HomeMy Public PortalAbout6132 KAUFFMAN AVE_Electrical__ "ITT QF ,' TEMPLE CITY
76A663,CEB(ro,,,70 APPLICATION FOR ELECTRICAL PERMIT.
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
6132 1V. KAUFFMAN
BUILDING AND SAFETY DIVISION
COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING LOCALITY1T�`AA7nnP�A'i CITY
NEAREFOR APPLICANT TO FILL,IN CROSSSST�7�'uIIBALDI,
OUTLETS NU. EACH FEE
.OWNER I,EMpFXS ,
RECEPT._ $ $ MAIL
FIRST 20 ' 25 ADDRESS SAM -
LIGHT TOTAL '
CITY TEL. N0.287--7214
SWITCH _ OVER 20 10 -
PLAN CHECK
APPLICANT
TOTAL _
LIGHTING �• FIRST 20 25 ,
OVER 20 ADDRESS -5
FIXTURES 10 -
APPLIANCES PERCITY TEL.'N o.
IT
RANGE DRYER_WTR. HTR. -APPLICANTFRIESS ELECTRIC �' y
STA:.000K DISP. F'.A.U. ADDRESS, 1042 S. SAW GABRIEL BLVD.,
SPACE HTR. AIR COND. • CITY SAN-'GABRIEL -TEL. N0286-1155
CLOTH ES.WASH.• DISHWASH: - LICENSE N0. 201026 - CLASS. CIO
+ FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ ,THIS APPLICATION
AND-STATE THAT THE ABOVE IS CORRECT'AND 'AGREE TO COMPLY
MOTORS, TRANSFORMERS' RATING I - WITH'•"ALL COUNTY ORDINANCES AND STATE LAWS REGULATING"
IND HEATERS, ETC. HP KW. KVA ELECTRICAL WIFtING.
SIZE & TYPE OVER TO
I. HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR '•
0 - I 100 LICENSED AS'REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA'OR-THAT I AM THE LEGAL OWNER OF, AND INTEND TO }
`
RESIDE'A N, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. a
1 HP AC I — lo,. I - 3 00 3 00 - o
SIGNATURE
10 - 50 500 OF PERMITTEE
50 - 100 1000 0
DISTRICT NO CLASS ZON PROC E Y V
100 - 500 1500 - t ( a
SIGN, GASN
�AOTIONAL
N AND ONE CIRCUIT • 500 NOTES:•-�
TUBE, OR
MARQUEE DICIRCUITS X1.00
SERVICE NOTOVER600VOLTS OR200AMP 1 =300 3 O0
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICEOVER 600 VOLTS OR 200 AMP 10.00 , - -
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 500
_ UNDERSLA'B WORK '
TEMP LIGHT OR RECEPT. SYSTEM 3:00
ROUGH'•CONDI UT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL) 00 -
UTILITY CO. NOTIFIED
PLAN CHECK FEE /
FINAL {� -
PERMIT ISSUING FEE 3.003 O0 '- .JO PH OOHAN
TOTAL FEE 9,00 SUPE VISI G EL ICAL ENGINEER,
PLAN CHECK VALIDATION CK. 'M.0. CASH "" PERMIT V 10 cK M 0. CASH
silil�7 •0 9-.0 O~' -
SEE BACK OF APPLICATION FOR COMPLETE'SCHE -�•� � '�' `, •� - '
S '
76AS63 DBS SA 11-50 - APPLICATION FOR PERM.
DEPARTMENT' OF BUILDING AND SAFETY
COUNTY, OF LOS ANGELES E L E CT R I 1'
WILLIAM J; FOX, CHIEF ENGINEER
FORA PLICANT TO FILL IN ,DISTRICT• NO. GROUP •ZONE PERMIT NO.
ELECTRICIAN
i
RECEIVED BY READY FOR DATE ISSUED
ADDRESS AFIRST INSPECTION
CITY T . NO. �`P - - �f•�/ `� 1
COUNTY LICENSE NO. EXPIRES O v BUILDING
PERMIT FEES ADDRESS
FEE
NUMBER EACH LOCALITY •
LIGHT OUTLETS NEAREST
CROSS ST.
RECEPTACLES
WALL SWITCHES OWNER
TOTAL OUTLETS Sc $ ® MAIL '
ELEC..RANGES 29 ADDRESS
ELEC. HEATERS .25 CITY - TEL. NO.
FIXTURES - S
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 I CERTIFY THAT .1 POSSESS THE ABOVE VALID LOS
ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NUMBER HORSEPOWER FEE
NEW MVO. HP OVER�INC. --
EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
I2 a LESS $ - •.25• SIGNATURE OF
2 ,50 PERMITTEE
2 "5 1.00 INSPECTION RECORD
5 15 i.50 '
15 50 2.50
50 200 5,00
200 500 10.00 J
-500 1000 , 15.00 Q
OVER 1000 20.00 (�
M. G. SET/FREQ. CHANGER-HP _ (r
WELDERS: AC-KVA• O
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (75%OF ORIG.) ,
MOVED MOTORS (75%OF ORIG.)
MISC. '
-SIGNS ,
No. No. TRANS. APPROVALS
NO. NO. LAMPS ,
• .'DATE'.. INSPECTOR'S NAME
FOR EACH PERMIT: -
I�
WIRING $1.00 /® CONDUIT• •fi'� '
., FIXTURES - $1.00' 'IQQ WIRING. '
SUPPLEMENTARY 50 FIXTURES-
' POWER,
'TOTAL FEE $ I� UTILITY CO. NOTIFIED
V®, FINAL
D9 S-A 7-40 23M APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC
WM. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. I GROUP I ZONE PERMIT No.
WIRING FIXTURES SERVICE I / D
RECEIVED BY READY FOR DATE t88 ED
RANGE HEATER POWER f ' FIRSTINSPECTION
r
SIGNS I MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
Z JOB
a NAME ADDRESS
U
K ADDRESS LOCALITY
h
NEAREST
W CITY r TEL No. CROSS ST.
W COUCERT TNO. 7-'� i7' `J� EXPIRES It
NAME
DESCRIPTION OF WORK Z MAIL
NUMBER OF OUTLETS ON CIRCUITS 3 ADDRESS
LOCATION BY ROOMS OCITY TEL NO.
LIGHT OUTLETS I SW.j PLUGS IFIXT. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
CIRCUIT ` A S I IC + DI E �, F 1 G S y H I ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
LIVING ROOM I I-7-
ELECTRICIAN.
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
DINING ROOM __ ABOVE.
SRFST. RM.
I� OWNER.
BATH ++ff CORRECTIONS
ENT. HALL I I�
HALL NO.
FRONT PORCH
OUTSIDE
KITCHEN
I
SERV. PCH. -�
E
BDRM. No. L
i
CLOSET
BDRM. No.
CLOSET _
TOTAL I�
NO. OF OUTLETS ffi
APPROVALS
NO, OF FIXTURES $ DATE INSPECTOR'S NAME
NO. OF MOTORS H. P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
1 PERMIT FEE $ UTILITY CO. NOTIFIED
TOTAL FEE $ FINAL '�'
DB S-A 7-40 95M APPLICATION FOjk PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC
' WM. J. FOX, CHIEF ENGINEER
NATURE OF-INSTALLATION DISTRICN
T� O. IGROUP I ZONE PERMIT No.
WIRING FIXTURES SERVICE
REC V&D BY READY FOR _ DATE ISSUED
RANGE HEATER POWER FIRST INSPECTION
SIGNS MISCELLANEOUS
APPLICANT FILLN HEAVI Y OUTLINED PORTION ONLY-:-
z
NLY ::z na I efjj JOB
a NAM ADD RES
U
Ix ADDRESS �- LOCALITY
TEL
NEAREST �
W CITY TEL N - a CROSS ST.
J
W CERT. NO. EXPIRE J-zz w NAM
DESCRIPTION OF WORK 3 MAIL
NUMBER OF OUTLETS ON CIRCUITS ADDRESS
LOCATION BY ROOMS O _
CITY TEL-iNo.
LIGHT OUTLETS I6W.I PLUGS IPIXT• I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
CIRCUIT A B I C D I EI F G l HH ANGELES COUNTY CERTIFICATE OF 'QUALIFICATION. .
LIVING ROOM
'HL CTRICIAN.
I AM•THE LEGAL NER'OF THE PROPERTY DESCRIBED
DINING ROOM ABOVE. LL
BRFST. RM.
OWNER.
BATH ._I CORRECTIONS
ENT. HALL
'HALL NO. __ ✓-""YR.t [rLAa.C� �a�a
FRONT PORCH
OUTSIDE
KITCHEN
SERV. PCH. d J
BDRM. NO.
CLOSET '
BDRM. NO.
CLOSET --
i
TOTAL
NO. OF OUTLETS ' $
APPROVALS
NO. OF FIXTURES $ DATE INSp oR•S NAME
NO. OF MOTORS H. P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER.
I PERMIT FEE $ UTILITY CO. NOTIFIED
Ir
>�
TOTAL FEE $ FINAL