HomeMy Public PortalAbout6149 KAUFFMAN AVE_Electrical__ .f
° '°' j 'Z APPLICATION FOR LECTRICAL PERMIT
BUILDING
DEPARTMENT OF COMMUNITY DEVELOPMENT ADDRESS (r! p
BUILDING AND SAFETY SECTION LOCALITY
NEAREST
FOR APPLICANT• TO FILL IN CROSS ST.
FRECEPT.
TS No EACH FEE
OWNER
MAILFIRST 20 ra ADDRESSTONAL 25 OVER 20 10CITYTEL. .
PLAN CHEC FIRST 20 .Z25 S-t� APPLICANT ly
TOTAL
✓ OVER 20 ADDRESS
10 -
APPLIANCES CITY TEL. No.
PERMIT
RANGE DRYERWTR. HTR. APPLICANT
STA. COOK DISP. F.A.0 ADDRESS �3
r
SPACE HTR. AIR-COND. CITY TEL. NO. 1 i
CLOTHES WASH. ' / DISHWASH. LICENSE NO. AV CLASS.
FAN OTHER , 100 / I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS-APPLI-
CATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO
COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGU-
MOTORS, TRANSFORMERS RATING LATING ELECTRICAL WIRING
IND HEATERS, ETC HP KW KVA.
SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND
OR LICENSED AS REQUIRED BY.LOS ANGELES COUNTY AND STATE
0 - 1 1 00 OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF. AND IN.
TEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROP- d
! 1 - 10 / 300 ERTY O
10 - 50 500 SIGNATURE U
OF PERMITTEE
50 - 100 1000 1-410
DISTRICTNO. CLASS- Z O ES ED BY
100 — 500 1500 Q —Z-
SIGN, GAS SIGN AND ONE CIRCUIT 500 NOTES: Z
TUBE, OR
MARQUEE, ADDITIONAL CIRCUITS 100
SERVICE NOT OVER 600 VOLTS OR 200 AMP 300
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AM P 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 500
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 300
ROUGH CONDIUT l
WIRING > 9/• r
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL) •
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL �/�✓
PERMIT ISSUING FEE 300
r
TOTAL FEE
PLAN CHECK VALIDATION ev
9.0
PERMIT VALIDATION 5-
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
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76A 663-C E806y3-69 -
APPLICATION FOR ELECTRICAL PERMIT )
COUNTY'OF LOS ANGELES
DEPARTMENT-OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ADDRESS j i4 L/ = %/A f1
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS•, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN -CROSS ST. ¢.
' NO, EACH FEE - -
g $ OW NER
RECEIPT. MAIL
I ADDRE FIRST 20 3 ,20
LIGHT r TOTAL _
SWITCH OVER 20 .10 CIT �.7im ,p z p C ;1-11,1(TEL.NO. �77
PL N CHECK '
AP LICANT �r
LIGHTING TOTAL FIRST 20 / .20 `/ _
AD i SS
FIXTURES OVER 20 .10 '
RANGE_DRYER_WTR. HTR. CIT A ?EL.N0.
STA. COOK_DISP. _F.A.U. CONTRACTOR V
SPACE HTR. AIR COND. ADDRESS
CLOTHES WASH, DISHWASH. CITY TEL NO.
FAN,OTHER 1.00 s� �G LICENSE NO. CLASS. - -
MOTORS,TRANSFORMERS RATING O� 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS ,REGULATING
ELECTRICAL WIRING.
0 - 1 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/Oft
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND 5TATEOF
I - 10 3.00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO Cl-
RESIDE
LRESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. O
10 — 50 5.00 / /�] V
SIGNATURE
50 — 100 10AK�'4 "0 OF PERMITTEE �"^� � -/I2� Q
100 - 500 15.00 DISTRICT NO, GROU ZON PROCES Y u
c / � CL
—
SIGN,GAS SIGN AND ONE CIRCUIT 3.00 to
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES:' l
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00 -
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
I TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL /
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK, M.O. CASH PERMIT VALIDATION CK. M.O. cnsH
- � 4-,5-.5.01" 2Q 2 •fl 4-8 0 '�
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 4 I'l7(� /ri'A/I/�/✓/"i .,
761,663-CE806 9-67 APPLICATION FOR ELECTRICAL PERMIT .
CIIOUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILrDIMG AND SAFETY DIVISION ADDRESS
'JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
NO. EACH FEE
L $ $ OWNER
RECEPT.
MAIL
LIGHT TOTAL FIRST 20 �E7 .20 3 20 ADDRESS
I ! >
SWITCH T OVER 20 10 CITY TEL. NO.
LIGHTING TOTAL FIRST 20 20 (� CONTRACTOR
FIXTURES OVER 20 .10 ADDRESS
RANGE L DRYER—WTR.HTR.— CITY TEL. NO.
STA.COOK_DISP. F.A.0 LICENSE NO.
SPACE HTR. AIR COND. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE -TO COMPLY
CLOTHES WASH._DISHWASH._ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
FAN OTHER
1 00 I HEREBY CERTIFY THAT I 'AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO
IND. HEATERS, ETC. HP. KW. KVA. RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY
SIZE &'TYPE OVER TO SIGNATURE
0 — 1 1.00 OF PERMITTEE
1 — 10 3.00 DISTRICT NO.1 GRPO E P C SSED BY UU
10 — 50 1 500 dw
O
50 — 100 10.00 NOTES. G
W
100 — 500 15 00 �
Vf
TUBE, A SIGN AND ONE CIRCUIT 3.00
MARQUEE I ADDITIONAL CIRCUITS / 1.00
SERVICE NOT OVER 600 VOLTS OR 200 AMP ( 2 00 Z-G U
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT ly
WIRING
ISSUING FEE 2 00 vrj
FIXTURES ,� A
SUPPLEMENTARY ISSUING FEE 1 00 POWER AUTHORIZED
PERMIT FEE UTILITY CO.NOTIFIED
PLAN CHECK FEE (50% PERMIT FEE) FINAL
TOTAL FEE �jJOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. CASH
LACo
.5 1 5 5 JUN 21 2 D 8.8 0--
SEE
-.SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE