HomeMy Public PortalAbout5935 KAUFFMAN AVE_Electrical__ 7GA663 DBS 5A 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ���� 1
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN
DIS TRICT Q: GROUP ZONE PERMIT NO.
ELECTRICIAN toi' 'e�;rS C I C.-
D
Q } RECEIVED BY EADNSPE Y FOR
ADDRESS O — A— FIR DATE ISSUED
//�] 1 D k !� Q yION
CITY 0 h.. TEL. NO. /tf /,r/al
COUNTY LICENSE NO.--/ a EXPIRES /qX-1 BUILDING < �%
PERMIT FEES ADDRESS a �7 Q- �✓
/
NUMBER EACH FEE LOCALITY �
LIGHT OUTLETS NEAREST
RECEPTACLES ,3 CROSS ST. O S
WALL SWITCHES �. OWNER �� k►
TOTAL OUTLETS Sc $ 0 MAIL
ELEC. RANGES 25 ADDRESS C
�=v
ELEC. HEATERS 25 CITY TEL NO.
FIXTURES 5
MISC. ���') .r � CC' 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
C APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPE7RESCRIBED ABOVE.
I/2 & LESS $ .25 SIGNATURE OF
I/2 2 .50 PERMITTEE
2 s 1.00 INSPECTION RECORD
5 15 1.50
is so 2.50
50 200 6.00 _
200 500 - 10.00 J
500 1000 '1 5.0❑ Q
Z
OVER 1000 20.00
M.G. BET/FREQ. CHANGER-HP
WELDERS: AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIG•)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 CONDUIT 7 - !2 �Pd`i b1'
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50
FIXTURES '1''L�Sn r�i171 6-tA
,.��/�( POWER
TOTAL FEE $� `-�L7 UTILITY CO.NOTIFIED
FINAL