HomeMy Public PortalAbout5749 KAUFFMAN AVE_Electrical__ III-1A 'APPLICATION FOR ELECTRIC PERM-IT .�
DBS-SA 12=54; 1,
&igSION OF BUILDING-AND SAFETY
Department of County Engineer•
County of'.Los. Angeles BUILDING'
WM.,J. FOX. COUNTY ENGINEERADDRESS
CASSATT D.,GRIFFIN, SUPT OF BUILDING - -
'FOR APPLICANT TO FILL''IN• LOCALITY �� L 1 /
PERMITFEES NEAREST -
CROSS ST. G' //,:>�' i.�x.•!/a
FEE
NUMBER EACH, _ p T •-, �a
LIGHT OUTLETS - /, 4 OWNER �'-(!)'7R�iEP_ /�' _;/��fY�✓ ��• C?�/',s
- _ MAIL � �7 / T / �►� /SLV��/�/f'/�
RECEPTACLES ADDRESS
WALL SWITCHES _ _
TOTAL OUTLETS 5� $ ,y+ CITY ' TEL. NO.
ELEC. RANGES 25• _ ELECTRICIAN ,- '�► �•' O
ELEC. HEATERS 25 ADDRESS /V o ,4 'I f�/&. '
KW EACITY
t J� ,/tOjT - TEL. NO.SYryr�y T�
_
FIXTURES - j /1• - 5 LICENSE NO.
- -
NUMBER OF LIGHT CIRCUITS
_ DISjTRICT NO. GROUP, ZONE READY FOR INSPECTION
NUMBER-OF RECEPTACLE CIRCUITS' -� ,yrfp j•
MOTORS -
NUMBER
OTORS -NUMBER` .HORSEPOWER - FEE INSPECTION RECORD
NEW MVD HP'' OVER 'INC EACH Q P_ A.Aj DA
1/2&LESS $ .25 V '
- V2 2 .50 .
2. :� - .,'1.00 _ ''o I -��.l. Q �f flu-I.et�_"' -.
. -5 ..15 . = 1.50 _ fU.- AA. 45.-
15 •"50 2 50 '
50 200 500
M I SC. -
NO. SIGNS- NO TRANS:
NO SIGNS NO. LAMPS •
FOR'EACH PERMIT:
WIRING - - - - $1.00
FIXTURES - $1 00
SUPPLEMENTARY - .50 -
;APPROVALS ' .
TOTAL FEE $ L/ if ',DATE b INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT'I HAVE READ' THIS APPLICATION CONDUIT '
AND STATE' THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY• -
WITH ALL COUNTY ORDINANCES ,AND STATE LAWS' REGULATING' •WIRING
ELECTRICAL WIRING. - •a�- _ '
1 HEREBY CERTIFY THAT I -AM-PROPERLY -REGISTERED AND/OR FIXTURES'
LICENSED,AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF - POWER
CALIFORNIA_ OR THAT''I AM THE LEGAL•OWNER OF'-.THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY.- ' q, 1 S�. r
UTILITY CO. NOTIFIED,
.-SIGNATURE
OF PERM ITTEE =" S• FINAL .• '-� `�' ��" l ••Y'G*'D�s— '
WILLIAM J.,FOX.COUNTY ENGINEER ALIDATION ;• O in
1=51 _ ,2
DEPUTY
APPLICATION
�.^d®ep [q_® . yp�� 'Fps g�.�{� ELECTp.^.( (/.�� �paq/9pa+� �e^(gp.����. .
DBS•56112-',54 t� '
IT
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of LOS Angeles
rU=
WM."J. FOX. COUNTY ENGINEER
• .CASSATT D. GRIFFIN, SUPT OF BUILDING
'FOR APPLICANT TO FILL IN LOCALITY '��Pi9FuYf� /`•{ L/: )Kj/_
..
PERMIT FEES NEAREST -
CROSS ST'
FEE
NUMBER EACH
LIGHT OUTLETS _ OWNEROf—
`
RECEPTACLES MAIL
ADDRESS
WALL SWITCHES -
' TOTAL OUTLETS 50 S CITY TEL. NO. '
ELEC. RANGES - - 25 ELECTRICIAN
Y y.
ELEC. HEATERS 25 ADDRESS
KW EA - CITY L NO3
Al
FIXTURES 'S
• LICENSE NO.
NUMBER OF LIGHT CIRCUITS- -
DISTRICT NO. I GROUP ZONE READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS
MOTORS u
NUMBER HORSEPOWER FEE. INSPECTION RECORD -
NEW MVD HP OVER -INC EACH r/.
&LESS $ .25
T -V2 2 * .50
2 5 1 00
5 15 1.50 '
15 50 250 - "•
- 50 200 5.00 - - -
MISC. •- '
NO SIGNS NO.TRANS.
NO. SIGNS - NO..LAMPS .
FOR EACH PERMIT: '
WIRING - $1.00 - - -
FIXTURES $1.00
SUPPLEMENTARY .50' 10 - -
APPROVALS
TOTAL FEE $ / DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT
AND,STATE,THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY 'ORDINANCES AND STATE LAWS- REGULATING WIRING
.ELECTRICAL WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED'AS.REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER
CALIFORNIA OR 'THAT'I AM .SHE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY:
- UTILITY CO. NOTIFIED
SIGNATURE ��rr�� !—
OF PERMITTEE FINALD
WILLIAM J. FOX. COUNTY ENGINEER• VALIDATION
125 Q1
_. 2`
. . '.DY '-
APPLICATION FOR ELECT-RIC PERMIT
DBS-5.0.12.94 1
DMSION OF BUILDING•AND SAFETY
-Department of County Engineer
County of Los Angeles BUILDING4�A lv
WM. J. FOX, COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN, SUPT OF BUILDING
FOR APPLICANT TO FILL IN LOCALITY Te-w, p I�e
PERMIT FEES NEAREST �p � �]]
CROSS ST: Wi.PI•"'oV-
-
FEE
NUMBER EACH ' _ y -
LIGHT OUTLETS OWNER d �Y"1
RECEPTACLES MAIL Q
ADDRESS 4 n
WALL SWITCHES' -
'-TOTAL.OUTLETS' - 50 S CITY TEL. NO.
ELEC. RANGES 25 ELECTRICIAN yy "
ELEC.-HEATERS 25 ADDRESS !GFA •
KW EA
CITY ��..SO�AbO.R g TEL �f_
. NO.SV6Y3
+-P-
NUMBER
FIXTURES 5 LICENSE.NO. `� 1'] T-e
NUMBER OF LIGHT CIRCUITS - '
DISTRICT NO. GROUP ZONE READY FOR INSPECTION
NUMBER OF RECEPTACLE•CIRCUITS •'' T
MOTORS
NUMBER HORSEPOWER FEE - INSPECTION RECORD
NEW MVD. HP OVER INC EACH
LESS S .25
G
2 50 f
2 - 5 1.00
- 5 15 1 50 -•
15 50,' 2.50
50 200 5.00 v �.
MISC. -
NO- SIGNS NO TRANS
NO SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING - $1.00
FIXTURES S1.00 - -
SUPPLEMENTARY' :50
APPROVALS
TOTAL FEE $ 1
• DATE. INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH .ALL COUNTY ORDINANCES 'AND STATE LAWS REGULATING WIRING -
ELECTRICAL WIRING. '
1 HEREBY CERTIFY THAT I AM, PROPERLY REGISTERED AND/OR FIXTURES '
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER
CALIFORNIA OR THAT I AM 'THE'LEGAL OWNER OF THE ABOVE - -
DESCRIBED RESIDENTI L PROPERTY.
_ UTILITY CO`. NOTIFIED
SIGNATURE '
OF PERMITTE FINAL =�
i -
61F
WILLIAM-J. FOX, COUNTY ENGINEER ALIDATION �- .• .5 O
-
*EPITY -