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Home My Public Portal About5806-5808 PRIMROSE AVE_Electrical__ DB 8.A a.al IBM . APPLICATION FORTERMIT ' DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES -ELECTRIC WM. J. FOX, CHIEF ENGINEER NATURE. OF INSTALLATION DISTRICT NO. GROUP I ZONE PERMIT NO. WIRING FIXTURES SERVICE � -0 G I-� Yak-7EIVED BY READY F'OR DATE ISSUED RANGEHEATER POWER FIRSTINSPECTION SIGNS MISCELLANEOUS �• `Fd^ P ��^ APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY NAmEaQMa ELpTRr e StMP anB—DRESs/ _�a x a it ADDRESS J� SLi N1 yS� 1 a LOCALITY NEAREST j�� j 1 Y7. CITY �L 31 fie. TEL.NO 11' 1 7./a IIC CROSS ST. m CETY UN RT.NO. EXPIRES W NAME DESCRIPTION OF WORK ?. Z MAIL 3 ADDRESS' NUMBER OF OUTLETS ON CIRCUITS O LOCATION BY ROOMS CITY TEL.NO. . LIGHT OUTLETS SW. PLUGS 1 rl)tT I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ; CIRCUIT A B C D E F G H ANGELES COUNTY CERT�CATE PF QJJALIFICATION. E mcm IAN. LIVING:ROOM --------_ I AM THE LEGAL OWNER OF THE PROPERTY 4CRIBI DINING.ROOM ABOVE. BRFST.RM. OWNER. BATH _ -- ---- CORRECTIONS ENT.HALL HALL NO. FRONTPORCH OUTSIDE KITCHEN SERV.PCH. --------_ BDRM.NO. -- Z CLOSET C7. BDRM.NO. 0 CLOSET TOTAL T o S NO. OF OUTLETS S APPROVAL NO. OF FIXTURES $ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. S CONDUIT NO. OF SIGNS TRANS. 1$ WIRING NO. OF RANGES OR t4A•TE188 S k FIXTURES r ISCELLANEOUS POWER ERMITFEE (/�{ UTILITY CO.NOTiF1ED OTAL FEE. 8 1 FINAL DE 5_A 4-41 25Y APPLICATION FOR PERMIT DEPARTMENT-OF BUILDING AND SAFETY ELECTRIC COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ' ZONE PERMIT NO. WIRING J� FIXTURES SERVICE RECEIVED BY READY FOR DATE ISSUED RANGE HEATER POWER FIRST INSPECTION SIGNS MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY zJOB _NAME (' f7. _ ADDRESS U lz ADDRESS _ �'�� LOCALITY (~j NEAREST --'-- _-- W CITY TEL.NO. CROSS ST. COUNTY CERT. NO. EXPIRES II,' NAME W — DESCRIPTION OF WORK z MAIL ADDRESS NUMBER OF OUTLETS ON CIRCUITS 0 LOCATION BY ROOMS CITY TEL. NO. LIGHT OUTLETS SW. PLUGS Rlx I AM THE LEGAL POSSESSOR OF THE ABOVE LOS CIRCUIT A B C D E F G H ANGELES COUNTY CERTIFICATE OF QUALIFICATION. LIVING ROOM ELECTRICIAN. ----------_— I AM THE LEGAL OWNER OF THE. PROPERTY DESCRICED DINING ROOM —__----__—� A6UVE. BRFST.RM. — ----------- - OWNER. BATH ------__ CORRECTIONS ENT.HALL HALL NO. I! FRONT PORCH OUTSIDE KITCHEN —__----_— _ — — SERV.PCH. --_—_—_—__ Q BDRM.NO, Z CLOSET SDR-M.NO. CLOSET TOTAL NO. OF OUTLETS $ APPROVALS NO. OF FIXTURES $ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ _ CONDUIT NO. OF SIGNS TRANS. $ WIRING �,✓ __ - NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ POWER PERMIT FEE $ UTILITY CO.NOTIFIEDI n _ TOTAL FEE $ I FINAL AN P M��m ij ::: -mi' mamomma �� w■■■■wwwsw■w rte■ s■ F251zm OMM�- ,� X •� ;� Z.fIm RS�COMPENSATION cafe DECLARATION 76A663 ,D,B, APPLICATI�ON. .FOR ELECTRICAL PERMIT' eby Taff.i#m�.that'l'have cy,cer`�ificate of consent to self CE-'806G insu6e, arra rttfica*of,Workprs'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy therreof(Sec. 3800, Lab.-C.) Policy No. Company FOR APPLICANT TO FILL IN CertifiedJ DRESS copy is hereby furnished. New Residential Bldgs.. ❑ }�0,, TY Certified copy is filed with the county building inspec-. 1 &2-Family,Sq. Ft.—ABI.1 $ $ LOCALITY NEAREST 6 tion department. Multi-family Sq. Ft. Residential Swimming PoolsCROSS ST. 146 OWNER OR , Date Applicant FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: RecLight Sw� M MAL COMPENSATION INSURANCE ADDRESS First 20 ' f (This section.need not'be completed if the work involved by O� CITY "� !� Tel. N the permit Is for one hundred dollars($100)or less.) Total No. Additional I certify that in the performance oi\the work for which this PLAN CHECKAPPLICANT permit is issued, I shall not employ any person in any manner so-cis to become subject to the Workers'Compensgin Laws.. Lighting Fixtures First 20 ADDRESS O' Additional � Date–&`2a o Applicant. • '� s Total No. CITY Tel. No.Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate .of APPLICANT . Exemption, you should become subject to the Workers' Range_ Heater_D.W.. Compensation.provisions of the Labor Code, you must forth- Oven —Dryer _W.M. ADDRESS with comply with such provisions or this permit shall be Top I FAU —W.H. — deemed revoked. CITY Tel. IVo. LICENSED CONTRACTORS DECLARATION Hood � Fon _Other_ Disp. � Room Air Cond. LICENSE OR Class. ' I hereby affirm that I am licensed under provisions of Chapter 9 REG. NUMBER (commencing with Section 7000)of Division 3 of the BusinessDISTRICT NO. _ PROCESSE (L and Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances Size&Type HP, KW, KVA, or KVAR' i5c 0 2 License Number Lic. Class Up to 1 Incl. FINAL M Contractor Date Over 1 to 10 Incl. DATE _R1 VALID ION �C) ❑ Over 10 to 50 Incl. FINAL/ W I am exempt under Sec. Over 50 to 100 Inc. BY pe Over 100 BAP.C. for this reason Z Services Sw CC&Ponelboards Date: _ 0 -200 Amp. Under 600 Z Signature 201 -1 mp.V n er 600 V ❑ Over 1000 Amp, or Over 600 V Exemption for Reg. Maint. Elect. SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 4 8 6,A I hereby affirm that I am.exempt from the Contractor's License Additional SiBranch Circuits Law for the following reason (Section 7031.5, Business and Sign # o 00 0 0 2 Pr�ofess'� s Code): L ? I, as.owner of the property, will do the work and the Misc. Cogduifs&Conductors j( a - 74..06 structure is .not intended or offered for,.sale (Section Other-(See Complete Fee Schedule)- 1 _ 7044, Business and Professions Code). a - 74,065 CONSTRUCTION LENDING AGENCY 0620-86 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name �O PERMIT ISSUING FEE Lender's Address 5-6 I certify that I have read this application and state that the TOTAL FEE above information is correct. I agree to-.comply with all County ordinances and State la s regulating Electrical wiring, and hereby auth rize repre tatives of this County to enter upon the ob ention r pert for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date ;.> •L T, ,�1(1 iEKER I COtAPENSAT16N DECLARATION 76mm 10/81 ii , i�by afftrm:Thdt'I h5ve 6 ceytificate of consent to-self CE-8066 APPLICATION 'FOR ELECTRICAL PERMIT En ure;or q,}ce"ttificg}e ofi WoNers'.Compensation Insurance, COUNTY OF LOS ANGELES. BUILDING AND SAFETY o►a certified copy(hereof (S'e.'c. 3800, Lab. C.') ,,., Policy No. Company_ FORAPPLICANT TO FILL IN. JOB 1 Certified copy is hereby furnished. New Residential Bldgs. &Roofs FACH NO. FEE ADDRESS S�p(Q r a $• _ LOCALITY — - 1 8 2-Family, F _�"' f�A.Certified copy is filed with the.county building inspec- y, Sq. t. �. , �, tion department.: Multi-family Sq. Ft. — NEAREST r Residential Swimrning Pools QWNCROS O Date Applicant , � - ER R , FIRM NAME .&Jd CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec ti Sw..o�29 � MAIL 1 .COMPENSATION INSURANCE � ghtF' ..t� ADDRESS ,Q, � (This section need not be completed if the work Involved irs by additional - -- Total N ..( CITY No. o - the permit is for one hundred dollars(;100)or less.) PLAN CHECK; certify that in the performance of the work'for.which this 7 J APPLICANT permit is issued, I shall not employ any person jn any manner so as to become subject to the Workers'Compensate Laws. Lighting Fixtures First 20 ADDRESS 2...^� pP Total No. .�i r Additional CITY Tel, No. Date o -Applicant � 'Fixed Appliances'Not Over 1 'HP NOTICE TO APPLICANT: 'If, after making this Certificate of PERMIT" Exemption, you ;shouldbecome .subject .to the Workers' Range_ Heater_D.W.. .3— APPLICANT ! . Compensation provisions of the Labor Code, you must forth- Oven _Dryer =W.M.— ADDRESS J with comply with such .provisionq or this permit•.shall. be Top _FAU —W:H. _ deemed revoked. CITY Tel. No.,, LICENSED CONTRACTORS.DECLARATION Hood -2- Fan _Other_ LICENSE OR I hereby affirm that I.am licensed uncier:provisions.of Chapter 9 Dis p Roo rn 'r Ai Cond Olid.NUMBER class. (commencing with Section 7000).of Division'8of the Business power A DISTRICT NO. PROCE BY a and Professio..ns Code;and my license is in full force and effect Apparatus 8 Large Appliances a O Size'&Type'HP,-KW, KVA,,,or,KVAR' V 0 License.Number Lic. Class Up•to 1. Incl. FINAL �( O Over 1 to 10 Incl., DATE �- VAL A.TIONI. Contractor Pate Over 10.to 50 I'ncL' FINAL D1 am.exempt under Sec. . ... ,. . Over 50 to 1.00 Imc: BY B'.8'P.C. for this reason Over 100 z Date: Services, Swbd. MCC&•Panelboards ► 0-200 Amp. Under 600 V Z Signature 201 - 1, mp. . neer 600 V ❑ ' Over 1000 Amp. or Over 600 V. ,. Exemption for Reg. 'Main't.. Elect, . _ SINGLEFAMILY temp: Power Pole 6 Appurtenances ;28 55L A HOlVIE'OWNER-BUICPER DECLARATION Sign with One Branch Circuit. +# o'o•o 0 0 2 Thereby affirm that I am exempt from the Contractor's License Additional SiBranch Circuits Law for-the following reason (Section;7031.5, Business and Sign o -8260 Profess' Code): i Owner of the property, will do.the work and the. Misc. Conduits&Conductors o 0 r structure is not intended or offered for sale (Sectio.n Other(See..Complete Feb Schedule)_ 4 8 2 b 0 U 7044,,Business.arid Professions Code). , ;0 6 2,0-8 6 CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency,for _ the performarice of.the work for which this permit is issued PERMIT FEE (Sub-Total) i r (See. 3097, Civ. C.). PLAN.CHECKING FEE Lender's Name PERMIT ISSUING FEE d - Lender's Address / I certify'that I' have read thisapplication and state that the TOTAL FEE C e0� above information is correct. I agree to comply with all County ordinaLaut�ho dAr s regulating Electrical wiring, and herebytati.ves of this County to enter upon e n y for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 6�o Sep ure of Permittee Date WORKERS'CdAAPENSATION DECLARATION 16A663 10/81 herel"y affirm that I have a certificate of consent to self CE-806G APPLICATION FOR ELECTRICAL PERMIT ;•inssure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof(Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB 1 &2-Family ADDRESS. !r del El Certified copy is'hereby furnished. y New Residential Bldgs. &Pool's EACH NO. FEE S' — (1, Certified copy is filed with the county building inspect Y� q• Ff. $ $ "LOCALITY � tion department. Multi-family Sq. Ft. — NEAREST Residential Swimming Pools CROSS ST. Date Applicant OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' iMAIL ADDRESS • Outlets: Rec light Sw._ f fJo COMPENSATION INSURANCE - � � completed if the work involved b First 20 (This section need not be com p X Total No. CITY I� Tel, No. the,permit is for one hundred dollars($100)or less.) Additional I certify that in the performance of the .work for which this APPLICANT PLANCHECK permit is issued; I shall not employ any person in any nner so as to become subject to the Workers'Compenscoijifri'Lipws, Lighting Fixtures First 20 ADDRESS _ Total No. Additional CITY NO. Date pp'licant• Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this C rtificafe•of, APPLICANT Exemption, you should' become ,subject to the Workers' Range_ Heater_D.W. — / Compensation•provisions of the Labor Cod'e,•you must forth- Oven _'Dryer —W.M: ADDRESS with comply with such provisions or this permit shall be Top _ FAU —W.H. — deemed revoked. Hood _ Fan _Other— CITY Tel. No. LICENSED CONTRACTORS DECLARATION LICENSE OR 1 hereby affirm that I am licensed.under provisions of Chapter 9 Disp. _ Room Air Cond. REG. NUMBER Class. >" (commencing with'Section 7000)of Division 3 of the Business DISTRICT NO. PROC S BY and Professions.Code,and my license is in full force and effect. Power Apparatus 8 Large Appliances r. Size&Type HP, KW, KVA, or KVAR'. (� License Number Lic. Class Up to 1 Incl. FINAL Over 1 to 10 Incl. DATE/ �, /' Contractor• Date /� (p VALIDATION Over 10 to 50 Incl. FINAL W I am exempt under Sec. Over 50 to 100 Inc. BY n B.&P.C. for this reason Over 100 z Date: Services,Swbd., MCC&Ponelboards 0 -200 Amp. Under 600 V , Signature 201 -1000 Amp. Under 600 V aI Over.1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits Law for the following reason (Section 7031.5, Business and Profe ons Code): r. 4 8 4.2 A _ I LJ I, as owner of the property, will do the work and the Misc. Conduits&Conductors structure is not intended or offered for sale (Section Other(See.Complete Fee Schedule)_ 1 0 0 0 0 0 2 7044, Business and Professions Code). A - 2550 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for ° 0,° 2 5 5 0'5 the performance of the work for which this permit is issued PERMIT FEE (Sub.Total) (Sec. 3097,.civ. C.). 0 6, 1 8;=8 6 PLAN CHECKING'FEE + Lender's Name PERMIT ISSUING FEE fJ Lender's Address I certify that I have read this application and state that the TOTAL FEE S� above information is correct. I agree to.comply with all County ordinances and State laws regulating Electrical wiring; and hereby authorize.re sentatives of this County to enter upon the above-mento a property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ignature of Permittee Date