HomeMy Public PortalAbout6201 KAUFFMAN AVE_Electrical__ 76A663 CE-806(6/78) APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN JOB
FResidentiall Bldgs. &Pools EACH NO FEE ADDRESS
,Sq. Ft. $ .025 — $ LOCALITY
Sq. Ft. — NEAREST
25.00 CROSS ST.
wimming Pools OWNER OR
FIRM NAME
Light Sw. MAIL
First 20 .50 ADDRESS
Total No. Additional .30 CITY Tel. No,
PLAN CHECK
APPLICANT
Lighting Fixtures First 20 .50 ADDRESS
Additional .30
Total No. CITY Tel No.
Fixed Appliances Not Over 1 HP PERMIT
APPLICANT
Range_Heater_D.W. _ ADDRESS
Oven—Dryer_W.M._
Top _FAU — W.H._ CITY Tel No.
Hood_Fan _Other_ LICENSE OR
Disp.—Room Air Cond. 2,50 REG. NUMBER Class.
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO a
Size&Type HP, KW, KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
2.50 REGULATING ELECTRICAL WIRING. (,
al Up to 1 Incl. LU
5.00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
Over 10 to 50 Incl. 12.50 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE U.U.
Over 50 to 100 Inc.
25.00 DESCRIBED RESIDENTIAL PROPERTY.
Over 100 40.00 PERMITEE
SIGNATURE o
Services
0- 200 Amp. Under 600 V
12.50 DISTRICT NO. PROCESSED BY W
201-1000 Amp. Under 600 V 25.00 ~
Over 1000 Amp.or Over 600 V 50.00 Z
O
Temp. Power Pole&Appurtenances 10.00 Q
Sign with One Branch Circuit 10.00 0
Additional Sign Branch Circuits 2'00 INSPECTION >
INFORMATION
Misc.Conduits&Conductors
Other(See Complete Fee Schedule) 10.00
ON REVERSE u
SIDE ZCL
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PERMIT FEE (Sub-Total)
PLAN CHECKING FEE (One-Fourth Permit Fee) O
Q
PERMIT ISSUING FEE $7.00 % o
J
Q
TOTAL FEE >
INSPECTION FINALED ode
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date: By PS