HomeMy Public PortalAbout6213 KAUFFMAN AVE_Electrical__ 76A663-CE806 468 APPLICATION FOR -ELECTRICAL •PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT, OF COUNTY ENGINEER BUILDING
BUILDING 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 _
$ `
RECEPT., $ OWNER
_'
LIGHT• TOTA'L FIRST 20 -.20 ADDRESS
SWITCH_ OVER 20 .10 CIT TEL.. O, _
PLAN CHECK
LIGHTINGTOTL FIRST 20 .20 APPLICANT
FIXTURES �• AOVER 20 - 10 ADDRESS - •-
RANGE-OR YE,R_WTR.HTR._ - CITY TEL: NO.
STA.000K_01SP. F,A.U.= COivTRACTORJ. •• '
SPACE HTR. AIR
COND.-ADDRESS
CLOTHES WASH._DISHWASH._ CIT TEL. O. .
FAN_O,THER 1.00 LICENSE l 6. CLASS.
MOTORS,TRANSFORMERS RATING - -
IND HEATERS, ETC. HP. KW KVA. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY
WITH- ALL COUNTY 0RDINANCES'AND STATE LAWS REGULATING`
0 1-00 _ ELECTRICAL WIRING.
' I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 - 10 3 00 LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF
_ CALIFORNIA OR THAT 1•AM.THE LEGAL OWNER OF, AND INTEND TO
10' - 50 5.00 RESIDE IN, THE ABOVE DESCRIP,ED RESIDENTIAL PROPERTY,
SIGNATURE C..)
50 - 100 10 00 OF PERMITTE
O
100 - 500 15.00. ~
DIS?ICJ,PJO. G P P,R ESSED BY w
TUBE, OR SIGN AND ONE CIRCUIT 3 00 ' CJ Z3 '�
MARQUEE ADDIT,IONAL CIRCUITS 1 00'- Z
NOTES:
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00'x' Uv '
SERVICE OVER 600 VOLTS OR 200 AMP - 5.00 - -
TEMP SERVICE, POLE, APPURTENANCES 3.00 IAPPROVALS DATE - INSPECTOR'S SIGNATURE
TEMP. POWER POLE,
UNDERSLAB WORK -
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL)
FIXTURES '
,PLAN'C'HECK FEE (50% PERMIT FEE) POWER AUTHORIZED
D i7
PERMIT ISSUING FEE 2 00' UTI LITYCO.NOTIFIED +
SUPPLEMENTARY PERMIT ISSUING FEE 1-00 FINAL i,�. ryfif 1•
TOTAL FEE 60 JOSEPH C. ROOHAN '
i SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK MO ' CASH PERMIT VALIDATION CK M.0 CASH'
iEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE -
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