HomeMy Public PortalAbout5915-5915 1/2 KAUFFMAN AVE_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY 1
WILLIAM J. FOX, County Enelneer
FOR APPLICANT TO FILL IN DISTRICT O. GROUP .ZONE PERMIT No.
ELECTRICIAN-"Z,,-,%;,/
RECEIV BY READY FOR DATE BBU
ADDRESS Q .0 Y -/ FIRST INSPECTION
CITY `� i5t TEL •�
COUNTY LICENSE NO. .LOT EXPIRES v10/-t BUILDING j•9�J�_ 1J/��
PERMIT FEES p ADDRESS J
FEE (;
NUMBER EACH LOCALITY
LIGHT OUTLETS �j'
CROSS ST. d✓ V ��
RECEPTACLES
WALL SWITCHES -1-117 h OWNER _
TOTAL OUTLETS 1/ ,S 5c MAIL
ELEC. RANGES -'7'--- 25 ADDRESS
ELEC. HEATERS 25 O
CITY TEL. N0.
FIXTURES _ �.® 6 �, D lJ
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS
iAND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITSAND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORB I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
Z J- %2 4 LESS >li .25 BIGNATURE OF
I/2 2 .50 PERMITTEE l
a 5 1.00 INSPECTION RECORD
5 is 1.50
15 so 2.50
so 200 5.00
200 500 10.00 J
so I 1000 15.00 Z
OVER 1000 20.00
M.G.-SET/FREQ. CHANGER-HP' 0;
WELDERS:AC-KVA
13ENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (7S% DF ORIG•) -
MOVED MOTORS (75% OF ORIG.)
M ISC.
SIGNB
NO: NO.TRANS.
APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: �D/ATE�f INSPECTOR'S NAME
WIRING tli1.00 CONDUIT / r/V _.-, A
FI TURES l—_ $1.00 WIRING
FIXTURES
SUPPLEMENTARY .50
- V
POWER
TOTAL FEE S UTILITY CO.NOTIFIED
FINAL
76A663 DSS#SA 2-53 I