Loading...
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 -fix,. 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