HomeMy Public PortalAbout5910 KAUFFMAN AVE_Electrical__ oBS-5A 9-55 APPLICATION FOR m..iF�
ELECTRIC PMI 1'
DBS•SA
DIVISION OF BUILDING AND'SAFETY ' ry
Deportment of County Engineer
County of Les Angeles
r1.3UILDING /�/1
WM.J. FOX. COUNTY ENGINEER , DDRESS I Q V
CASSATT D.GRIFFIN..SUP'T OF BUILDING
OCALITY -�t/Vl.
FOR APPLICANT TO FILL IN NEAREST ,p
PERMIT•FEES CROSS ST., vS
• NUMBER EACH FEE "26,` c
LIGHT OUTLETS OWNER
MAIL
RECEPTACLES - _ADDRESS
WALL SWITCHES
TOTAL OUTLETS _ 512! $ r CITY /TEL NO.d-1
ELEC. RANGES 25 ELECTRICIANJfA
i
_ELEC. HEATERS - 25 - ADDRESS
KW EA CITY S TEL. NO
FIXTURES 5 LICENSE NO.
NUMBER OF LIGHT CIRCUITS - DISTRICT NO. ZJaJ READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS IROUP�p/V �Y �j
MOTORS I 9
NUMBER I HORSEPOWER I FEE INSPECTION RECORD
NEW MVD HP OVER INC. EACH
77 I/2 @ LESS $ .25
1/z 2 .50
2 5 1.00
5 15 1.50
15 §02tso
Q O 5.00 00
misc. O '••,.
NO.SIGNS - -NO TRANS. -
NO.SIGNS NO.LAMPS
FOR EACH PERMIT:
WIRING $1.00
FIXTURES $1.00
SUPPLEMENTARY .50 - APPROVALS
TOTAL FEE- g DATE INSPECTORS SIGNATURE
1 HEREBY ACKNOWLEDGE THAT 1-HAVE-REA'D THIS'APP (CATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY !!--
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING Z �10
�
ELECTRICAL WIRING.
I1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED S ANG ES COUNTY AND STATE OF
CALIFORNIA OR THAT AM T E GAL' OWNER OF THE ABOVE POWER
DESCRIBED RESIDE Y
UTILITY CO:NOTIFIED
SIGNATURE - ^
OFPERM ITTE FINAL
WILLIAM J.FOX. COUNTY ENGINE VALIDATION A. C.VETT;CHIEF ELECT. INSPECTOR
�
b3 4 8 4 FEB 2 7 2 7.0 0 ' In
;2.. �/
DBS-5A SAPPLICATION FOR yLEqTRIC PERMITIT 1.
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer BUILDING p
County Of Los Angeles ADDRESS�!�da
JOHN A.LAMBIE,COUNTY ENGINEER
CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TOFILL IN NEARS sT.
PERBW FEES', CROSS
NUMBER - , OWNER'
LIGHT'OUTLETS MAIL S
RECEPTACLES ADDRESS I
WALL SWITCHES FEE CITY TEL.
TOTAL OUTLETS @ 52 $ ELECTRICIAN
ELEC. RANGES 25
ADDRES
ELEC. HEATERS 25
KW EA CITY TEL. N I" 7
STAT
FIXTURES 5 LICENSE NO.
MOTORS DISTR�;T NO. GROUP ZONE READY'FOR INSPECTION
NUMBER' HORSEPOWER FEE r
3
NEW MVD. HP OVER INC. EACH
y2&LESS $ .25 IS6 ` INSPECTION RECORD -
Ifz 2 .50
2 • 5 1.00 /NS PN
5 15" I.50
5 50 2.80
O 200 5.00 D o' —]TODAY �fiC�l DJ4
oe
d�'IRAE 61 CALG.S —
misc. 7-ME LAST /gT S,Oa PM
BA27- 600hlb 160r#//le
sm)y! TD /6656 c -
NO.SIGNS NO.TRANS. 6,d 1//OR
R 6
M
NO. SIGNS NO. LAMPS �- h/ /' JV j/i
FOR EACH PERMIT: C-Ty4�J �UF e-_MJPIEF),
WIRING $1.00
FIXTURES I $1.00
SUPPLEMENTARY .50 W APPROVALS
TOTAL FEE $ OG DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE'ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WjRING
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR- THAT I AM THE,LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTI OP
SIGNATURE UTILITY CO.NOTIFIED �_/J
OF PERM Il FINAL
JOHN A.L.AMBIE,COUNTY ENGINEER VALIDATION ARTHUR C.VETT;-CHIEF ELECT. INSPECTOR':
.CK -MO CASH '
` DBS SA 2SM•SETS 1-4B I AP4f1e.gA'1e1'RI'6ON FOR 1fDE19IET •�
DEPARTMENT OF
BUILDEW
1'91111.1 Alli L 1 Y� 'ELECTRIC � .
COUNTY OF LOS ANGELES
FS2K, CHIEFENGINEER'
_a NAME J,� DISTRICT NO. GROUP ZONE PERMIT NO.
U ADDRESS
CITY ,�� TI1 NO. RECEIVED BY READY OR, DATE ISSUED
Id COUNrtY / j rn. FIRST INSPECTION
N CERT.NO. / `y E7CPIRE6, 'K IV
APPLICAN r FUL IN IEAVD.Y OUTLINED POR'T'ION ONLY
DESCREMON OF WORK ADDRESS l� t �,/tr.�.��
.
NUMBER OF OUTLETS ON CIRCUITS LOCALITY �flf //X •, C
LOCATION BY ROOMS - -
NEAREST
LIGHT OUTLETS law. PLUGS FtzT CROSS ST•
1 ,
CIRCUIT A S C D E F 6 H m NAME '6 5 ' A
Z MAIL L
ADDRE56 1 /✓
O '
CITY 1 o TEL.NO.
I APA TIME LEGAL POSSESSOR OF THE ABOVE LOS
ANGFi.W COUNTY CERTIFICATE OF QUALIFICATION-
'
r ELECTRICIAN.
I AN THE LEGAL 0V1rNEl2 OF�TI•IE YROPPEER�R'FY DESCRIBED
' ABOVE
V.ItY1Y8�ie 8 H®��7
�4 Gf
A! f i
,
1� -,_ad> 'J, J
z
� n
0
NO. OF OUTLETS $ APPROVALS
LN
OF FIXTURES DATE INSPECTOR'S NAME
MOTORS H.P. CONDUIT \
SIGNS TRANS. $ WIRING RANGES OR HEATE(RRS r1 $ FIXTURES• / /���1 A500514 $ LFI
R cJ� ! tH FEE l $ 0'0Y CO.NOTIFIED \/ v
TOTA,L FEE