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HomeMy Public PortalAbout5725 KAUFFMAN AVE_Electrical__ COUNTY OF LOS ANGELES _ TEMPLE CITY _# 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS i 9701 LAS TUNAS - _ EL 0508 0904070022 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: - -ILEGAL ID: 1 FEES PAID BUILDING ADDRESS: ITR: 6561 LT: 508 UN. .002 1 1 5725 KAUFFMAN AV 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT TEMP CA 917802506 1 (ASSESSOR INFORMATION NUMBER: I _ NEAREST CROSS STREET: 18587-022-006 - - 1A1 PERMIT ISSUANCE FEE 27-75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl I IG1 OUTLETS-LGT,SW,RECP 1.00 OUT 1 95 1 1TENANT- - IHA FAU LESS 3HP 1.00 FAU 10 95 11SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON - 1 IJB AC UNITS +3-10HP 1.00 AC 19.65 104/07/09 SR 10/04/09- 1 TOTAL FEES 60.30 1 (OWNER TEL. NO: 1 IF)NAL DATE FIN BY: CODE: 1 ICONTRERAS, JIM (626) 285-0789- 1 15725 KAUFFMAN AV I:%f'` •' ITEMP 917802506 1 IID2SCRIPTI N OF WORK 1 (ELECTRICAL FOR HVAC SYSTEM (APPLICANT- TEL. NO: I I ITEMPO A/C & HEATING (626) 444-8885- 1 I I - 15937 N. OAK AVENUE I ISPECIAL CONDITIONS: I ITEMPLE CITY CA 91780 1 1 I I I I I (CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1 ITEMPO AIR CONDITIONING AND HEATING (626) 285-1218- 1 1 15937 N. OAK AVE. LIC. NO 1 ITEMPORARY POWER POLE I ITEMPLE CITY, CA 91780 274880020 - 1 ' - _ 1 (UNDERGROUND CONDUIT I 1ARCHITECT OR ENGINEER- TEL. NO: .1 1UFER GROUND I 1 LIC. NO- 1 IROUGH CONDUIT 1 1 1 I 1 ROUGH •WIRING I I I I LF It I I IMAIN WATER LINE 1 'FPLASTIC Y/N METAL Y/N - I 1UTILITY COMPANY NOTIFIEDI I I I - I-• I I 1 I I I I I I I I I 1• I I I I II I I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I I I I 761"563-CE��611-71 APPLICATION FOR ELECTaA PER IT LI COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS LOCALITY G ' NEAREST FOR APPLICANT TO FILL IN CROSS ST, OUTLETS NO _ EACHI FEE OWNER $ $ RECEPT.,� MAIL - FIRST 20 25 O ADDRESS LIGHT TOTAL rT OVER 20 CITY r 1�..- TEL. N0. SWITCH , ` 10 PLAN CHECK FIRST 20 APPLICANT LIGHTING � 25 O TOTAL FIXTURES OVER 20 10 ADDRESS ` Yj RESIDENTIAL APPLIANCES CITYr'2�jp�se TEL. NO. PERMIT RANGE DRYER WTR. HTR. APPLICANT STA. COOK DI SP. F.A.U. ADDRESS Z� kb M p SPACE HTR. AIR COND. CITY ` TEL. NO. _ 6 CLOTHES WASH. DISHWASH. LICENSE NO. CLASS. 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. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO O 1 - 1O 300 RESIDE IN, TH ABOVE DESCRIBED RESIDENTIAL PROPERTY. V SIGNATURE ; � 0 10 - 50 500 OF PERMITTEE `i 50 - 100 1000b DISTRICT N0. CLASS Z PROLE D A - W 100 - 500 15.00 / / c' i N SIGN, GAS SIGN AND ONE CIRCUIT 500 NOTES: /0///AlZ L TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 Q // SERVI CENOT OVER 600 VOLTS OR 200 AMP 300 APPROVALS DATE INSPECTOR'S SIGNATURE S ERVI CE OVER 600 VOLTS OR 200 AM P 10.00 TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 500 UNDERSLAS WORK TEMP LIGHT OR RECEP.T. SYSTEM 3.00 ROUGH CONDIUT WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED 0 PLAN CHECK FEE FINAL �� PERMIT ISSUING FEE 3.00 p O TOTAL FEE pv PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH OCT 10 2 D G.0 0 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663-CE806 11_71 APPLICATION FOR ELECTRICAL PERMIT - COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING i BUILDING AND SAFETY DIVISION ADDRESS 7 �S L tllfr1I/I104/ LOCALITYNEAREST ^' �^ L•Ii '(`� ITS/ FOR APPLICANT TO FILL IN CROSS ST. /y fl OUTLETS NO. EACH FEE - OWNER RECEPT. $ '$ MAIL ,/7 LIGHT TOTAL FIRST 20- 25 ADDRESS y / �J 1 /v -r OVER 20 -CITY C/T\ EL. N0. SWITCH_ - 10 PLAN CHECK , LIGHTING FIRST 20 + -APPLICANT .25 TOTAL )(l ADDRESS OVER 20 - FIXTURES ) 10 RESIDENTIAL'APPLIANCES CITY TEL. NO. PERRANGE DRYER WTR. HTR. APPLICANT IT c S -41 /-/ STA. COOK DISP: F.A.U. ADDRESS i SPACE HTR, AIR COND. CITY J /' L T TEL. NO., U (2OJJO CLOTHES WASH. DISHWASH. LICENSE NO. G - CLASS.,Cj-/o 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. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR O - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF dam. _ CALIFORNIA OR THAT I AM THE LEG L OWNER OF NO INTEND TO 1 - 10 300 RESIDE IN, THE ABOVE DE CR ED ' RESID IAL PROPERTY. OV 10 - 50 300 SIGNATURE - - OF PERM O 50 - 100 1000 C X� l ASS SSED BY Lu 100 - 500 1500 I H SIGN, GAS ONE CIRCUIT 500 NOTES: rL ? SIGN AND TUBE,'OR - MARQUEE ADDITIONAL CIRCUITS 100 :.� ' Al Z SERVICENOTOVER600VOLTS OR200AMP 300 APPROVALS DATE INSPECTOR'S SIGNATURE SERVICEOVER600VOLTS OR200AMP 10.00 TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES -5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT, SYSTEM 300 ROUGH CONDIUT WIRING j FIXTURES POWER AUTHORIZED PERMIT FEE - (SUB TOTAL) UTILITY CO. NOTIFIED LPLA�NCHECK FEE ' FINAL 7 /7 y2- UING FEE 300EE -PLAN CHECK VALIDATION CK. M 0. CASH PERMIT VALIDAIO _E 0. CASH T >EE BACK OF APPLICATION•FOR COMPLETE SCHEDULE - WORKERS'COMPENSATION DECLARATION CE-906G °�D/81 APPLICATION FOR ELECTRICAL PERMIT 1 hereby affirm that I have a certificate of consent to self Insure, or a certificate of Workers'.Compensation Insurance, or a certrfied COUNTY OF LOS ANGELES BUILDING AND SAFETY copy,thereof (Sec 3800,Lab.C) Polic�'N© Company FOR APPLICANT TO FILL IN - JOB ❑ Certified,copy is hereby furnished New Residential Bldgs &Pools EACH NO V FEE ADDRESS ❑ . . 1 & 2-Family,Sq.Ft $ LOCALITY F, 'Certified copy is filed with the county building' inspection $ w department Multi-family Sq Ft — 'NEARESTCROSS ST Arbd L Residential Swimming Pools } OWNER OR J Date Applicant. i $ r f� t. i(� y. FIRMNA -71 CERTIFICATE OF EXEMPTION FROM WORKERS �^ i 9� a d MAIL Outlets Rec Light Sw a COMPENSATION INSURANCE t,l� `` ADDRES First,20 (This section need not be,completed if the work involved by theCITY permit is for one hundred dollars($100) or less.) Total No i�g • Additional 6 1•certify that in the performance of the work-for which this permit CK4d I is Issued, I shall not employ any person,in any manner so. as'to "become subject to the Workers'Compens aws Lighting Fixtures First 20 ADDRESS d/a � Additional ' At, Total No. /0 CITY - ;1.�' � Tel No ' Date Applicant I Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If,„ ter` making this Certs t to of Exemption,you should become subject to theWorkers Compensation Range_ Heater_ DW APPLICANT provisions of the Labor,Code, you must forthwith comply'with such Oven Dryer _ W.M ADDRES /&, provisions or this permit shall be deemed revoked Top FAU _•W H _ CITY Tel No �� LICENSED CONTRACTORS DECLARATION Hood Fan Other_' I hereby affirm that I am licensed under provisions of Chapter 9 LICENSE OR Disp Room Air Cond ._ - Class G1 f8 (commencing with Section 7000) of Division'3 of the Business and REG NUMBE Professions Code,and my license Is in'full force and effect Power Apparatus Appliances - DISTRICT No PROCESSED BY ' & Large (} a Size& Type HP,KW,KVA, or KVAR License Number Lic Class /0 Up to 1 Incl FINAL U• Over 1,to 10,lncl. DATE/—ZZ-9`'" VALIDATION � Contractor { Date � Over 10 to'50 Incl FINAL O ❑ I am exempt under Sec Over 50 to 100 Inc,, BY •+��/ LiJ B&PC for this reason Over 100 IL Services, Swbd MCC & Panelboard �;) a) Date 0-- 200 Amp Under 600 V Bim"' ® 7 Signature 201 - 1000 Amp,Under 600 V Over 1'000 Amp or Over 600 V ❑• Exemption for Reg Maint Elect ,. SINGLE FAMILY Temp.Power Pole& Appurtenances HOME OWNER-BUILDER DECLARATION, ' Sign'with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law Additional Sign Branch Clrcwts r t't for the following reason (Section 7031 5, Business and Professions i :•, •i e,a Code).' ❑ Misc.,Conduits•&Conductors 36 7• I,as owner of the property,will do the work and'the structure Other(See Complete Fee Schedule) f i is not intended or offered for sale (Section 7044, Business , and-Professions Code) pool ; TICITAI CONSTRUCTION LENDING AGENCY CHECK 59.20 I hereby affirm that there is a construction lending agency for the 4. performance of the work for which this permit is Issued(Sec'3097, PERMIT FEE,-, (Sub-Total), .� i {HttltiuE ,C! l Civ C.) PLAN CHECKING FEE , Lender's Name PERMIT ISSUING FEE _ iI� -i�(_I� �I fI t �t Lender's Address i ' I certify that I have read'-this application and state that the above TOTAL FEE _ �� ' A�itla l_ information is correct I agree to comply with all County ordinances and State laws regulating Elect I I wiring, and hereby, authorize representatives of this unty enter upon the above-me toned pr rt for Inspectto urpos ` -SEE REVERSE FOR EXPLANATORY LANGUAGE gnature of Perms e D e,