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 _