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HomeMy Public PortalAbout6016 KAUFFMAN AVE_Electrical__ 7eaee3 CE 9068 10n' APPLICATION FOR EL C RICAL PEOWT COUNTY OF LOS ANGELES DEPARTMENT OF-COUNTY ENGINEER JOB ADDRESS BUILDING AND SAFETY DIVISION ✓'� FOR APPLICANT TO FILL IN LOCALITY C , New Residential Bldgs &Pools EACH q NOFEE CNEAREST ,ROSS ST 4O Y✓ 1 &2-F6mily,Sq. Ft $ 025 — $ OWNER OR. j Multi-family Sq-,Ft 02 — 'FIRM NAMEp' / Residential Swimming Pools 25.00 MAIL ADDRESS--73 3 44_1' Outlets Rec" 4*' Light-�Sw �� CITYAVC -Tel No 41 y Fi"rst;20 CHECK 'Total No_ Additional. 30 _ APPLICANT" ADDRESS ADDRESS Lighting Fixtures First 20 •' ® a– v CITY Tel No Additional .30 PERMIT Total No "•,� 'APPLICANT Fixed,Appliances Not Over IHP ADDRESS yr A—L_ Range_Heater—D W .CITYoy ���, -fes Tel'No� 5' /�: Oven Dryer.—W M_ LICENSE OR Top a —FAU —W H REG NUMBER O ClassG�� Hood Fan _Other_ HEREBY ACKNOWLEDGE THAT I HAVE'READ THIS APPLICATION AND STATE Disp' -1 ROOM Air Cond 2'50 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN. ANCES AND STATE LAWS REGULATING,ELECTRICAL WIRING , Power Apparatus&Large Appliances Size&Type HP; KW, KVA;or KVAR, I HEREBY.CERTIFY THAVI AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND ST TE OF CALIFORNIA OR,THAT•I AM } Up t0 1 InCI 2.50 THE LEGAL OWNER OF THE ABOVE SCRIBE RESIDENTIAL PROPERTY - Over 1 to-10 Incl 500 c.' Over 1O,to 50 In _ 12.50•. PERMITTEE Over 50 to 100 Inc 25.00 = • SIGNATURE w Over 100 40.00 DISTRICT NO ES BY a Ser,Oices 0-200 Amp Under 600 V 50 INSPECTOR S' 201=1 000 Amp Under 600 y . 25:00- APPROVALS 4 T•E SIGNATURE i ,Over 1000 Amp or Over 600 V 50.00 TEMP POWER,POLE UNDERSL•AB WORK Temp Power Pole&Appurtenar.ces 10.00 Sign-w th'One Branch Gicurt 10.00 ROUGH CONDUIT y` 200• WIRING' Additional Sign Branch Circuits Misc Conduits&Conductors 10.00 FIXTURES , Other(See Complete Fee Schedule) POWER AUTHORIZED, UTILITY CO NOTIFIED FINAL NOTES e 'PERMIT,FEE (Sub-Total) -Z�7�f jv�j�j�ri/( _ N>�7� }3 t PLAN CHECKING FEE (One-Fourth Permit Feei *10 T PERMIT ISSUING FEE 0� TOTAL FEE PLAN CHECK VALIDATION CK MO CASH 'PERMIT VALIDATION CK M O CASH - S� r- SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 476A863 CE 8868 10,77 APPLICATION FOR ELECTRICAL PERMITS �• COUNTY OF LOS ANGELES /� JO DEPARTMENT OF COUNTY ENGINEER fjDDRESS C/BUILDING AND SAFETY DIVISIONFOR APPLICANT TO FILL IN OCALITYNew-Residential Bldgs'&Pools EACH NO FEEEAREST1 &2-Family,Sq.'Ft .025 — $ ROSSSTWNER OR Multi`family Sq. Ft 02 — FIRM NAME ' $G Residential Swimming Pools 25.00 MAIL ' ADDRESS 3_ Outlets Rec45 t-- llghV___5_Sw 411CITY Tel,No CD3 First 20• - ® Zd PLAN' HECK Total No _ Addition'al APPLICANT ' ' ADDRESS a- Lighting Fixtures First 20 CITY Tel.No Additional 30 -PERMIT / Total No APPLICANT ✓ G C Fixed Appliances Not Over 1 HPADDRESS Range_Heater•_D W K CITY ' �•: Tel No 'Oven_`Dryer=W M X LICENSE OR ,Top'- —FAU �W H REG NUMBER U Class C_--/ Hood Fan _Other— HER ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Disp ROOm Air COnd 50 THAT THE ABOVE IS CORRECT AND AGREE TQCOMPLY WITH ALL COUNTY'ORDIN ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING Power Apparatus&Large Appliances Size&Type HP, KW, KVA,or KVAR _ I HEREBY CERTIFY THAT I AM-PROPERLY REGISTERED AND/OR LICENSED AS' ' REQUIRED BY.LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT AM > Up to l.lncl 2.50 THE LEGAL OWNER-OF THE BOVED CRIBEDRESIDENTIALPROPERTY Over 1 to 1'0,lncl (-v Over 10 to 50 Incl - 1 2.50 PERMITTEE CD CD 25.00 SIGNATUR2�L Over 50 to'I00,lnc U Over 100 40.00• FDISTRICT NO ACES BY a 'v� N z Services 0-'200 Amp Under 600 V 50 INSPECTOR S 201-1000-Amp Under 600 V 5.00 APPROVALS TE SIGNATURE . Over 1000 Amp or Over 600 V 50.00 POWER POLE Temp Power Pole:&Appurtenances1000SLAB WORK Sign with One Branch Circuit 10.00 ROUGH CONDUIT' Additional Sign Branch Circuits 2'00 WIRING �� ��•�'7� ' Misc Condui't's&Conductors 10.00 , FIXTURES _ Other ISee Complete Fee Schedules POWER AUTHORIZED UTILITY CO,NOTIFIED FINAL -I2 / PERMIT FEE, (Sub-Total) 7 NOTES PLAN CHECKING FEE )One-Fourth Permit Fee) PERMIT ISSUING FEEIY v TOTAL FEE ' PLAN CHECK VALIDATI1 CK, M O- CASH PERMIT VALIDATION CK M O CASH 63 4' 9 :1"-iFu 6 2 .©. 4 .2. 5 �&5s ;�•" SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE - - - - -