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Home My Public Portal About6216 KAUFFMAN AVE_Electrical__ 76866.3-'CE80610/72 ,APPLICATION FOR ELECTRICAL PERMIT L 5 ANGELES DE Fa ROTM;ENT OF COUNTY ENGINEER JOB f BL ING AND SAFETY DIVISION 777ADDRESS F��[(O M/ C "LOCA LI TY.� NEAREST ^ FOR APPLICANT TO FILL IN CROSS ST. B (;�• �� V OLETS No EACH 1 FEE OWNER OR qD dfj L/I(�j 5 $ FIRM NAME RECEPT.. MAIL - LIGHT FIRST 20 5 ADDRESS SWITCH 3 TOTAL ER 20 110 CITY - PLAN CHECK - TEL. N0. 1 FIRST 20 APPLICANT LIGHTING J`( TOTAL Z5 ' ADDRESS FIXTURES OVER 20 10 RESIDENTIAL APPLIANCES . CITY TEL. N0. • 'PERMIT RANGE DRYER WTR. HTR. APPLICANT STA. COOK DISP, F.A U. ADDRESS , SPACE HTR. AIR COND. CITY - TEL. NO. CLOTHES WASH. 'DISHWASH. LICENSE OR _ CLASS. REG. NUMBER' FAN OTHER - 100 1 'HEHEBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND 'STATE THAT THE ABOVE IS, CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES' AND STATE LAWS REGULATING IND. HEATERS, ETC "HP KW. KVA. ELECTRICAL WIRING SIZE & TYPE OVER TO I•HEREBY CERTIFY THAT I AM 'PROPERLY REGISTERED AND/OR O - 1 100 LICENSED AS REQUIRED_ BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI I AM THE LE�p.L OWNER OF E ABOVE 1 - 10 300 DESCRIFED RE TIAL PROPER T a}. ell PERM IIEE �/ U 10 - 50 - 500 SIGNATURE 50 - 100 1000 DISTRICT N0. PRO SSED BY W 100 - 500 1500 a- 2-1 Z SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP.,POWER POLE LREOTOVER600VOLTS OR200,AMP 300 UNDERSLAB WORK VER 600 VOLTS OR 200 AMP 1000 ROUGH CONDUIT VICE,POLE, &APPURTENANCES 500 _ WIRING �,l' ,� �.'�E� .� ,� HT OR RECEPT. SYSTEM 300 FIXTURES E POWER AUTHORIZED UTILITY CO. NOTIFIED- % e �j .q • FINAL i. ! -- /s FEE •(SUB TOTAL) '� @''� NOTES: - CK FEE , SSUING FEE 300 FEE PLAN CHECK VA"LID•ATION ! CK. M 0 , CASH PERMIT VALIDATION CK M O CASH 64- Rus 23 2 D SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ' 7GA663.CES06 12/75 A PLICATION OR6iCTR� ICXLER - P �- COUNTY`OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER OB .BUILDING AND SAFETY DIVISION ADDRESS F P F N LOCALITY New Residential Bldgs& Pools EACH NO: FEE NEAREST 1 & 2-1`amily, Sq. Ft. $ .025 — $ CROSS ST. OWNER OR Multi-family Sq.,Ft. 02 — FIRM NAME Residential Swimming Pools 20.00 7 MAIL ADDRESS Outlets: Light,Switch &'Receptacle CITY �' Tel.No. First 20 •50 PLAN CHECK Additional .30 APPLICANT " ADDRESS Lighting Fixtures First 20 •50 CITY Tel.No. Additional .30 PERMIT APPLICANT �r� �C��I L' Fixed Appliances'Not Over 1 HP ADDRESS Range=Heater'%D.W._ ' CITY, u 15;4b�� 1 Tel.No. Oven=Dryer_W.M._ LICENSE OR Top FAU 'WH.c REG.NUMBER �sa Class. -jID Hood_ Fan ___ 2.00 IV HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION Disp—A.C. _ AND STATE THAT'THE ABOVE IS CORRECT AND AGREE TO COMPLY ,WITH ALL 'COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. Power Apparatus& Large Appliances Size &T e HP,KW, KVA„Or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR YP LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ' V Up t0 1 Incl. 2.00 CALIFORNIA OR THAI I AM THE LEGA` OWNER OF THE ABOVE Over 1 'to 10 Incl. 5.00 DESCPWEO RESIDENTIA PROPERTY G Over 10 t0 50 Incl. 10.00 PERMITEE Over 50 to 1'00 •Incl.. 20.00 SIGNATURE V1 Over 100 30.00 DISTRICT NO. P OCE SED B Services o U. 0- 200 Amp:Under 600 V 12.50 INSPE OR'S 91. APPROVALS DATE„ SIGN 201:1000 Amp. Under 600 V 25.00 TORE N Over 1000 Amp. or Over 600 V 50.00 4TEMP:POWER POLE Z UNDERSLAB WORK Temp. Power Pole& Appurtenances 10.00 Sign with One Branch Circuit 10.00 ROUGH•CONDUIT' Additional Sign Branch Circuits 2.00 WIRING_ (Other) FIXTURES I POWER AUTHORIZED UTILITY CO.NOTIFIED 1 FINAL'. "�C1 /. '4'• PERMIT FEE (Sub-Total) NOTES PLAN CHECKING FEE (One-Fourth Permit Fee) PERMIT ISSUING FEE $6.00 TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. MO. CASH 61 1 SPR �`�. 2. D., 1 3.5 0 SEE BACKOF APPLICATION FOR COMPLETE SCHEDULE COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer ELECTRIC 1 FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. 6*,—ELECTRICIAN6;7 / .S 1 RECDY READY FOR DATE ISSUED 6-3/ ADDRESS 1 00 —5C-V/T 7-/ A7 EI��,[VJ/��,/y/�B� l FIRST INSPECTION CITY L $M TEL NO. T . ',� COUNTY LICENSE NO. ,� EXPIRES BUILDING PERMIT FEES ADDRESS JJJ ,G/yj_ NUMBER EACH FEE LOCALITY � / 0:4 ��J LIGHT OUTLETS MEARE13T RECEPTACLES CROSS 8T. WALL SWITCHES OWNER TOTAL OUTLETS E25 $ t MAIL ELEC. RANGES ADDRESS ELEC. HEATERS CITY TEL. NO. FIXTURES 0 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IH CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL W ING. MOTORS 1 CERTIFY THAT 1 POSSES E A O ALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENH AM T OAL OWNER NEW Mvo. HP OVER IN EACH OF THE RESIDENTIAL I ABOVE. I/2 & LESS $ .25 SIGNATURE OF 1/2 2 .50 PERMITTE 2 5 1.00 INSPECTION RECORD S 15 1.50 15 50 2.50 SO 200 5.00 200 SOO 10.00 -J 500 1000 15.00 Q OVER 1000 20.00 r W 1 s L7 M.O. HET/FREQ. CHANGER-HPir WELDERS•AC-KVA e D GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF OR113.) MOVED MOTORS (75% OF ORIG.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPB FOR EACH PERMITS DATE/ INSPECTOR'S NAME WIRING $1.00 CONDUIT -LU WIRING QC jnL ii-'1 4AA FIXTURES $1.00 _ }I� SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE >8 UTILITY CO.NOTIFIED ,FINAL 76A663 DBS#5A 2-53 / WORKERS'COMPENSATIONDECLARATION CE-806G (2-80) APPLICATION FOR ELECTRICAL PERMIT•• CE-806 I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY : ,insure, or a certificate of Workers'Compensation Insurance,or 7 1 i a certified copy thereof,(Sec. 3800,Lab. C.) - FOR APPLICANT TO FILL IN JOB • Policy No. CompanyADDRESS. j�G.l(! New Residential Bldgs.&Pools " EACH, NO.' FEE Certified copy is hereby furnished. 1 &2-Farnily,Sq.. Ft. $ — $ - LOCACITY ❑ Multi-family Sq. Ft. — NEAREST ��;/ Certified copy is filed with the county building inspection CROSS ST de artment.F /t / L Residential Swimming Pools OR ` Date /�P �� '44pplicant ../)k I_l-�V1( I" o n` FIR AME// / J "��'�Lj� ..� Outlets' Rec ��Light�Sw �✓ �'O ADDRESS `2'/� ��/ First 20 �7 CERTIFICATE OF EXEMPTION FROM WORKERS' Total No _, Additional' CITY �� el N C .R _HECK/ OMPENSATION�INSUANCE PLAN-C EC d (This section need not be completed` if the work involved t APPLICANT O Lighting Fixtures First 20 U by the permit is for one hundred, dollars ($100) or -less.)' AD D R ESS Additional Total No.-3' O I certify that in the-performance of the work for which this Fixed Appliances Not•Over 1 HP CITY o U permit is issued, I shall not employ any person' in any manner PERMIT yW so as to become subject to the Workers' Compensation Laws. Range_Heater_D.W. APPLICANT d • Oven Dryer_W.M.; ADDRESU)S' Z Date Applicant Top FAU _W.H.' — � ., ' Hood Fan _Other_ CIT- Tel No. NOTICE TO APPLICANT: If, after making this Certificate ofDisp. _ Room Air Cond.— LICENSE OR Exemption, you should' become subject to the Workers' REG. NUMBER Class Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large-Appliances DISTRICT NO. PROCE ED By with comply with 'such provisions or this permit shall be Size&Type HP,KW, KVA,or KVAR deemed revoked. J ,G Up to 1 Incl.> r FI Over 1 to 10 Incl. DATEL .� LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. VALIDATION I hereby affirm that I am licensed under provisions of Chapter .Over 50 to 100 Inc. FINAL BY 9 (commencing with Section,7000) of Division 3 of the Busi- Over 100 ness and Professions.Code, and my license<is in full force and effect. Services License Number Lic.Class 0-200 Amp. Under 600 V, ; 201-1000 Amp. Under 600 V Contractor Date Over'1000 Amp.or Over 600-V HOME OWNER-BUILDER DECLARATION' Temp. Power Pole& Appurtenances, Sign with One Branch Circuit I hereby affirm that I am exempt'from the Contractor's Additional Sign Branch Circuits License Law for the following reason (Section'7031.5,, Busi- 3 2 3.2 A ' -ness and Professions Code): " Misc.Conduits&Conductors o o m o 0 2 I_as owner of'the property, will do the work and'the Other (See Complete"Fee Schedule)— structure is not•'intended or offered for sale (Section - 5 0 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm thak there is a construction lending\,agency o o:0 1 6 5 0 5 , for the performance of the work for which this permit is PERMIT FEE_ (Sub-Total) issued-(Sec. 3097,Civ.C)._• 1.2 Lender's NamePLAN CHECKING FEE (One-Fourth Per'm'it Fee) Lender's Address PERMIT ISSUING'FEE I certify t have read this application and state that the TOTAL FEE above inf rmat n is correct:I agree to comply with all,County ordinances an State'laws regulatinglectrical wiring; and ' hereby County to enter upon th a-men one roperty or i ction oses.� i' SEE REVERSE FOR EXPLANATORY LANGUAGE – -r S gnature o Permit e Date