HomeMy Public PortalAbout5733 KAUFFMAN AVE_Electrical__ 76A663-CEIk0611/70APPLICATION R ECTRICAL ERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FDRNG
BUILDING-AND SAFETY 'DIVISION SS 3 o v JCA/
• TY �� E �.�*♦
COLEMAN W:JENKINS- SUPERINTENDENT OF BUILDING
FOR APPLICANT TO -FILL IN NEARES T.
a
OUTLETS N0. EACHI FEE Q'0
OWNER
RECEPT.� $ ga
MAIL
- FIRST.20
LIGHT TOT 25
r ADDRESS .,,j• vF..F '-
CITY.- iq �� TEL. NO ,Y7_ /
SWITCH .,OVER',20 jp - , -
,PLAN CHECK ,
LIGHTING
FIR .
25 -`AP,PLICANT"
;TOT - - -
OVER 20
FIXTURES' 10' ADDRESS ,
APPLIANCES CITY' - TEL. NO.
PERMIT - ' ' •f
,RANGE DRYER_WTR.,HTR. - APPLICANT -
STA.-'COOK DISP. - 'F:A.U. - .ADDRESS '
.SPACE HTR. - AIR COND.- : _ ' •CI'•TY `F" - - TEL N0.
'CLOTHES WASH.- DI SH WASH.` - - LI'CENSE'N0. CLASS.
FAN OTHER " 100 ' r' I HEREBY' ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION-
' WAND STATE THAT'THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS 'RATING - WITH rALV COUNTY ORDINANCES -AND, STATE' LAWS REGULATING
IND HEATERS,,ETC•, • ` HP KW. KVA. - - ELECTRICAL WIRING. -
'SIZE'& TYPE OVER • T,O' :'a_ L
_ - - I HEREBY .CERTIFY THAT I AM PROPERLY REGISTERED''AND/OR
O — 1,''• 1+00 LICENSED AS REQUIRED B.Y•LOS ANGELES COUNTY AND STATE OF,
CALIFORNIA OR THAT I AM THE L'EG AL,'OW NER OF, AND INTEND TO �-
`�r RESIDE IN, THE ABOVE DESCRIBED -,RESIDENTIAL PROPERTY n-
1 - 10 300 �V'•' ' Q-'
'SIGNATURE -E' CJ
'
50 500 OF PERMITTE ' a,
50 - 100- `16,00
% - DI STRI CT NO. CCAS5 fPROCESYED BY V
1'00,-:500 15,60 , - :w
'SIGN,-GASB SIGN AND ONE CIRCUIT ;, ,'500 NOTES:,' _ _ ,
TUBE, OR' - Z
MARQUEE," ADDITIONAL CIRCUITS 1'00
-
.SERVICENOT OVER 600VOLTS OR200AMP r� '300
APPROVALS„'' DATE ,INSPECTOR'S SIGNATURE
,SERVICEOVER 60OVOLTS'OR200AMP _ 10.00'
TEMP_.POWER-POLE-.. -
T.EMPSERVICE,POLE,&APPURTENANCIES 500 -
r UNDERSLAB,WORK j�•';.,
TEMP LIGHT OR RECEPT.SYSTEM - ''300 r
ROUGH CONDIUT
WIRING
,• FIXTURES'
POWER- UTHORI-ZEO_ ,Z••/A/2—'PERM�T'FEE - (SUB'T,OTAL) - -
UTILITY CO. NOTIFIED "
-,PLAN,CHECOF,EE -
2
FINAL' � "
PERMIT ISSUING FEE �_ - - 300 Q�'
JOSEPH C'-,J300HAN
r TOTAL'FEE
�; /f !• SUPERVISING 'ECTRICAL ENGINEER.
PLAN CHECK VALIDATION,. CK m.o. 'CASH „;,PERMIT-VAL I D A Tl(
I CK M 0. CASH
x:,31 2 '° :: 3.2 N .
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE - - •'
76A663-Cb06 1 1/70
APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEBUILDING AND SAFETY DIV SIONER BUILDING O
ADDRESS n
-��COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING LOCALITY
NEARE
FOR APPLICANT'TO FILL IN CROSSSST. N
OUTLETS NO EACHI FEEY
OWNER2pD
RECEPT. $ 5 4R EAw�/ � S
S� .ADDRESMAIL S 33 _f f4 n/
LIGHT TOTAL FIRST 20 25 [/
SWITCH_ 2 OVER 20 10 CITY TEL. NO �� 88
PLAN CHECK
LIGHTING TOTAL
FIRST 20 25 APPLICANT -
OVER 20_ ADDRESS '
FIXTURES __ 10 -
�PPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
00,
SPACE HTR�_AIR CONO. CITY TEL. NO. ,
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 I WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC HP KW .KVA. ELECTRICAL WIRING.
SIZE IN TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 1D LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 - 10 300 RESIDE- IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. d
0 - 50 S00
SIGNATURE ���� O
10'F PERMITTEE �
OC
50 - 100 1000 DISTRICT�NO. CLASS ZONE RO ESS ED Y O
100 - 500 '1500 w� w
CL
SIGN, GAS SIGN AND ONE CIRCUIT 50'0f NOTES: N
TUBE, OR I ?
MARQUEE ADDITIONAL CIRCUITS 100
SERVI CE NOT OVER 600 VOLTSOR-200 AMP 3.00
SERVI CE OVER 600 VOLTS OR 200 AMP 10.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 300
ROUGH CONDIUT
WIRING l ��
FIXTURES
PERMIT FEE ISUPOWER AUTHORIZ
B TOTAL) �ED ,
UTILITY CO. NOTIFIED
PLAN CHECK FEE 7 -
l)Z/ /
PERMIT ISSUING FEE 3.00 ?�C.
FINAL
JOSEPH C. ROOH N
TOTAL FEE SUPERVISING ELE •IC (NEEP
PLAN CHECK VALIDATION CK. M 0. CASH PER VALIDATION , CASH
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE - ' '
78AI,3C- CEBOAB 1275
APPLICATION FOR ELECTRICAL PERMIT'
BUIL AND SAFETY ISION
FOR APPLICANT'TO FILL IN ,JO �+'�
EACH NO. FEE ADDRESS J
New Residential Bldgs. & Pools �—.
1 &2 Finally Sq. Ft. $ — $ LOCALITY
Multi-family Sq. Ft. — NEAREST.
Residential Swimming Pools CROSS ST
OWNER OR
FIRM NAME
Outlets- Light, Switch& Receptacle MAI L
ADDRESS S /.
First 20 Q `/
Additional CITY Tel No.l'�
PLAN CHECK
Lighting Fixtures APPLICANT
First 20 ADDRESS S• ��
Additional
CITY / Tel
PER IT
Fixed Appliances Not Over 1 HP APPLICAN . c
Range Heater_ D.W. f ,CC
ADDRESS
Oven Dryer W.M.
Top FAU W.H. CITY ,/� Tel No � 12
Hood Fan LIC NSE OR o
REG NUMBER r Cl.Irass.` v
Disp.' A.C.
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY I`--
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING LJ
Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING.
Up to 1 Incl. 1 HEREBY CERTIFY T A ROPERLY REGISTERED AND/OR
Z
Over 1 to 10 Incl. LICENSED AS REOUIR BY LO AN ELES COUNTY AND STATE OF
CALIFORNI OR TH I/AMTH EGAL OWNER OF THE ABOVE
Over 10 t0 50 incl. DESCRIBED R ID AL PROPE
Over 50 to 100 Incl. PERMITEE
Over 100 SIGNATURE
Services
DISTRICT NO^
•
0-200 Amp. Under 600 V
201 - 1000 Amp. Under 600 V APPROVALS DATE IN CTOR'S
Over 1000 Amp.or Over 600 V GNATURE
TEMP. POWER POLE'
Temp. Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit
ROUGH CONDUIT
Additional Sign Branch Circuits •
(Other) WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED ,
PLAN CHECKING FEE (One-Fourth Permit Feel FINAL
f�A1/
PERMIT ISSUING FEE i v
TOTAL FEE NOTES d 7 /�/111Lii,b(
��jMGj 0�
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
2.2.7 OCT 4 1 6.6 0 ®38