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HomeMy Public PortalAbout6222 KAUFFMAN AVE_Electrical__ _ 1 W7. 76A663CE 806(6/8) -APPLICATION*FOR, ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN' JOB New Residential Bldgs &Pools EACH NO FEE ADDRESS 1 &2-Family,Sq Ft $ .025 — $ LOCALITY,- Multi-family Sq Ft. 02 — NEAREST CROSS SP Swimming Pools 25 00 OWNER OR _ l FIRM NAME Outlets RecJ9Light I Sw 50 D MAIL First 20 ADDRESS Total No Additional 30 / CITY Tel N PLAN CHECK APPLICANT Lighting Fixtures First 20 50 ADDRESS Additional 30- Total No CITY Tel No Fixed Appliances Not Over 1 HP PERMIT _ • Range_Heater_D.W APPUCAN Oven_Dryer_W.M — ADDRESS a Top _FAU T W H'_ CITY Tel No Hood_Fan _..(_Other_ - LICENSE OR -7 Disp _Room AirCond 2 50 REG NUMBER �p2,�L Class ((!2—IC I — I HEREBY ACKNOWLEDGE TFfAT I HAVE READ THIS APPLICA. Power Apparatus&Large•Appl lances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size&T e HP, KW, KVA,or KVAR COMPLY WITH'ALL COUNTY ORDINANCES AND-STATE LAWS yp 250 REGULATING ELECTRICAL WIRING Up to 1 Incl 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 Over 1 to•10 Incl. 5 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF Over 10 to 50'1 ncl. 12 50 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL 0 Over 50 to 100 Inc 25 00 Over 100 40 00 PERMITE SIGNATURE Services O 0-200 Amp Under 600 V 12 50 DISTRICT NO, D 201-1000 Amp Under 600 V 25 00 Over 1 000 Amp-or Over,600V 5000 Temp Power Pole&Appurtenances 1000 Q r�c Sign with One Branch Circuit 10 00 [ -�•� Additional Sign Branch Circuits 2 00 INSPECTION > INFORMATION 64 Misc Conduits&Conductors 10.00 ON REVERSE i Other(See,Complete Fee Schedule) SIDE u Z Q J , J �61a2A PERMIT FEE ., (Sub-Total) �5 # 0 0 0 0 0 2 Z PLAN CHECKING FEE (One-Fourth Permit Feel O a 2 0 04220 PERMIT ISSUING FEE $7100 o 0 0.42205 TOTAL FEE n",Z > 0 a 1 6 9 INSPECTION FINALED 0, W .dote i �j i� By I� IL O: COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County EngineerL � DIVISION OF BUILDING & SAFETY- WILLIAM J. FOX. County Engineer FOR APPLICANT TO FILL IN DISTRICT NO. GRO11F ZONE PERMIT NO. ELECTRICIAN 46'r � 3 . RECE'lvJID BY READY FOR - 0 ISSUED ADDRESS � � FIRST INSPECTION CITY TEL NO. YYY COUNTY LICENSE NO. A EXPIRES BUILDING '_ PERMIT FEES FEE ADDRESS _a 010 v --cw - Ulu' NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST RECEPTACLES CROSS ST. WALL SWITCHES I OWNER TOTAL OUTLETS Sc O MAIL ELEC. RANGES 25 ADDREBB ELEC. HEATERS 25 CITY TEL NO. FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE,IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT 1 POSSESS THE, ABOVE VALID LOS NuNecR HORSEPOWER - FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEW MVD. HP OVER INC• EACH OF THE RESIDENTIAL PRO0_r OEIlr-it, ABOVE. s LESS $ .25 SIGNATURE OF �,JbFij $" I/ 2 .50 PERMITTEErn:•/ _ 2 s 1.00 INSPECTION RECORD s is 1.50 is 513 '2.50 5 200 5.013 zoo 500 10.00 .J 500 113130 15.00 - < Z OVER 1000 20.00 M.G. HET/FREQ. CHANGER-HP WELDERS: AC-KVA 0 GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% of ORIG.) MOVED MOTORS (75% OF ORIG.) MISC. J SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS . FOR EACH PERMIT: DATE INSPECTOR'S NAME g WIRING $1.00 CONDUIT (�L't�� Erip[,t— , FIXTURES Ig1,"pp '© WIRING SUPPLEMENTARY .50 FIXTURES ,_ POWER TOTAL FEE 0 UTILITY CO.NOTIFIED FINAL 76A66S DBS#5A 4-52 COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer FOR APPLICANT TO FILL IN DISTRICT NO. 13RZONE PERMIT NO. ELECTRICIAN ADDREB8 "' REWo D BY FIRST INSPREADY EOR CTION D [ I® [D CITY TEL. NO. 00 COUNTY LICENSE NO. EXPIRES BUILDING PERMIT FEES ADDRESS NUMBER EACH FEE LOCALITY j} LIGHT OUTLETS NEAREST / � - -n/ RECEPTACLES CR089 BT. L-b V l/ GJ WALL SWITCHES OWNER .. TOTAL OUTLETS 50 !$ MAIL ELEC. RANGES 25 ADDRESS ' ELEC. HEATERS 25 CITY _ TEL'. NO. FIXTURES ~�' 6 ' 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IB CORRECT NUMBER OF LIGHT CIRCUITB AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOB NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER .NEw MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRI ABOVE. Va 6 LIEBE $ .25 SIGNATURE OF Vs 2 .50 PERMITTEE 2 s 1.00 INSPECTION RECORD s 15 1.50 15 s0 2.50 : So 200 5.00 200 5130 10.00 W H 50o 1000 15.00 Ca] OVER 1000 20.00 ..1 M.O. SET/FREQ. CHANGE HP d WELDERS:AC-KVA O GENERATORS - KW jj(ANBOR KV O S (75% D ORIO O MOTORS F CRIO.) k . SIGNS ND. NO.TRANS. T No. N 0.'LAMPS APPROVALS FOR EACH PERMITS DATE INSPECTOR'S NAME WIRING - $1,00 CONDUIT FIXTURES $1,00 WIRING BUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE UTILITY CO.NOTIFIED FINAL 76A663 DBS.#SA 42-S3 WORKER'S COMPENSATION DECLARATION 7DAs3 DPW(12-91) 6APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self Insure, or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec,3800 Lab. C.) - JOB dl� Policy No. Company FOR,APPLICANT TO FILL IN ADDRESS pICertified copy Is hereby furnished New Residential Bldgs.&Pools NO EACH FEE LOCALITY Certified co is filed with the count building inspection 1 &2-Family,Sq Ft. _ $ $ copy y g p NEAREST- . department Multi-family Sq.Ft CROSS ST Residential Swimming Pools ASSESSOR Date Appllcaht MAP BOOK ,�/ PAGE �PIAR�CE`LOR 7y-rL CERTIFICATE OF EXEMPTION FROM WORKERS' lets Rea—Light Sw FFIIRM WNER NAMEIZglt"i C////— COMPENSATION INSURANCE First 20 �,OO fT� (This section.need not be completed If the work Involved by the (mow gooRESSp���- perrnit is for one hundred dollars($100)or less.) Total No. Additional I certify that in the performance of the work for which this permit CITY Wxe, No. is Issued, I shall not employ any person in'any manner so as to PLAN CHECK become subject to the Workers' Compensation Laws Lighting Fixtures First 20 APPLICANT " Total No Additional - ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of. CITY Tel No Exemption,you.should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. rovisions of the Labor Code, ou must forthwith comply with such PERMIT P� FY P Y APPLICANT' provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or-KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. (commencing with Section 7000) of Division 3 of the Business and CITY Tel No Professions Code, and my license is in full force and effect. Over 10 to 50 Incl LICENSE OR Over 50 to 100 Ind REG NUMBER Class d Over 100 DISTRICT NO PrOSSED BY 0 License Number Llc•Class f 0 Services,Swbd.,MCC&Panelboards 'Q' �� Contractor Date 0-399 Amp.Under 600 V - FINAL 0 DATE 400-1000 Amp, Under 600 V 6—f El �g VALIDATION LU I am exempt under Sec Ovef 1000 Amp Or Over 600 V FINAL - B&P C for this reasonBRANCH CIRCUIT FEES BY C0 Date. 15A,or 20A, 120V,Llghting.or Recept. Z_ 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits 41 Or More Branch Circuits El Exemption for Reg Maint Elect 15A,20A,208V To 277V Lighting Br Circuits .2 SINGLE FAMILY Temp Power Pole&Appurtenances A;tjea HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law 3303 n r3.30 for the following reason (Section 7031.5, Business and Professioris Additional Sign Branch Circuits Code): 1 ITEMS 3m30II, as owner of the property,will do the work and the structure Misc.Conduits&Conductors TOTAL 33 -30 - is s not intended or offered for sale (Section 7044, Business' Other(See Complete Fee Schedule) , and Professions Code) �nQm /. `� 33.30 CONSTRUCTION LENDING AGENCY CHANGE .00 I hereby affirm that there is a construction lending agency for the / performance of the work for which this permit is Issued (Sec. 3097, PERMIT FEE (Sub-Total) Cv Civ. C.) 0000-0001 6/11/96 PLAN CHECKING FEE 6833 1 AM 9o55 Lender's Name PERMIT ISSUING FEE / Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE 3 �e - that the above information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize r presentatives of this County to enter upon the above-mentioned property nspect'on purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE_��o SI URE OF RMITTEE DATE