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Home My Public Portal About6118 PRIMROSE AVE_Electrical__ 76AV3`CE806 11_71 APPLICATION FOR ELECTRICAL PERMIT �IJ COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION LOCALITY i FOR APPLICANT TO FILL IN NEAREST CROSS ST. OUTLETS NO. EACH I FEE OWNER �L 25 ADDRESS (J : RECEPT. FIRST 20 $ $ MAIL / lU ieo �IGHT_L TQTAL CITY �„ TEL. NO. SNATCH_ OVER 20 •10 PLAN tHECK of FIRST 20 ' APPLICANT LIGHTING TOTAL .25 s?5 EADDRESS FIXTURES 3OVR 20 .f0 RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS. SPACE HTR. AIR COND. CITY j, TEL. NO. 6�� CLOTHES WASH. DISHWASH._ LICENSE NO. CLASS. FAN OTHER1.00 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 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 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY-AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 1 - 10 3.00 RESIDE IN, THE AS VE DESC 1BED IDENTIAL PROPERTY. V SIGNATURE 10 - 50 5.00 1 OF PERMITTEE O 50 - 100 ,GAO b DISTRICT NO. CLASS ZONE - PROCESSED BY W 100 - 500 15.00 A - c y SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: 'TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 SERVI CENOTOVER 600 VOLTS OR 200 AMP 3.00 '7J po - APPROVALS DATE %Sr CTOR!S SIGNATURE SERVICEOVER 600 VOLTS OR 200AMP 10.00 TEMP.POWER POLE TEMP SERVICE,POLE,51 APPURTENANCES 5.00 UNDERSLAB•WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT WIRING aol t FIXTURES POWER AUTHORIZED -7`Z- PERMIT FEE (SUBTOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE {fZ PERMIT ISSUING FEE 3.00 o t* FINAL TOTAL FEE r b PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDA I N CK. M.0. CASH- 9 1 5 4:; 'QGT 10 2 D 1 1.G oN SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A668 DBS SA 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC COUNTY OFF LOSLOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. ELECTRICIAN R. F..Walton S q 'y READY FOR ADDRESS 5134 No Acacia Ste RECEIVED BY FIRST INSPECTION DATE ISSUED CITY San Gabe TEL. NO.AT 68583 COUNTY LICENSE NO. 04 EXPIRES BUILDING 6118 Primrose PERMIT FEES NUMBERIEAC;l FEE LOCALITY Temple Cit LIGHT OUTLETS .13 NEAREST RECEPTACLES 2ftv CROSS ST. WALL SWITCHES XTOWNER Meeker TOTAL OUTLETS 53 Sc $ 2 65 MAIL ELEC. RANGES P5 ADDRESS ELEC. HEATERS 28 CITY TEL. NO. FIXTURES 565 1 HEREBY ACKNOWLEDGE THAT 1 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 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER FEE OF THE RESIDENTIAL PROP Y DESCRIBED ROVE. NEW MVD. HP OVER I INC. EACH I/2 a I.Ess $ .25 1 25 SIGNATURE OF 1/2 2 .50 PERMITTE 25 1.00 INSPECTION RECORD 5 15 1.50 15 50 2.50 50 200 5 00 200 500 10.00 A 500 1000 15.00 Z OVER 1000 20.00 M. G. SET/FREQ. CHANGER-HP WELDERS:AC-KVA 0 GENERATORS-KW TRANSFORMERS-KVA TEMP. MOTORS (75%OF ORIG.) MOVED MOTORS (75%OFORIG.) MISC. SIGNS NO. NO.TRANS. I I APPROVALS NO. NO. LAMPS I DATE INSPECTOR'S NAME FOR EACH PERMIT: CONDUIT WIRING $1.00 1 00 qqZ ti FIXTURES $1.00 1 00 WIRING SUPPLEMENTARY .50 FIXTURES 5 I 80 POWER r TOTAL FEE $ UTILITY CO. NOTIFIED ® ! FINAL 76.0667-CE806 10/74 APPLICATION FOR ELECTRICAL PERMIT r COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION j FOR APPLICANT TO FILL IN ��. OUTLETS N0. EACH F77710/1 FIRM NAME 6 f RECEPT. $ $ ' MAIL LIGHT TOTAL FIRST 20 2O g 00 ADDRESS iLP SWITCH e2 OVER 20 it P��B /� CITY �, j TEL. NO.�1-2 Alf PLAN CHECK LIGHTING 1 TOTAL FIRST 20 �z g-A APPLICANT FIXTURES 1( ,r�.. OVER 20 10 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT ji STA. COOK DISP. F.A.U. ADDRESS �, / IAl 1&5,9 SPACE HTR. AIR COND. CITY afr4TEL. N0. CLOTHES WASH. DISHWASH. ` LICENSE OR !7Q REG. NUMBERCLASS. FAN�OTHER olb0 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMER RATING WITH ALL COUNTY ORDINANCES AND S.TATE LAWS REGULATING .NO. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR 0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF } CALIFORNIA OR THAT' I AM THE LEGAL OWNER OF THE ABOVE i - 1O 3.00 DESCRIBED RESIDENT AL C PE Y. i PERMITEE 10 - 50 5.00 SIGNATURE CD v 50 - 100 10.00 LLI DISTRICT N0. V PRCESSED BY y 100 - 500 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 SERVICE NOT OVER 600 VOLTS OR 200 AMP UNDERSLAB WORK SERVICE OVER 600VOLTS'OR200AMP 10.00 ROUGH CONDUIT TEMPSERVICE,POLE,&APPURTENANCES 5.00 WIRING 'TEMP LIGHT OR RECEPT. SYSTEM 9.00 FIXTURES POWER AUTHORIZED a -Z-7Z ��^La UTILITY CO. NOTIFIED _ FINAL PERMIT FEE (SUB TOTAL) -2 0 NOTES: PLAN CHECK FEE PERMIT ISSUING FEE TOTAL FEE b 0 PLAN CHECK VALIDATION CK. M.O. CASH P/FjRMI VALIDATION ( CK. M.O. CASH l' f 9 0 3�r N t"2 2 8.4 0 e:jo SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ? ,WORKER'S COMPENSATION DECLARATION / 20.00.19 DPW(12-91) r I Here6i 6-affirm That I have a certificate-of consent to self insure, 76Asti3 APPLICAT101V POR ELECTRICAL PERMIT LLLIII or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES liEPT.6F PUBLIC WORKS! BUILDING AND SAFETY DIV. copy thereof(Sec.3800 Lab.C.) policy No. Company FOR APPLICANT TO FILL IN ADDRESS.j i OV PA 6rN./1G S� Certified copy Is hereby furnished. New Residential Bidgs.&Pools NO. EACH FEE LOCALITY' ' ❑ Certified copy is filed with the county building inspection 1&2-Family,Sq.Ft. _ $ $ department. Multi-familyS .Ft. NEAREST bl q cRoss s>�; g/ae� Date Applicant i Residential Swimming Pools ASSESSOR MAP BOOK I PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._Light' Sov. OWNER OR COMPENSATION INSURANCE FIRM NAME I�6l(i . First 20 (This section need.not be completed If the work Involved by the MAIL 'Total No. Additional ADDRESSI �. 1 jyj�,. O e� permit Is for one hundred dollars(5100)or less.) I certify that'in the performance of the work for which this permit CITY-'C Tel.No: Z.+� is issued, I shall not employ any.person in any manner so as to 1' PLAN CHECK become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If,, after making,this Certificate of CITY Tel.No. Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code,you must forthwith comply with such PERMIT provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR. ADDRESS I'hereby affirm that I am licensed under provisions of Chapter 9 'Over 3 to 10 Incl. (commencing with Section 7000) of Division 3.of the Business and CITY Tel.No. ProfessionsCode,and my license Is in full force and effect. Over 10 to 50 Incl. } Over 50 t0 100 Incl. RBE CENSE OR R• Class. a Oyer 100' IST 1 O ED BY i License Number Llc.Class D R Cif N G PROC SS V Services,Swbd.,.MCC&Panelboards Contractor Date 0-399 Amp.Under 800 V DATE O ❑ 400-1000 Amp.Under 600 V I am exempt under Sec. l QW VALIDATION W Over 1000 Amp.Or Over 800 V FINAL. 'I CL B.&P:C.for this reason BRANCH CIRCUIT FEES BY i c. '15A,Or.20A,120V,Lighting or Recept. I' Z Date: 1 To 10.Branch Circuits Signature 11 To 40 Branch Circuits i ❑ I 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits t1P •T X- SINGLE SINGLE FAMILY Temp.Power Pole&Appurtenances {{I a HOME OWNER-BUILDER DECLARATION "._5.r 1 hereby affirm that I am exempt from the Contractor's License Law. Sign with One Branch Circuit. for the following reason Section 7031:5.Business and Professions Additional Sin Branch Circuits 1 ITEMS E S ,Code): _ -1 I]�( Misc.Conduits&Conductors TOTAL 78. 5 3. I,as ownerof.the property,will do the work and the.structure Is not Intended or offered for sale(Section 7044, Business Other( as Complete Fee Schedule). , Ce7UX 78.1_` and Professions Code). 1HI (�t= Q1 III rt_ CONSTRUCTION LENDING AGENCY I hereby affirm.that there is a construction lending agency for the performance of the work for which this permit is Issued (.Sec. 3097, PERMIT FEE (Sub-Total) (ri()_ 007 ti Civ.C'.) PLAN CHECKING FEE, 2039 1 AM 7 e 40' fender's Name PERMIT ISSUING FEE rp Lender's.Address, E I certify TOTAL FE that I have read this application and under penalty of purjury state that the 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 above-mentioned property for Ins ction pur as. SEE REVERSE FOR EXPLANATORY LANGUAGE /o '2 810 URE 0 ERMITTEE - ATE' , WORKERS'COMPENSATION DECLARATION 76-883 ,o,a, APPLICATION FOR ELECTRICAL PERMIT - I hg. by affirm that 1 have a certificate of consent to self insure, CE-806G lw;or s certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy tlreof(Sec.3800,Lab.C.) Pb1icy No. Company FOR APPLICANT TO FILL IN JOB ecce [_ Certified copy is hereb furnished. EACH NO. FEE' ADDRESS r c t I YN. a sem:, Y New Residential Bldgs.&.Pools r] Certified copy is filed with the county building inspection. 1 &2-Family,Sq.Ft. $ — $ LOCALITY ... department. Multi-family Sq.Ft. — NEAREST /+._ _ CROSS ST.. C9�•F..t Date. Applicant Residential Swimming Pools OWNER OR , FIRM NAME IG- •CERTIFICATE OF EXEMPTION FROM WORKERS' J MAIL Outlets:Rec—Light Sw.—. f ��} j�j�j �a COMPENSATION INSURANCE • S . .ADDRESS 04(Thi's section need not be completed if the work Involved by-the First 20 CITY Tel.No. permit is,for one hundred dollars(.$100)or less.) Total No. Additional ��G-�( dZ- )�7 l 1 certify that in the performance of the.work for which this permit. PIPT CHECK is Issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensat' n' ws. Lighting Fixtures First 20 ADDRESS Additional , Date . 1 Applicant ,Zf Total No. CITY Tel.No. Appliances Not Over 1 HP NOTICE TOAPPLICANT: If, after making this C 'icate of PERMIT ' Exemption,you should become subject to the.Workers'C&mbensatlon Range_ Heater_ D.W. _ APPLICA ffS provisions cf the Labor Code,'you must forthwith comply with such' Oven — Dryer_ W.M.— ADDRESS provisions or this permit shall be deemed revoked. Top _ FAU —'W.H6 CITY Tel..No. ` = LICENSED CONTRACTORS DECLARATION Hood _`Fan _-Other— 1 hereby affirm that I am licensed under provisions of Chapter R Disp. Room Air Cond.. LICENSE OR (commencing with Section 7000)of Division 3 of the Business and REG.NUMBER Ctasa Professions Code,and my license is in'full force and effect: Power Apparatus&Large,Appliances DISTRICT No. PROCESSED BY Size&Type HP,KW,KVA,or KVAR Jv� License Number Lic.Class Up to 1 Incl. FINAL f Over 1 to 10 Incl. DATE VALIDATION Contrector Date Over 10 to 50'Incl. ❑ FIN I am exempt under Sec. Over 50 to 100'Inc. W 8.8P.C.for this reason Over 100� y Z Services,Swbd.,MCC&Panelboards ' Date: 0-200 Amp.Under 600 V Signature 201 - 1000 Am..p:Under 600 V ❑ Exemption.for Reg.Maint.Elect. Over 1000 Amp.or Over 600 V SINGLE FAMILY Temp.Power Pole&Appurtenances 1- HOME OWNER-BUILDER DECLARATION Sign with One Branch•Circuit I hereby affirm that I am exempt from the Contractor's License Law f ACC °Q for the lowing reason(Section 7031.5,Business,and Professions Additional Sign Branch Circuits Code) Misc.Conduits&.Conduaors 3M21°00 1 1 f I;as owner of the property,will do the work and the structure Other(See Complete Fee Schedule) Is not intended or offered for sale (Section 7044, Business and Professions Code). pop. TCT o CONSTRUCTION LENDING AGENCY CK 10 I hereby affirm that there is a construction lending agency for the: performance of the work for which this permit is issued(Sec.3067, PERMIT FEE (Sub Tofaaf) d Civ.C.). -i ' PLAN CHECKING FEE Lender's Name ' 0MO-Mol /19/ 9 PERMIT ISSUING FEE. 31 1 12 Lender's Address I certify that I have.read this application.and state that the above TOTAL FEE p.d Q information is correct.I.agree.to comply with all County ordinances and 'State laws regulating Electrical wiring, and hereby authorize represeritatives of this•County to enter upon the.above-mentioned property1for(nspecti purp es. SEE REVERSE FOR ( NATORY LJANGAJAGE fi7 c ' Signature of PerUffie D WORKERS'COMPENSATIONa NSATIONDECLARATION 0 -806 10/81 APPLICATION FOR ELECTRICAL PERMIT r�e.eby�(firm that I have a certificate of*consent to self insure, CE-806G certificate sof Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY .,copy thereof 4ec.3800,Lab.C.) fl Policy No. Company FOR APPLICANT TO FILL IN JOB �! ❑ Certified copy is hereby furnished. EACH NO. FEE ADDRESS �Q (� f I-✓ New Residential Bldgs.& Pools 40sr ❑ Certified copy is filed with the county building inspection 1 & 2-Family,Sq.Ft. _ $ — $ LOCALITY department. Multi-family Sq.Ft. — NEAREST Residential Swimming Pools CROSS ST. � 641—D Date Applicant OWNER ME ,� ` FIRM NAME (,Ic,�i (C�-- ;Jr CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL A ' COMPENSATION INSURANCE Outlets:Rec Light Sw. — ADDRESS /� A-I"1DCie.-4- (This section need not be completed if the work involved by the First 20 permit is for one hundred dollars($100)or less.) Total No._L— Additional CITY Tel.No. —16 I certify that in the performance of the work for which this permit PLAN CHECK 4 is issued, I shall not employ any pers0 in any manner so as to APPLICANT O ZDa e subject to the Workers'Compen tion Laws. Lighting Fixtures First 20 D ADDRESS Total No. Additional CITY Tel.No. E �� Applicant NOTICE TO 1APPLICANTi If, after making thi Certificate of Fixed Appliances Not Over 1 HP PERMIT Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. _ APPLICANT 7;7 07 provisions of the Labor Code, you must forthwith comply with such Oven Dryer _ W.M._ ADDRESS , provisions or this permit shall be deemed revoked. Top FAU _ W.H. LICENSED CONTRACTORS DECLARATION 7 _ CITY Tel.No. Hood{`� Fan _ Other_ I hereby affirm that I am licensed under provisions of Chapter 9 LICENSE OR (commencing with Section 7000) of Division 3 of the Business and Disp. — Room Air Cond. REG.NUMBER Class. Professions Code,and my license is in full force and effect. .DISTRICT NOPROCESSED BY >_Power Apparatus& Large Appliances Size& Type HP,KW,KVA,or KVAR � �. ✓ t, *mow"' z O License Number Lic.Class Up to 1 Incl. FINAL C 1 Over 1 to 10 Incl. DATE VALIDATION � Contractor Date Over 10 to 50 Inc]. 0O ❑ FINAL U I am exempt under Sec. Over 50 to 100 Inc. BY Iii B.&P.C. for this reason Over 100 CL Z Services,Swbd.,MCC& Panelboards , Date: 0-200 Amp.Under 600 V Signature 201 - 1000 Amp.Under 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 I hereby affirm that I am exempt from the Contractor's License Law additional Sign Branch Circuits for the f wing reason(Section 7031.5,Business and Professions Code ii7I,as owner of the property,will do the work and the structure Misc.Conduits& Conductors is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) , and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the Performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) Civ.C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the above TOTAL FEE 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 above-mentioned prop4ture.r ectionhrposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Sig mittee f Date