HomeMy Public PortalAbout6002 PRIMROSE AVE_Electrical__ 76AS63-CEBOS 6-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FNEAREST
BUILDING AND SAFETY DIVISION OZ�!
JOHN A. LAMBIE, COUNTY ENGINEER ,
WILLIAM A.JENSEN,SUPT OF BUILDING �T
FOR APPLICANT TO FILL IN
RECEPT. TOTAL NO. I EACH FEE
OUTLETS FIRST 20 6 2O 6 OWNER
OLIGHT' . �� MAIL
A DD'L 'ADDRESS
SWITCH. OVER 20 .10
LIGHTING AA �/7
TOTAL FIRST 20 .20 CITY TEL.NO./Jri .3 3
FIXTURES ADD'L .f0 ELECTRICIAN
I >`_21-
` t
OV R 201
RANGES CLO.DRYERS WTR.HTRB. 1.00 _ ADDRESS
GARB.DISP. I STA.COOK
CITY TEL.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(Va H.P.MAX.) ,50 [LICENSE NO.
MOTORS1 OVER NOT OVER H.P. DISTgICT N GROUP Z E 1p OC QED BY
O 1 1.00 S f
1 s 1.50 INSPECTION
8 8 2.00 91 �'.,
B 15 2.50
15 SO $.00
50 100 Imoo 0
SIGNSs NO.TRANS.
at
NO.LAMPS F0
SERVICE 0.600V-NoT OVER 200A 1.00 W
SERVICE O-BOOV-OVER 200 A. 2.00 y
SERVICE OVER 600V 5.00 ?
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTABY PERMIT ISSUING FEE 1.00
TOTAL FEE rs S .
1 HEREBY ACKNOWLEDGE-THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INBPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL-COUNTY ORDINANCES AND STATE LAWS REGULATING '
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR n,
LICENSED A8 REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT i AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE FINAL ✓
VALIDATI� ARTHUR C. VETT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
,01 '0 ? 5;3 J& 8 2 D 5r.40'' V
Xc
?G4VG C".•CEB06I3L2/75 APPLICATION FOR ELECTRICAL PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN ,JOB
New Residential Bldgs.&Pools
EACH NO. FEE ADDRESS QU.o'ZIn .
1 &2 Finaily Sq. Ft. $ — $ LOCALITY
Multi-family Sq. Ft. — NEAREST
CROSS ST.
Residential Swimming Pools OWNER OR. 1
FIRM NAME
Outlets: Light,Switch&Receptacle MAI L
ADDRESS 0Q `
First 20 -
Addifibnal CITY 7 C. Tel. No.
PLAN CHECK
Lighting,Fixtures APPLICANT
First 20 ADDRESS
Additional CITY Tel. No.
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT
Range_ Heater_ D.W. — ADDRESS
Oven Dryer _ 'W.M.
Top. FAU — W.H. _ CITY Tel.No.
Hood Fan LICENSE OR CD
REG.NUMBER Class.
Disp. A.C. v
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE
IS
CORRECT ANO AGREE TO COMPLY V
Power Apparatus&Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING LL1
Size&Type HP,KW,.KVA,.or KVAR ELECTRICAL WIRING. y
U to 1 Incl. z
Up � .1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED EO AND'JOR
Over 1to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
Over 10 to 50 Incl. DESCRIBED RESIDENTIAL.PROPERTY.
Over 50 to 100 Incl. PERMITEE "
Over 100 SIGNATURE '1
Services DISTRICT NO. P ESSEn BY
0-200 Amp. Under 600 V
201 -1000 Amp. Under 600 VAPPROVALS p INSPECTOR'S
Over 1000 Amp.or Over 600 V SIGNATURE
TEMP.POWER POLE
Temp.Power Pole&Appurtenances UNDERS.LAB WORK
Sign with One Branch Circuit
Additional Sign Branch Circuits ROUGH CONDUIT
(Other) WIRING O
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub=Total) UTI LITY CO.NOTI FI ED
PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL
PERMIT ISSUING FEE
TOTAL FEE s NOTES
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIOK. M.O. CASH
3 7 8'r--AUG 24 2 0 5,3 Q AW ,