The URL can be used to link to this page

Home My Public Portal About6114 KAUFFMAN AVE_Electrical__ 76A663 DBS 6A 11-50 APPLICATION FOR*PERMIT DEPARTMENT OF BUILDING AND 'SAFETY COUNTY'OF LOS ANGELES �� WILLIAM J. FOX, CHIEF ENGINEER ' FOR APPLICANT TO FILL IN DIST30T NO. GROjJy I ZONE PERMIT NO, ELECTRICIAN A-/ c >f, 6 CEIV .BY READY FOR DATE ISSUED ADDRESS t FIRST INSPECTION L� CITY J TEL. NO J Alo / r COUNTY LICENSE NO. L� EXPIRES BUILDING 6•-1/�� 6i' PERMIT FEES ADDRESS (t� H FEE •�� NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST CROSS ST. RECEPTACLES WALL SWITCHES OWNER w _ TOTAL OUTLETS G SC $ 00 MAIL ELEC. RANGES' 25 ADDRESS ELEC. HEATERS 25 CITY TEL. NO. FIXTURES 5 Q 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 ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER HP OVER INC. EACH OF THE RESIDENTIAL PRO RTY DESCRIBED ABOVE. NEW MVD. 1/2 LESS $ .25 SIGNATURE OF 1/2 2 .50 PERMITTE - 2 s 1.00 INSPECTION RECORD 5 1s 1.50 Is 50 2.50 1 2 50 200 5.00 200 Soo 10.00 T A.0Cb =O Q Soo 1000 15.00 Z OVER 1000 20.00 M. G. SET/FREQ. CHANGER-HP J O WELDERS: AC-KVA GENERATORS-KW �aD.✓A!�'C,T"� .K.La.P'.�1.6L� TRANSFORMERS-KVA TEMP. MOTORS (75%OF ORIG.) MOVED MOTORS (75%OF ORIG.) MISC. SIGNS 'NO. NO. TRANS. NO NO. LAMPS NO DATE INSPECTQR'S NAME FOR EACH PERMIT: / - - WIRING $1.00 O CONDUIT WIRING FIXTURES $1.00 O ��r/C.7J,�i..ti$Pl�6C.+d �✓/+ +� SUPPLEMENTARY .50 FIXTURES f POWER TOTAL FEE $ �� UTILITYCO. NOTIFIED _fibs yl�✓ /� L+(o S 76A663 DBS 5A.1-513 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. ELECTRICIAN RECEIVED BY READY FOR DATE ISSUED ADDRESS 1 FIRST INSPECTION CITY TEL NO /; 7 COUNTY LICENSE NO. O EXPIRES BUILDING PERMIT FEES ADDRESS FEE r� NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST RECEPTACLES 10 CROSS ST. WALL SWITCHES OWNER TOTAL OUTLETS 5c III MAIL ELEC.-RANGES 25 ADDRESS ELEC. HEATERS 25 - CITY TEL. NO. FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS misc. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH. ALL COUNTY ORDINANCES 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 I AM THE LEGAL OWNER NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROP DESCRIBED ABOVE. _ I/z s LESS $ .25 SIGNATURE OF _ 1/z 2 .50 PERMITTEE. 2 5 1.00 INSPECTION RECORD 5 15 1.50 15 SO 2.50 @O 200 5.00 200 600 10.00 - J 500 11300 75.00 _ Q Z OVER 1000 20.00 (� M.Q. BET/FREQ. CHANGER-HP _ WELDERS:AC-KVA - 0 GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF 13RIC3.) MOVED MOTORS (75% OF ORIG.) MISC. -- - --I r SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS ij FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING 0 ivez 731 ze $1.00 CONDUIT , FIXTURES $1.00 +•�t� WIRING SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE $ UTILITY CO.NOTIFIED FINAL � y,ta.sa O 9AP-1 WORKERS'COMPENSATIONDECLARATION; CE-66 APPLICATION FOR ELECTRICAL PERMIT 1 hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES '� BUILDING AND SAFETY insure, or a•certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec. 3800,Lab.C.) I FOR APPLICANT TO FILL IN JOB Policy No.-- CompanyADDRESS New Residential Bldgs.&Pools EACH NO.- FEE Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY Y94,1YGlT z Multi-family Sq. Ft. — NEAREST aCertified copy is filed with'the county•building inspection, CROSS ST l3i 41!•F-1 L dep"artment: Residential Swimming Pools OWNER OR FIRM NAME Date Applicarib Outlets' Re-WLIghta Sw. n MAILoY / First 20 v ADDRESS Y CERTIFICATE OF EXEMPTION FROM WORKERS'.• Total'No 57Additional - CITY Tel No. COMPENSATION INSURANCE: r PLAN CHECK a• APPLICANT. �' (This section need not be completed, if the*work involved Lighting by the permit is;for.one hundred dollars (5100) or less.)' gg Fixtures First 20 ADDRESSTotal No. Additional , I certify that in the performance of the work for which,this Fixed Appliances Not Over 1 HP CITY' N el N �- permit is issued, I shall not employ any'person in any manner PERMIT W so as to become subject to the Workers' Compensation Laws. Range Heater D.W. APPLICANT 4. 'Oven _ Dryer_W.M. ADDRESS Z Date Applicant Top. FAU =W.H. Hood _L Fan —Other_ CITY Tel No. NOTICE TO APPLICANT: If, after making this Ceitificate•of Disp. _ Room Air Cond,_ LICENSE OR Exemption,- you should become subject to`the Workers'- REG.NUMBER Class Compensation provisions of the Labor Code,•you must forth- Power Apparatus& Large Appliances DISTRICT NO. PR - S BY with comply with such provisions oi this permit shall be deemed revoked. Size&Type HP,KW, KVA,or KVAR Up to,1 Incl. FINAL , �j LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl. DATE '� 4 Over 10 to 50 Incl. [J VVV VALIDATI I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. v FINAL ` BY 9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 . Hess and Professions Code, and my license is in full force and effect. Services ? License Number Lic. Class 0-200/ p. Under 600 V ea - , 201-1000 Amp. Under 600 V C' Contractor Date Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp. Power Pole&Appurtenances V =3 4 7'8 A I hereby 'affirm that I am 'exempt from the Contractor's Sign with One'Branch Circuit #tiol o a 0 Additional Sign Branch,Circuits License Law for the following reason (Section 7031.5, Busi- 2•0 i O- ness and Professions Code). ,° 7 5 + j l Misc.Conduits&Conductors `o o l0 4. ? 1, as owner of the property, will do the work and the Other (See Complete Fee Schedule)— , structure is not-intended or offered for sale (Section �'' 2"8 2 7044, Business and Professiohs Code). CONSTRUCTION LENDING AGENCY I hereby affirm that'there-is a construction lending agency for the performance of the work for which this permit is pERMIT,FEE (Sub-Total) / 'issued(Sec. 3097,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee)' r Lender's Address PERMIT ISSUING FEE I certify that I have read this application and state that the TOTAL FEE 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 a�bov mentioned pr for spection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE m Signature of Permittee Date `