HomeMy Public PortalAbout6206 PRIMROSE AVE_Electrical__ 76A663=CE80611/70 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELr
DEPARTMENT OF COUN".�'YtENia1NEER ADDRESS
BUILDING AND SAFETY DIVISION
COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL-IN CROSS ST.
OUTLETS NO. EACH FEE
OWNER k( (n 6eo�,eL
RECEPT.� � $ MAIL
FIRST 20 ADDRESS
LIGHT TOTAL 2s
OVER 20 CITI'� TEL. N0.
SWITCH_ _ f0 PLAN CHECK
LIGHTING TOTAL FIRST 20 .25 APPLICANT
_
FIXTURES OVER 20 ,� 10 ADDRESS
APPLIANCES CITY TEL, NO.
RANGE DRYER_WTR. HTR, APPLI ANT I
STA. COOK DISP. F.A.U. -ADDRESS y-(a IV.
SPACE HTR, AIR CON13 CITY' .• C6I/y 111/.4 TEL. NO.374�M
CLOTHES WASH.• DISHWASHZ LICENSE NO. CLASS.
FAN OTHER 1.00 oo I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATIN6 WITH ALL COUNTY b`iDINANCES AND STATE LAWS REGULATING
IND. HEATERS,ETC. HP. KW.KVA. ELECTRICAL WIRING.
SIZE B TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
O — 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 — 1O 3,00 RESIDE IN, TH ABOV DESCRIBED RESIDENT[ L PROPERTY. CL
SIGNATURE V
10 - 50 5.00 OF PERMITTEE Cd
50 - 100 10.00 O
DISTRICTNO. CLASS S ZONE PROC SSED B U
100 - 500 15.00 v41 s 1,
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: z
Z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AMP 10.00
TEMP.POWER POLE
TEMP SERVI CE,POLE,&APPU RTENANCES 5.00
TEMP LIGHT OR RECEPT. SYSTEM 3.00 UNDERSLAB WORK
ROUGH CONDI UT
WIRING
FIXTUROP
PERMIT FEE (SUB TOTAL) POWER AUTHORI7ED
® UTILITY CO. NOTIFIED:
PLAN CHECK FEE
9
FINAL ti
PERMIT ISSUING FEE 3.00
JOSEPH C. ROOHAN
TOTAL FEE 0 SUPERVISING ELECTRICAL ENGINEER.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
8 8 7 9JUN 9. 2 U 2 6.a 0 A9
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
76A669 DBS 6A 11-60 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRI7NO. GROUP I ZONE PERMIT NO.
ELECTRICIAN R. F. Walton
ADDRESS N p •a S FIRST INSPECTION RECEIVED BY DATE ISSUED
CITY San, Gab. TEL. NoAT 68583 RAM
COUNTY LICENSE NO. 1104 EXPIRES BUILDING
PERMIT FEES ADDRESS 6206 Primrose
NUMBER EACH FEE LOCALITY Temple City
LIGHT OUTLETS 15 NEAREST
RECEPTACLES 24 CROSS ST.
WALL SWITCHES 19 OWNER Meeker
TOTAL OUTLETS 58 SC 8 2190 MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 25 CITY TEL. NO.
FIXTURES 15 B 75
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
M ISC.
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 I POSSESS THE ABOVE VALID LOS
NUMBERHORSEPOWER REE ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PRO
NEW MVD. HP OVER INC. EACH P TY DESCRIBED ABOVE.
1/2&LESS ffi .25 125 SIGNATURE OF
1/2 2 .50 PERMITTER
2 s 1.00 INSPECTION RECORD
5 1s 1.50
1s s0 2.50
so 200 5.00
200 500 10.00 J
goo 1000 15.00 Z
OVER 1000 20.00
M. G. SET/FREQ. CHANGER-HP a
WELDERS:AC-KVA 0
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (75%OFORIG.)
MOVED MOTORS (7s%OFORIG.)
MISC.
SIGNS
NO. NO.TRANS. I I APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT:
DATE INSPECTOR'S NAME
WIRING
$1.00 1100 CONDUIT I 17-2.-V I hu
FIXTURES $1.00 1
00 WIRING —70 Id
SUPPLEMENTARY ,50 FIXTURES i
6 15 POWER
TOTAL FEE ffi UTILITY CO. NOTIFIED
® FINAL If V U4--9'
76A6Cp_ DBBMA „-so `- =r- APPLICATION FOR PERMT
DEPARTNNIENNT OF BUILDING AND SAFETY �����
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT ISO. GROUP ZONE PERMIT NO.
ELECTRICIAN `
9i61/'
RECEIVED BY READY FOR DATE ISSUED
ADDRESS ' ��L ` FIRST INSPECTION
CITY TEL. NO. !7�
COUNTY LICENSE NO. EX IRES pDILDI.N . (js'C%
PERMT FEES
FEE DR
� 77
NUMBER EACH LOCALITY P'J�J 6e y
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS ST.
WALL SWITCHES OWNER
TOTAL OUTLETS Sc $ MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 1 25 CITY TEL. NO.
FIXTURES S I HEREBY ACKNOWLEDGE THAT I 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 HORSEPOWER ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
FEE OF THE RESIDENTIAL PROP TY DESCRIBED ABOVE.
NEW MVD. HP OVER INC. EACH
1/2 a LEBs $ .25 SIGNATURE OF
1/2 2 .50 PERMITTEE.!f2?!�A;o2=
z 5 1.00 INSPECTION RECORD
5 15 1.50
15 50 2.50
5o 200 5.00
200 Soo 10.00 .1
Soo 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 APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE $ / UTILITY CO. NOTIFIED
® FINAL