ® r�
6�YyL 8�'
NUMBER OUTLETS EACH FEE LOCALITY
LIGHT Sc $ NEAREST T
CROSS ST.
RECEPTACLES 5
FIXTURES 5 OWNER
WALL SWITCHES 5 MAIL w
EIEC. RANGES 25 ADDRESB
ELEC. HEATERS
/��, 25 CITY TEL. NO.
MISC. / Gtd�"ca' ., 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
NUMBER OF CIRCUITS INSTALLED: IJ
TOTAI APPLICATION AND STATE THAT THE ABOVE IS CORRECT
LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING.
NUMBER HORSEPOWERFEE I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NEW MVD. HP OVER INC. EACH ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
V2 & LESS .25
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
$
_ %2 2 .50 SIGNATURE OF
2 5 1.00 PERMITTEE
S 15 1.50 INSPECTION RECORD
1 5 so 2.50
5o 200 5.130
200 500 10.00
500 100o 15.00 J
OVER'1000 20.00 .Z
M.G. SET/FREQ. CHANGER-HP (g
WELDERS: AC-KVA
O
GENERATORS - KW
TRANSFORMERS KVA
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (75% OF ORIO.)
MISC.
SIGNS
TYPE: NO.TRANS.
TYPE: NO. LAMPS APPROVALS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE $� , UTILITY CO. NOTIFIED
FINAL I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508. ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS _ '9701 LAS TUNAS - EL 0508 1211090008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 - •
PHONE: (626) 285-0488 EXT:
ILEGAL ID: - FEES PAID BUILDING ADDRESS:
ITR: 15683 LT: 38 1 - _, '-. 5127- KAUFFMAN AVI
I IFEE DESCRIPTION: QUANTITY: UOM: -- AMOUNT: ( TEMP CA 917803946
(ASSESSOR INFORMATION NUMBER: I C I NEAREST CROSS STREET: .'1 .
18589-011-010 1A1 PERMIT ISSUANCE .FEE `- 27.80 'I THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY CAI
I IHA FAU LESS 3HP 1.00 FAU 11.00 I - I
(TENANT: I.J3 AC UNITS +3-10HP 1.00 AC 19.70 11SSUED ON: PROCESSED BY: PLAN BY: 1
TOTAL FEES 58.50 111/09/12 SR
(OWNER: TEL. NO: - IFINAL DATE FIN BY: CODE: I
ICOSLOFF IRVING L;TERI M (626) 285-3658-
15127 KAUFFMAN AV - -
ITEMP' 917803946 I ILLESCRIPTION OF WORK -
I ICHANGE OUT FAU AND A/C UNIT
1APPLICANT: - TEL. NO: I _
GROSENBACH, PHILLIP (626) 358-0022- ..
11310 S MYRTLE.AVE I ISPECIAI, CONDITIONS_
IMONROVIA CA 91016
(CONTRACTOR: TEL. NO: IAP RO ALS' DATE INSPECTOr SIGNATURE. 1
IGENERAL HEATING AND A C, INC_ (626) 358-0022- - 1
11310 S MYRTLE AVE LIC. NO I ITEMPORARY POWER POLE
IMONROVIA CA 91016 - 469166 - - -
(UNDERGROUND CONDUIT
I I I I I I
(ARCHITECT OR ENGINEER: - TEL.-NO; I IUFER GROUND - I -
I
I LIC... NO: - -- I ROUGH CONDUIT _ I -
.°y I ROUGH WIRING -
I
. IMAIN WATER LINE I.
1 (PLASTIC Y/N METAL Y/N
1 1 II I I
I (UTILITY COMPANY NOTIFIEDI I
I I I I I I
I I I I I I
I f I I I I
I I I I I I
I I I I I I
I IREPORT ID: DPR265 ROUTE TO: ,BS0508