HomeMy Public PortalAbout5703 KAUFFMAN AVE_Electrical__ �ce4y
76A663-CE806 9-67 APPLICATION FOR ELECTRIC) L
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 0
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. ® e
NO. EACHI FEE
$ $ OWNER
C,
RECEPT.L MAIL
LIGHT TOTAL FIRST 20 .20 Q ADDRESS D
SWITCH OVER 20 .10 CITY �' TE . NO.
LIGHTING �TOTAL. FIRST 20 .20 CONTRACTORFIXTURES OVER 20 .10 ADDRESS
RANGE—DRYER-/--WTR.HTR._ / CITY TELL.. N0.
STA.COOK—DIS P. F.A.U.— LICENSE NO. {/ 7
SPACE HTR. AIR COND. IHEREBY ACKNO LEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
CLOTHES WAS H._DISHWAS H._ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
/y�� ELECTRICAL WIRING.
FAN—OTHER 1.00 y(/ 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
IND. HEATERS, ETC. HP. KW. KVA. RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
SIZE & TYPE OVER TO 41N
IGNATURE
0 - 1 1.00 F PERMITTEE ' d
1 - 10 3.00 ISTRICT NO. GROUP ZONE PROCESSED BY u
10 - 50 5.00 I=0
50 - 100 10.00 OTES: F-
ILu
100 - 500 15.00 N
SIGN
TUBE, A SIGN AND ONE CIRCUIT 3.00 z
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT �.
ISSUING FEE 2.00 WIRING -2
FIXTURES
SUPPLEMENTARY ISSUING FEE 1.00
POWER AUTHORIZED ,0
PERMIT FEE CO.NOTIFIED.il
PLAN CHECK FEE (50% PERMIT FEE) FINAL V ` u L
TOTAL FEE !J JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.0.0
Hc 4 520-
IEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE