HomeMy Public PortalAbout6103 KAUFFMAN AVE_Electrical__ 76A663=CE80612-65 APPLICATION FOR ELECTRIC L PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
_ FOR APPLICANT TO FILL IN CROSS ST.
RECEPT`�.s TOTAL NO. EACH FEE
LIGHT.f OUTLETS I FIRST G $.20 $ OWNER
1 MAIL
SWITCH ADD'L � 10 � ADDRESS _ 7
OVER 20
i�_
TOTAL FIRST 20 .20 CITY TEL. NO. _
LIGHTING 1 FIXTURES -
FIXTURES J( ADD'L 1O CONTRACTOR i
OVER 20
RANGES DRYERS WTR T.S.H1.00 ADDRESS .� Q
B.DISP STA.COO fj/p d.�
_ CITY TEL. NO.
oISHWASH. uro.•wnsH. STATE -
SPACE HTRS. STA. APPL. �. .50 ��
LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRIC O. P Z PD
O• 1 1.00
1 3 1.50 INSPECTION RECORD a
O
3 8 2.00 LJ
K
8 15 2.50 O
15 50 - 3.00 V
W
CL
50 100 5.00 N
Z
SIGNS: NO.TRANS
NO.LAMPS
SERVICE 0.600V•Nor OVER 200A 1.00 6'
SERVICE 0.600V•OVER 200 A. 2.00 -
SERVICE OVER 600V 5.00 '
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TOTAL FEE s ' U
I HEREBY ACKNOWLEDGE'THAT I HAVE READ THIS•APPLICATIO N- UNDERSLAB WORK !�
AND STATE THAT THE ABOVE IS CORRECT AND AGREE i0 COMPLY ,ROUGH_ CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/ORFIXTURES .�
LICENSED AS REQUIRED BY OS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM T E LEGA ER OF,A D INTEND TO POWER
RESIDE IN,THE ABOVE DE IBED RE IDEN IAL PRO RTY.
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE
FINAL
NIDATION JOSgPSUPER SIC. G ELECTRICAL
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
LA 2 8 8,9-\'O- JTa 17 2 D 15,00—
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76A663-CE8061-67 APPLICATION FOR ELECTRICAL PERMIT '
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FADDRES
BUILDING AND SAFETY DIVISION JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENICINS, SUPERINTENDENT OF BUILDING7FOR APPLICANT TO FILL IN
RECEPT. + UTOTAL No. EACH FEE
LIGHT OTL
ETS FIRST 20 i $.20 $ OWNER
Z�
MAIL
SWITCH ADD'L 10 ADDRESS
OVER 20
TOTAL FIRST 20 .20 CITY TEL. NO.
LIGHTING 1 FIXTURES
FIXTURES J( ADD'L 1O CONTRACTOR —
OVER 20
RANGE. DRYERS WTR.HTR.. 1.00 ADDRESS C E.
GARB.DISP. STA.COOK
CITYL TEL. NO. A7'?-30
DISHWASH. AUTO.-WASH. STATE 1�
SPACE HTRB. STA. APPL. .SO
LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT O. 1 GyUP ONE PROC SED BY
O 1 1.00 t c) L ''f
1 31.50 INSPECTION RECORD
3 8 2.00
8 15 2.50
15 50 3.00
IL
50 100 5.00 0
SIGNS: NO.TRANS
NO. LAMPS O 0
SERVICE 0.60OV-NoT OVER 200A 1.00 IL
SERVICE 0.60OV-OVER 200 A. 2.00 Z
SERVICE OVER 600V - 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'S SIGNATURE'
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT I HAVE'READ THIS APPLICATION UNDERS LAB WORK
AND STATE THAT THE ABOVE I.CORRECT.AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT I 'AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED.AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF -
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO POWER
RESIDE IN,THE ABOV SC ED RE ID A OPER
SIGNATURE UTILITY CO.NOTIFIED ,•���i .i
OF PERMITTEE
FINAL
VALIDATION JOSEPH C. ROOHAN
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
0 2 0 3 huG 2'2 2 D 3.7 0