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HomeMy Public PortalAbout5822 KAUFFMAN AVE_Electrical__ 76A663C- CE806B 12/75 APPLICATION FOR ELECTRICAL PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN JOB FRedenntial Bldgs.& Pools EACH NO. FEE ADDRESS aily Sq. Ft. $ — $ LOCALITY ily Sq. Ft. — NEAREST CROSS ST.al Swimming PoolsOWNER OR FIRM NAMEht,Switch& Receptacle MAI L _ ADDRESS• al Cl CITY Tel No. PLAN CHECK Lighting Fixtures APPLICANT First 20 ADDRESS Additional CITY 'Tel No PERMIT Fixed.Appliances Not Over 1 HP APPLICANT Range Heater_ D.W. ADDRESS �� G�j!� ✓�', Oven --I— Dryer W.M. q Top FAU WH. CITY e r Tel. No. Z10139-1J" ate. Hood. Fan' LICENSE OR1 O Disp. � A.C. C REG. NUMBER Class -/0 � 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION O AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY F—' Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING LU Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING. N Up to 1 Incl. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Over.1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNE OF THE ABOVE Over 10 to 50 Incl. DESCRIBED RESIDE TY Over 50 to 100 Incl. PERMITEE � Over 100 SIGNATURE 1 DISTRICT NO PRESS BY L Services 0 05cyQ,'•✓/ 0-200 Amp. Under 600 V 201 - 1000 Amp. Under 600 V APPROVALS DA�E INSPECTOR'S Over 1000 Amp.or Over 600 V SIGNATURE TEMP. POWER POLE Temp. Power Pole&Appurtenances UNDERSLAB WORK Sign with One-Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT /J (Other) WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (Sub-Total) EFI CO NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee) � 77 PERMIT ISSUING FEETOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH `JAN 7 2 U 1 4.5 0 b i 76A663-CE606 9-64 APPLICATION FOR ELECTRIC L 9RMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W JE NKINS, SU P'T. OF BUILDING NG LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT. TOTAL FIRST 2O NO. EACH $ FEE OWNER 7i OUTLETS ,2p LIGHT U MAIL SWITCH. -� ADD'L 10 ADDRESS OVER 20 TOTAL CITY 'TEL. NO. LIGHTING F1RSr 20 .20 Q FIXTURES �j- ADD'L 10 ELECTRICIAN C OV R 2O RANGES CLO.DRYERS WTR.HTRSfk 1.00 ADDRESS S .3 A � F GARB.DISP. STA.COOK CITY TEL. NO. DISHWASH. AUTO.-WASH. STATE ACE HTR. BTA.APPH.P.MAX.) .50 LICENSE NO. d Ct 3 MOTORS: OVER NOT OVER H.P. DIST T0NE. G UP ONE PR C Q Y O 1 1.00 1 /' 3 1.50 INSPECTION RECORD 3 6 2.00 G �OAi'A _ lddtiLeG �'n" ? O 8 15 2.50 V 1S 50 3.00 ' vl ��� )- O 50 100 5.00 , 2 UJ SIGNS. NO.TRANSyq /r', A t 9 H NO.LAMPS AA1 p ♦ / i>!J . — '1 :WBS 9 z SERVICE 0.600V-NOT OVER 200A 1.00 ^Iey- SERVICE 0.600V-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 06 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATIO APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT a �' WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES ice d ' LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO -t RESIDE IN, THE ABOV ESCRIBED RES E TIAL PROPERTY. POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE vH FINAL - �IDATION JOSE H d ROOHAN CK MO CASH SUPERVISING ELECTRICAL ENGINEER L'cl,,o 3 0 1 4 JUN23 2 D 7,10 I 76A663-CE806 9-64 APPLICATION FOR EL CTRICAL P MIT f - COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING �� �j .� BUILDING AND SAFETY DIVISION ADDRESS 4 JOHN A. LAMBIE, COUNTY ENGINEER 1 fe COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. z RECEPT. TOTAL NO. EACH FEE OUTLETS FIRST 20 $ 20 $ OWNER' LIGHT MAIL ADD'L 10 ADDRESS SWITCH. OVER 20 CITY TE NO. LIGHTING TOTAL� I FIRST 20 .20 2,0 FIXTURES j _ ADD'L 10 ELECTRICIAN OV R 2O RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS A GARB.DISP. STA.COOK ' CITY TEL. NO.1141f fe 3Y/ DISHWASH. AUTO.-WASH. STATE )� SPACE HTRS. STA.APP.(M.H.P.MAX.) ,50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTRICT NO. GR%UP ZONE P SED BY O 1 1.00 1 3 1.50 I SPECTIO R CORD 3 s 2.00 93- 0 O B 15 2.50 V 15 50 1 3.00 p� 50 100 5.00 O • V SIGNS: NO.TRANS Lu NO. LAMPS y _Z SERVICE 0.60OV-NOT OVER 200A 1.00 SERVICE 0-60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 VQ TOTAL FEE $ 3 O d 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL •COUNTY ORDINANCES AND STATE LAWS REGULATING - ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF _ CALIFORNIA OR THAT ITHE LEGAL OWNER OF, AND INTEND TO RESIDE IN, THE ABOV ES RIBED RES NT AL PROPERTY. POWER SIGNATURE � � UTILITY CO.NOTIFIED OF PERMITTEE FINAL A�CKODATION JO PH ROOHAN CASH SUP RVI INC ELECT J CAL ENGINEER LAC03 *486LC, JUL 9 2 D 3.0 0~ 76DBS-SA 12.54 AAPPLICATION FOR ELECTRIC .-PERMIT 9A 1 DIVISION OF BUILDING AND SAFETY Department of County Engineer County of Us Angeles BUILD 1 N G �l/. ,WM. J. FOX. COUNTY ENGINEER. ADDRESS �` ,V CASSATT D. GRIFFIN, SUP'T OF BUILDING " FOR APPLICANT TO FILL IN , LocALITY /SGC i ry PERMIT FEES NEAREST • CROSS ST FEE NUMBER EACH ' LIGHT OUTLETS OWNER • ��.��7— LIGHT MAIL �Q��/ ��• �•U��- �/ ADDRESS WALL SWITCHES TOTAL OUTLETS T 5! $ CITY � �O�G-. TEL NO. ELEC. RANGES / 25 . ELECTRICIAN ELEC. HEATERS GJA-TGY.L •25 ADDRESS KW EA �j�'JI/CTjt/�'-[_ TEL. NO. CITY FIXTURES 5 LICENSE NO. NUMBER OF LIGHT CIRCUITS / DISTRICT NO GROUP ZONE READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS � �,�f� MOTORS �/ OU NUMBER HORSEPOWER FEE. _ INSPECTION RECORD NEW MVD. HP OVER INC. EACH 1/2$LESS S .25 J 1 _ I/z_ 2 .50 0 �•�yA.�i'�. 5 Is L50 Is 50 .2 50I L.aQ►.3�1 Jc�►i�- @e.tlFr_ 50 200 5.00 misc. NO. SIGNS NO TRANS. NO. SIGNS NO. LAMPS FOR EACH PERMIT: WIRING SI.00 FIXTURES SI.00 - SUPPLEMENTARY :50 APPROVALS TOTAL FEE S / DATE INSPECTOR'S SIGNATURE 1 HEPEBY• ACKNOWLEDGE'THAT I HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE IS CO RRECT,AND AGREE TO COMPLY Ij WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING I`I S �J kL.L ----�'--• ELECTRICAL WIRING. IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER CALIFORNIA OR THATA AM THE LEGAL OWNER OF THE ABOVE !' DESCRIBED RESIDENTI PR PERTY:' UTILITY CO. NOTIFIED —'Zit-1 1 s SIGNATURE _ OF PERMITTEE FINAL ti WILLIAM J. FOX, COUNTY ENGINEER VALIT t 83`S APR 27 2 1 .75 0 • /�,i,' DEPUTY " ® WORKER'S COMPENSATION DECLARATION 706-A00%3 DPW 9/89 APPLICATION FOR ELECTRICAL PERMIT I herebg affirm iFiat I have a certificate of consent to self in 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,(Seecc..3800 Lab C.) 41 Policy No. ` Company u'r/�`�- -'FOR. TO FILL IN ^ JOB ❑ � ADDRESS r22- Al ertified copy is hereby furnished New Residential Bldgs.&Pools EACH NO. FEE $ _ $ LOCALITY Certified copy is filed with the county.bui 'i' pection 1 &2-Family,Sq Ft. de artment Multi-family S Ft. NEAREST P Y q- _ _ CROSS Sr Date Applicant Residential Swimming Pools ASSESSOR ; - MAP BOOK PAGE PARQEL CERTIFICATE OF EXEMPTION FROM WORKERS' O � OWNER OR r UtIetS RBC,_Light Sw. _ FIRM NAME COMPENSATION INSURANCE 1 First 20 D �— (This section,need,not be completed if the work involved by the MAIL, 7 permit is for one hundred dollars(3100)or less.) Total No. Additional ADDRESS L 1 certify that in the performance of the work for which this,permit CITY - Tel No is issued,'I shall not employ any person in any manner,so as to PLAN CHECK become subject.to the Worker's'Compensation Laws. Lighting Fixtures First 20 APPLICANT . I Total No. Additional ADDRESS Date Pppof 15 OR 20A,120V BRANCH CIRCUITS NOTICE TO APPLICANT- Iff,, after making 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, you must forthwith comply with such 11 TO 40 INCLUSIVE EACH PERMIT P Y P Y � - - provisions or,this permit shall be deemed revoked. -41 OR MORE BRANCH CIRCUITS EACH APPLICANT LICENSED CONTRACTORS DECLARATION ADDRESS © (L I hereby affirm that I am licensed under provisions of Chapter 9 15 OR 20A,208V TO 277V LIGHTING EACH (commencirig with Section 7000) of Division'3 of the Business and CITY„ el No C) Professions Code,and my license is in full force and effect. RESIDENTIAL APPLIANCES UP TO 31­!P� LICENSE OR Ir Power Apparatus&.Large-Appliances _ _ REG NUMBER LJ v Class `�/ O License Number .Class Size&Type HP,KW,KVA,Or KVAR DISTRICT NO PROCESSED BY U `Up to 3 Incl. W 3 —�- Over 3 to 10 Incl FINAL 0- Contractor Date DATE Cn Over 10 to 50 Incl. 11 Z ❑ I am exempt under Sec. Over 50 to 100 Incl —12, VALIDATION B&P C.for this reason Over 100 FINALBY _ Services,Swbd.,MCC.&Panelboards _ Date 0-200 Amp Under 600 V Signature 201 -1000 Amp Under 600 V El Over 1000 Amp.or Over 600 V Exemption for Reg Maint Elect. r} - SINGLE FAMILY Temp Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION I 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 t; { y }• Code). ; ❑ Misc.Conduits&Conductors ` I,as owner of the property,will do the work and the structure hSS is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) I ;i='t 1 th -'-tt' and Professions Code). rs; ,. t±L_•t, r a t•_ CONSTRUCTION LENDING AGENCY Ll.••• hereby affirm that there is a construction lending agency for the t.•j f 1i+3 n i ' performance of the work for which this permit is Issued (Sec. 3097, PERMIT FEE (Sub-Total) Civ.C.) PLANCHECKING_FEE �r,rti' �! Lender's Name - PERMIT ISSUING_ FEE 1 Lender's Address I certify tliat 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 this County to enter upon the above-mentioned Pro perty on rpose r SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATUR APPLICANT OR AGENT DXTE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9610180015 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID :BUILDINGADDRESS: TR: 6561 LT: 495 5822 KAUFFMAN AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802205 ASSESSORINFORMATION B NEAREST CROSS STREET: LAS TUNAS DR. 8587-024-024 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY G1 OUTLETS-LGT,SW,RECP 12.00 OUT 23.40 TENANT: G2 LIGHTING FIXTURES 10.00 LGT 19.50 ISS : PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 70.65 10/18/96 TC 10/18/97 OWNER: TEL. N0: FINAL DATE FINALB CODE: LONGOBARDI JOSEPH L;FRANCES H (818) 287-1836- ,Y0/t /� 5822 KAUFFMAN AV _I' TEMP 917802205 DESCRIPTION OF WORK Q APPLICANT: N0: ELECTRICAL FOR NEW GARAGE '�'✓� SAME AS OWNER (� ox SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: G APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO ,�jj =, •� 0 p l ,E PORARY POWER POLE O O� UNDERGROUND CONDUIT ARCHITECT R ENGINE TEL. N0: \1/\J�JI p p d UFER ,GROUR LIC. NO: ROUGH CONDUIT uutl� o ROUGH WIRING O GG MAIN WATER LINE (( BLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508