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Home My Public Portal About6202 PRIMROSE AVE_Electrical__ 76"658 DBS SA 11-50 I APPLICATION FOR PERMIT 'DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES i ��I� WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. ELECTRICIAN . R. F. Walton Iso 1 ( - t READY FOR ADDRESS 5134 No ACa oia StRECEIVED BY FIRST INSPECTION DATE ISSUED CITY .San Gabe TEL. No. AT 68585 COUNTY LICENSE NO. 1104 EXPIRES BUILDING 6202 Primrose PERMIT FEES ADDRESS FEE NUMBER EACH LOCALITY Tgmle City LIGHT OUTLETS 13 NEAREST RECEPTACLES 22 CROSS ST. WALL SWITCHES 18 OWNER Meeker TOTAL OUTLETS 53 5C S 2 65 MAIL ELEC. RANGES 28 ADDRESS ELEC. HEATERS 1 25 25 FIXTURES 13 5 65 CITY TEL. NO. I HEREBY ACKNOWLEDGE THAT C HAVE -AD 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 I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER FEE OF THE RESIDENTIAL PROP E DESCRIBED ABOVE. NEW MVD. HP OVER INC. EACH 3. 1/2 a LESS $ .25 Eb SIGNATURE OF 1/z 2 .90 PERMITTE 2 5 1.00 INSPECTION RECORD 5 f5 1.50 1S 5o 2.50 50 200 5.00 200 500 10.00 _ _ o T lerny a 500 i 1000 15.00 Z OVER 1000 20.00 M. G. SET/FREQ. CHANGER-HP R' WELDERS:AC-KVA 0 GENERATORS-KW TRANSFORMERS-KVA TEMP. MOTORS (75%OF ORIG.) MOVED MOTORS (75%OF'ORIG.) MISC. SIGNS NO. NO.TRANS. I APPROVALS NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: CONDUIT WIRING $1.00 Z. FIXTURES $1.00 WIRING "`9 SUPPLEMENTARY ,50 FIXTURES I�?i i�7e✓ 5 80 POWER TOTAL FEE $ UTILITY CO. NOTIFIED _ 6 ® FINAL �. S WORKER'S COMPENSATION DECLARATION 2D-0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT 76A66 I hereby affirm that I have a certificate of consent to self insure, 7SA663 or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3800 Lab.C.) n' Policy No. Company FOR APPLICANT TO LIN JOB ADDRESS Z�� r tM( oS Certified copy is hereby furnished. New Residential Bldgs.&Pools O• CH FEE LOCALITY �`� �C• Gr. ❑ 1 &2-Family,Sq.Ft. — $ $ Certified copy is filed with the county building inspection _ NEAREST department. Multi-family Sq.Ft. CROSS ST. G I � a�CJ► Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK 1 PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._Light 1 Sw. FIRM NAME. yr 1 �t COMPENSATION INSURANCE (This section need not be completed If the work Involved by the First 20 MAIL lVY11205� permit is for one hundred dollars($100)or less.) Total No. Additional ADDRESS I certify that in the performance of the work for which this permit CITY . L�,e Tel.No. is issued, I shall not employ any person in any manner so as to PLAN CHECK become subject to the Workers'Com pens Ion Laws. Lighting Fixtures First 20 APPLICANT Total No. Additional ADDRESS Ll)ate 1v"� � Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE TO APPLICANT: If, afis makl t its Certificate of CITY Tel.No. Exemption,you should become subjec to th orkers'Compensation OTHER APPLIANCES NOT OVER 3 HP. provisions of the Labor Code, you must fo hwith comply with such PERMIT �� provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT �+�ri�,Q ups 9CJF t..-G LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS Z Oct ev CG� 1 hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. 4r.17 S"j�fe (commencing with Section 7000)of Division 3 of the Business and CITY A42ZAIPkp-� Tel No. Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. LICENSE OR o Over 50 to 100 Incl. REG.NUMBER Cj�o Class• �f O 0_ License Number- 3�-`Sa Lic.Class G C D Over 100 DISTRICT NO. ROC SED BY V Services,Swbd., C&P el ars FINAL Contractor-/ '�� a' Date �3 0-3 m de � DATE , O ❑ I am exempt under Sec. 400-1000 Amp.Under 600 V VALIDATION V Over 1000 Amp.or Over 600 V FINAL d B.&P.C.for this reasonBY BRANCH CIRCUIT FEES (n Date: ,15A,or 20A,120V,Lighting or Recept. ice Z_ 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION *£ I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit ACCT s e sa for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits te� Code): 3303 ❑ 1,as owner of the property,will do the work and the structure Misc.Conduits&Conductors -I�'w� Is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) , TOTAL1 m65 and Professions Code). CHEEK 61.65- CONSTRUCTION LENDING AGENCY r" r I hereby affirm that there is a construction lending agency for the �� t-HANIi� il Performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) Civ.C.) PLAN CHECKING FEE Lender's Name 0000-131001 6/14/93 PERMIT ISSUING FEE p?d 0235 y All 7e46 Lender's Address I I certify that I have read this application and under penalty of purjury state TOTAL FEE 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 on Pur i SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATU PERMITTEE � `DAT �� j yW1 thatR ha4s PENSAloate DECLARATION 7GA669 DPW c12-91, APPLICATION FOR ELECTRICAL PERMIT I Fisreby affil{ni:that L.have a certi}icete of consent to'self insure, 78A663 `"'lor a\cerfificate of Worker's Compensation Insurance,or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS • BUILDING AND SAFETY DIV. copy thereof(Sec.3800Lab.C.) p . Policy No. Company (•�,B FOR APPLICANT TO FILL IN JOB ADDRESS ❑ Certified co is hereby furnished. NO. EACH FEE PY y New Residential Bldgs.&Pools❑ $ $ LOCALITY 1 &2-Family,SO.Ft. —Certified copy is filed with the county build' inspe n _ NEAREST department. Multi-family Sq.Ft. CROSS ST. Date Applicant Residential Swimming Pools ASSESSOR PAGE�� PARCEL CERTIFICf4TE OF EXEMPTI OM WORKE S' Outlets:Rec. I ight J SW. FOWN IRM ER OR NAME • C� COMPENSATION INSURANCE 1i 11 First 2C �V � (This section need not be completed if.the work Involved by the MAIL IA4 permit is for one hundred dollars($100)or less.) Total No.. Additional �b ACORESs OGT/�', I certify that in the performance of the work for which this permit CITY / Tel.No. is issued, I shall not employ any person in any manner so as to PLAN CHECK become subject-to the Workers"Compensation Laws. Lighting Fixtures First 20 L APPLICANT Total No. Additional 42— ZZ 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. a2.AFA6/L� provisions of the Labor Code,you must forthwith comply with such PERMITAPPLICANT provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances LICENSED CONTRACTORS DECLARATION Size&Type HP,KIN,KVA,or KVAR ADDRESS AlW I hereby affirm that I am'llcensed under provisions of Chapter 9 Over 3 to 10 Incl. (commencing with Section 7000)of Division 3 of the Business and CITY Tel.No. Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. LICENSE OR X12 Class. Over 50 to 100 Incl. REG.NUMBER V a License,Number Lic.Class Over 100 DISTRICT NO. P O SED BY 0 V �. � Services,Swbd.,MCC&P.anelboards P Z 0-399 Amp.Under 600 V FINAL 0 Contractor Date DATE F1400-1000 Amp.Under 600 V I am exempt under Sec. VALIDATION C� Over 1000 Amp.or Over 600 V , FINAL d B.&P.C.for this reasonBRANCH CIRCUIT FEES BY 15A,or 20A,120V,Lighting or Recept. Z Date: _ I 1 To 10 Branch Circuits Signature . , 11 To 40 Branch Circuits r_14.1 Or More Branch Circuits Exemption for Reg..Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits 2 L SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit. ACCT.r. I hereby affirm.that I am exempt from the Contractor's License Law for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits 3 Code): 303 7620 IMS El1,as owner of the property,will do the work and the structure Misc.Conduits&Conductors 1i- is not intended or offered for sale(Section 7044., Business Other(See Complete Fee Schedule) , -I I. L 76 a '`��'e 0 and Professions Code). CHECK 7 67. r S CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the CHANGE .00 performance of the work for which this permit Is issued(Sec. 3097, PERMIT FEE (Sub-Total) a +� -7 Civ.C.) 0102110-000 x 11/ t'/its PLAN CHECKING FEE � Lender's Name. PERMIT ISSUING FEE "/w 7599E f PM17;151 Lender's Address TOTAL FEE 1 certify that I have read this application and under penalty of puriury state that the above'Informatlon is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring,and hereby authorize representative f this unry to enter upon the above-mentioned property for inspecti� SEE REVERSE FOR EXPLANATORY LANGUAGE J1 IGNATUg E DE OF PERMI E