HomeMy Public PortalAbout6249 KAUFFMAN AVE_Electrical__ 19A668.CE90610_50 APPLICATION F®;rELECT IC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN . /
PERMIT-FEES NEAREST
CROSS
ITEM NUMBER I EACH FEE OWNER
OUTLETS: $ $
MAIL
ADDRESS
LIGHTS RECEPT. SW. .10
LIGHTING FIXTURES 10 CITY TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN ICT
WATER HEATERS .50 ADDRESSIL) _
ELEC.SPACE HTRS. DISHWASHERS CITY Q/%--*Af v JAZ TEL. NO. AlL,
GARBAGE DISPOSERS AUTO.- STATE ��
WASHERS STA.COOKING UNITS .25 LICENSE NO.
MOTORS: OVER INC. H.P. DISTRIT NO. G$QUP Z NE PR CES D�
0— I/2 / 2 S s Q D.
/ vz— 2 _ .50 O INSPECTION RECORD
2- 5 1.004 3
5— 15 1.500
I
15— 50 250
50-200 5.00
NO.TRANS.
SIGNS:
NO.LAMPS
SERVICE 0-600V 1.00 d
SERVICE OVER 600V 5.00
MISC.-
WIRING PERMIT 1.00 �y
FIXTURE PERMIT - 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE $
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION - APPROVALS - - - - DATE INSPECfS5R'S SIGNATURE
AND _STATE THAT-THE ABOVE IS CORRECT AND AGREE TO COMPLY
~WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. '
1 HEREBY CERTIFY THAT •1 AM PROPERLY REGISTERED AND/OR WIRING
LICENSED AS REQUIREDB LOS ANGEL !L-COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I THE LE AL WNER OF THE ABOVE /
DESCRIBED RESIDENTIAL P OPZZ�
POWER n
SIGNATURE UTILITY CO.NOTIFIED �/ 7 ,�/C� f_� .
OF PERM 177E L
- TINA
OF DATION ARTHUR C.VEIT.
CK Mo CASH SUPERVISING ELECTRICAL ENGINEER
I s�
6 9 9 7 i=:A 1 1 2 D6.G 0
-''/6A682 DBB SA 6-49 (b APPLICATION FOR PERMIT
DEPARTMENT OF-BUILDING AND. SAFETY
COUNTY,OF'LOS•ANGELES
ELECTRIC
`.
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO, FILL IN DISTRICT ' 0. GROUP ZONE PERMIT'NO. _
ELECTRICIAN
RECEI i�y1/{//�Y READY FOR, DATE ISSUED
ADDRESS' r L -' •C�I"V FIRST INSPECTION
.
CITY- 'I Y b '• TEL. NO.
COUNTY LICENSE NO. - ' EXPIRES BUILDING "
ADDRESSW
, r C/
PERMIT FEES FEE _ g� 1 �
.NUMBER OUTLETS EACH LOCALITY( /1 _n • ' CCiCI'. o . [.� �✓C
LIGHTS 5C-, I$ I NEAREST
/ �, :
' ` RECEPTACLES S CROSS ST.
'
_ FIXTURES 5I'f9�' OWNER •�,
WALL SWITCHES 5� ��L`� MAIL '
ELEC. 'RANGES 25 ADDRESS
ELEC. .HEATERS 25 CITY• J 'TEL. NO: -
UIT I I 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ 'THIS
NUMBER OFCIRCUITS INSTALLED: APPLICATION AND STATE THAT THE ABOVE IS CORRECT
LIGHTS RECEPTACLES ' AND AGREE TO COMPLY WITH ALL ,COUNTY ORDINANCES
MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING.
NUMBER HORSEPOWER1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS.
FEE ANGELES COUNTY LICENSE, OR 1'AM THE LEGAL OWNER'
NEW 'MVD. HP OVER I' INC. EACH
- OF THE. RESIDENTIAL PROPERTY DESCRIBED ABOVE.
!FF-1 I a 9 LESS $ .•25
N. Jra//��
' 2 .50 SIGNATURE-
�A �"'���� '
2- 5 1:00
5, 15 1.50 INSPECTION.-RECORD
15 50 2.50,-
`50
.50 ``50 200 5.00 •- -
200' 500 10.00 -
'
Boo t000 15.00 J_ Q
OVER 1000 I 20.00 - Z
M.G. SET/FREQ. CHANGER-HP
WELDERS:'AC-KVA Q
GENERATORS
TRANSFORMERS - KVA.
^^TEMP.�MOTORS—(75%-oF ORIG.)-. - 4---lur.--- `-
'MOVED_MOTORS (75% OF ORIG.) _- w
SIGNS
TYPE: NO. TRANS.' - - - •-
TYPE: NO. LAMPS - APPROVALS ..
'DATE INSPECTORS NAME
FOR'EACH PERMIT:
WIRING $1.00 CONDUIT
'�
FIXTURES $1.00 WIRING - -
SUPPLEMENTARY •S0 FIXTURES.
POWER,
TOTAL'-FEE $ e UTILITY CO. NOTIFIED
(/ FINAL-.
D.B.B.SA 25M SETS 70-47 APPUCATIO FOR PERNHT
DEPARTMENT OF BUHANNG AND SAFETY ELECTRIC
OF LOS ANGELES
VCM. J. X 6HIEF ENGINEER
c DISTRIC.T�NO. GROUP ZON PERMIT NO.
NAME
ADDRESS ` C
I- REC ED BY READY FOR DATE E SUCD
U CITY T L. FIRST INSPECTION j
j COUNTY
W CERT R S
APPI.IC IN uEAVILY OUTLINED POII'I'IK®NI, ,
IDESCRIPTI®N OF WORK ADDRESS
���D
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS 19W. PLUGS FACT CROSS Sr.
CIRCUIT A B C D E F G IH m NAME
Z MAIL ot
3 ADDRESS _
O
CITY I It Q I TEL.NO
1 Ahl THE LEGAL POS O J ABOVE LOS
ANGELES COUNTY CERT 7�N..
ELECTRICIAN.
1 AM THE L,Gi�AL O!lV ISR OF PROPERTY DESCRIBED
ADOVB
�
gp� ( OWNER.
c®Jt0.Ol4p�e noNs
• J
— Q
Z
L7
O
i •
I
TOTAL
.NO. OF OUTLETS $ � A PItOVALS
NO. OF FIXTURES DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. S CONDUIT b /I
NO. OF SIGNS TRANS. $ WIRING / {(
NO. OF RANGES OR HEATERS f8 FIXTURES
MISCELLANEOU $ POWER _�
PERMIT FEE $ TIL!TY CO.NOTIFIED
TOT L F 66 FINA �,Q—1 SfA'iLo,lnitGXX
76A663C- CE666812/76 , APPLICATION FOR ELECTRICAL PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN JOB
EACH NO. FEE ADDRESS a
rResidentialal Bldgs.& Pools _
Sq. Ft. $ — $ LOCALITYSq. Ft. — NEARESTwimming Pools CROSS ST.WNER OR
FORM NAMg , Switch & Receptacle MAIL
First 20 d ADDRESS
Additional CITY Tel. No.
PLAN CHECK
Lighting Fixtures APPLICANT - -
First 20 0 ADDRESS
Additional 21
" CITY Tel No
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT
Range Heater_ D.W. ADDRESS Z
je
Oven Dryer W.M. ., `Y
Top FAU W.H. CITY �f� +� Tel. No`� 2-2�3
Hood Fan LICENSE OR o
2 REG. NUMBER O V
Disp. A.C. Class.3
_ - 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION Q
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY V
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING Lai
Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING. CC/)
Up to 1 Incl. Z
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTE ED AND/OR
Over 1 to 10 InCI. LICENSED AS REQUIRED B—LOS ANGELES COUNTY D STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER F THE ABOVE
Over 10 t0 50 Incl. DESCRIBED RESIOENTIAY.
Over 50 to 100Incl PERMITEE
Over 100 SIGNATU
DISTRICT NO. P OCESSED BY
Services ��
0-200 Amp. Under 600 V C
201 - 1000 Amp. Under 600 V K APPROVALS DA E INSPECTOR'S
SIGNATURE
Over 1000 Amp.or Over 600 V
tUNTEMP. POWER POLE
Temp. Power Pole&Appurtenances DERSLAB WORK
Sign with One Branch Circuit_ -_
Additional~Sign Branch Circuits ROUGH CONDUIT
(Other) WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub-Total) O UTILITY CO.NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL ... '�
PERMIT ISSUING FEE
ITOTALFEE NOTES
PLAN CHECK VALIDATION CK. M.O CASH PERMIT VALIDATION CK. M.O. CASH