HomeMy Public PortalAbout6049 KAUFFMAN AVE_Electrical__ 76A663 CE-80616/78) APPLICATION FOR ELECTRICAL PERMIT, • . -
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN' JOB '
EACH NO. FEE ADDRESS Q
FAp�honces
sidential Bldgs &Pools• '
-Family,Sq Ft $ 025 — $ LOCALITY-Tple C
i*fomilySq Ft 02 — NEAREST -
ential Swimming Pools 25 00 OWNER OR CROSS ST /
FIRM NAME b ��✓
Rec ;Light First
ADDRESS -l0 U FMAAJ 08
MAIL
First 20 50No Additional .30 CITYTelPLAN CHECK
APPLICANT
Fixtures First 20 50 I ADDRESS
Additional 30- F No i CITY Tel.No
ppliances Not Over 1 HP ; PERMIT
e_Heater_D W,�_ APPLICANT
_Dryer_W M_ ADDRESS
Top _FAU — W H „ CITY - )Tel No.,
Hood_Fan _Other LICENSE OR ^ '
Disp —Room Air Cond 2 50 REG NUMBER Class
I-HEREBY ACKNOWLEDGE-THAT I HAVE READ THIS APPLICA
Power Apparatus&Large Appliances TION AND STATE,THAT THE ABOVE IS CORRECT'AND AGREE TO
Size&Type HP, KW, KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND-STATE LAWS
yp 2 50 REGULATING ELECTRICAL'WIRING
Up to 1 Incl HEREBY CERTIFY THAT I-AM PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl 5 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
Over 10 to 50 Incl.
12 50 CALIFORNIA OR THAT AM THE LEGAL OWNER OF THE ABOVE
25 00 DESCRIBED-RESIDENTI PROPERTY 0
Over SO to 100 Inc "6�7r�
Y
Over 100 4000 _ PfRMITEE'
SIGNATURE
4A
Services DISTRICT NO P CES D BY,
0-200 Amp'Under 600 V 12 50 _ _. •• - '- o
201-1000 Amp Under 600 V 25 00 c (J
Over 1000 Amp or Over 600 V 5000 - Z
A O -
Temp Power Pole&Appurtenances 1000 Q
Sign with One Branch Circuit 10 00
Additional Sign Branch Circuits 2 00 INSPECTION >
Mac Conduits&Conductors 1000 INFORMATION WON REVERSE x
Other(See Complete Fee Schedule) SIDE u
Z X21 7.3A
# 0000'0"2
PERMIT FEE (Sub-Totall �� _ 2 0 0 9'S
PLAN CHECKING FEE (One-Fourth Permit,Femme) _ Z o o o 1 9.5 0 F�
PERMIT ISSUING FEE $7 00 c 1, —79.
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TOTAL FEE , >
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INSPECTION FIN LED •-y LU
d IL
date � �� By _ d ,
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