HomeMy Public PortalAbout5740 PRIMROSE AVE_Electrical__ 76AS63-C.EB0610/72 APPLICATION FOR ELECTRICAL PERMIT
r COUNTY OF LOS ANGELES
_-DEPARTMENT..OF COUNTY ENGINEER FNEAREST
sBUILDING AND SAFETY DIVISION .-
r
.,
FOR APPLICANT TO FILL IN CROSS ST..
OUTLETS NO. EACH I FEE OWNER OR
S $ FIRM NAM
RECEPT._ MAIL.
FIRST 20 25 ADDRESS
LIGHT TOTAL
CITY 'TEL. N0.
SWITCH OVER 20 •10
PLAN CHECK
LIGHTINGTOTAL FIRST 20 1 .25 APPLICANT
FIXTURES -i
OVER 20 •10 ADDRESS
-
SIENTIAL APPLIANCES CITY TEL. N0.
PERM-IT
RANGE DRYERR. HTR. APPLICAN
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND.�_ CITY TEL:. NO..
CLOTHES WASH. DISHWASFi. LICENSE OR CLASS.
REG. NUMBER
FAN OTHER 1.00 co I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
_5_ .ANO. STATE THAT THE ADDYE 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
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI: 1 AM THE EG.AL 'OWNER OF THE ABOVE d
- 1'O 3.00 DESCRIBED RESIDENTIAL PROP
10 - 50 5.00 PERMITE V
SIGNAT 9=
C3
SO - 100 10.00 DIS CT NO. P CESSED BY
W
100 - S00 - 15.00 f H
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE.
SERVICE NOT OVER 600 VOLTS OR.200 AMP 3.00 UNDERSLAB WORK
SERVICE OVER 600VOLTS-OR 200AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE,&.APPURTENANCES 5.00 WIRING 1/1
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. N.OTI FIEDrr�L
r
FINAL 6+
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00
TOTAL FEE K41 5u,
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.0. CAS
0 9 0IQ-MAY 9 2 9.0 0 a18
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
6A6e3C"061e/7s1 APPLICATION R ELECT AL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN JOB
New Residential Bldgs.&Pools EACH NO. FEE ADDRESS
AM
1 &2-Family,Sq.Ft. $ .025 — $ LOCALITY
Multi-family Sq.Ft. .02 — NEAREST
Residential Swimming Pools 25.00 CROSS ST. =�
OWNEROR
rr
,^. ~ FIRM NAM
Outlets;RecS- LightS:L_Sw. MAIL
First 20 •50 ADDRESS �r
Total No. 46_� Additional .30 CIT t
PLAN CHECK'
APPLICANT
Lighting Fixtures First 20 50 ADDRESS
Additional .30
Total Nb. Additi
yCITY Tel.No.
Fixed Appliances Not Over 1 HP PERMIT
Range_Heaters D.W.— APPLICANT
Oven_Dryer—W.M. ADDRESS
Top _FAU —W.H._ CITY ,: el..No.
Hood_Fan _Other_ LICENSE.OR.
Disp.—Room Air Cond. 2.50 REG..NUMBER Class.
I HEREBY ACKNOPLEDGE THAT I HAVE READ THIS APPL'ICA.
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
Size&Type HP,KW,KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
Yp REGULATING ELECTRICAL WIRING.
Up to 1 Incl. 2.50 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/Ok
Over 1 to 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
Over 10 to 50 Incl. 12.50CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE 99
Over 50 to 100 Inc.
25.00 DESCRIBED RESIDENTIAL PRO RTY.
Over 100 40.00 PERMITE
SIGMA
Services DISTRICT NO. CESS D BY
0.200 Amp.Under 600 V 12.50 (7
201-1000 Amp. Under 600 V
25.00 (f
Over 1000 Amp.or Over 600 V 50.00 Z
p
Temp.Power Pole&Appurtenances 10.00 Q
Sign with One Branch Circuit 10..00 0
Additional Sign Branch Circuits 2.00 INSPECTION.
INFORMATION v
Misc.Conduits&Conductors 10.00 I.
ON REVERSE _
Other)See Complete Fee Schedule! SIDE a p 6 6 7 A
°• # 00 - 02
0
PERMIT FEE )Sub-Total)• 20 0 19,50.
PLAN CHECKING FEE [One-Fourth Permit Feel O 0 0 0 19.506
PERMIT ISSUING FEE $7.00 C 0 111 0 2—7 8
TOTAL FEE• >
INSPECTION FINALEDW
date. //S�?� By es