HomeMy Public PortalAbout5815 PRIMROSE AVE_Electrical__ GA663-CE000 10-62 APPLICATION FOR ELECTRI AL' PERMIT ?"'
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER , BUILDING
BUILDING AND SAFETY DIVISION ADDRESS V A a3
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY L.
FOR APPLICANT TO FILL IN CROSS ST.
RECEPr. TOTAL NO. EACH FEE /�
OUTLETS FIRST 20 E.20 $ OWNER 0 a
LIGHT MAILyy �., /�
SWITCH. OYER,2O .10 ADDRES'S�' v3 �� ���/�V�J
LIGHTING l TOTAL FIRST 20 .20 CITY • .C.oc41� TEL/NO.
FIXTURES 1 ADD'Ly��
OVER 20 .10 ELECTRICIAAN �! e /
•RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS / /l/
GARB.DISP. STA.COOK L '
CITY
DISHWASH. AUTO.-WASH. MdOZZo
STATE
SPACE HTRS. STA.APP.(Va H.P.MAX.) .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DIlq $I _41!7 1G P E R D
O 1 1.00 �,!
1 a 1.50 INSPECTION R CORD
8 S 2.00 �-
o.
$ is 2.50 V
i5 50 3.00 rd
50 100 15.00 1r.
SIGNS: NO.TRANS. d.
NO.LAMPS H
SERVICE 0-600V-Nor OVER 200A 1.00 z
SERVICE 0-60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED B LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL OPERTY POWER �+
SIGNATURE •G 6 6' i
OF PERMITTEE UTILITY CO.NOTIFIED
FINAL
LIDATION A THUR C. VEIT
K MO CASH SUPERVISING ELECTRICAL ENGINEER
`i L Vi c'., i�/tiI'2"1 ? D 0.00'
` 7SAP*3 DBS SA 11-30 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ���� 1
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
tLECTRICIAN PRICE
RECEIVED BY READY FOR DATE ISSUED
ADDRESS e� .ie � A� FIRST INSPECTION
CITY TEL.NO. "/4✓g)
COUNTY LICENSE NO. J 07&0 7 EXPIRES a 3® BUILDING o 0
PERMIT FEES ADDRESS �7 ��Q i / /7�'SX ��iF`
FEE LOCALITY r W IPA-
,NUMBER EACH
LIGHT OUTLETS o NEAREST ` �Q y
RECEPTACLES CROSS ST. A 19
V /
y WALL SWITCHES OWNER /�e �16w cem y
,to
TOTAL OUTLETS 5C 7 MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL No-
FIXTURES 0 5 I HEREBY ACKNOWLEDGE THAT I 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 I CERTIFY THAT 1 POSSESS THE ABOVE VALID LDS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MvD. HP OVER INC- EACH t OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
I2 A LESS S .25 a� SIGNATURE OF �' ��
%2 2 .50 PERMITTEro _�--�
zw
2 5 1.100 INSPECTION RECORD
5 15 1.50
15 50 2.50
50 200 5.00
200 500 10.00 .�
500 1000 15.00 / Z
OVER 1000 20.00
M.G. BET/FREQ. CHANGER-HP
WELDERS*AC-KVA J O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF CRIS-)
MOVED MOTORS (713% OF CRIB.)
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. N0.LAMPS
FOR EACH PERMIT? DATE INSPECTORPS NAME
CONDUIT
WIRING $1.100
FIXTURES $1.00 de> WIRING
v
SUPPLEMENTARY .50 FIXTURES
POWER n
TOTAL FEE PJ (g AN UTILITY CO.NOTIFIED
FINAL Z, •= /