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HomeMy Public PortalAbout5802 KAUFFMAN AVE_Electrical__ 76A66i-CE00610*,74 APPLICATION F ELECTRICAL PERMIT COUNTY OF LOS ANGELES 'DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY 4.• NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO EACH I FEE OWNER OR `. C I $ $ FIRM NAME v 5 1,b elf RECEPT.3 MAIL / "TQ "� FIRST 20 25 I 7 -5ADDRESS ` J LIGHT TOTAL _ ,p ��77 � OVER 20 CITY 1/ TEL. NO. CI `'t SWITCH G� 10 PLAN HE FIRST 20 25 APPLICANT ' LIGHTING TOTAL FIXTURES jam- OVER 20 10 ADDRESS • RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT ` STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY CLOTHES WASH. 01SHWASH. LICENSE OR CLASS. REG. NUMBER FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT 1 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 R STERED AND/OR 0 - 1 100 LICENSED AS REQUIRED BY S ANGELES CO T AND STATE OF }. CALIFORNIA OR THAT I AlTHE LEGAL QC E OF THE ABOVE Cl- 1 - 10 300 DESCRIPED REST AL ROPE C) U 10 - 50 5.00 PERMITEE' SIGNATURE H U 50 - 100 1000 W DISTRICT NO. PROC SED BY CL N 100 - 500 1500 � 0 $ z f SIGN, GAS=SIGN ONE CIRCUIT 500 � APPROVALS DATE INSPEC R'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE , SERVI CENOT OVER 600 VOLTS OR 200 AMP 300 G! UNDERSLAB WORK SERVI CEOVER 600 VOLTS OR 200 AMP - '1000 - ROUGH CONDUIT TEMPSERVICE,POLE, &APPURTENANCES 5.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 300 FIXTURES POWER'AUTHORIZED UTILITY CO. NOTIFIED FINAL 2116—l"717 PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 300 tZ��G ��N1 TOTAL FEE 'Zi5 PLAN CHECK VALIDATION CK M CASH PERMIT VALIDATION cK. M 0. CASH 4 2-.O,JUL. 1.4 2 U 8:2 -9.A96 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76Ak63-¢EB06'10/74 - APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FJ BUILDING AND SAFETY DIVISION S Iy`Ham' - TY +� �i 7TFOR APPLICANT TO FILL.IN ST. "• 1 OUTLETS NO EACH FEE OWNER RM AME ✓'/ RECEPT. 51 $ 5 MAIL LIGHT FIRST 20 g v ADDRESS r✓ 1 TO L SWITCH OVER 20 10 CITY ;� "� TEL N0. a ,.�j� PLAN CHECK FIRST 20APPLICANT , Zg LIGHTING 1 TOTAL10 - T ��o VER'20 ADDRESS FIXTURES RESIDENTIAL APPLIANCES CITY. ` TEL. NO. PERMIT RANGE DRYER_WTR, HTR. •APP.LICANT, E STA. COOK' DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY TEL. N0. CLOTHES WASH. - DISHWASH. - LICENSE OR CLASS. REG. NUMBER FAN '-' OTHER 100 • 1 HEREBY ACKNOWLEDGE- THAT I HAVE READ THIS APPLICAT40N _ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNT,Y'.OROINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC HP. KW KVA.. _ ELECTRICAL WIRING. ' SIZE & TYPE OVER TO 11HEREBY CERTIFY THAT I AM PRAFt LY REGISTERED D/OR- Cl:0 - 1 •100 - LICENSED AS REQUIRED BY LOS ANGE COUNTY AND 5 OF _ CALIFORNIA OR THAI I A E LE AL - F' T A OVE 1 - 10 300 DESCR IPED RESIDEN PROPE U PERM ITEE 10 - 50 500 SIGNATURE � U 50 --,1001000TDlSTRICT NO. PROCESSED BY W a N 100 - 500 1500 D z •SIGN, GAS SIGN AND ONE CIRCUIT 500PROVALS DATE INSPECTOR'S SIGNATURE -TUBE, OR - MARQUEE ADDITIONAL CIRCUITS 1 00POWER.POLE SER VICE NOT OVER 600 VOLTS OR200,AMP 300 UNDERSLAB WORK ' SERVICEOVER600VOLTS OR200AMP - 10.00 ROUGH CONDUIT _ TEMPSERVICE, POLE, &APPURTENANCES 500 WIRING /'L✓j`w � - - -,o - TEMP',LIGHT OR RECEPT. SYSTEM 300 ,FIXTURES r P POWER AUTHORIZED ' UTILITY CO, NOTIFIED ` FINAL PERMIT FEE (SUB TOTAL) NOTES; , PLAN CHECK FEE PERMIT ISSUING FEE TOTAL FEE PLAN CHECK_ VALIDATION CK M:o. CASH- PERMIT VALIDATION CK M.o. CASH 5'.6 5°rS£P' 10 t 2:'� 1 'C);5 0 A. SEE BACK OF APPLICATION,FOR COMPLETE SCHEDULE - - WORKER'S coMPENSATg1N DECLARATION 20-0019 DPW(,2-9,) 76A663 APPLICATION FOR ELECTRICAL PERMIT +�. ' I hereby affYm'ihat I have a certificate of consent to self Insure, or.a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.-OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec. 3800 La_b C) Policy No Company 1 C FOR APPLICANT TO FILL IN SOB ��/1 �- ADDRESS V Certified copy Is hereby furnished New Residential Bldgs &'Pools NO. EACH FEE LOCALITY' Cerhhed co s fled with the coup ddl ms on 1&2-Family,Sq. Ft. — $ $ + copy 9 P NEAREST- •- depart n>t:^ Multi-family Sq.Ft — CROSS ST Date 1il L Applicant Residential Swimming Pools ASSESSOR _ PAGE PARCEL CERTIFICATE OF'EXEMPTI f FI M RKE OWNER OR 99 Outlets.Rec Light Sw FIRM NAME �� COMPENSATI000�1!INSU A E ED %p'�p First 20 MAIL (This section need not be completed If Tfie work involved by the Total No. Additional ADDREss permit Is for one hundred dollars($100)or less.) I certify that In the performance of the work for which this permit -CITY- "—� '', C� Tel Is Issued, I shall not employ any person In any mariner so as to PLAN CHECK ' become subject to the Workers'Compensation Laws Lighting Fixtures First 20 APPLICANT ' Total No Additional ADDRESS Date' Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT If, after making this Certificate of CITY - Tel No Exemption„you should,become-subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provlsidns of the Labor Code, you must APPLICANT forthwith comply with such PERMIT r L provisions or this pPower Apparatus permit shall be deemed revoked - t� LICENSED'CONTRACTORS DECLARATION Size&Type HP&Large Appliances ,KW,KVA,or KVAR ADDRESS V - ,9- lC I hereby affirm that I amIlicensed under provisions of Chapter 9 Over 3 to 10 Incl • (commencing with Section 7000) of Division 3'of the'Business and CITY 12©0' Tel o Jl Professions Code, and my license Is in full force and effect Over 10 to 50 Incl. LICENSE OR �C/ Class C-2:0 Over 50 t0 100 Incl. REG ER NUMBX66 a O ^� Over 100 DISTRICT NO P SED BY 0 License Number Lic.Class n Services,SwUd.,MCC&Panelboards .U Contractor Date 0-399 Amp_Under 600 V FINAL DATE 0 El1 exam er Se 400.1000 Amp Under 600 V VALIDATION V Over 1000 Amp.or Over 600 V FINAL W B.&P.0 for this reason BRANCaS Fhting EEBY Date. 15A, L-Igor Recept--- Z To 10 Branch Circuits Signature 11 To 40 Branch Circuits ❑,, 41 Or More Branch Circuits Exemption for Reg. Ivlaint Elect 15A,20A,208V To,277V.Lighting Br Circuits r g SINGLE FAMILY' ACCTua - HOME OWNER-BUILDER DECLARATION Temp. Power Pole&Appurtenance's 3303 50.40 I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit V U for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits 1 ITEMS Code). TOTAL 50 - 40 ❑ I,as owner of the property„will do the work and the structure .Misc Conduits&Conductorst�[�!� c is not Intended or.offered for sale`(Section 7044, Business Other(See Complete Fee Schedule0 ) �'f7C4�� ' .40 and Professions Code). LtnA19SC a CONSTRUCTION LENDING AGENCY I.hereby affirm that there Is a construction lending agency for the tr�t[r�trr'5y ��nn��1t i t rte[ performance of the work for which this permit Is Issued (Sec 3097, PERMIT FEE (Sub:Total) Q� Q. 0000-0001 1/26 74 Civ.C) 44$0 1 AM11'1° PLAN CHECKING FEE Lender's-Name PERMIT ISSUING FEE a Q Lender's Address• TOTAL FEE I certify that I have read this application and under penalty of purlury state �. that the above Information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring,avid hereby authorize representatives oft ounty to ent on the above-mentioned property _ for inspection / SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE O ERMITTE DATE '/V COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1010110006 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: - ILEGAL ID: 'I FEES PAID I BUILDING ADDRESS: ITR: 6561 LT: 499 I 1 5802 KAUFFMAN AV IFEE DESCRIPTION:,.., QUANTITY: UOM: AMOUNT: 1 TEMP CA 917802205 I (ASSESSOR- INFORMATION NUMBER: 1 (• ic"i" •.`�"' NEAREST CROSS STREET: 1 18587-024-028 1A1 PERMIT ISSUANCE FEE ! 27.80 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl I IG1 OUTLETS-LGT,SW,RECP - 1.00 OUT 1._90 I - 1 (TENANT: I TOTAL FEES :'29.70 TISSUED ON: PROCESSED BY: ' PLAN BY:` - 1 .� 110/11'/10- SR I (OWNER: TEL. NO: I IFINAL DATE FINAL BY: CODE: 1 IHJERTSTEDT, LORENE (626) 286-2779- I - 1 �lL 15802 KAUFFMAN AV 1 I ' o J ITEMP 917802205 I IDESCR;- -tIPTION OF WORK (ELECTRICAL FOR SECOND BATHROOM REMODELING 1APPLICANT: TEL. NO: IBROTMAN, IFAT (818) 987-7277- 1 15460 WHITE OAK - ISPECIAL CONDITIONS: IENCINO, CA 91316 I I I I I II I ICONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE IVIP HOME DESIGN (877) 847-9555- I I 14433 VILLAGE ROAD LIC. NO ITEMPORARY POWER POLE I I I ILONG BEACH, CA 90808 383579B * I I 1UNDERGROUND CONDUIT I I I I I I (ARCHITECT OR ENGINEER TEL. NO: 1 , IUFER GROUND I I 1 LIC. NO: 1 IROUGH CONDUIT 1 1 TROUGH WIRINGAm 1fw I MAIN WATER LI 1 I I • �•: ;„ M i PLASTIC YIN METAL YIN I 1 (UTILITY COMPANY NOTIFIEDI I I I I I I I I I I I I t I I I I I I I I �• I I I I I I I I I I I I I I I I I t I I I I I 1* ADDITIONAL DATA ON FILE I 1 IREPORT ID: DPR265 ROUTE TO: BS0508 I 1 I •4• I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1009200008 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT• ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I ,ITR: 6561 LT: 499 I I 5802 KAUFFMAN AV I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917802205 (ASSESSOR INFORMATION NUMBER: I - I NEAREST CROSS STREET: 18587-024-028 IAl PERMIT ISSUANCE FEE - 27.80 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl I IG1 OUTLETS-LGT,SW,RECP 2.00 OUT 3.90 1 I (TENANT: IG2 LIGHTING FIXTURES 2.00 LGT 3.90 (ISSUED ON: PROCESSED BY: PLAN BY: I I TOTAL FEES 35.60 109/20/10 SR (OWNER: TEL. NO: I IF AL DATE FIIJAL BY: CODE: IHJERTSTEDT, LORENE (626) 286-2779- I 15802 KAUFFMAN AV 1 41 . ITEMP 917802205 I IJESCRIPTION OF WORK I ELECTRICAL FOR BATHROOM REMODELING (APPLICANT: TEL. NO: 1 1BROTMAN, IFAT (818) 987-7277- 1 I ISPECIAL CONDITIONS: _ I (CONTRACTOR TEL NO - I APPROVALS DATE INSPECTOR SIGNATURE IVIP HOME DESIGN (877) 847-9555- 1 I , I 14433 VILLAGE ROAD LIC NO ITENPORARY POWER POLE ILONG BEACH, CA 90808 3835793 I - 1UNDERGROUND CONDUIT I I I I (ARCHITECT OR ENGINEER TEL NO IUFER GROUND LIC. NO: IROUGH CONDUIT I I I I ROUGH WIRING �-�-i= � I • - IM?IN WATER LINE I I I IPLASTTC Y/N METAL Y/N I 1 (UTILITY COMPANY NOTIFIED( I I I I I I I I I I I I I I I I I I I I I I I I 1 1 I I I I I I I I I I I* ADDITIONAL DATA ON FILE I I I I I I I I I I I IREPORT ID- DPR265 ROUTE TO: BS0508 1 I I I • 1 1 I I I I