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Home My Public Portal About6278 PRIMROSE AVE_Electrical__ 'Ma °E°°°'°." APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING 6 BUILDING AND SAFETY DIVISION ADDRESS G JOHN A. LAMBIE, COUNTY ENGINEER //�� T WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY E CII FOR APPLICANT TO FILL IN NEARESTAVE.'/ PERM I'M CROSS ST. ' d 6 DA-V E. I TEM NUMBER EACH FEE OWNER KSI Tff L L I O Al MAIL. p �f` OUTLETS' $ $ ADDRESS 6 p /v S E V LIGHTS RECEPT. SW. .10 _[.r LIGHTING FIXTURES .10 J CITY / eAI PLE C+/T TEL.NO. I -g oic ELEC.RANGES CLO.DRYERS ELECTRICIAN E WATER H S A T E R S .50 ADDRESS .�pOAl 7. 2I ivJ/ASV ELEC.SPACE HTRS. DISHWASHERS CITY •+// TEL.NO. kr O r GARBAGE DISPOSERS AUTO.. STATE WASHERS STA.COOKING UNITS .2$ LICENSE NO. MOTORS: OVER INC. H.P. ' DIST NO.NO. GROUP ZQNE PR E S BY O— 'ZA .25 I/a 2 .50 INSPECTION RECORD a— S 1.00 $— 15 1.50 i i$— SO 2.50 50-200 5.00 J y r� od!e An SIGNS: NO.TRANS.NO.LAMPS SERVICE o-Boot/ 1.00 SERVICE OVER GOOV 5.00 MISC. WIRING PERMIT 1.00 v FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT So TOTAL FEE S t 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING. WIRING PT' f.•1�A./..:4/1�A I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTE0 A. FINAI, (✓� (f �v VAUDA ARTHUR C.VEIT, CK Mo CASH SUPERVISING ELECTRICAL ENGINEER ��Q'0 4 3 1 2 f'AY 6 2 A 2.3.nLn �I�p 11ry�� fpm 1 DOS4A APPLICATION FOR ELECTRICr PERMIT �. DBS•SA 9•S9 DIVISION OF BUMDMG AND SAFETY Deportment of. County Engineer BUILDI�vG, County of Los Aage'3s ADDRL�SS5TE-L. WM.J. FOX,COUNTY ENGINEER CASSATT D.GRIFFIN.SUPT OF BUILDING 11 LOCALITY FOR APPLICANT TO FILL IN NEAREST PER1MT FEES CROSS ST.NUMBER:EACH FEEOWNER LIGHT OUTLETSRECEPTACLES MAIL ADDRESS WALL SWITCHES TOTAL OUTLETS 5¢ $ CITY ELEC.RANGES 25 ELECTRICIANELEC. HEATERS 25 ADDRESS KW EA CITY N FIXTURES 5 LICENSE NUMBER OF LIGHT CIRCUITS - DISTRICT NO. I GROUP I ZONE:E I READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS 3+ MOTORS NUMBER HORSEPOWER FEEINSPECTION RECORD NEW MVD. HP OVER I.: INC. EACH �' S �P� •� L I/2&LESS $ .25 •" ag V k"$ k] �ly�l LC•�►� {'J-'.1 k F} Y2 2 .50 s is 1.50 15 50 2.50 a r 50 200 5.00 ti MISC. NO.SIGNS NO.TRANS. ° NO.SIGNS NO.LAMPS FOR EACH PERMIT: WIRING $1.00 FIXTURES $1.00 *T SUPPLEMENTARY .50 APPRQVALaS k TOTAL FEE S ^� O DATE INSPECTORS SIGNATURE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION i AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT i F WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING t. ELECTRICAL WIRING. LDRY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES AS REQUIRED BY S ANGELES 'CO NTY AND STATE OF ' A OR THAT HE AL 0 ER OF THE ABOVE POWER RESIDENTIA POP Y RE UTILITY CO.NOTIFIED, D". ITTEE FINAL / WILLIAM J.FOX,COUNTY ENGINEER ,/10 VALIDATION A.C.VEIT,CHIEF ELECT.INSPECTOR �l�C 8 0,2OCT i 2 1 .5 0 �' 76ASSS DBS SA 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUII.DING AND SAFETY ELECTRIC 1 COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. ELECTRICIAN R. Fe Walton � lro 91- 1- 17 READY FOR' ADDRESS 5134 N. Acacia Ste RECEIVED BY FIRST INSPECTION DATE ISSUED CITY San Gab. TEL. No.AT 68583 Rffiv COUNTY LICENSE NO. 1104 EXPIRES BUILDING PERMIT FEES ADDRESS 6278 Primrose NUMBER EACH FEE LOCALITY Temple City LIGHT OUTLETS 13 NEAREST RECEPTACLES 22 CROSS ST. WALL SWITCHES 'Q -OWNER Meeker TOTAL OUTLETS 53 Sc $ 2 65 MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS .1 25 25CITY TEL. NO. FIXTURES 13 5 65 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 I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER FEE OF THE RESIDENTIAL PROPE DESCRIBED ABOVE. NEW MVD. HP OVER INC. EACH 1/2&LESS $ .25 25 SIGNATURE OF 1/z 2 .50 PERMITTE 2 s 1.oo INSPECTION RECORD 5 1s 1.50 1s so 2.50 so 200 5.00 200 Boo 10.00 J Soo l000 15.00 Z OVER 1000 20.00 M. G. SET/FREQ. CHANGER-HP Q� WELDERS:AC-KVA GENERATORS-KW TRANSFORMERS-KVA TEMP. MOTORS (75%OF ORIG.) MOVED MOTORS (75%OFCRIG.) M ISC. SIGNS NO. NO.TRANS. I I MPROVALS NO. NO. LAMPS FOR EACH PERM IT: 7DATE 1 S/ECTOR•8 NAME CONDUIT 2z J ��t/ WIRING $1.00 ✓ I yS„� FIXTURES $1.00 1 00 WIRING SUPPLEMENTARY .50 I FIXTURES .1 _ 80 POWER TOTAL FEE $ 5 UTILITY CO. NOTIFIED I FINAL V 1';� WORKERS'COMPENSATION DEG4ARATICya1 Z00019DPW 3/87 APPLICATION FOR ELECTRICAL 11i�IT O I herel' affirm that I have a certificate of consent to self C6EEAt� in use,Nr a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES , DEPT. OF PUBLIC WORKS 01jr-Otified copy thereof(Sec. 3800, Lab. C.) Policy No' Company FOR APPLICANT TO FILL IN JOB ADDRESS �/ OR ❑Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ❑Certified co is filed with the count building inspec- 1 &2-Family, S Ft. $ — $ 1 LOCALITY PY � Y 9 � P Y. 9• tion department. Multi-family Sq. Ft. — NEAREST CROSS ST. Residential Swimming Pools. I OWNER OR Date Applicant FIRM NAME J! 1 CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light ?- Sw._V_ I MAIL COMPENSATION INSURANCE First 20 U ADDRESS (This section need not be completed if the work involved by Total No._-- Additional CITY Tel. No. the permit is for one hundred dollars($100)or less.)• PLAN CHECK' I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation'Laws. Lighting Fixtures First 20 ADDRESS Additional Date Applicant Total No. CQ I CITY Tel. No. NOTICE TO APPLICANT: If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT Exemption, you should become subject to the Workers' Range— Heater—D.W. — APPLICATION Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W.M.— ADDRESS with comply with such provisions or this permit shall be Top — FAU —W.H. — deemed revoked. CITY Tel. No. LICENSED CONTRACTORS DECLARATION I Hood — Fan Other— LICENSE J hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. — REG. NUMBER Class. (commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO. PSS BY >_ and Professions Code,and my license is in full force and effect, p� Size&Type HP, KW, KVA, or KVAR �i/d Q O License Number Lic. Class Up to 1 Incl. FINAL et U Over 1 to 10 Incl. DATE 7` 11/� VALIDATION Contractor Date❑ Over 10 to 50 Incl. U FINAL.�p I am exempt under Sec. Over 50 to 100 Inc. W B.&P.C. for this reason Over 100 ID_ Services, Swbd., MCC&Panelboards Z Date: 0-200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Exemption for Reg. Maint. Elect. Over 1000 Amp, or Over 600 V _ SINGLE FAMILY Temp. Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION s I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit MI.L•. a Law for the followingreason Section 7031.5, Business and Additional Sign Branch Circuits i7{ ( ti1ti�L: Professions Code): 7'T t ❑ I, as owner of the property, will do the work and the Misc. Conduits&Conductors .. lr structure is not intended or offered for sale(Section 4044, Other(See Complete Fee Schedule)_ Poo ;i i 1 h . Business and Professions Code). CONSTRUCTION LENDING AGENCY ' �AIE;,. I hereby affirm that there is a construction lending agency forCC the I- the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). i PLAN CHECKING FEE I l�ltl –I?tji?j rr`1 Ir'1= Lender's Name / PERMIT ISSUING FEE D 7 f .'- Lender's Address TOTAL ii1i I 111_1) :l I certify that I have read this application and state thct the TOTAL FEE 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 e-men the abovtioned roperty for inspection purposes. ! SEE REVERSE FOR EXPLANATORY LANGUAGE 11#14Q Signature of PoMfiffitee Date l ®s r