HomeMy Public PortalAbout6007 PRIMROSE AVE_Electrical__ 76AS63-CES06 6-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS .
JOHN A. LAMBIE, COUNTY ENGINEER �a
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROS'ST.
RECEPT. TOTAL NO. EACH FEE
OUTLETS FIRST 20 /4 6.20 6 MWNER
LIGHT `
(i ADD'L ADDRESS
SWITCH. P OVER 20 .10
TOTAL CITY TEL O.
LIGHTING
FIRST 20 'li -20of
FIXTURES ai ADD'L .10 ELECTRICIAN
OV R'L r
RANGES CLO.DRYERS`-WTR.HTR8. 1.00 u® ADDRESS Sa'
GARB.DISP. STA.COOK
DISHWASH. AUTO.-WASH. CITY C TEL.NO.
STATE
SPACE HTRB. STA.APP.(Va H.P.MAX.) .50 LICENSE NO.-
MOTORS:
O._MOTORS: OVER NOT OVER H.P. DIST: CT Ner GROUP ZONE PROCE l'BY
O t , 1.00 40.
1 s 1.50 INSPECTION RECORD
s a 2.00
8 15 2.50
1S 50 8.00
D_
50 100 5.00 8
SIGNS: NO.TRANS. 09
NO.LAMPS ,0,
SERVICE 0.600V-NOT OVER 200A 1.00 D W
SERVICE 0.600V-OVER 200'A. 2.00 D-
H
SERVICE OVER 600V 5.00 ?
MISC.
r
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 18 CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL-COUNTY ORDINANCES•AND STATE LAWS REGULATING A
ELECTRICAL.WIRING. WIRING ,pj_1�( ��
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANDiOR p
LICENSED AS REQUIRED BY LOS A ELES LINTY AND STATE OF FIXTURES
CALIFORNIA OR TH TH G NER OF THE ABOVE ,ter
DESCRIBED REGI TI PE POWER I A�, `,ffl
SIGNATUR UTILITY CO.NOTIFIED i�eff
OF PERMI
FINAL
CKOSUIDATION t ARTHUR C. VEIT
MO CASH
PERVISING ELECTRICAL ENGINEER
6 3O 4 zoo APR 2 8 2 0 8.6 Q,-
76A663-ft8061G%72 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION
LOCALITY, C .�
NEAREST 12 IOU ir
FOR APPLICANT TO FILL IN CROSS ST. a
OUTLETS NO. EACH FEE OWNER OR
FIRM NAME
RECEPT. ,y_ S S MAIL
LIGHT ` TOTAL FIRST 20 _LL 25 �.� ADDRESS
OVER 20 CITY TEL. N0.
SWITCH .10 PLAN CHECK
FIRST 20APPLICANT G-
LIGHTING l TOTAL '25 &
/( OV
FIXTURES ER 20 10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT r 6t
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND._ I CITY TEL. NO. _J31
p
CLOTHES WASH. DISHWASH.. REG NUMBER CLASS. C'.[
FAN OTHER j 1.00 j (J� I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
L AND STATE THAT THE ABOVE 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
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
O - 1 100 LICENSED AS REpUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE
7 - 10 3.00 DESCRIBED RESIDENTIAL PROPERTY. p�
PERMITEE
V
10 - 50 5.00 SIGNATURE r !,6 ��u•�L cd
O
50 - 100 10.00 DISTRICT NO. ROC§qED BY v
W
100 - S00 15.00
Z
SIGN, GAS
TUBE, OR SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVI CENOTOVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK
SERVICEOVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT
TEMPSERVICE,POLE,&APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL �� O-7J�/ r/i✓®/
PERMIT FEE (SUB TOTAL) 2 NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 loo
TOTAL FEE _ 2-
PLAN
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION cK M.0. CASH
7 7 4 FEB 13 2 D '_4�7.2 5 a
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
78A883 C6 BoeR 10q7 APPLICATION FOR ELECTRICAL PERMIT '
° COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FNEARE
e '�bUiLDING AND SAFETY DIVISION SS.
FOR APPLICANT TO FILL IN ITY
AJ
New Residential Bldgs.&Pools EACH NO. 7FEETS1 &2-Family,Sq.Ft. •025 — $ R OR
Multi•fomilySq.Ft. 02 — FIRM-NAME �
Residential Swimming Pools 25.00 MAIL
RESS
Outlets:Rec Light_Sw. CITY �?(� r Tel.No. YL
First 20 .50 PLAN CHECK
Total No. Additional .30 APPLICANT
ADDRESS
Lighting Fixtures First 20 .50 ;CITY Tel.A.
Additional .30 PERMIT
Total NO. APPLICANT . eDi - HOC,(
Fixed Appliances Not Over 1 HP ADDRESS.2/AJ. &d1Q,7
Range_Heater_D.W._ CITY Tel.No.
Oven_Dryer_W.M. LICENSEOR
Top —FAU —W.H. -.REG:NUMBER Class.42S'
Hood_Fan _Other_ '1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Disp. _Room Air Cond. 2.50 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN.
ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING.
Power Apparatus&Large Appliances
Size&Type HP,KW,KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED.BY LOS ANGELES COUNTY AND STATE.OF CALIFORNIA OR THAT IAM
Up to 1 Incl. 2,50 THE.LEGAL OWNEROF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
Over 1 to 10 Incl. 5.00
Over 10 to 50 Incl. 12.50 PERMITTEE
Over 50 to 100 Inc. 25.00 SIGNATURE CD
Over 100 40.00 DISTRICT NO. PRO SEDGY ns'1.
Services
0-200 Amp.Under 600 V 12.50 INSPECTOR'S
201.1000 Amp.Under 600 V
25.00 APPROVALS DAT SIGNATURE
Over 1000 Amp.or Over 600 V 50.00 TEMP..POWER POLE
Tem Power Pole&A 10.00 UNDERSLAB WORK
Temp. Appurtenances
Sign with One Branch Circuit 10.00 ROUGH CONDUIT
2.00 WIRING r
Additional Sign Branch Circuits
Misc.Conduits&.Conductors 10.00
FIXTURES
Other(See Complete Fee Schedule) POWER AUTHORIZED
UTILITY CO.NOTIFIED
FINAL
PERMIT FEE (Sub-Total) NOTES
PLAN CHECKING FEE (One-Fourth Permit Fee(
PERMIT ISSUING FEE $7.00
TOTAL FEE Jam
PLAN CHECK VALIDATION CK. M.O. CASH RMIT VALIDATION CK. O, CASH
Ccs•-�. � �L-�- � ,
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 5 A A116 2 2 12.5 0 A!3'3