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Home My Public Portal About6230 KAUFFMAN AVE_Electrical__ 76A663-CE606 10/74 APPLICATION FOR/, ELECTRICAL PERMIT COUNTY OF LOS ANGELES y �p DEPARTMENT OF COUNTY-ENGINEER ADDRESS 6 V BUILDING AND SAFETY DIVISION LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. ep^ OUTLETS NO EACH I FEE OWNER OR / FIRM NAME 1O �!9 RECEPT.� $ $ MAIL D -6J FIRST 20 Q ADRESS LIGHT TOTAL CITY L, TEL. N0. SWITCH 112— 1 OVER 20 10 PLAN CHECK FIRST 20 APPLICANT LIGHTING TOTAL 0 FIXTURES OVER 20 10 ADDRESS L RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR, HTR. APPLICAN STA. COOK DISP. F.A.U. ADDRESS 3 �/ SPACE HTR. AIR COND. CITY TEL. 140. O / . OR CLOTHES WASH. DISHWASH. LICENSE REG. NUMBER CLASS,.a-/. FAN-t—OTHER100 I HEREBY 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 IN TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 – 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF �„ CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE CL. 1 – 10 300 DE5 CR I PED RESIDENTIAL PROPERTY U PER ITEE 10 — 50 500 SIGNA 0 U 50 — 100 1000 DISTRICT NO. ROCE ED BY GW., 100 — 500 1500 p A N C/ SIGN, GAS, SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPEC SSIGNATURE TUBE, OR MARQUEE ADDITIONALOCIRCUITS 100 TEMP. POWER POLE SERVICE NOTOVER 600 VOLTS OR 200 AMP 300 UNDERSLAB WORK , SERVICEOVER600VOLTS OR200AMP 10.00 ROUGH CONDUIT TEMP SERVICE,POLE, &APPURTENANCES 500 WIRING ' TEMP LIGHT OR RECEPT. SYSTEM 300 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL PERMIT FEE ISUB OTA NOTES: f '� PLAN CHECK FEE PERMIT ISSUING FEE 300 TOTAL FEE 0.1 ' PLAN CHECK VALIDATION ' CK. M O. CASH PE.1 I VALIDATION - M O. cAs : 2 8 5'0?,DR 3 1.7 Q't- ,�. SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE COUNTY OF Los ANGELES APPLICATION FORT--;PERMIT Department of County Engineer" RM ~r DIVISION OF BUILDING & SAFET:Y�::' oil WILLIAM J. FOX, County Engineer ' "LECTRI Is. DISTRICT NO. GROUP ZONE PERMIT NO. FOR APPLICANT TO FILL IN.r •t, �� ELECTRICIANg, c RE YEV, DBY READY FOR D E198`ED ADDRESS . �IFIRST INSPECTION CITY NO. 6 COUNTY LICENSE.NO. EXPIRES -BUILDING PERMIT .F ES . ADDRESS Qf _iiiw FEE .,,'�'':•, NUMBER EACH LOCALITY LIGHT OUTLETS •--b•r• NEAREST J /� CROSS ST. K®�aY 6&0 f2 RECEPTACLES WALL SWITCHES - rt44 OWNER �f•'•' TOTAL OUTLETS Sc $ MAIL ELEC.- RANGES S5 ADDRESS - ELEC. HEATERS 26 ITY TEL NO. FIXTURES r'.5'. " , .� 1 HEREBY ACKNDWIEDOE THAT 1 HAVE READ THIS MISC. '' APPLICATION AND STATE THAT THE ABOVE 19 CORRECT NUMBER OF._,LIGHT CIRCUITS !..i;��' OF_,LIGHT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER+OF. RECEPTACLE,CIRCUIT9 AND STATE LAWS REGULATING ELECTRICAL WIRING, �' "ti?:�� ''` MOTORS• 1 CERTIFY THAT I POSSESS THE;ABOVE VALID LOA s• NUMi�ER OR9EPOWER _"? �-. ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER FEE' New Mw. 'HP_-, `,oyea,; '�'INe.• ",eACN' 'A�'• r�� OF THE RESIDENTI�PRE Trb SCRIBED ABOVE. I 25- SIGNATURE OF ••.50 PERMITTEEit� _ �*;,' -- 2 1'093 INSPECTION-RECORD 5 1.50 15 - 2.50 - 1 ' S0 200 5.00 -- 200 ' BOO 10.00 "' J sac) 10001, 15.00Z OVER 1000 .20.00 LLn p% .r?±" ! Z M.G.,SET/FREQ. CHAN'OER-HP - - �/'67 �J�% 715z::v— WELDERS: AC-KVA - ^r•� -.73` ,i - - .0 GENERATORS - KW TRANSFORMERS - KVA ' TEMP. MOTORS (75% OF ORIO.) MOVED MOTORS (75% OF ORIG.) I MISC. - SIGNS NO. NO.TRANS. NO. NO. LAMPS ,. ' APPROVALS FOR EACH PERMIT: kc DATE INOPECTOR'B NAME WIRING•`• $1.00 tYO.' CONDUIT FIXTURES 1$1.00 WIRING SUPPLEMENTARY .50 FIXTURES t '=POWER TOTAL FEE UriLITY CO.NOTIFI .FINAL n 76A663 DBS#5A 4-52 a0 p,,,y� 76A663 806 NF 6/78 APPLICATION FOR, ELECTRICALTEWIT _ COUNTY OF LOS ANGELES BUILDING AND SAFETY , ' 'FOR APPLICANT TO FILL IN ,ADDRESS New Residential Bldgs &Pools - EACH NO $ FEE LOCALITY p 1 &2,-Family,Sq Ft. / : e G Multi-family Sq Ft. — NEAREST CROSS ST Residential Swimming Pools ` ~ OWNER ORi jVA FIRM NAME •10' C1 Outlet's.Rec LightSw MAIL y First 20 ADDRESS - Lt� Total No Additional CIT Tel A�PNI AN TK Lighting Fixtures- First 20 b J A ESS Total No Additional ITY Tel No m Fixed Appliances Not Over 1 HP PERMIT Range_Heater_ D W APPLICANT --Oven—Dryer_W M— ADDRESS Top _FAU _ WH__ CITY Tel No Hood_Fan _Other_ .J� LICENSE OR Disp —Room Air Cond REG NUMBER Class / IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA- Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Si,?"'*&:Type HP, KW, KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING Up to 1 Incl I HEREB RI THAT I AM P RLY REGISTERED AND/OR, Over 1 to 10 Incl 57 o� �� LICENSE REQ IRED B LOS AN ELES UNTY D STATE OF CALIF AOR.T ATI M THE L O ER THE ABOVE Over 10 to 50 Incl � DESCR ED RESIDE TIAL R PERT Over 50 to 100 Inc PERMIT Over 100 SIGNATURE Services DISTRICT PROCES D BY 0-20,0 Amp Under 600 V -201-}000 Amp Under 600 V - Over 1000 Amp or Over 600 V Z 2 M Temp Power Pole&Appurtenances Q Sign with One Branch Circuit Additional Sign Branch Circuits INSPECTION > INFORMATION c, Misc Conduits&Conductors - ON lu Other(See Complete Fee Schedule) REVERSE z 251 3 4 A _ # o00002 PERMIT FEE _ (Sub;Tdtal)` '] 1 f • 2 0 0 1-5 0 0 Z PLAN CHECKING FEE +One-Fourth-Permit,Feel 'O 0 0 0 1 5,0 0 PERMIT ISSUING FEE t• Ll 0625— 9 67 TOTAL FEE > INSPECTION FINALEO J LEI- date -date By ®s WORKERS' COMPENSATION DECLARATION 76-863•, 10/e1 APPLICATION FOR ELECTRICAL PERMIT l hwregy_,affirm that 1 have a certificate of consent to.self insure, , CE-806G' i {or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3800,Lab C) Policy No Company,'. FOR APPLICANT TO,FILL•IN JOB ❑ Certified'copy is hereby furnished, °' EACH' NO y. FEE ADDRES : New,'Residential 8 Pools -1 & 2-Family,Sq Ft', $ — $ LOCALITY ❑,,' Certified copy,is filed,with the county budding inspection — department if Multi-family,Sq.'Ft NEAREST CROSS ST gtZlG Date " Applicant' Residential Swimming Pools" OWNER OR' r • - • - FIRM NAM CERTIFICATE-OF EXEMPTION FROM�WORKERS'•: Outlets Rec— Light'— Sw MAIL z COMPENSATION INSURANCE <•, a ADDRESS (This section need not be completed-,if the work involved by the First 20 CITY Tel permit is.for one hundred,dollars($100),or'less.) TotaLNo Additional r certify'that iiithe'performance'of,the;work for.-which this,permit,,,`, " { PLAN CHECK ' is issued, I shall not employ,an APPLICANT � p y• y person.m any�;manner so as to become subject to the Workers'Compensatio ws Lighting Fixtures First 20 ADDRESS Additional Total No. 'CITY' Tel No. Date Apphcan Fized-Appliances Not Over 1 HP NOTI E-•TO 'APPLICANT If, after making, this Certificate of PERMIT Exemption,you,should become subiect46 the Workers'Compensation _-Range_ Heater_ D.W APPLICANT prowsions.of.the Labor Code, you.must•forthwith comply•,with such Oven _:Dryer W.M._ ADDRESS 1. ' ,prgvisions,or this permit shall be deemed revoked Top' FAU W. -CITY -CITY ` LICENSED CONTRACTORS DECLARATION Hood —',.Fan Other_ ' .1 hereby affirm that k am licensed under.provisions of Chapter 9` LICENSE OR (commencmg•with Section 7000)'of Division 3 of the Business-and Disp: — Room Air Gond. REG'NUMBER Professions Code,and my license is in'full force and effect Powe'r Apparatus&.Large,Appliances DISTRICT NO PROCESSED BY �, Size& Type HP,KW,KVA,or,KVAR 0 License'Number,-7,2 ��C/Z�.�Lic Class Ga C7 a, Up to 1•Incl• FINAL 4n Over 1 to.10 Incl DATE VALIDATION C) Over 10 to 50 Incl ❑ I am exempt under Sec...' Over 50'to 100 Inc. BY W r B.&PC for this reason Over 100 ' a- ct) Services;Swbd,MCC& Panelboards Z �. Date 0-200 Amp Under 600 V ° Signature 201 - -1000 Amp.'Under 600 V F-1 Over 1000 Amp or.Over 600 V 7,8.1..0•A Exemption for•Reg Ma)nt Elect SINGLE FAMILY Temp.Power Pole& Appurtenances_ : ',oio-`1'7,"Jr HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit {o'o 0 7 _ •1 hereby affirm that I•am exempt'from the Contractor's License Law. Additional Sign Branch Circuits Q Q,Q a •/,U for the following•reason (Section 709.1.5, Business and Professions Code). ; ❑ as ow ner of, ' the property,will do the'work and the structure Misc Conduits&:Conductors , is not intended-or offered for':sale (Section 7044,-Business Other(See Complete Fee Schedule), and Professions-Code): i. CONSTRUCTION LENDING AGENCY 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)' ;' ,., � �}• � ;n, _, Civ.C.). PLAN CHECKING FEE Lender's Name ;PERMIT ISSUING FEE / V a_.. Viz• ' Lende'r's Address ' I certify that I have read this application and state that the above, .,TOTAL FEE., information is correct I agree,to comply with all'County ordinances; ? and State laws regulating Electrical wiring, and hereby•authorize _. representatives of this County to enter upon the peabove-mentioned. prorty for spection pur s -. •.PEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date N/m that 'have a COMPENSATION DECLARATION 76-663 10,81 APPLICATION FOR ELECTRICAL PERMIT s,.-. � CE-806G I hereby'affirm that I have a certificate of consent to self insure, or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec. 3800,Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN JOBEl �� Q� Certified copy is hereby furnished. New Residential Bldgs.'&Pools EACH NO. FEE ADDRESS ❑ Certified copy is filed with the county building inspection 1 & 2-Family,Sq.Ft. $ — $ LOCALITY / department. Multi-family Sq.Ft. NEAREST CROSS ST.� �1 Residential Swimming Pools OWNER OR Date _ Applicant - FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec Light — Sw. MAIL COMPENSATION INSURANCE ADDRESS (This section need not be completed if the work involved by the First 20 permit is for.one hundred dollars ($100)or less.) Total No. Additional CITY Tel.No.� PLAN CHECK .I certify that in the performance of the;work for which this permit APPLICANT is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Law . Lighting Fixtures First 20 ADDRESS Total No. Additional CITY `Tel.No. Date!?--Z; ate — Applican Fixed Appliances Not Over 1 HP PERIT NOTICE TO -PPL CANT: If, afte making this Certificate of APPLICANT ki k, J Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. provisions of the Labor Code, you must forthwith comply with such Oven _ Dryer _ W.M._ ADDRESS provisions or this permit shall be deemed revoked. Top — FAU _ W.H. LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other yO Z �P CITY Tel.No. —`l ' I hereby affirm that I am licensed under provisions of Chapter 9 LICENSE oR Disp. — Room Air Cond. REG.NUMBER Class O (commencing with Section 7000) of Division 3 of the Business and Professions Code,and my license is-in full force and effect. Power Apparatus&•Large,Appliances DISTRICT NO. PROCES D BY a Size& Type HP,KW,KVA,or KVAR DATE License Number Lic.Class� Up to 1 Incl. FINAL U Contractor e- Date % Over 1 to 10 Incl. r'j�' VALIDATION o ElT_ Over 10 to 50 Incl. FINAL (/ U am exempt under Sec. Over 50 to 100 Inc. BY 7 W B.&P.C. for this,reason Over 100 0- Services,Swbd.,MCC& Panelboards ® N Date: 0- 200 Amp.Under 600 V Signature 201 - 1000 Amp. Under 600,V ❑ Over 1000 Amp.or Over 600 V Exemption for Reg.Maint.Elect. SINGLE FAMILY Temp.Power Pole& Appurtenances �'�9 9 3 A HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit o 0 0 0 0 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits "o o 17,0 Code): 0 0 7, 000 0 ❑ Misc. Conduits& Conductors I,as owner of the property,will do the work and the structure is not intended or offered for sale (Section 7044, Business Other(See Complete Fee.Schedule) _ , Q Q 2 4 —87' and Professions Code). CONSTRUCTION LENDING AGENCY 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) Civ.C.). PLAN CHECKING FEE Lender's Name �y PERMIT ISSUING FEE �(� V Lender's Address ,Da I certify that I have read this application and state that the above TOTAL FEE information is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. yV SEE REVERSE FOR EXPLANATORY LANGUAGE• Signature of Date