The URL can be used to link to this page

Home My Public Portal About5719 KAUFFMAN AVE_Electrical__ a c :6A663-CE806 ,D/�2 APPLICAT ON R ELECT)ZICAL PE IT rK COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION ADDRESS t"� LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS OUTLETS NO EACH I FEE OWNER OR $ $ FIRM NAME / RECEPT.-j MAI L ADDRESS LIGHT- TOTAL FIRST 20 Zg OVER 20 CITY TEL. NO. SWITCH ' 10 PLAN CHECK rAPPLICANT LIGHTING FIRST 0 2g TOTAL ADDRESS FIXTURES OVER 20 10 1 1 RESIDENT AL APPLIANCES CITY TEL. N0. PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS yL - SPACE HTR. AIR COND. CI TY EL. NO - - CLOTHES WASH. DISHWASH. LTCEREG.NUMBER0`- CLASS. FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICENSED A REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA THAI I AM THE LEGAL OWNER OF THE ABOVE 1 - 10 300 OESCRIP�ED RE �NTI ERTY. O • sss...JJJ--- U PERMITEE 10 - 50 500 SIGNATU 0 r 50 - 100 1000 fDISTRICT Y W100 - 500 t500 06 (jrESSED a Z SIGN, GAS SIGN AND ONE CIRCUIT 500PPROVALS DATE INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 POWER POLE SERVICENOTOVER600VOLTSOR200AMP 300 LAB WORK -7-P wJ`•1 • r � V� SERVICEOVER 600 VOLTS OR 200AMP 10.00IRUGH CONDUIT TEMPSERVICE,POLE, &APPURTENANCES 500RING , TEMP LIGHT OR RECEPT. SYSTEM 3DTURES WER AUTHORIZED ILITY CO. NOTIFIED AL 19 .� r PERMIT FEE (SUB TOTAL) TES: _O/y-7AI �,� ®®X PLAN CHECK FEE PERMIT ISSUING FEE 300 TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK M 0. CASH 7 4 1C-_JUN 27 z o I 7,2 5 ®�� SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE n 76A663-CE806 10/71 - APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ADDRESS 57-19 Kauffman �/�. BUILDING AND SAFETY DIVISION ` LOCALITY temple city NEAREST FOR APPLICANT TO FILL IN CROSS'ST. ' OUTLETS' N0, EACH FEE OWNER OR• Wl am montgomery S S FIRM NAME RECEPT. MAIL_ ADDRESS as JO LIGHT TOTAL FIRST 20 25 p Q CITY ! T,EL. ND287-852'2 SWITCH OVER 20 10 �' PLAN CHECK - LIGHTING 1 - FIRST 20 25 APPLICANT J) TOTAL ',ADDRESS FIXTURES OVER 20 10 CITY TEL.-NO. RESIDENTIAL APPLIANCES RANGE DRYERWTR HTR. ' APPLICANT PERMIT cobine electric CO. 'STA. COOK DISP. F.A.U. ADDRESS 1607 chestnut st. SPACE HTR. AIR COND.. CITY alhambra -.' TEL. N0282-0.315' OR CLOTHES WASH. DISHWASH. R GENSE UMBER 229847 CLASS.0-10 FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING - WITH ALL COUNTY ORDINANCES AND .STATE LAWS-REGULATING IND. HEATERS..ETC. HP KW KVA. E L ECTR I CAL'W IR ING. SIZE & TYPE OVER TO ' I HEREBY CERTIFY THAT I AM 'PROPERLY REGISTERED AND/OR 0 — 1 100 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF - CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE •ABOVE - 1 — 10 300 OESFRIPED RESIDENTI L PROP RTY O PERMITEE - 10 -"50 500 SIGNATURE / CL'CJL _ O 50 =' 1100 1000 DISTRICT NO. - 1,P11-OCE ED BY 1-- W 1007 500 1500 Z_ SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPECTOR'S GNAT IRE TUBE', OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP., POWER POLE SERVICENOTOVER600VOLTS OR200AMP -300 3 UNOERSLAB WORK SERVICEOVER600VOLTS 0R200AMP 10.00 ROUGH CONDUIT , TEMPSERVICE, POLE, &APPURTENANCES 5 D WIRING - - TEMP LIGHT OR RECEPT. SYSTEM 300 FIXTURES POWER AUTHORIZED •�% t UTILITY CO. NOTIFIED - FINAL. . I -4/ PERMIT FEE (SUB TOTAL) (/ O NOTES: PLAN CHECK FEE, • PERMIT ISSUING FEE 300 TOTAL FEE,-' I s • PLAN CHECK VALIDATION CK. M O CASH PERMIT VA ID TION CK. M 0. CASH 7.6:l i SEP . 4 2.0 6.0.0 o�G ` SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ._ TEMPLE CBTY 76A663-CE806 8-62 APPLICATION "FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING -^1 BUILDING AND SAFETY DIVISION ADDRESS 1 v� JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN,'SUPT OF BUILDING LOCALITY NEAREST 11 FOR APPLICANT TO FILL IN CROSS ST. V 1 RECEPT. TOTAL NO. EACH FEE ' OUT FIRST 20 $20 $ /-� O,WNER r_ Ili LIGHT- •� V MAIL _ - I ADD'L 7O ADDRESS SWITCH. 1 OVER 2O f LIGHTING F1R3720 .20 TOTAL CITY 1 TEL. O. I FIXTURES T ADD'L .10 ELECTRICIA OV R 20 RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK CITY TEL. NO. ` DISHWASH. AUTO.-WASH. STATE SPACE HTRS. A.•APP f�/:H•P.MAX -1 50 Ll LICENSE NO. MOTORS: OVER NOT OVER H.P. •DISTR1_�-.T N GROUP I Z E I PRO BY O 1 1.00 1 3 1.50 INSPECTION RECORD _• 3, a 2.00 . 8 15 2.50 15 . 50 3.00 O- 50 100 5.00 0 SIGNS. NO.TRANS DC NO.-LAMPS GO SERVICE 0.60OV-NOT OVER 200A 1.00 ITj a SERVICE 0-60OV-OVER 200 A. 2.00 Z SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2X0% SUPPLEMENTA13Y PERMIT ISSUING FEE 1.00 TOTAL FEE $ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION -r APPROVALS DATE INSPECTOR'S IGNATURE L TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT L COUNTY ORDINANCES AND STATE LAWS REGULATINGAL WIRING. WIRINGBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURESIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE D RESIDENTIAL PROPERTY. POWER URE UTILITY CO.NOTIFIEDMITTEE FI' NAL ll LIDATION ARTHUR C. VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER LA[:o 1 6 2 2 OCT 18 2 Q 3.10- WORKER'S COMPENSATION DECLARATION 20.0019 DPW 9/89 " I herifitllAffirm that I have a certificate of consent to self insure, .�'6A863 APPLICATION FOR ELECTRICAL PERMIT.;.. '' or a certificate'of Worker's Compensation Insurance, or a certified COUNTY OFICIS ANGELES DEPT. OF PUBLIC WORKS BUILDING'AND SAFETY DIV. copy thereof(Sec.3800 Lab'C) , n" Policy No Company FOR APPLICANT TO FILL IN - _ JOB --J ADDRESS ` n 'Certified co Is hereb furnished. ` EACH -NO. -- FEE --- �. PY Y. New Residential Bldgs.&Pools LOCALITY G 1.&2-Family,Sq Ft $ — $ 'Certified copy Is filed with the county building Inspection-A-�I NEAREST ' •��p department.,,, -• - „�r•t Multi-famlly•Sq.Ft -CROSS ST l�1�V� t „t, Residential Swimming Pools ASSESSOR i N Date Applicant 1 MAP BOOK _ p� (,(f .� - - •, -�, •`a�; r, - _ .._- ,. PAGE PARC L CERTIFICATE OF EXEMPTION.FROM WORKERS' yZ 3 OWNER OR Out Rec._Light SW. _ _ FIRM NAME '�- COMPENSATION INSURANCE' t 's!t ,�.' , d.,. _ .y, 'c'. ,'-'�_T.. , - • uu FIf't 20 MAIL' (This section need not be completed if the,work involved by the 7 i. -_ _ ADDRESS permit is for one Ituodred dollars($100)or.less.)' r.' Total No -F Additional certify that in the performance of the work for which this permit L. _._ r .-_ _ CITY- x _ Tel No Is issued,'I shall not employ any person in any'rhanner•so"as to i Lighting Fixtures First 20 PLAN CHECK become subject,to,•the:Workers'Compensation Laws. 9 9 'APPLICANT w- Total No. Additional ' ADDRESS JA Date t '' Applicant 15 OR-20A,120V BRANCH CIRCUITS NOTICE'-TO APPLICANT-,If,,-after mak g•this Certificate of., CITY Tel No ' Exemption,you-should become subject to the Workers?Compensation 1 TO 10 INCLUSIVE EACH provisions of the,Labor Code, ou,must forthwith comply with such 11-TO40INCLUSIVEEACH-- - - PERMIT ' „ Y P Y ,- APPLICANT provisions or this permit shall be deemed revoked. . } '• X n_ 41 OR MORE BRANCH CIRCUITS EACH LICENSED CONTRACTORS DECLARATION ADDRESS d c' i• 15 OR 20A,208V TO 277V LIGHTING EACH I hereby'sfflrm that'I'am licensed under provisions of"Ch'apter 9 O (commencing with Section 7000)-of'Division'3 of the Business and _ _ , , CITY Tel No V Professions Code,and my license Is In full force and effect. RESIDENTIAL APPLIANCES UP TO 3HP LICENSE OR Q Power Apparatus&•Large Appliances` REG NUMBER Class -- _ - - - O Size&Type-HP,KW,KVA,or,KVAR DISTRICT No POC ED 8Y F- License Number LIc.Class t .CW- n�/ U - - - -- Up to 3 Incl. -.._ - �L�J lf�:tom.c� W Contractor Date - - -_ Over 3 to 10 -- - FINAL - OvIner 10 to 50 Incl. Q Z ❑ �I am exempt under Sec Over 50 to 100 Incl. 2 / VALIDATION — ...-- Over 100 - - _ 3- FINAL w _ B.&P.C.for this reason-'-' BY Services,Swbg.,,MCC&Panelboards _ `Date 0-200 Amp Under 600 V Signature .201--1000-Amp.Under 6004 •-. - - r ; _• _ __ _ OVer,1000 Amp.or Over 600 V; - - Exemption for Reg.Maint.Elect. ' SINGLE FAMILY Temp Power Pole&Appurtenances .- :7 �.�, HOME OWNER-BUILDER DECLARATION - - - hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits Code) - C d Conuits&- onductors I, as owner of the property, will do the work and�the structure Misc Is not intended or offered for sale (Section'7044, Business Other(See Complete Fee Schedule) �t s! 9 and Professions Code). _ _. _____ __. _ _ ` {��+'_, fi0 ,� 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 (Sec 3097, PERMIT FEE_ (Sub-Total)_ a,. _ w i Civ.C.) - - $!2 /7'a}+ ' PLAN CHECKING FEE__. .- Lender's Name PERMIT ISSUING FEE 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 pr4TU.E spe i n r 0 S. 9 SEE REVERSE FOR EXPLANATORY LANGUAGE - SIGPLIC AG NT DATE WORKERS'COMPENSATION DECLARATION , CE-806 ) ' APPLICATION "FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure;or a certificate of Workers'Compensation Insurance,or. _ {' a certified;copy thereof(Sec. 3800, Lab.C.) FOR APPLICANT TO FILL IN ,JOB Policy No. Company ADDRESS ' i New Residential Bldgs.,&Pools EACH NO. FEE ❑ Certified•copy is hereby furnished., 1 &•2-Family,Sq. Ft. $ — $ LOCALITY Multi-family Sq. F,t. — ° NEAREST �.. ❑ Certified.coWis filed with the_.county building inspection CROSS ST r Residential'Swimrriing Pools department, OWNER OR - ' r . FIRM NAME Date' Applicant Outlets' Rec �, ,MAIL Light Sw ' First 2 ADDRESS , CERTIFICATE OF EXEMPTION FROM WORKERS' Total No ' Additional CITY TeI N 24 } COMPENSATION INSURANCE PLAN CHECK,/, d APPLICANTO (This section,need riot be completed if the work involved V by the,permit is for one-hundred dollars (S 100) or less.) Lighting FixturesFirst 20 ADDRESS Total No. Additional O I certify that in the performance'of the work for which this Fixed-Appliances Not Over 1 HP I CITY' ' Tel No permit is issued, I shall-not employ ny person in a�.,y Tanner PERMIT V so'as to become subject to-the W ers' mpensa11 Laws. Range_ Heater_D.W. APPLICANT CW.. c7 (�,' Oven _.Dryer_W.M._ ADDRESS 3 wf z, Date/1Ud`�pplica t Top _ FAU _W.H. ` , l r. Hood an Other— CITY64 nge& Tel No. ot \ ,,,,NOTICE TO APPLICANT: If;-after making this Cert_ific`ate of: Disp. _Room Air Cond.= LICENSE OR. 7 Exemption, you' should become subject to the. Workers' a' REG. NUMBER / Class 7--� 'Compensation provisions of the Labor.Code.,you must forth- Power Apparatus& Large,Appliances , DISTRICT NO. f PROCESSED'BY' with comply with such provisions ,or, this permit' shall be deemed revoked.'. Size&Type HP,KW, KVA,or KVAR � •. -Up to 1 Incl. ! FINAL Over 1•to 10 Incl. _ DATE LICENSED CONTRACTORS DECLARATION . �. � VALIDATION: • Over,10 to 50 Incl. I hereby affirm that I'am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL n BY 9 (commencing with Section 7000) of Division 3'iif the Busi- Over 100 ' ness and Professions Code; and my license is in full force and effect. Services i r,• License Number - ic. lass• 0-200 Amp. Under 600 V 201,1000 Amp.Under 600 V Contractor ate Z Over 1000,Amp.or Over 600 V i HOME OWNER-BUILDER DECLARATION Temp. Power Pole.&Appurtenances I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit 3 T 6 1'A Additional Sign Branch Circuits' o o 'o'o 0 2 License Law for the following reason"(Section 7031.5, Busi- _ ; "'ness and Professions Code): L = 2Fie o,� (a 9 Misc:Conduits&Conductors " , as owner othe property, w ; o the work anthe ❑ If p p y' illdhk d Other (See Complete Fee Schedule)— structure is not intended, or offered for sale (Section .o,o es -o 6 9 0 U 7044, Busins and Professions Code). CONSTRUCTION LENDING AGENCY 0 0'4r 8 2, I hereby affirm that there is a construction lending agency for the performance of th"e work for which this permit. is PERMIT FEE (Sub-Total) issued(Sec. 3097,Civ.C,). Lenders Name PLAN CHECKINGFEE""•'IOne-Fourth Permit Fee) Lender's'.Address PERMIT ISSUING FEE . I certify that I have read this application and state that the TOTAL-FEE'- .above information is correct.I'agree to comply with all County _. . ordinances nd State taws "r u ting Electrical wiring, and hereb au orize fepresentat' f this County to.enter upon ; the ment' pr tion-purposes. SEE REVERSE.FOR EXPLANATORY LANGUAGE Signature•of Permittee Da 'k