The URL can be used to link to this page

Home My Public Portal About6330 PRIMROSE AVE_Electrical__ 76AG63-CES0611-71 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 3 , LOCALITY J � NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO, EACH FEE OWNER RECEPT._ $ $ MAIL r LIGHT TOTAL FIRST 20 25 ADDRESS OVER 20 CITY TEL. NO. SWITCH_ 10 PLAN CHECK LIGHTINGTOTAL FIRST 20 •25 APPLICANT FIXTURES OVER 20 .10 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. N0. PERMIT RANGE DRYER_WTR. HTR. APPLICANT }/ STA. COOK DISP. F.A.U. ADDRESS,J dZ 0-7 ' SPACE HTR. AIR COND. CITY •TEL. NO. CLOTHES WASH. DISHWASH. LICENSE NO. F'/Z. CLASS.0-� 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. SIZE & TYPE OVER TO 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR 0 — 1 1.00 LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF 17 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO- 25 O_ f r 1 — 10 / 3.o0 RESIDE IN, THE ABOVE DESCR BED RESIDE NTIA}. PROP RTY. V 10 - 50 5.00 SIGNATURE ///yL// im OF PERMITTEE O 50 - 100 10.00 b DISTRICT CLASS ZONE PROLE ED BY W 100 - 500 15.00 Lj.or✓ h SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: r ? TUBE, OR MARQUEEADDITIONAL CIRCUITS 100 Q 1 SERVICENOTOVER 600 VOLTS OR 200AMP 3.00 42C g94,,Ce A'? APPROVALS DATE INSPECTOR'S SIGNATURE SERVICEOVER 600 VOLTS OR 200AMP 10.00 TEMP.POWER POLE TEMP SERVICE,POLE,&APPURTENANCES 5.00 TEMP LIGHT OR RECEPT. SYSTEM 3.00 UNDERSLAB WORK ROUGH CONDIUT WIRING FIXTURES 3 POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE y _ PERMIT ISSUING FEE 3.00 C� FINAL / 7 TOTAL FEE .- PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONCK. M.O. CASH LO10027N DrC / 2 D :00'' 4 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE r - E1i'Cb 76A86,j`E-e0e`6"81 APPLICATION FOR ELECTRICAL, PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN ADDRESS ,E dC New Residential Bldgs.&Pools EACH NO. FEE 1 &2-Family,Sq.Ft. $ .025 — $ LOCALITY YkAfe-4-5 Cl Multi-family Sq.Ff. .02• — NEAREST 25.00 CROSS ST. 6/V E r Residential Swimming Pools OWNER OR FIRM NAME Outlets:Rec I Uight_4'L_Sw._ MAIL First 20 .50 ADDRESS 6 D R/A//t O S F A vC Total No. Additional 30 CITY�� E j ;.,F Tel.No83_/( PLAN CHECK. } APPLICANT. Lighting Fixtures First 20 •50• MADDRESS Additional .30 Total No. CITY Tel.No. Fixed Appliances Not Over 1 HP PERMIT Range—Heater—D.W. PPLICANT W._ ADDRESS Oven—Dryer_W.M.—. Top _FAU —W.H.._ CITY Tel..No. Hood_Fan —Other LICENSE OR Disp.—Room Air Cond. 2.50 REG.NUMBER Class. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA- Power Apparatus&Large Appliances TION AND STATE THAT THE.ABOVE IS CORRECT AND AGREE'TO Size&Type HP,KW,KVA,or KV.AR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS q5 2.50 REGULATING ELECTRICAL WIRING. Up to 1 Incl. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Over 1 To 10 Incl. 5.00 LICENSED AS REQUIREDBY LOS ANGELES'COUNTY.AND STATE OF Over 10 to 50 Incl. 12.50 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE' Over 50 to 100 Inc. 25.00 DESCRIBE RESIDENTIAL PROPERTY. Over 100 40.00 PERMITEE SIGNATURE Services DISTRICT NO. OC E Y 0.200 Amp.Under 600 V 12.50 Q 201-1000 Amp.Under 600 V 25.00 C/ Over 1000 Amp.or Over 600 V 50.00 Z O0 Temp.Power Pole&Appurtenances 10.00 Q Sign with One Branch Circuit 10.00 Additional Sign Branch Circuits 2'00 INSPECTION > Misc.Conduits&Conductors 10.00 INFORMATION' WON REVERSE s Q 17 b 0 A Other(See Complete Fee Schedule) SIDE u g # o o o o o 2 d "2o - 11,00 !PERMIT FEE (Sub-To tall o 0 0 1 1 Q 0 PLAN CHECKING FEE (One-Fourth Permit Feel O. } 212-?s PERMIT ISSUING FEE $7.00 c TOTAL FEE I > INSPECTION FINALED date: y✓�'�J�� By ILes W WORKERS'COMPENSATION DECLARATION CE-806G 10/Bl APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self CE-806G. �j inyire, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY IuI or a certified copy thereof(Sec. 3800, Lab. C.) Policy No. Company FOR APPLICANT TO FILL IN JOB ADDRESS 6330 Primrose New Residential Bldgs. 8 Pools Certified copy is hereby furnished. EACH NO. FEE ❑ Certified copy is filed with the county building inspec- 1 &2-Family, Sq. Ft. $ — $ LOCALITY Temple City tion department. Multi-family Sq. Ft. — NEAREST Residential Swimming Pools CROSS ST. Longden Date Applicant OWNER OR FIRM NAME Greg & Pam Knie CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw._ MAIL COMPENSATION INSURANCE ADDRESS6330 Primrose This section need not be completedFirst 20 ( If the work Involved b Y Total No. Additional C1le CityTel. No.286-6773 the permit is for one hundred dollars($100)or less.) PLANANCHECK 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 � Date Applicanto 12/13/88 Fred Gasper Hta. A i No. Additional CITY Tel. No. NOTICE TO APPLICANT: If, after making this Certificate of Fixed Xppliances Not Over 1 HP PERMIT APPLICANTFred A. Gasper Htg.& A/C Exemption, you should become subject to the Workers' Range_ Heater_D.W. — Compensation provisions of the Labor Code, you must forth- Oven —Dryer _W.M.— ADDRESS 535 E. Camino Real with comply with such provisions or this permit shall be Top _ FAU —W.H. — deemed revoked. Hood _ Fan _Other_ CITY Arcadia. Tel. No.574-75.5 1 . LICENSED CONTRACTORS DECLARATION LICENSE OR Room Air Cond. _ I hereby affirm that I am licensed under provisions of Chapter 9 Disp. REG. NUMBER 370098 Class.C 2 0 (commencing with Section 7000)of Division 3 of the Business power Apparatus&Large Appliances DISTRICT NO. PROCESSED BY p and Professions Code,and my license is in full force and effect. V 370098 Size&Type HP, KW, KVA, or KVAR License Number Lic. Class C20 Up to 1 Incl. FINAL 0: Contractor Fred A. Gasp%r 12 13 $$ —g— Over 1 to 10 Incl. I DATE i� VA ON ❑ ateOver 10 to 50 Incl. FINAL W I am exempt under Sec. Over 50 to 100 Inc. BY D. B.&P.C. for this reason Over 100 z Date: Services, Swbd., MCC&Panelboards 0 -200 Amp. Under 600 V 21 3 2 3 A Signature 201 - 1000 Amp. Under 600 V❑ # 0 0 0 0 0 2 Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. X 0 0 1 7 5 0 SINGLE FAMILY Temp. Power Pole&Appurtenances = HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit o 0 0 1 7 5 05 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 ' 214-88 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 I certify that I have read this application and state that the TOTAL FEE 11 . 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 the above-me tioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of PerrrIttie Date WORKERS'COMPENSATION DECLARATION 1 APPLICATION FOR ELECTRICAL PERMIT � CE-806G (2-80)CE-806G I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGE LE" —BUILDING AND SAFETY 1 insure,or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) \ FOR APPLICANT TO FILL IN JO� Policy No. Company �. New Residential Bldgs.&Pools EACH NO. FEE A. KESS ❑ Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY NEAREST ❑ Certified copy is filed with the county building inspection Multi-family Sq. Ft. CROSS ST department. Residential Swimming Pools OWNER OR FIRM NAME e* Q Date Applicant Outlets: Rec._-VLight_3_Sw. J _ �� .e RAIL First 20 ' L' ADDRESS f// ZQ f' CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY / C , Tel No. _1( COMPENSATION INSURANCE -�— PLAN CHECK A >' (This section need not be completed if the work involved d ?- APPLICANT /' a0 b the Lighting Fixtures First 20 /` V y permit is for one hundred dollars $100) or less. ADDRESS ( ) !Y Additional I certify that in the Total No.\-i W y performance of the work for which this CITY Tel No. O permit is issued, I shall not employ an Fixed Appliances Not Over 1 HP P p y y person in any manner PERMIT so as to become subject to the Workers'Compensation Laws. Range_Heater D.W. _ APPLICANT W Oven ,_ Dryer_W.M._ ADDRESS % ✓ Date Applicant Top _ FAU _W.H. Hood _ Fan _Other_ CITY (�v Tel No. NOTICE TO APPLICANT: If, after making this Certificate of Disp. _Room Air Cond-_ ILICENSE OR Exemption, you should become subject to the Workers' REG.NUMBER e- Class Compensation provisions of the Labor Code, you must forth- Power Apparatus&Large Appliances DISTRICT NO. PR ED BY with comply with such provisions or this permit shall be Size&Type HP,KW,KVA,or KVAR ` f�� G deemed revoked. C/ Up to 1 Incl. i•�l G/ Over 1 to 10 Incl. FINAL DATE LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. VALIDATION I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL tG 9 (commencing with Section 7000)of Division 3 of the Busi- Over 100 BY ness•and Professions Code, and my license is in full force and effect. Services 0-200 Amp.Under 600 V License Number Lic.Class 201-1000 Amp.Under 600 V Contractor Date Over 1000 Amp,or Over 600 V HOME OWNER-BUILDER DECLARATION I Temp.Power Pole&Appurtenances I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit License Lw for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits ness an rofessions Code): Misc.Conduits&Conductors I, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— structure is not intended .or offered for sale (Section 7044, Business and Professions Code). --2071 R CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency {' u u 0 0 0 L for the performance of the work for which this permit is PERMIT FEE (Sub-Total) �\ t u 1 2.5c issued(Sec. 3097,Civ.C.). L a Lender's Name PLAN CHECKING FEE (One-Fourth Permit-Fee) c c c 12 5 C � Lender's Address PERMIT ISSUING FEE I certify that I have read this application and state that the TOTAL FEE above information is correct.I agree to comply with all County ordinances and State laws regulating Electrical wiring, and i hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE "nat of Permittee Date SA563-CES06 5-62 QPPUC AI ON FOR 11MMIRECAL PERMO4 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING ,BUILDING AND SAFETY DIVISION ADDRESS lD JOHN A. LAMBIE, COUNTY ENGINEER K / I WILLIAM A.JENSEN,SUP-T OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL 1N CROSS ST. R EC SPT. TOTAL NO. EACH FEE i f OUTLETS FIRST 20�. !$.20,S Q O OWNER \ LIGHT A DD'L ADDRESS SWITCH./.� OVER 20 f .10 7Q , TOTAL } O 6 CITY TEL.NO. LIGHTING `"� F1Rsr 20 .20 -7 FIXTURES -� ADD'L r le OVFR 20 .10 ELECTRICIAN ^t c^ RANGES CLO.DRYERS WTR.HTRS. 1.00 / •� ADDRESS J�. GARB.DISP. STA.COOK , CITY Xn Aft QTEL.NO. ^ .. Q I DISHWASH./--' AUTO.-WASH.`:— - STATE a •. SPACE HTRB.ri1� BTA.APP.(yn X.P.MAX.9 � .50 r ' LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTRICT NO. GROUP I ZONE I PFM=SSED BY 0 1 1.00 .. 1 s 1.5o INSPECTION RECORD a 6 2.00 S 15" 2.50 IL O 1s so 8.00 V s0 100 5.00 O NO.TRANS• - ~ SIGNS: NO.LAMPS W a SERVICE 0.600V-Nor OVER 200A 1.00 6 C Z SERVICE 0.600V-OVER 200 A. 2.00 SERVICE OVER.600V 5.00 MISC. PERMIT ISSUING FEE 2.00 DO SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE r0 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS . DATE INSPECTOR+S SIGNATURE AND STATE THAT THE ABOVE IB'CORRECT AND AGREE TO COMPLY CONDUIT ALL'COUNTY ORDINANCES AND STATE LAWS REGULATING _J ELECTRICAL WIRING. WIRING _12—& 2— 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE q DESCRIBED RESIDENTI PROPS POWER n' / •'' . ,� tD' SIGNATURE Vl UTILITY CO.NOTIFIED .•'�. ;'! ��/',s` OF pI PERMITTEE 1 FINAL I r l i 7119 r ~ LIDATION ARTHUR C. VEIT SUPERVISING ELECTRICAL ENGINEER CK MO CASH LQ 4 2 .1 2'o' SEP 12 2. D 19.2 0- 4' 14�