Loading...
HomeMy Public PortalAbout6012 KAUFFMAN AVE_Electrical__ 76A563 DBB 5A 3-SO APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY I COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FI 1. INS DISTRICTNO. GROUP ZONE PERMIT NO. ELECTRICIAN n► / 0 e—/ 7� RECEIVED BY READY FOR DATE ISSUED ADDRESS P�e , FIRST INSPECTION CITY TEL. NO. r ` •�+ _�,�–'�_ COUNTY LICENSE"ND EXPIRES BUILDING ADDRESS /M PERMIT FE2S II o NUMBER EACH FEE LOCALITY i'A �� �Z LIGHT OUTLETS' NEAREST CROBS ST. •RECEPTACLES 1 t' WALL SWITCHES OWNER wx� Is m1, TOTAL OUTLETS _ sc $ D MAIL ELEC. RANGES 2B J ADDRESS ELEC. HEATERS 25 q,- I CITY` IA.J� � Pa �C.0 TEL. NO. FIXTURES S I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDJNANCES NUMBER OF RECEPTACLE.CIRCUITS - AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEw MVD. HP OVER INC. EACH OF THE RESIDE,,/NTIAL PROPERTY DESCRIBED ABOVE. I/ 6 LESS $ .25 SIGNATURE OF^ AO/.u/ I/2 2 .50 PERMITTEE /100 2 S 1.00 INSPECTION RECORD 5 1s 1.50 15 So 2.50 l� f so 200 5.00 -"'p I! 61 i 6K. I A p zoa sao 10.00 A/ F / (,V "Q, 6;/4/©�'yl///D/G-Q9 7-114, soo 1000 1 s.DD b a to Z OVER 1 000 20.00 Q- M.O. SET/FREQ. CHANGER-HP Z - _ O WELDERS: AC-KVA GENERATORS - KW �• T AV —TRANSFORMERS - KVA �, OiSI� nn TEMP. MOTORS (75% CIF 13RIG•) a D W MOVED MOTORS (75% OF CRIG.) �- ' O MISC. ED LE SIGNSLTiu ERKu? Tv 6 SI W DF Lo A NO. NO.TRANS. pp (J APPROVALS WDERE NEEDt.t NO, NO. LAMPS TAfE �IR�•S DATE INSPECTOR'S NAME FOR EACH PERMIT: ' Q� CONDUIT 2— A-c/l (" WIRING $1.00 / FIXTURES - _311.013 WIRING SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE $ ®b UTILITY CO.NOTIFIEDgg _ FINAL 76A663A-CE806A 4,72 APPLICATION FOR ELECTRICAL PERMIT LI COUNTY OF LOS ANGELES J) DEPARTMENT OF COUNTY ENGINEER B UILDING BU NG AND SAFETY IVI ION a l l� a'�1 & C_ FOR PPL•ICANT TO FILL IN OUTLETS NO. EACHI FEE7 OWNER RECEPT.� $ $ MAIL Llf jJ,n�c FIRST 20ADDRESS (, f/'' LIGHT TOTAL _ CITY { TEL. NO. SWITCH OVER 20 PLAN CHECK LIGHTING 1 FIRST 20 APPLICANT •�� J} TOTAL FIXTURES OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT G • RANGE DRYERWTR. HTR. APPLICANT / S L F �c STA. COOK DISP. F.A.U. ADDRESS ...- SPACE HTR. AIR COND. CITY C TEL. NO. CLOTHES WASH. DISHWASH. LICENSE NO.• CLASS.015 FAN OTHER /'?1 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION J(f AND STATE THAT THEIABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING C.7 IND. HEATERS, ETC HP KW. KVA ELECTRICAL WIRING. SIZE & TYPE OVER TO O I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1-- 0 - 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF V CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND'INTEND TO L&J' I - 10 RESIDE IN, THE AB DESCRI P.ED RESIDENTIAL PROPERTY. N Z 10 - 50 SIGNATURE OF PERMITTEE 50 - 100 DISTRICTNOp .ASS ZONE PROC NED BY 100 - 500 Q L. SIGN, GAS SIGN AND ONE CIRCUIT NOTES: TUBE, OR MARQUEE ADDITIONAL CIRCUITS SERVICENOTOVER 600 VOLTS OR 200 AMP APPROVALS DATE INSPECTOR'S SIGNATURE, SERVICEOVER 600 VOLTS OR 200 AMP TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM ROUGH CONDIUT / WIRING 1 [i Z -2zlel FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE / FINAL PERMIT ISSUING FEE TOTAL FEE , PLAN CHECK VALIDATION CK M.O. CASH PERMIT VALIDATION cK ' M 0.' CASH 8''T 4 '9 3 NOV 29 2 U 6.8 0 Ati- 76A663C- CEBOBB ;2,75 APPLICATION FOR ELECTRICAL PERMIT BUIL G AND SAFETY ISION FOR APPLICANT TO FILL IN EACH NO. FEE ADDRESS 60� 2, V e� New Residential Bldgs.& Pools , 1 &2 Finaily Sq. Ft. $ - $ LOCALITY Multi-family Sq. Ft. - NEAREST CROSS ST. 1AA,9 4� L Residential Swimming Pools . OWNER OR // FIRM NAME V ' Q Outlets" Light, Switch& Receptacle MAI L ADDRESS �„r M First'20 Additibnal CITY ( Tel No. PLAN CHECK APPLICANT `— - Lighting Fixtures 1 First 20 ! ADDRESS — Additional • ' CITY Tel No PERMIT A Fixed Appliances Not Over 1 HP PPLICANT Range Heater_ D.W. Oven Dryer W.M. ADDRESS _ (rsl;o, 74k rho Top FAU W.H. -7- CITY ^ �L Tel. No �-�7� >- a Hood Fan LICEREG.NNUMBER Class. �G Disp. A.C. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION Q AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY V Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING LLI Size&Type HP,,KW, KVA,or KVAR, ELECTRICAL WIRING. N U to 1 Incl. Z P 1 HEREBY CERTIFY THAT I AM PRO PER LV REGISTERED AND/OR Over 1 to 10 Incl. LICENSED AS REOUIR ED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE Over 1O to 50 Incl. DESCRIBED RESIDEN IAL PROPERTY, Over 50 to 100 Incl. PERMITEE - G Over 100 SIGNATUREi/f� /I DISTRICT NO. ROCE ED BY Services -5- 0-200 Amp. Under 600 V ✓• C� 201 - 1000 Amp. Under 600 V APPROVALS DSIGNATURE I ECTURREE Over 1000 Amp.or Over 600 V TEMP. POWER POLE Temp. Power Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT (Other) / WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (Sub-Total) ~a UTILITY CO NOTIFIED .ys PLAN CHECKING FEE (One-Fourth•Permit Fee) FINAL PERMIT ISSUING FEE NOTES TOTAL FEE PLAN CHECK VALIDATION CK. M.O CASH PERMIT VALIDATION M.O. CASH 9 5 3�� G 29 21 U 6.5"0 WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT ' 76A66 I hereby afhrm,that Ihave a_cRrtificate of consent to self Insure, 76A663 or a-cerfificate,of Worker's'Compensatlon Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof-(Sec.,3800.Lab.,C) - Policy No" Company FOR APPLICANT TO FILL IN' JOB' ✓Q ADDRESS l'�- ��Q�1 •- ' Certlfled'copy is hereby furnishedNew Residential Bldgs &Pools NO: EACH FEE { ,�u•� �+ c2 '$ $ LOCALITY ~Certified co is filed with the count building inspection ; 1&2-Family,Sq Ft ' •: PY y 9 P, — NEAREST department Multi-family Sq. Ft caO.S ST Date Applicant Residential Swimming Pools ASSESSOR MAPPAGE 1PARCEL F CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._Light Sw." OWNER-OR y t t 9 FIRM NAME Ali I . �•r Q , - COMPENSATION INSURANCE - � First 20 - MA (Thls_sectlon need not•be completed If the work Involved by the Total No Additional ADDRESS ®/a� jti, m on y! permlt is for one.hundied dollars($100)'or less.) I certify that in the'performance of the work for which Uiis permit CITY el N Q 33 is Issued, I shall not employ-'any person in any manner as to - - - PLAN CHECK •* ' become-subject•to•the Workers'Compensation Laws Lighting Fixtures First 20- - APPLICANT _ ' Total No Additional ADDRESS Date . . Apphcanf RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO AP ,L'ICANT. If, after making this Ce ificate of CITY Tel No. Exemption,you should become subject to the,Workers'Compensation OTHER-APPLIANCES NOT OVER,3.HP o6S of the Labor Code, you must forthwith coin with.such PERMIT pr'ovisiermitzshall.be deemed revoked.comply Power Apparatus&Large Appliances APPLICANT 4y.2 provisions or this p LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR, ADDRESS, r/>_1 bob I hereby affirm that I am licensed--under provisions of'Cfiapter 9 Over 3 to 10 Incl (commencing with Section 7000) of.Division3 of the Business and CITY el N65i d Over 10 to 50 Incl, 711 Professions Code, and my license is in full force and effect `�- OR Over 50,to.100Incl. REGNSE NUM ER X006._ , - Class _ -0 jZ Over 100 DISTRICT NO;,.: - PROCESSE `--y„ - License Number ' / VV Lia Class [<�{ 0. �. _ ac Services, d,,,MCC&Panel6oards J �'r Vt Contractor G( �� , ' u l�Q jr-U 399 Amp.Under 600 V ' 36' FINAL Date r DATE ❑ " 400-)000 Amp.Under 600 V Q d e 1~ V I am exempt under Sec 8` 1 VALIDATION W Over 1000 Amp or Over 600 V FINAL d B.&P-C forthis reason BRANCH CIRCUIT FEES BY c 15A,or 20A, 120V,.Lighting or-Recept. z Date. _' 1 To 10 Branch Circuits _ 2. Signature 1,1 To 40 Branch Circuits ❑ 41 Or More Branch Circuits _ _ ttt•L•I.g - Exemption for Reg'Maint.Elect 15A,20A,208V To 277V Lighting Br Circuds ,3 j� �,i e`c SINGLE FAMILY Temp Power.Pole&Appurtenances U L 1 HOME OWNER-BUILDER DECLARATION " Sign with One Bfar ch Circuit' I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031 5, Business and Professions Additional Sign Branch Circuits T oTAL 61 ® 65 Code): — - CHECK 61.65 ElI, as'owner of the property,will"do the work and the structure Misc Conduits&Conductors, is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) CHAKI E .110 and Professions Code) CONSTRUCTION LENDING AGENCYry 9 , t'+ I hereby affirm that there is a construction lending'agency for the '0�W-0001 `/ x/9.1 performance of the work for which this permit is issued (Sec. 3097, PERMIT,FEE (Sub-Total) 0 Civ C') 8430, 1 AM 8.i=c - . t_1 PLAN CHECKING FEE Lender's Name ' •• PERMIT ISSUING FEE Lender's Address •�;-'r' I certify that'I have read this application and undenpenalty of pupury state TOTAL FEE ! that the above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE ,SIGNATURE OF PERMITTEE DATE -