HomeMy Public PortalAbout5132 KAUFFMAN AVE_Electrical__ 7SA663 DBS SA 3-SO - APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY.
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER ELECTRIC I
FOR APP CANT TO FILL INR READY FOR
DISTRICT NO. GROUP ZONE /PERMIT NO.
ADDRESS S D1O ct EIVED BY FIRST INSPECTION /DATE ISSUED
CITY
COUNTY LICENSE NO. EXPIRES BUILDING
ADDRESS ] IBJ�L// �J
PERMIT FEES
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS _ +/- �+ NEAREST
�f ` CR099 ST.
RECEPTACLES
WALL SWITCHES I //+ OWNER _ �f'' ®,Ie.�/'�.I;ie-✓�
TOTAL OUTLETS .�® SC $ •J MAIL
ELEC. RANGES 25 ADDRESS (o �rK/ yy D
ELEC. HEATERS 25 CITY diA.,�,,, G(.�) TEL. NO.
FIXTURES 5 .Se
1 HEREBY ACKNOWLEDGE THAT I HAV9 READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT 1 P08SEBB THE ABOVE VALID LOS
NUMBER HORSEPOWER ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER ,.
FEE
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
///�
%2 & LESS $ .25 ,SIGNATURE OF //E
V2 2 .50 PERMITTEE n=m-�" _
2 S. 1.00 INSPECTION RECORD
5 15 1.50
'
15 50 2.50 r
50 200 5.011
200 SOO 10.00 J
500 11000 15.00 Z
OVER 1000 20.00 (9 4.�
M.G. SET/FREQ. CHANGER-HP
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
FOR EACH PERMIT: DATE INSP.E TOR'S NAME
WIRING $1.100 CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY .SO FIXTURES
POWER
TOTAL FEE $ UTILITY CO.NOTIFIED 1//"v
v L( � `-
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
DEPARTMENT OF COUNTY ENGINEER ELECTRIC 1
� DIVISION OF BUILDING & SAFETY
WILLIAM I. FOX, COUNTY ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN
ADDRESS RECEIVED BY READY FOR DATE ISSUED
.i FIRST INSPECTION
CITY TEL. NO. � � ;��
COUNTY LICENSE NO. EXPIRES BUILDING
PERM FEES+ FEE ADDRESS
NUMBER EACH LOCALITY
LIGHT OUTLETS
NEAREST
RECEPTACLES CROSSST,
WALL SWITCHES
OWNER
TOTAL OUTLETS Sc $
MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25
FIXTURES 5 CITY TEL. NO.
MISC. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
NUMBER OF LIGHT CIRCUITS APPLICATION AND STATE THAT THE ABOVE IS CORRECT
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
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
'/z&LESS $ .25
- SIGNATURE OF
'/2 2 .50 PERMITTEE
2 5 1.00 INSPECTION RECORD
5 15 1.50
15 50 2.50 -
_ 50 200 5.00
200 500 10.00 J
500 1000 15.00 Q
OVER 1000 20.00 Z
M.G. SET/FRED. CHANGER-HP
WELDERS: AC-KVA O
GENERATORS - KW
TRANSFORMERS-KVA
TEMP. MOTORS (75% of ORIG.)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO. NO. TRANS. APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: I DATE INSPECrTOR'S NAME
WIRING _ $1.00 CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50I
FIXTURES
POWER
TOTAL FEE $ UTILITY CO. NOTIFIED �. �. `�'" -':^.+��• �'
FINAL 'u I• Ie
76A 663 DBS# SA. 4-5II