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Home My Public Portal About5820 PRIMROSE AVE_Electrical__ 78A663-CA,E806. 1-68 'APPLE FOR EL CTRICAL PERMIT , '. b]4 IC COUNTY OF LOS ANGELES - -DEPAORTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FNEAREST ING JOHN A. LAMBIE, COUNT# ENGINEER SS � 2_0 O COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGITY FOR .APPLICANT TO FILL IN ST. NO. EACH FEE I S RECEPT. $ OWNER /4'"PA'-' MAIL S LIGHT TOTAL FDDR ESS 20 .20 ADDESS /-rte , SWITCH OVER 20 AO CITY TEL.-N-O. PLAN CHECK LIGHTING JTOTAL FIRST 20 .20 APPLICANT FIXTURES OVER 20 .101 ADDRESS RANGED-DRYER—WTR.HTR._ CITY TEL. NO. STA.COOK_DISP.-t�-F.A.U._ CONTRACTOR L SPACE HTR. AIR COND. ADDRESS ---,.2- CLOTHCLOTHES ES WASH.—DISHWASH.�. Q D CITY TEL. NO. -316SZ FAN.L_.OTHER 1.00 o d 7 S� LICENSE I. O. CLASS. C` MOTORS.,TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. 1 HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE & TYPE OVER TO AND STATE-THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 - 1 1.00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 - 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF - CALIFORNIA OR THAT I AM THE LEGAL OWNER' OF,•AND INTEND TO 4. 10 - 50 5.00 RESIDE IN, THE ABOV DESCRIBED ,RESIDE IAL PROPERTY. O U 50 - 100 10.00 SIGNATURE OF PERMITTEE Im 100 - Boo 15:00 DIST T N GR P ZONE R ESSE BY. O TUBE,OR SIGN AS SIGN AND ONE CIRCUIT 3.00 , ui MARQUEE ADDITIONAL CIRCUITS 1.00h NOTES: f:ZA" Z SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTORIS SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT PERMIT FEEWIRING d Lk (SUB TOTAL) PLAN;CHECK FEE (50%.PERMIT FEE) FIXTURES POWER AUTHORIZED PERMIT ISSUING'FEE 2.00 UTILITYCO.NOTIFI'ED SUPPLEMENTARY PERMIT ISSUING FEE 1.0o 1 FINAL ld TOTAL FEE 17120 JOS PH C. ROOHAN SUPERVISING ELECICAL ENGINEER PLAN CHECK VALIDATION CK. M.O...-CASH PERMIT VALIDATION C CK. M.O. CASH TL-O4937�8 JUN 5 2 D - 7.80-, 9 -E 13ACK OF APPLICATION FOR COMPLETE FEE SCHEDULE i 76ASSC-CE#806 5.61 APPLICATION FOR ELECTRICAL. PE T COUNTY OF LOS ANGELES DEPARMENT OF COUNTY ENGINEER BUILDING ��f �� BUILDING AND SAFETY DIVISION ;ADDRESS JOHN A..LAMBIE, COUNTY ENGINEER '� i CI� WILLIAM A.JENSEN,SUP'T OF BUILDING LOCALITY f FOR APPLICANT TO FILL IN i'd OSSss. Z/9s• 24/45 PERMIT FEES OWNER. Ar44AX6 I T E M NumouRl EACH FEE MAIL - 240 /�,S`�� ADDRESS v v ,e4L' OUTLET s S . LIGHTS RECEPT. 'SWA.. � Ao. , CITY s C.. TEL:'NO. LIGHTING FIXTURES Z ,.10 D , ELEC. RANGES CLO.DRYERS ELECTRICIANOle // WATER HEATERS .50 ADDRESSebl-�J• E- - LL7S ELEC.SPACE HTRS. DISHWASHERS CITY' 44 w TEL NO.C� p 'Cpd D6 GARBAGE DISPOSERS AUTO.-'- STATE WASHERS STA.COOKING UNITS ,25 LICENSE NO. MOTORS: OVER INC. H.P. =-DISTRICT' GR ZO PR D B 0— Ya .28 r O 1/2— 2 ,sp f"INSPECTION R ORD .2— s 1.00 �y�d/. �!i O s— 1s 1.80 1,r moi:, .y ✓ w V Is— SO 2.50 / m sO— 200. 5.00 V W SIGNS: NO TRANS. H NO.LAMPS •.r- ' . Z SERVICE 0-600V 1.00 SERVICE OVER.600V 5:00 ' M ISC. .WIRING PERMIT 1.00 FIXTURE PERMIT'• 1.00 SUPPLEMENTARY PERMIT sp TOTAL.FEE-' S . I 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 BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. ` POWER SIGNATURE' UTILITY CO.NOTIFIED OF PERM ITT FINAL •/r ,}',• ./i IDATION ARTHUR . 1 1 r cK MO cwsx SUPERVISI� G ELECTRICAL ENGINEER aCz-19 2 D qJ U.- 3.8 WORKER S'COMPENSATION DECLARATION 76AS63APPLICATION FOR ELECTRICAL PERMIT Irl. CE•806G (2.80) I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure,or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) Policy No. Company FOR APPLICANT TO FILL IN New Residential Bldgs. ADDRESS&Pools EACH NO. FEE Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY /=/� Q� C/7- <!14 Certified co Multi-family Sq. Ft. NEAREST Certi copy is filed with the county building inspection CROSS ST ZR 5 7-v lv,14 department. Residential Swimming Pools OWNER OR /� _ FIRM NAME/-/ ' Date Applicant Outlets: Recl_Light�Sw. MAIL L First2 ADDRESS �� CERTIFICATE OF EXEMPTION FROM WORKERS' Total No.� Additional CITY /,- 4�C'/T Tel Na. �(6 -�921,5 COMPENSATION INSURANCE P A CHECK o}. (This section need not'be completed if the work involved PPLICANT U by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS Total No. '� I certify that in the performance of the work for which this _ Additional p CITY Tel No. 0 Fixed Appliances Not Over 1 HP permit is issued, I shall not-employ any person in any manner PERMIT so as to become subject to the Workers'Compensation Laws. Range_Heater_D.W._ APPLICANT LU Ox CL Oven Dryer_W.M._ ADDRESS U) Date Applicant • Top _ FAU •, W.H.,_ Hood _ Fan _Other_' CITY Tel NOTICE TO APPLICANT: If,after making this Certificate of Disp. _Room Air Cond._ LICENSE OR Exemption, you should become subject to the Workers' REG.NUMBER Class Compensation'provisions of the Labor Code, you must forth- Power Apparatus&Large Appliances DISTRICT NO. PRO D BY with comply with such provisions or this permit shall be deemed revoked. Size&Type HP,KW,ICVA,or KVAR Up to 1 Incl. FINAL Over 1 to 10 Incl. DATE / e Over lb to 50 Incl. LICENSED CONTRACTORS DECLARATION 3 C VALIDATI I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL BY / 9 (commencing with Section 7000)of Division 3 of the Busi- Over 100 - ness and Professions.Code, and my license is in full force and effect. Services License Number Lic.Class 0-200 Amp.Under 600 V 201-1000 Amp.Under 600 V Contractor Date Over 1000 Amp.or Over 600 V HOMEOWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances I hereby affirm that I am exempt from the Contractor's Sign with One Brarich Circuit License La for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits ness an rofessions Code): Misc.Conduits&Conductors J 21.9 A as owner of the property, will do the work and the Other(See Complete Fee Schedule)— # 0 0 0 o a,2 structure is not intended or offered for sale (Section 7044,Business and Professions Code).,• I 2,o,- 8.00 'O 0 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit isPERMIT FEE (Sub-Total) o 0 0 (�(J U issued(Sec.3097,Civ.C.). Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) 1 1,26-80 i Lender's Address PERMIT ISSUING FEE ' I certify that I have read this application and state that the TOTAL FEE le above 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 ve-me tioned property for inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE FE 'e� ignature f Permitt Dat