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HomeMy Public PortalAbout6207 KAUFFMAN AVE_Electrical__ 76gb63-CE8ly16 1'0/72 APPLICATION FOR ELECTRI AL - PERMIT COUNTY OF LOS ANGELES -DEBUL DING AND\SAFETY DIV SIIONER toe ADDRESS 467—P LOCALITY FOR APPLICANT TO FILL IN CROSSS T. 'OUTLETS NO EACH I FEE OWNER OR FIRM NAME RECEPT.� - _ $ 3 MAIL LIGHT TOTAL ' FIRST 20• 25 S Q ADDRESS CITY TEL. NO. SWITCH OVER 20 1 10 - PLAN CHECK FIRST 20 APPLICANT ' LIGHTING ) 25 - , 'l TOTAL ,ADDRESS FIXTURES J( // OVER 20 10 RESIDENTIAL APPLIANCES CITY^ TEL: NO. • ERM PIT � RANGE DRYEPWTR. HTR. APPLICANT (i/ STA. COOK DISP F.A.U. ADDRESS- - '• SPACE HTR. AIR COND. CITY TEL. NO.�j�— /V •LICENSE OR CLOTHES WASH. DISHWASH. REG. NUMBER CLASS FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION t AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY yMOTORS, TRANSFORMERS RATING i WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS. ETC HP. KW. KVA.' ELECTRICAL WIRING SIZE & TYPE OVER TO I HEREBY RTIFY .THAT I AM PROPERLY REGISTERED AND/OR O - 1 100 LICENSED A ED.IRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNI 0 THAI I M THE LEG OWNER OF THE ABOVE / 1 - ,lO 300 DESCRY ED SIDEN L PR Y f O PERMITE ., V 10 — 50 500 SIGNA'T cc O 50 — 100 1000 DISTRI NO. ROC ED BY W 1 00�-- 500 1500 �� N Z SIGN, GAS 7 SIGN AND ONE CIRCUIT 500 APPROVALS ; DATE 1 INSPECTO SIGNATURE TUBE, OR , MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE. 4 SERVICENOTOVER60OVOLTS013200AMP 300 UNOERSLAB-WORK. - SERVICEOVER600VOLTS OR200AMP 1000 '•t ROUGH CONDUIT . TEMPSERVICE,POLE, &APPURTENANCES, 500 WIRING' f TEMP'LIGHT OR RECEPT. SYSTEM 300 FIXTURES` - - p . POWER AUTHORIZED UTILITY CO. NOTIFIED r� Vol 1 FINAL G PERMIT FEE t (SUB TOTAL) NOTES- - L CK FEE Gh oe— C SSUING FEE 300FEE PLAN CHECK VALIDATION CK. M 0. CASH 'PERMIT*VALIDATION CK M.O. CASH �G a. v 7.75v . SEE BACK OF APPLICATIONFOR.COMPLETE SCHEDULE ' - i 76A6(S3-CE8Q6 ;='6B APPLICATION FOR EL TRI, AL PERMIT. COUNTY'OF'LOS ANGELES D6ARTMENT OF-COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST r ' FOR APPLICANT-TO FILL IN CROSS ST / / NO EAC FEE $ . $ OWNER RECEPT' MAIL LIGHT TOTAL FIRST,20 20 ADDRESS ' SWfTCf-(. �'� �� OVER`20 a 10 �r7 CITY TEL, NO: ' x (� PLA.N.CHECK LIGHTING' TOTAL FIRST 20 20 / /�+ APPLICANT FIXTURES OVER 20 10 ADDRESS - RANGEDRYER—WTR.HTR:-- CITY TEL. NO. STA.COOK_DISP.' F.A.U.— •CONTRACTOR > SPACE HTR. AIR COND. L ,ADDRESS w CLOTHES WASH. DISHWASH._ 'CITY• TEL. NO. �d •�' FAN ' OTHER' 1 00 LICE NSF NO. 6 3 CLASS., MOTORS,TRANSFORMERS RATING IND. HEATERS, ETC HP. KW. KVA. I.HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE .TO COMPLY SIZ-E'& TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING _ - ELECTR ICAL W[RING , 0 — 1 1 00' I HEREBY CERTIFY. THAT I AM PROPERLY REGISTERED AND/OR 1 — 1-0 3 00 • LICENSED AS REQUIRED BY'LOS ANGELES COUNTY AND STATE OF 'CALIFORNIA OR THAT I AM THE'-LEGAL OWNER OF, AND INTEND TO 10 — SO 5 00 RESIDE IN, THE ABOVE DR ES CRI ED RESIDENTIAL PROPERTY O 50 — 100 10 00 SIGNATURE Q _ V OF PERMITTEE md 1 00 — 500 -15 00 0 DIST CST) NOe G' •OUP ZfG' P OCEeSSED .- SIGN, GAS SIGN AND ONE CIRCUIT 3 00 TUBE, OR - a- -MARQUEE -MARQUEE ADDITIONAL CIRCUITS 1 00 / r h NOTES: SERVICE NOT OVER 600 VOLTS,OR ZOO AMP 2 00 SERVICE OVER 600 VOLTS OR 200,AMP 5 00 / TEMP SERVICE, POLE„ &APPURTENANCES 3 00 APPROVALS ' DATE INS PECTOR'S'S IGNATURE r ' TEMP. POWER POLE, ` UNDERSLAI WORK ROUGH CONDUIT WIRING PERMIT FEE (SUB TOTAL) FIXTURES It 4'AxtA PLAN CHECK FEE (50% PERMIT.FEE) POWER AUTHORIZED PERMIT ISSUING.FEE 200 UTILITYCONOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL TOTAL FEE vQ 'JOSEPH C. ROOHAN ' SUPERVISING ELECTRICAL ENGINEER , PLAN CHECK VALIDATION CK M.O CASH PERMIT VALIDATION cK M-0. CASH Lko ?..2.5 3. NOV 2 4 8.0.- iEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE , .;• ,� c��� fes/ �--' 76A663,�E806�1-� APPLICATION FOR ELECTRICAL PEMAT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY'ENGINEER BUILDING BUILDING'AND SAFETY DIVISION ADDRESS LO /• �- JOHN A. LAMBIE, COUNTY ENGINEER /7 •• COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST NO. EACH FEE S $ OWNER RECEPT._1 MAIL Cl LIGHT `TOTAL FIRST 20 20 A D D R E_5.S SWITCH ] OVER 20 10 C I T Y_A_4,fs TEL. NO. PLAN CHECK LIGHTING �TOTAL FIRST•20 20 APPLICANT FIXTURES OVER 20 1 .10 ADDRESS RANGE_DRYER—WTR.HTR._ CITY TEL. NO. STA COOK DISP. F.A.U. ,CONTRACTOR SPACE HTR. AIR•COND. ADDRESS CLOTHES WASH. DISHWASH._ CITY TEL. NO. FANOTHER 1.00 LICENSE IJO. CLASS. MOTORS,TRANSFORMERS RATING IND HEATERS, ETC HP. KW. KVA I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE & TYPE OVER TO 'AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 'ELECTRICAL WIRING • '0• - 1 1 00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 - 10 3 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I A HE LEG WNER OF, AND INTEND TO D. 10 - SO 5 00 RESIDE IN, THE A -0E5CR Ey RESIDENTIAL ROPERTY. O SIGNATURE V 50' - 100 10 00 OF PERMITT 100 - 500 15 00 0 DI,StZRICT NO. GROUP ZON P ESED BY SIGN,GAS SIGN AND ONE CIRCUIT 3 00 J I D 0 TUBE, OR _ N MARQUEE ADDITIONAL CIRCUITS 1 00 NOTES: Z 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 OU APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT PERMIT FEE (SUB TOTAL) WIRING • FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2.00 '1i n8 UTILITY CO NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL TOTAL FEE JOSEPH C. ROOHAN SUPERVISING ELECT CAL ENGINEER PLAN CHECK VALIDATION, CK M.0 CASH PERMIT VALIDATION CK. M O CASH Lilo-o 4 5 S Z .SEP 18 2 D 5.00- SEE .0C)SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE _