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Home My Public Portal About9121 PRIMROSE AVE_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer I DIVISION OF BUILDING & SAFETY �L�� WILLIAM J. FOX, County Engineer FOR APPLICANT TO FILL IN DISTRICT NO., GROUP I ZONE PERMIT NO. s-5 OZZ.' ELECTRICIAN ADDRESS RECEIV{ESD BY READY FOR FIRST INSPECTION DATE ISSUED CITY TEL.NO. COUNTY LICENSE NO. EXPIRES BUILDING4 PERMIT FEES ADDRESS FEE NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST RECEPTACLES CROSS ST. WALL SWITCHES I _ OWNERAU TOTAL OUTLETS 7 5c 43 / MAIL / �'/ ELEC. RANGES 25 ADDRESS Gam/ 4 Ke ELEC. HEATERS 25 O CITY TEL NO. FIXTURES 5 I HEREBY 0KNOWLE E THAT 1 HAVE READ THIS M19C. APPLICATION AND STATE THAT THE ABOVE 19 CORRECT NUMBER OF LIGHT CIRCUITS AND 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 I MVD. HP OVER INC. EACH OF THE RESIDENTIAL PRWXRTY DESCRIBED A;96 %2 A ESB S. .25 SIGNATURE OF %2 2 .SO PERMITTEE_ 2 9 1.DD INSPECTION RECORD 5 1B 1.50 15 50 2.50 50 200 5.00 200 500 70.00 J S00 1000 15.00 Z OVER 1000 20.00 M.G. SET/FREQ. CHANGER-HP EDIt WELDERSIAC-KVA 17 1 GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75%•OF CRIG-) MOVED MOTORS (75% OF CRIB.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO.LAMPS FOR EACH PERMIT? DATE INSPECTOR'S NAME WIRING 01.00 � 0 CONDUIT FIXTURES 181.00 / [) WIRING rJ-y:��t /L c,/ r SUPPLEMENTARY .50 FIXTURES 100, POWER TOTAL FEE ffi f- C UTILITY CO.NOTIFIED FINAL ?�.. TSA663 DBS.i#5A 4-58 .62 COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of CountBUILDING EngineerFELECTRIC �. DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County EnOlneer FOR APPLICANT TO FILL IN: DISTRICT NO. GROUP I ZONE PERMIT NO. ELECTRICIAN 01 T r / ADDRESS , /jF �� C/� RECEIVED /��B,Y� FIRST INSPECTION /DY FOR DATE ISSUED �//� CITY TEL.NO.; -y /f 777 116 'r 9- COUNTY LICENSENO. I EXPIRES BUILDING LDIN PERMIT FEES FEB ' NUMBER EACH LOCALITY p��, LIGHT OUTLETS NEAREST [��r �!!!/// REGEPTACLEB CROSS ST. fir`�7J"'�. '� 4 WALL SWITCHES �i OWNER (�` TOTAL OUTLETS 5c $ MAIL ELEC. RANGER 88 ADDRESS , /r 1v✓I d .ir k'� 1�+ ELEC. HEATERS 25 CITY '. ' :)d. &WTEL. NO.& FIXTURES 5 ry I HEREBY gAC.KNOWLEDG THAT 1 HAVE READ THIS M 19C. 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 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS Numom HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEW MVD. HP OVER I INC. EACH or THE RESIDENTIAL OPERTYy OESCRIBED E. 1/2 m .LESS $ .25 SIGNATURE OF J v I/2 2 .50 PERMITTE AIF 2 s 1.00 INSPECTIO RECORD 5 1.5 1.50 16 SO 2.50 SO 2013 S.13O 200 SOO 10.00 500 1 1300 15.130 / Z OVER 1000. 20.00 M.G. 8ET/FREQ. CHANGER-HP (Y WELDERS,AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG.) MOVED MOTORS (78% OF ORIG.) misc.. SIGNS NO. NO TRANS. APPROVALS _ NO. NO.LAMPS FOR EACH PERMITS DATE INSPECTORPS NAME WIRING $.1.00 6 d CONDUIT FIXTURES $1.00 WIRING SUPPLEMENTARY .513 --FIXTURES POWER TOTAL FEE $ UTILITY CO.NOTIFIED FINAL FI �1 ,'awl ""'•'•/ 7GASS3 065#6A 2-53 DB 5-A 77-48 984 A�*CATION FOR _ SEP�4RTM ENT OF.-BUMI)ING. AND SAFETY ArrLi i i FOR CQ�U NTY OF LOS ANGELES ELECTRIC ,WMf J. FOX CHIEF&WONEER x 1 A f l,(f A DISTRICT NO. GR .UP ZONE �jPERMIT A10. NAMEa. lll, s` / ! � ?{J O ADDRESS y t�`� �.. � yVp�� 1 CITY � �� _ !i- TEL.NO. V ,V FIRST INSPECTION RRMED my READY FOR ATE!ISSUED `CERT.NO. f EXPIRES/.yA��-� APPLICANT FILL IN HEAVILY OUTLINED/PORTION ONLY DESCRIPTION OF WORK 'A°DDRESS NUMBER OF OUTLETS ON CIRCUITS LOCALITY ./.t2•�1 �.�/�' LOCATION BY ROOMS NEAREi LIGHT OUTLETS SW. PLUGS FACT CROSS ST. /J� CIRCUIT /, A B C D E F 1c. I H ; R NAMEMAIL ADDRESS I L r�iy/ iiyZr, /�:.'! /6":PF iJ�'l'RQ9��1 O CITY L.NO.I AM THE LEGAL' I -i�8 L / ANGELES COUNTY CERTI�FIcc¢�S�rF7 OR QUALIFICATION o ffC. � / - • - -wF.1.EC7RICIAN. I AM THE in"OWNER OF THE PROPERTY DESCRIBED. A�AllI. ��i �� ABOVE �(��}��, 7� OWNER. 4Vli CTIONS J Q Z ' L7 rz 0 TOTAL �J 3( NO. OF OUTLETS °C y w O APPROVALS ffi L NO. OR FIXTURES / DATE IN�S�P`ECTpOR'S NAME NO. OF MOTORS H.P. # CONDUIT ,� j 1./� ` NO. OF SIGNS TRANS. S WIRING V NO. OF RANGES OR HEATERS ffi FIXTURES MISCELLANEOUS S POWER [PERMIT FEE ffi ( J UTILITY CO.NOTIFIED' TOTAL FE6 ��' FINAL 76AS63 DBS SA 25M SETS 11-48 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ��'� COUNTY OF LOS ANGELES WILLIAM J. FOX. CHIEF ENGINEER DISTRICT�NO. GROUP ZONE PERMIT NO. FOR APPLICANTTOFILL IN ELECTRICIAN t16� V/G-f T ARECEIVREADY FORD�AT`E ISSUED FIRST INSPECTION ADDRESS _. y CITY ).lTEL NO 4 . `° Q / !� I . J-7 LICENSE ND. fl- - EXPIRES v O./'a' Y, ADD EISS O ��`✓!�v� �1 /JC' �-�h. DESCRIPTION OF WORK ' NUMBER OUTLETS EACH FEES LOCALITY. :%1•i �t�i ,- cl; CROSS LIGHTS 5O $ J STREET RECEPTACLES 5 � r I y ff FIXTURES 5 OWNER %✓7 �. ,•!:I l%._�' ':r"`� WALL SWITCHES 5 MAIL ADDRESS/ ,, V A&, 1 , � A s�( ELEC. RANGES 25 I c ® , r a- ELEC. HEATERS 25 CITYf�rt, ;2 ia/ •�_ 4 TEL. NO. MISC. I CERTIF�THAT I POSSESS THE ABOVE VALID LOS NUMBER OF CIRCUITS INSTALLED: ANGELES COUNTY LICENSE. LAA- 4 LIGHTS RECEPTACLESO1 MOTRS ELECTRICIAN. NUMBER HORSEPOWER FEE NEw MVD. HP OVER INC. EACH 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROP- %s A LEBB 6 .25 ERTY DESCRIBED ABOVE. V2 2 .50 2 5 1.00 OWNER. 5 is 1.50 INSPECTION RECORD 15 5O 2.50 50 200 5.00 2930 Sao 10.00 500 19300 15.00 J Q OVER 1000 20.00 Z M.G. SET/FRFQ. CHANGER-HP I L o WELDERS:AC-KVA - O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIS-) MOVED MOTORS (75% OF ORIS.) MISC. SIGNS TYPE: NO.TRANS- TYPE: NO. LAMPS APPROVALS PERMIT FEE DATE INSPECTOR'S NAME FOR ISSUING PERMIT: CONDUIT �t WITHOUT FIXTURES 181.00 WIRING T. WITH FIXTURES 1.25 FIXTURES SUPPLEMENTARY .50 V POWER TOTAL FEE # UTILITY CO.NOTIFIED '� / may) 0 V FINAL `�7/ . ---_�- �?WORKER'S COMPENSATION DECLARATION . 20.0019 DPW 9189 APPLICATION FOR ELECTRICAL PERMIT I�hereby affirm that I have a certificate of consent to self Insure,' 7BA683 or a ceaificate crworker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT OF PUBLICiWORKS BUILDING AND.SAFETY DIV. copy thereof.(Sec.3800 Lab.•C.) t Poll Cy No. Company 1. FOR APPLICANT TO FILL IN JOB ^^ / -- _ _ ADDRESS ��••p`,� (�{.L� :� ..� ❑ Certified copy is hereby furnished. New Residential Bldgs.&Pools EACH NO. FEE `—.LOCALITY 1&2-Family,Sq.Ft. $ — $ .❑ Certified copy is filed with the county building inspection _ NEAREST department. i I Multi-}amity Sq.Ft. - CROSS ST. Date Applicant Residential Swimming Pools ASSESSOR: Q� � MAP BOOK' O PAG PARCE&A" CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rea._Light Sw. ME FRMENR OR t-. COMPENSATION.INSURANCE • � First 20 ..:'MAIL n ff nn�� (This section need not be completed if the work Involved by the i Total No. Additional :`ADDRESS LSA A`. IF�d_). permit is for one,hundred dollars($100)or less.) ' �. , I certify that in the performance of the work for which this permit. I,,CITY s L Tel.No. .is.issued, I shall.not employ any person in any manner so.,a td become subject to the Worker ompensatfon Laws. I Lighting Fixtures First 20 f'APPLICANT i Total No... Additional C. -0s,._ ADDRESS Date .7 1 pplicant . 15 OR 20A,120V BRANCH CIRCUITS NOTICE TO ARPLICANT. If, after making this Certiffdate of � �. CITY Tel.No. Exemption,you should become subject to the Workers'Compensation 1 TO 10 INCLUSIVE EACH r provisions of the Labor,,Code,you must forthwith comply with such 11 TO 40.I.NCLUSIVE EACH . ER ICANT; )Q� V 1iCs ki� provisions or this.permit shall be deemed revoked. 41 OR MORE BRANCH CIRCUITS EACH ADDRES LICENSED CONTRACTORS DECLARATION 15 OR 20A,208VT0 277V LIGHTING-EACH _ ",AL D I hereby affirm that'I am licensed under provisions of Chapter'9 /� r _ •-� 0 (commencing with Section 7000)of Division$of the Business and d' CI • LL G Tel.Nooz b_ f U Professions Code,:and my license Is in full'force and effect. RESIDENTIAL APPLIANCES UP TO 3WP LICENSE OR It Power Apparatus&Large Appliances REG:NUMBER glass. O Size.&Type HP,KW,KVA,or KVAR DISTRICT NO. PROCESS Y I- License Number Lic.Class LU Ub to 3 Incl. Over 3 to 10 Incl. FINAL ContractorDate Over 10 to 50 Incl. 'DATE Z ❑ I am exempt under Sec. Over 50':to 100 Incl. zJ VALIDATION FINAL. Over'100 B.&P.C.for this reason BY Services,Swbd.,.'MCC&.Panelboards. Date: . • • 0.•200 Amp.Under 600 V � 4 Signature 201-,1000 Amp.Under 600 V Over 1000 Amp.or Over 600'V❑ ri'Exemption for Reg.Maint.Elect. I __ SINGLE FAMILY Temp.Power Pole&Appurtenances iC" HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I,hereby affirm that I am exempt from the Contractor's License Law "'-' for the following reason(Section.7031.5, Business and Professions Additional`Sigh Branch Circuits �` ;(' _ L]ICode): twIC I, Ic l.S 1,as owner of the property,will do the work and the structure Misc.Conduits&Conductors - , .�. is not intended or offered for sale(Section 7044,'Business Other(See Complete Fee Schedule). T fl I � "` and Professions Code). , C4.i_{;K CONSTRUCTION LENDING AGENCY r:LJ AJ L-`a., ti1°"L otXJ hereby affirm that there is a construction lending agency fbr the performance of the work for which this permit is Issued(Sec. 3097, PERMIT FEE . (Sub-Total 3 oil 1 r-192 PLAN CHECKING FEE Lender's Name .. r_ C AN '849 PERMIT ISSUING FEE �- Lender's Address TOTAL FEE I certify that 1 have read this application and state that the above (J Information is correct. I agree to comply with all County ordinances and State Paws regulating Electrical wiring, and hereby authorize representatives of this Cour upon the above-mentioned roperty f r i isWr±y SEE REVERSE FOR EXPLANATORY LANGUAGE -1 S-C) SIGNA .R F APP CANTOR AGENT ,.. WORKERS'COMPENSATION DECLARATION 76A663 10/81 APPLICATION FOR ELECTRICAL PERMIT fit I hereby affirm that I have a certificate of consent to self CE-806G insure, 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 ee--��/j 11�,,�y Certified copy is hereby furnished. New Residential Bld8 pools EACH NO. FEE ADDRESS AIvLW� QG L I C Bldgs. ❑ $ _ $ LOCALITY G Certified copy is filed with the county building inspec- 1 8 2-Family, Sq. Ft. ITY tion department. Multi-family Sq. Ft. — NEAREST Residential Swimming Pools CROSS ST. 9.QSF-MEAD Date Applicant OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light-- MAIL COMPENSATION INSURANCE First 2. ADDRESS 1al WC t. (This section need not be completed if the work Involved by Total No. Additional CITY IE i✓` Tel. No. �6D 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 ma er so as to become subject to th Workers' ompendo L S. Lighting Fixtures First 20 ADDRESS Total No.�— Additional CITY T I. Date —Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE. TO APPLICANT: If, after m ing this Certificate of APPLICANT Exemption, you should become su lett to the Workers' Range_ Heater—D.W. 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. — CITY Tel. No. deemed revoked. Hood _ Fan _Other_ LICENSED CONTRACTORS DECLARATION LICENSE OR I 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 DISTRICT NO. PROCES BY p� and Professions Code,and my license is in full force and effect. Power Apparatus 8 Large Appliances O Size 8 Type HP, KW, KVA, or KVAR �r V C) License Number Lic. Class Up to 1 Incl. FINAL / Ja: Over 1 to 10 Incl. DATE VA ATION Contractor Date❑ Over 10 to 50 Incl. FINAL ILLI I am exempt under Sec. Over 50 to 100 Inc. BY rV2 Over 100 N B.BP.C. for this reason Z Date: Services, Swbd., MCC 8 Ponelboards 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V 2 5 2 3.2 A ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. # 0 0 0 0 0 2 SINGLE FAMILY Temp. Power Pole 8 Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I o 039.00 1 hereby affirm that I am exempt from the Contractor's License Law f r the following reason (Section 7031.5, Business and Additional Sign Branch Circuits o 0 o 3 9 0 0 5 Prof scions Code): a 12-86 1, as owner of the property, will do the work and the Misc. Conduits 8 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 Lender's Address PERMIT ISSUING FEE !� I certify that I have read this application and state that the TOTAL FEE r 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 ab ve-me ed op ty for inspection purposes.,0 V SEE REVERSE FOR EXPLANATORY LANGUAGE Sig ture of Permittee 1 Date WORKER'S COMPENSATION DECLARATION 20.00.19 DPW(12-91) 76A663 APPLICATION FOR ELECTRICAL PERMIT I hgreby affirm--that f have a certificate of consent to self insure, , or a certificate of'worker's Compensation Insurance,or a certified COUNTY OF LOS ANGELES. DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3800 Lab.C.) Policy No• Company FOR APPLICANT TO FILL IN '0 ADDOB RESSJal D Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE LOCALITY 1 &2-Family,Sq.Ft. — $ $ ❑' Certified copy is filed with.the county building inspection _ NEAREST / n department: Multi-family Sq.Ft. CROSS ST. Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF'EXEMPTION FROM WORKERS' OWNER OR n ' � ( COMPENSATION INSURANCE Outlets:Rec. Light Sw. 10 �` FIRM NAME �G. J 'First 20 �J KA- (This section need not be completed If the work Involved by the Total No. MAIL Additional •P'V ADDRESS' oL pL permit is for one hundred dollars($100)or less. ) I certify that in the performance of'the work for which this permit CITY ' 't T.H.No. .,l 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 APPLICANTK Total No. =012W Additional ' ADDRESS Date Applicant R ID NT L,A LIANC OT OVER 3 HP: NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel.No. Exemption,you should,become subject to the.Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP. rovisions of'the Labor Code,you must forthwith comply with such PERMIT p y p y APPLICANT provisioris:or this permit shall be deemed revoked. Power Apparatus&Large Appliances t V L LICENSED CONTRACTORSDECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. (commencing with Section 7000)of Division 3 of the Business and CITY Tel.No. Professions Code;and my license is in full force and effect. Over 10 to 50 Incl. �. LICENSE OR Class f1 Over 50 to 100 Incl. REG:NUMBER O Over 100 DISTRICT NO. PROCESSED BY V License:Number Lic.Class p Services,Swbd.,MCC&Panelboards ,�0 Contractor Date 0-399 Amp.Under 600 V DATE O ❑ 400-1000 Amp.Under 600 V �" '' $ VALIDATION V I am.exempt under Sec. Over 1000 Amp.or Over 600 VLLI FINAL fi BAP.C.for this reasonBRANCH CIRCUIT FEES 7 BY Cl) Date: 15A,or 20A,120V,Lighting or Recept. — 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits 41 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits .r: SINGLE FAMILY Temp.Power Pole&Appurtenances r, HOME OWNER''-BUILDER DECLARATION ' { Sign with One Branch Circuit �''t" I hereby affirm that I am exempt from the Contractor's License Law -, r:..1 =•I 1 for the following reason(Section 7031.5; Business and Professions Additional Sign Branch Circuits =.LI 3 iad. Code): . f I �=•,,`..: Misc.Conduits&Conductors � �°€`S!! I,'as owner of the property,will do the work and the structure �. Is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) Ei (Is- m--° and Professions Code). re 1.CHECK cE t CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the CHANISE .0 1 performance of the work for which this permit is'issued(Sec:3097, PERMIT FEE (Sub-Total) Q Civ.C.) PLAN CHECKING FEE ( — )I �� Lenders Name PERMIT ISSUING FEE a4 QM4 7 Aim.11'-4 Lender's Address 9 4 I certify that I have read this application and under penalty of purjury'state TOTAL FEE. /�f that the 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 u on he above-mentioned property fo 1 spection urposes. �13 SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNAIrURE OF bWrrrEE DATE