HomeMy Public PortalAbout6051 KAUFFMAN AVE_Electrical__ _4
76A683 CE.eon 10/77 APPLICATIOFd CTRICAL P
i
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
ADDRESS
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN ILocALiTY C1 mY
New Residential'Bldgs &Pools $ EACH
25 NO $. FEE NEAREST
CROSS ST JQ fel
1 &2-Family,Sq t. OWNER OR
Multi-family Sq Ft. 02 — FIRM NAME 7F7'L46r
Residential Swimming Pools 25.00 MAIL.
ADDRESS U /✓
Outlets Rec_, LightSw. L CITY JE_M C• Tel No 2
First 20 50 9 PLAN CHECK
Totol'No Additional 30 APPLICANT'
ADDRESS
Lighting Fixtures First 20 .50 p CITY ,Tel.No
Total No
Z Additional- ,30 PERMIT
CANT
Fixed Appliances Not Over,1 HP ADDRESS LZ
Range_Heater_D W CIT GT el No 2m JZ
Oven _Dryer—W M_ LICENSE OR
Top —FAU —W H REG NUMBER Class.0—/0
Hood_Fan _Other- I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Dlsp •— Room Air Cond 2.50 �� r0 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH.ALL COUNTY ORDIN.
OV 7Z 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 I AM Y•
Up t0 1 Ind - 2.50 THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY C
Over 1 to 1'0 Ind 5.00 v
Over 10 to 50 Incl 12.50 PERMITTEE
Over 50 to 100 Inc 25.00 SIGNATURE �•
Over 100 40.00 DISTRICT NO. f- P D BY cap
Services i(/tLJ /Dt,.411p /v/r� Z
0- 200 Amp .Urider 600 V 12 50 / A INCTOR S
201-1000 Amp.Under 600 V
25.00 APPROVALS DATE SI NATURE
Over 1000 Amp or Over 600 V 5000 TEMP POWER POLE
UNDERSLAB WORK
Temp Power Pole&Appurtenances 10.00
Sign with One Branch Circuit 1000 ROUGH CONDUIT `
2.00 WIRING
Additional Sign Branch Circuits
Mlsc Conduits&.Conductors 10.00 FIXTURES
Other(See Complete Fee Schedulei POWER AUTHORIZED
UTILITY CO NOTIFIED —����'(� 4A 0
FINAL
PERMIT FEE NOTES'
' v
PLAN CHECKING FEE (One-Fourth Permit Fee) I �•
- � 7Yo'o7 �, n
PERMIT ISSUING FEE $700
TOTAL FEE
;v v
AN CHECK VALID TION CK M O CASH PERMIT VALIDATION CK v M O �' CASH ^
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
D.B.S.SA 25M SETS.7D-47 APP CATION FOR 7DED1eW
DEPARTMENT OF B a �7Ot/� yM §AFETY
jS1r'JE,' LLEH C �'lY Sl 1cCOUNTY OF 31��9
ES
1 F
z NAM DISTRICT NO. GROUP ZONE PERMIT NO.
ADDt7E88 ��{[
"f RECEIVED BY READY FOR DATE•ISSUED
TEL-NO � FIRST INSPECTION
COUNTY �� eL EXPt ES
CERT.NO. qy
APPLICANT ��YILY OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORE; ADDRESS ,v041AIII-14ZIZ0.1 4&*'
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
.- LOCATION BY ROOMS NEAREST
LIGHT OUTLETS JSW. PLUGS PIl[T
C OS3 ST.
CIRCUPT A B' C D I E F G H w NAME '
-
/ Z ADDRESS
y CITY p �/ / L.NO.
�.I..� 1 AM THE LE POSS OF THE- ABOVE LOS
ANGELES COUNTY CER IN OF Q IF! !O .
HLECTRIC N.
I AM THC LEGAL o IF'ME! PROPF,RTY'- SCRIBED
1
ABOVE
i An //ff��ORI�j�: 77��77((�� OWNER.
...1
a
1° z
�.
ToT
o
AL _
NO. OF OUTLETS $ 3 3S APPROVALS
NO. OF FIXTURESki $ DATM INS ECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT _ s
NO. OF SIGNS TRANS. $ WIRING
AMOK-
NO. OF RANGES OR HEATERS $ -60 FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE $ Z S ..-UTILITYCO.NOTIFIED
TOTAL F E FINAI: / v U—�
.� .IIS - /q P
DBS-SA APPLICATION FOR■ ELECT IC .PERMIT
DBS-SA 12•Sd
DIVISION OF BUILDING AND SAFETY
Deportmeni of County Engineer
County Of Los Angeles BUILDING
WM. J. FOX. COUNTY ENGINEER - ADDRESS (�� /YJ (A fL)Jr MA Al
CASSATT D. GRIFFIN, SUPT oF.BuILDING
' FOR APPLICANT TO FILL IN LOCALITY
PERMIT FEES _ OSs. �?. 4
FEE CCRS 2
NUMBER EACH
LIGHT OUTLETS OWNER •. • —•� . 7
RECEPTACLES _� - MAIL - S�
ADDRESS'
WALL SWITCHES
TOTAL OUTLETS - 5d CITY TEL. NO 47
'lp
ELEC. RANGES 25 ELECTRICIAN. MCTAPC
t
ELEC HEATERS - 25' _ ADDRESSR-11 +
KW EA - ITY -
TEL. NO.
C �w,
FIXTURES' 5—'
LICENSE NO. LGJ
NUMBER OF LIGHT CIRCUITS
NUMBER•OF RECEPTACLE CIRCUITS
DISTRICT NO Jf. GROUP ZONE READY FOR INSPECTION
MOTORS' ', � - z:
NUMBER HORSEPOWER FEE INSPECTION RECORD _
NEW MVD, HP' OVER INC EACH -
_ 1�&LESS $ .25 -
i/2 2 .50
2 5 1.00
5 15 1.50 _
15 50 2 50 - - -
50 200' 500 _ -
7�1f5 I Sr- .1 k9W —
MISC.
NO. SIGNS NO TRANS.
NO. SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING $1.00 - -
FIXTURES $1.00 •.
SUPPLEMENTARY 50
APPROVALS
TOTAL FEE $ S DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE'READ THIS APPLICATION 'CONDUIT
AND,STATE THAT THE ABOVE IS CORRECT'AND AGREE TO COMPLY
WITH ALL COUNTY DINANCES AND ST TE.LAWS REGULATING WIRING
ELECTRICAL IR IV - -
I HEREBY CER FY - HAT I AM PROP RL EGISTERED•AND/OR FIXTURES _
LICENSED AS R QUIR D BY LO ANGEL S NTY AND STATE OF POWER '
CALIFORNIA 0 T 1 AMT E LEG L ER, OF 'THE ABOVE '
DESCRIBED RES DE AL PROP T,Y. UTILITY CO. NOTIFIED ��-/•+2.-Ci
SIGNATURE -
OF PERMITT t FINAL
-WILLIAM J.FOX.COUNT ENGINEER• S VALIDATION:'-
'MAY 1.2 - 2
ti ,; " -•
DEPUTY
DBS-5A 3-SS APPLICATION ION FOR ELECTRIC PERMIT
GMIT i
DBS-5A
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer ,1
' County of Los Angeles Bvu LC��ess nQ �� U /- IV
WM.J. FOX, COUNTY ENGINEER
CASSATT D. GRIFFIN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST /7 �J
PERMIT FEES CROSS ST. I?n/,Q
NUMBER EACH FEE OWNER IT, v 78
LIGHT OUTLETS
RECEPTACLES MAILADDRESS
WALL SWITCHES %� '
776
TOTAL OUTLETS 5¢ $ CITY TEL. NO (Q(�
ELEC. RANGES 1 25 ELECTRICIAN-q i
_ELEC. HEATERS 25 ADDRESS V /.
KW EA CITY �� TEL. N
FIXTURES 5 LICENSE NO.
NUMBER OF LIGHT CIRCUITS - DISTRICT NO. I GROUP I ZO%E ( READY F0INSPECTION
NUMBER OF RECEPTACLE CIRCUITS �is• j41�1/./'1
MOTORS
NUMBER HORSEPOWERFEE INSPECTION RECORD
._ -
NEW MVD. HP OVER INC. EACH
I/2&LESS, $ .25 _
1/2 2 .50
2 5 1.00
5 15 1.50
15 1 50 2.50
' 50' 200- •5.00
T -
!�I [ F14 Ai
MISC.
NO.SIGNS ;NO.TRANS.
NO.SIGNS NO.LAMPS
FOR EACH PERMIT: -
WIRING $1.00 f0 -
FIXTURES $1.00
SUPPLEMENTARY .50 - APPROVALS
TOTAL FEE $ -. 2 DATE INSPECTOR'S SIGNATURE,
I HEREBY ACKNOWLEDGE THAT 1HAVE-READ-THIS APPLICATION CONDUIT '
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND. STATE LAWS REGULATING WIRING
ELECTRICAL WIRING.
IHEREBY CERTIFY AT I AM PROPER REGISTERED AND/OR FIXTURES
LICENSED AS REQUI BY LOS ANGELES O TY AND STATE OF
CALIFORNIA OR TH t AM THE L A� R OF THE ABOVE POWER
DESCRIBED RESIDEN PR PER
SIGNATURE UTILITYCO. NOTIFIED `
OF PERMITTEE FINAL -
WILLIAM J. FOX, "NGINEER VALIDATION A. C:VEIT,CHIEF ELECT. INSPECTOR
3, 4 -8 1 FEB 27 2. 1 .2 5 I'