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Home My Public Portal About6258 PRIMROSE AVE_Electrical__ 7A663 DS-SA.9.58 APPLICATION! FOR ELECTRIC PERMIT 1- S- . DIVISION OF BUILDING AND SAFETY Deportment of County Engineer p County of Loa Angeles • BUILDING SS� rl o. ,�'�' ,vS ( . WM.J.FOX,.COUNTY ENGINEER CASSATT D.GRIFFIN.SUPT OF BUILDING �----- LOCALITY FOR APPLICANT TO FILL IN NEAREST C PERMIT FEES CROSS ST. s<Af G NUM ER EACH FEE LIGHT OUTLETS OWNER "��1rI %�� RECEPTACLES MAIL ADDRESS / IIIL�3I TL-�.1.`- WALL SWITCHES -3 �� v � Oc7 TOTAL,OUTLETS 5¢ $ .� CITY 1 1L rY TEL.NO ELEC.RANGES 25 ELECTRICIAN .QEL-JC ELEC.HEATERS 25 ADDRESS KW EA CITY TEL.NO. FIXTURES 5 LICENSE NO. NUMBER OF LIGHT CIRCUITS. DISTRICT NO. GR..OUP I READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS I / IZj I MOTORS ®- yr %►99NNN NUMBER HORSEPOWER FEE INSPECTION RECORD NEW MVD. Hly OVER INC. EACH 6 LESS $ .25 >� 2 .50 2 5 1.00 5 15 1.50 eIrE 15 50 2.50 , l RI Al 45 50 200 5.00 w y MISC. ie F.q F .So 1-i�Fe2 A;Q �fe NO.SIGNS NO.TRANS. u, NO.SIGNS NO.LAMPS /7 A I A �/n/�'F�F2 F Ale-9 FOR EACH PERMIT: WIRING 51.00 ® y n f FIXTURES .$1.00. SUPPLEMENTARY .50 APPROVALS TOTAL FEE S DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THA READ HIS APPLIC TON 'CONDUIT /kl •� s ! AND STATE THAT THE ABOVE COR CT AND GREE TO COMPLY - WITH ALL COUNTY ORDIN CES A STATE LAWS REGULATING WIRING ELECTRICAL WIRING. ry I I HEREBY CERTIFY THA/T P PER L REGISTERED AND/OR "FIXTURES S _pzfi LICENSED AS REQUIRE OS ANG OUNTY A D STATE OF CALIFORNIA OR THAT AM THE GA OWNER 0 THE ABOVE POWER DESCRIBED.RESIDENT PROPER SIGNATURE / UTILITY CO.NOTIFIED v OF PERMITTEE FINAL r '"J05 h d, b Y.e x WILLIAM J.FOX.COI TY ENGINEER VALIDATION A.C.VEIT.CHIEF ELECT.INSPECTOR � r) , � .� 76A663-r-E8061;;r71 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEBPARTMENT OF UILDING AND SAFETYYDIV DIVISION BUI ADD u'LEISS 72Se Joei m US'P LOCALITY' FOR APPLICANT TO FILL IN NEAREST CROSS ST. OUTLETS NO. EACH FEE7 $ $ OWNER RECEPT.-y- MAIL //�� LIGHTS TOTAL FIRST 20 25 ADDRESS S d9k.-t oS'..o. OVER 20 CITY TEL. NO. SWITCH, .10 PLAN CHECK LIGHTING TOTAL FIRST 20 25 APPLICANT FIXTURES OVER 20 10 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT /J e RANGE DRYER_WTR. HTR. APPLICANT �ry S _•(�rrp�! c STA. COOK�DISP. F.A.U. ADDRESS. SPACE HTR, AIR COND. CITY �l�N TEL. NO. u CLOTHES WASH. . DISHWASH. / LICENSE NO. CLASS. FAN_ —OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT 1 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. 91ZE & TYPE OVER TO 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY-AND 'STATE OF d CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 1 - 1O 9.00 RESIDE IN, THE ABOVE DESCRIBED REST N AL PROPERTY. V SIGNATURE 10 - 50 8.00 OF PERMITTEE �1d�9 "' O SO- 100 10.00 b DISTRICT NO. CLAS ZONE PROCESSED BY N.1 100 — S00 18.0047 f9JO ._� _ Z TUBE, OR SIGN, GAS =SIGN ONE CIRCUIT S.OD NOTES: MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICENOTOVERBOO VOLTS OR200AMP 3.00 If> 0 APPROVALS DATE INSPECTOR'S SIGNATURE SERVICEOVER 600 VOLTS OR200AMP 10.00 TEMP.POWER POLE TEMP SERVICE,POLE,&APPURTENANCES 5.00 TEMP LIGHT OR RECEPT. SYSTEM 3.00 UNDERSLAB WORK ROUGH CONDIUT WIRING FIXTURES PERMIT FEE (SUB TOTAL) POWER AUTHORIZED UTILITY CO. NOTIFIED If A PLAN CHECK FEE FINAL PERMIT ISSUING FEE 3.00 r TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIO M.O. CASH• JUO 0365 DEC 249 2 D 9,00~ a SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE _ 76AS63 OBS SA 11-60 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY �� COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN R. F Walton RECEIVED BY READY FOR DATE ISSUED ADDRESS 5134 N. Aoaaia St. FIRST INSPECTION CITY San Gab. TEL. NO. 1T 68588 COUNTY LICENSE NO. 1104 EXPIRES BUILDING PERMIT FEES ADDRESS 6258 Primrose NUMBER EACH FEE LOCALITY Temple City LIGHT OUTLETS 14 NEAREST RECEPTACLES 23 CROSS ST. Meeker SWITCHES 19 OWNER TOTAL OUTLETS 56 Sc $. 2 80 MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 1 1 25 25 CITY TEL. NO. FIXTURES 14 1 5 70 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 I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERFEE I ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEW MVO. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. 1/2 a LESS $ .25 1 25 SIGNATURE 012.7�p7iv 1/2 2 s0 PERMITTEE 2 5 1.00 INSPECTION RECORD 5 1s 1.50 1s so 2.50 s0 200 5.00 200 500 10.00 500 1000 15.00 Z OVER 1000 20.00 G M. G. SET/FREQ. CHANGER-HP Ic WELDERS'AC-KVA 0 GENERATORS-KW TRANSFORMERS-KVA TEMP. MOTORS (75%OF ORIG.) MOVED MOTORS (75%OF?ORIG.) MISC. SIGNS NO. NO.TRANS. I I APPROVALS NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: CONDUIT WIRING $1.00 on WIRINGr�3 ,M� FIXTURES $1.00 1-1.00 SUPPLEMENTARY .50 FIXTURES 6 oo POWER TOTAL FEE $ UTILITY CO. NOTIFIED jNIfiY? / ® FINAL — / V ul )'-v I 76As63 DBB SA 11-SO APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF EN13INEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. ELECTRICIAN RECEIVED BY READY FOR DATE ISSUED ADDRESS Al AA 1//, FIRST INSPECTION CITYTEL.NO. ,� COUNTY LICENSE NO. EXPIRES BUILDING 2�Q �l �SI ADDRESS Q PERMIT FEES FEE rNUMBER EACH LOCALITY & Al LIGHT OUTLETS NEAREST RECEPTACLES CROSS 8T. WALL SWITCHES OWNER TOTAL OUTLETS 5c t$ MAIL ELEC. RANGES 85 ADDRESS ELEC. HEATERS 85 CITY TEL. NO. FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS 4,kND 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 FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEw MvD. HP OVER INC. EACH OF THE RESIDENTIAL PROPE TY DESCRIBED ABOVE. A LEBO 8 .85 SIGNATURE OF 1/p 8 .50 PERMITTE oy�a�2� —1_ z 5 1.00 INSPECTION RECORD 5 1S 1.50 7 5 50 8.50 SO 800 5.00 _ _ 800 Boo 10.00 J Boo 1000 15.OD Q Z OVER 1000 80.00 Ig M.G. SET/FREGI. CHANGER-HP sc WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OP DRIB.) MOVED MOTORS (7B% of CRIB.) MISC. SIGNS NO. NO.TRANS. NO. ND.LAMPS APPROVALS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 p CONDUIT FIXTURES 101.00 WIRING SUPPLEMENTARY ,5O FIXTURES POWER TOTAL FEE S UTILITY Do.NOTIFIED �{/ # FINAL I �?— .� 1 X'-IIlgil WORKERS'COMPENSATION DECLARATION. ,6A663 1.0/81 APPLICATION FOR ELECTRICAL PERMIT Roby affirm that•I have a certificate of consent to self CE 8060, e, or a certificate of Workers'Compensation Insurance, ;' COUNTY OF LOS ANGELES BUILDING:AND SAFETY lcertif.ied copy thereof'(Sec. 3800,Lab:C..) r �f , No. -Company ( FOR APPLICANT TO FILL,IN JOB Certified.copy is hereby furnished. New Residential Bidgs. &Pools EACH NO. FEE ADDRESS PY ty g iris ec- 1 &2-Family, Sq. Ft. $ — $ LOCALITY' Certified'co +s filed with the cdun butldin p NEAREST' tion department. ,I, Multi-family Sq. Ft. CROSS ST. Applicant I Residential Swimming Pools OWNER OR i FIRM N E CERTIFICATE'OF EXEMPTION FROM WORKERS', +' 7 Li ht_LSw.� IL Outlets: Rec COMPENSATION INSURANCE L g �. ADDRESS First 20 lection' need..not be completed if the work involved by Total No. Additional CITY Tel.. No. acmit is for one hundred dollars(;100)or'less'.) i PLAN CHECK �fy that in the performance'of the work for which this APPLICANT )-is issued, I shall not employ any person in any manner to become subject to the Workers'.Compensation Laws. 'Lighting Fixtures First 20 ADDRESS Additional Total No. f CITY Tel..No. pplica t Fixed Appliances Not Over-! HP PERMIT TO APPLICANT: if; a. r making this Certificate of ion, you should. become subject,.to 'the-Workers' ;i Range'_ Heater_D.W. _' r APPLICANT r_pnsatioh provisions of the Labor Code,, you.must forth- j Oven Dryer —W.M.— ADDRESS 'comply With. such provisions or this permit shall be Top _ FAU —W.H. — d revoked. Hood _ Fan _Other_ LICENSED CONTRACTORS DECLARATIONLICENSE.OR f . , , Dis . _.Room Air Cond. Class. , yaffirm that I amlicensedunder provision§of Chapter-9 + p. REG.NUMBER ,� ncing With Section 7000)of Division 3 of the Business DISTRICT NO. PROCE ED.BY fessions Code,and my license isitn'full force and effect. Power Apparatus.&Large Appliances .� ;; Size&Type H YPP,.KW, KVA, or KVAR- A. i '� Numl.2 �9 Lic ,Class y', Up to 1 Incl. FINAL U ' ad Over 1 to lO+Incl: DATE r VALIDATION f ' Over W to•50 Incl. AL ;lam.exempt.under Sec., Over'50 to 100 Inc. BY LU 1&P.C.for this reason Over 100 ` of — � Services, Swbd.,MCC&Panelboards �Q Date: 0 -200 Amp. Under 600 V- gnature 201 -11000 Amp. Under 600 V Over 1000 Amp. or Over 600 V em,ption.for Reg. Maint. Elect. +' SINGLE FAMILY Temp. Power'Pole-B Appurtenances HOME OWNER-BUILDER'DECLARATION Sign with One Branch Circuit s affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits "2 6 8 8 A .the following reason (Section 7031.5; Business and ns Code): i i 0-0,0 o.- 2 Misc. Conduits&Conductors ` s owner of the property, will do the work and the +. ^ ;o'o P Other See Complete Fee Schedule _ 2.'0.5.('I 'ucture is not intended or offered for saie'(Section ( P ) 44, Business.and Professions Code). ® o c .o O Q j .� CONSTRUCTION LENDING AGENCY ] 3-81f +#firm that there is a construction lending agency for ttrmance of the work for which this permit is issued PERMIT FEE (Sub-Total) Vi Civ. C.). PLAN CHECKING FEE ame PERMIT ISSUING FEE Mdress ;hatI Have read this application and state that the TOTAL FEE A— ;hat is correct. I agree to comply with all County Ds and State laws regulating Electrical wiring,.anal l thorize representatives of this,County to enter:upon t 3-mentioned propertx for inspection Pur/poses. SEE REVERSE FOR EXPLANATORY LANGUAGE lof Permittee Date