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Home My Public Portal About6220 PRIMROSE AVE_Electrical__ BA666-CEBOO 10.62 APPLICATION FOR EL CTRICAL RMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS e e JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY e NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT. TOTAL NO. EACH FEE OUTLETS FIRST 20 $2O OWNER r "AgL) LIGHT MAIL SWITCH. ovER 20 .10 ADDRESS k�yy�r EL.NO. OR6 LIGHTING TOTAL� . FIRST 20 .20 CITY FIXTURES VER 20 .10 ELECTRICIAN ' OVER pRU_l e9 CLO.DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK CITY EL.NO. DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA.APP.(Yz H.P.MAX.) .50 LICENSE NO. MOTORS, OVER NOT OVER H.P. DISTRICT O. GROUP ZONE B CESSED BY O 1 1.00 1 s 1.50 A INSPECTION RECORD e 8 B 2.00 I.r a'? r J .,=�• �¢ � �}�sif t� -� 0. 8 15 2.50 � 1s so 3.00 99 50 100 5.00 d' _ ,r' ;� a 4; g4l' AO- 41-AL NO.TRANS. / J �' -; SIGNS, No.LAMPS C d 50 49 _4Jv &" SERVICE 0-600V-Nor OVER 200A 1.00 '...- SERVICE 0-600V-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. s4 JS '1.�I1.. .:f! I Ila _ :•r it )' .s Fv lie PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 i d TOTAL FEE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI ATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT ../ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING r ELECTRICAL WIRING. WIRING I I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR - ✓' i , LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES .-? CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. POWER , SIGNATURE UTILITY CO.NOTIFIED I& OF PERMITTEE FINAL VALIDATIO ARTHUR C. VEIT CK MO ASH SUPERVISING ELECTRICAL ENGINEER Lk0 2 0 1 4—w JUL 3 0 2 D 4.00- C 76A68S DBS SA 11-50 APPLICATION FOR PERNIIT DEPAATNIENT OF BUILDING AND SAFETY ELECTRIC COUNTY OF LOS ANGELES WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRIC?O. GROUP ZONE PERMIT NO. ELECTRICIAN R. Fo Walton ra 9 f ~A RECEIVED BY READY FOR DATE ISSUED ADDRESS 5134 Ne Aoaeia Ste �� ^� FIRST INSPECTION CITY San Gabe TEL. NO.AT 68583 U�U \- 1 COUNTY LICENSE NO. 1104: EXPIRESBUILDING PERMIT FEES ADDRESS 6220 Primrose NUMBER I EACH FEE LOCALITY Temple Cit LIGHT OUTLETS 3.3NEAREST RECEPTACLES CROSS ST. WALL SWITCHES OWNER Meeker TOTAL OUTLETS SC $ 2165 MAIL ELEC. RANGES 85 ADDRESS ELEC. HEATERS Z 28 25 CITY TEL. NO. FIXTURES 13 S 65 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE 18 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 HORSEPOWERANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER FEE NEW MV;d HP OVER INC. EACH OF THE RESIDENTIAL PROP DESCRIBED ABOVE. NEW MVD. HP OVER INC. EACH �. 1/2&LESS $ .25 SIGNATURE OF 1/2 2 .50 PERMITTE 2 s 1.00 INSPECTION RECORD s is 1.50 is SO 2.50 so 200 5 oo 200 Soo 10.00 A Soo 1000 15.00 Z OVER 1000 20.00 3 M. G. SET/FREQ. CHANGER-HP It WELDERS: AC-KVA O GENERATORS-KW TRANSFORMERS-KVA TEMP. MOTORS (75%OFORIG.) MOVED MOTORS (75%OFORIG.) MISC. SIGNS NO. NO.TRANS. I I APPROVALS NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: _ f WIRING $1.00 00 CONDUIT I FIXTURES $1.00 WIRING SUPPLEMENTARY .90 FIXTURES 2 —. U. 5 80 POWER /� TOTAL FEE $ UTILITYCO. NOTIFIED r2 1N Q*vk L-Ih ® / FINAL �4' v WORKERS'CMPENSATION cerci DECLARATION I 76A663CE-806 ,U,B, APPLICATION FOR ELECTRICAL PERMIT `�I hereby affirm Ahat I have a certificate of consent to self CE-806G ilnsure, or)a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY Iu' or a certified copy thereof(Sec, 3800, Lab. C.) I Policy No._230735 230735 Cop Rptcif is Natio4al FOR APPLICANT TO FILL IN JOB ❑ Certified copy is hereby furnished. Ins CO. INew Resid EACH NO. FEE ADDRESS 6220 PRIMROSE AVENUE ential Bldgs. 8 Pools $ _ $ LOCALITY !C' �f 7 ® Certified copy is filed with the county building inspe•- 1 &2-Family, Sq. Ft. _ L tion department. Multi-family Sq. Ft. NEAREST I Residential Swimming Pools CROSS ST. Date--- Applicant OWNER OR MS. BETTE MOORE FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' / � " MAIL COMPENSATION INSURANCE I Outlets: Relight Sw_ Od ADDRESS SAME AS AHOVE. (This section need not be completed if the work involved by First ti CITY TEMPLE CITY the permit is for one hundred dollars($100)or less.) Total No. Additional �� 3 Tel. No. that in the performance of the work for which this PLAN CHECK I certify P APPLICANT permit is issued, I shall not emArmnaking in an anner so as to become sub'ect to theens 1 n Laws. Lighting Fixture First 20 ADDRESS Total No. Additional CITY Tel. No. Date pplicaFixed Appliances Not Over 1 HP PERMIT NOTI O APP CANT: If, af •Certificate of APPLICANT G. & S. ELECTRIC Exemption, you should becothe Workers' Range_ Heater—D.W. — Compensation provisions of the Labor Code, you must forth- Oven _Dryer W.M. ADDRESS 531 S. Atlantic Blvd. with comply with such provisions or this permit shall be Top _ FAU W.H. — Montero Par CITY y Tel. IVo. 283-6317 deemed revoked. Hood — Fan LICENSED CONTRACTORS DECLARATION _Other_ Disp. _ Room Air Cond. 10LICENSE Class. MM BER (commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO. �� PROCE E BY ' and Professions Code,and my license is in full force and effect] `„-. O Size&Type HP, KW, KVA, or KVAR t License Number 248057 Lic. Class C10 U,,p to 1 Incl. FINAL /f Oe G.S. ELECTRIC .�" Jiver 1 to 10 In 'd� DATE / .4—P " Vz�7 VALI ATION a Contractor Date Over 10 to 50 Incl. i FIN G/ A 1• ❑ I am exempt under Sec. Over 50 to 100 Inc. BY B.&P.C. for this reason Over 100 / 0 - 0 0 0 0 'Z Date: Services, Swbd.PMCC&Panelboards 0 0 (�Z U 0 -200 Am Under 600 V 0 0 0 (�7 Signature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V 16-86 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 Additional Sign Branch Circuits Law for the following reason (Section 7031.5, Business and Professions Code): ❑ I, as owner of the property, will do the work and the, Misc. Conduits&Conductors structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ , 7044, Business 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 PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name _ PERMIT ISSUING FEE Lender's Address 1 certify that I have read this application and state that the TOTAL FEE 7L above information is correct. I agree to comply with all County ordinance and State la regulating Electrical wiring, and hereby a r e repr nt tives of this County to enter upon the abo - tions pro` rty for'nspection pur as SEE REVERSE FOR EXPLANATORY LANGUAGE ature of mit a Dat COUNTY OF*LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1201310039 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I ITR: 17179 LT: 55 I I 6220 PRIMROSE AV 1 IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT.I TEMP CA 917801614 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: GARIBALDI 15385-012-020 TA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl I IG1 OUTLETS-LGT,SW,RECP 2.00 OUT 3.90 I I (TENANT: JG2 LIGHTING FIXTURES 4.00 LGT 7.80 (ISSUED ON: PROCESSED BY: PLAN BY: TOTAL FEES 39.50 101/31/12 SR TOWNER: TEL. NO: I (FINAL FINAL 8 CODE: I ISMITH, BERNARD (626) 890-6053- 16220 PRIMROSE AVE I I ITEMPLE CITY CA 91780 T IDES PTI N OF WORK T (ELECT ICAL FOR BATHROOM REMODEL (APPLICANT: TEL. NO: I I ISAME AS OWNER SPECIAL CONDITIONS: I I ICONTRACTOR: TEL. NO: I TAPPROVALS DATE INSPECTOR SIGNATURE I ISAME AS OWNER - ILIC. NO I ITEMPORARY POWER POLE I I I I I (UNDERGROUND CONDUIT I 1 (ARCHITECT OR ENGINEER: TEL. NO: T 1UFER GROUND _ I I 1 LIC. NO: II (ROUGH CONDIIIT I I I ROUGH WIRING II TMAIN WATER LINE I" / y (PLASTIC Y/N METAL Y/N T (UTILITY COMPANY NOTIFIEDI I I I I I I I I I I I I I I I I I I I I I I I I I I I i I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I I I