HomeMy Public PortalAbout6219 PRIMROSE AVE_Electrical__ "7•BABGS DBS SA 11-30 APPLICATION FOR PERMIT
r) DEPARTIUD:NNT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN Ra F. Walton
,SD !6"
RECEIVED BY READY FOR DATE ISSUED
ADDRESS 5134 N. Acacia St® FIRST INSPECTION
CITY San Gabo TEL. NO.AT 68583
COUNTY LICENSE NO.1104 EXPIRES BUILDING 6219 Primrose
PERMIT FEES ADDRESS
NUMBER EACH FEE LOCALITY Temple Cit
LIGHT OUTLETS 15 NEAREST
RECEPTACLES 22 CROSS ST.
WALL SWITCHES 20 OWNER Meeker
TOTAL OUTLETS 57 Sc S 2185 MAIL
ELEC. RANGES S5 ADDRESS
ELEC. HEATERS 2S 25 CITY TEL. NO.
FIXTURES 15 S 75
1 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 I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERANGELES COUNTY LICENSE, OR i AM THE LEGAL OWNER
FEE NEw M;-� HIM OVER INC. EACH OF THE RESIDENTIAL PROPE ESCRIBED ABOVE.
NEW MVD. HP OVER INC. EACH
I/2 a LESS ffi .25 1 25 SIGNATURE OF
I/z 2 SO PERMITTE
2 5 1.00 INSPECTION RECORD
S 15 1.50
1S SO 2.50
SO 200 5.00
200 Soo 10.00 A
Soo 1000 15.00 Z
OVER 1000 20.00 93
M. G. SET/FREQ. CHANGER-HP a
WELDERS:AC-KVA 0
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS.(75%OF CRIG.)
MOVED MOTORS (73%OFORIG.)
M ISC.
SIGNS
NO. NO.TRANS. I APPROVALS
NO. NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT: �y+ f
WIRING $1.00 1100
CONDUIT }� 4 ri6�1
FIXTURES $1.00 ], QO WIRING
SUPPLEMENTARY .50 FIXTURES
6 10 POWER ^
TOTAL FEE ffi UTILITY CO. NOTIFIED 1-1_i ;•1�-0,1
NO FINAL
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`
GTION48 8.10-82e8A8VEOAR ELECTRI AL "P
ERMIT
•�CY
OF LOS ANGELES
DEPARTMENT.OF COUNTY ENGINEER BUILDING - � ,• �O
BUILDING.AND-SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY-ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY L
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. p
RECEPT. TOTAL pNO. EACH FEE '
OUTLETS FIRST 20 / $.20 $ Q OWNER' p
SWIT MAIL
SWITCH. ADD'L ADDRESS
OVER 20 .10
TOTAL CITY TEL.NO.
- LIGHTING FIRST 20 .20 0.
FIXTURES ADWL .10 +' ELECTRICIAN
OVER'20
RANGES CLO.DRYERS NRR.HTRS. 1.00 ADDRESS i
GARB.DISP. STA.COOK
' CITY TEL.NO. Te.Q
DISHWASH.' AUTO.-WASH. STATE -
SP CE HTRS.i STA.APP.(-A H.P.MAX.) .50 LICENSE NO. Q
MOTORS: OVER NOT OVER H.P. DISTRICT NO. GRQUO �j)NE PROCESSED BY
O 1 1.00 .Sr; (� 8 %/ /c/2j51jU�
s 1.so r INSPECTION RECORD
a
is 2.50 f Q
15 SO 3.00 � f/J .� ) ✓rr ��� 7
50 100 5.00 . • ''•3 ✓' �����
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0.600V-Nor OVER 200A 1.00
SERVICE 0-600V-OVER 200 A. 2.00 Z.
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00 0
SUPPLEMENTARY PERMIT ISSUING FEE 1.00.
TOTAL FEE $ �O
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS - DATE; INSPECTOR:S.SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY J �-
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. J! •�f//yl/1✓�'
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED.AND/OR WIRING
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURESCAL FORMA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE i
FINAL
VALIDATI� ART lJ�C:ELECT!
SUP�RVi ING ELECTRICAL ENGINEER
CK 'MO' CAS - U
'Gt6684=8&(I178) APPLICATION FOR ELECTRICAL PERMIT ,
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN.
OB
New Residential Bldgs.&Pools • EACH NO. FEE ADDRESS
1 &2-Family,Sq.Ft. $ . .025 — $ LOCALITY yy,
Multi-family Sq.Ft. .02 — NEAREST OF
25. CROSS ST.
Residential Swimming Pools .00 OWNER OR
``��'�' S FIRM NAME
Outlets:Rec�Light Sw. MAIL- •
l/ First 20 •50 ADDRESS �/ •r
Total No.J� Additional •30 CIT / Tel.No.�+—�
`G..
` PLAIN CHECK
Q PPLI.CANT ..
Lighting Fixtures First 20 •50 ADDRESS'
Additional .30... _
Total No. CITY Tel.No:` �.
Fixed�ppliances Not.Over 1 HP PERMIT. -
i�cc® APPLICANT >eA '
Range 61dieoter_D.W.
Oven�Dryer_W.M.— ADDRESS11,09146 ry v
Top -� F`�AU _W.H._ 001 CITY{ A� Tel.NOX_7
Hoods Fan _Other > LICENSED
2.50 e+ <'C.lass.
Disp._Room Ai Cond.. REG.NUMBER �� y.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA.-
o a L g A ian a TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH ALL COUNTY ORDINANCES AND STATE"LAWS
Size&Type HP,KW,KVA;or KVAR REGULATING ELECTRICAL WIRING:
Up to 1 Ind. 2'50 _I HEREBY CERTIFY THAT CAM PROPERLY REG ERED AND/OR, ''V
Over 1 to 10 Incl. 5.00 LICENSED AS REQUIRED BY LO N LES COU WD STATE OF at
Over 10 to 50 Incl. 12.50 CALIFORNIA OR THAT I R:.OF TH ..E_WOVE.
25,00. DESCRIBED RESIDENT[ P
Over 50 to 100 Inc. ,
Over 100 40.00 PERMIT
EE,
RE IL
GNy1
Services12 50 DISTRICT�O. PR SSZY&L,
0 200 Amp.Under 600 V •201•1000 Amp.Under 600'V 25.00Over 1000 Amp.or Over 600 V 50.00
P ZC '
Temp.Power Pole&Appurtenances 1.0.00
Sign with One Branch Circuit 10..00 ff E.7 Q A
Additional Sign Branch Circuits 2.00 INSPECTION > # 0 0 0 0 0
INFORMATION u
Misc.Conduits&Conductors 10:00 ON REVERSE z 2 0 0 '], C
Other(See Complete Fee Schedule) SIDE u
Z0 0 01! 7,tr,' C6
f 0726_79
PERMIT FEE (Sub-Total) 'U Z
PLAN CHECKING FEE (one-Fourth Permit-Fee) O
- Z
PERMIT ISSUING FEE .'$7.00
TOTAL FEE
INSPECTION FINALED .
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