HomeMy Public PortalAbout9129 PRIMROSE AVE_Electrical__ 4.
76Ab63-CEBO81/70 APPLICATION FOR ELECTRICAL PERMIT
Vv COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS �j� L.GLO Pq
a JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY
COLEMAN W. JENKINS. SUPERINTENDENT OF BUILDING ;fly
NEAREST
FOR APPLICANT TO FILL IN CROSS ST,
OUTLETS N0. EACH FEE
OWNER ,
RECEPT. / $ $ 0 MAIL
FIRST 20 •P0 ADDRESS
LIGHT TOTAL r
OVER 20 CITY y ( TEL. NO.� ,& -O�
SWITCH _ •10 PLAN ECK'
LIGHTING TOTAL FIRST 20 201APPLICANT
FIXTURES
OVER 20 .10 ADDRESS
APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR: APPLICANT Cs S /r'f
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY / TEL. NO.:? 3—
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 A ND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 — 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND ItiTEND TO
I — 10 3.00 RESIDE IN, THE ABOVE I)PSCRIDED RESIDENT[ OPERTY. �
a
SIGNATURE Q
10 — 50 5.00 OF PERMITTEE I - —:I" V
50 - 100 10.001 1 ad
DISTRICT NO. CLASS jGRCW_jZONErI_pRpC SEED Y O
100 — 500 15.00 G
W
SIGN, GAS=SIGN ONE CIRCUIT 3.00 NOTES: D-
TUBE, OR z
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICENOTOVER 600 VOLTS OR 200 AMP 2.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AMP 5.00
TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES 3.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING
FIXTURES
PERMIT FEE (SUB TOTAL)
POWER AUTHORIZED
PLAN'CHECK FEE (50.% PERMIT FEE)
UTILITY CO. NOTIFIED
PERMIT ISSUING FEE 2.00
FINAL Y �I
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
JOSEPH C. .ROOHAN
TOTAL FEE 07D SUPERVISING ELECTRICAL ENGINEER.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
8 n 5 baFE
a 8 2 D 2.4 DN a
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE //k
%4688C- CE8066 IE/78 APPLICATION FOR ELECTRICAL .PERMIT
BUILD]NG ND SAFETY DIV 1014
FOR APPLICANT TOFILL IN JOB
New Residential Bldgs.&Pools
EACH NO. FE.E. ADDRESS dl
1 &2 Finally Sq. Ft. $ — $ LOCALITY Q G
Multi-family Sq. Ft. — NEAREST
Residential Swimming Pools CROSS O
OWNER OR
FIRM NAME
Outlets: Light,Switch&Receptacle MAI L lJ
First 20 �j ADDRESS °1rllr,A;- rCt/
Additibnal fti:C CITY Tel. No.
PLAN CHECK ��
Lighting Fixtures APPLICANT
First.2.0 0 ADDRESS e
Additional Y1661'e CITY Tet.No.
PERMIT
Fixed Appliances Not Over 1 HP APPLICAN
Range_-;� Heater_ D.W. —
ADD'RESS
Oven 'Dryer _ W.M. / y
Top FAU _ W.H. _ CITY Tel.No.�
Hood Fan LICENSE OR
Disp. A.C.
REG. NUMBER Class. p_ . v
1 HEREBY ACKNOWLEDGETHAT 1 NAVE READ TN18 APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 0.
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINAN CBS ANO STATE LAWS REGULATING V
ELECTRICAL WIRING, L1.I
Size&Type HP,KW,KVA,or KVAR
Up to 1 Incl. , HEREBY CERTIRY THAT 1 AM PROPERLY REGISTERED AND/OR N
Z
0 r 1 to 10 Incl. LICENSED AS REO UIRED BY LOS.ANGEL-E8 COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
11R�
Ver 10 to 50 Incl. DESCRIBED RESIDENTIAL P ERTY.
Over 50 to 100 Incl. pERMITEE
Over 100 SIGNATURE
DISTRICT NO. 0 SSED Y
Services r
0-200 Amp. Under 600 V &**' U O
201 -1000 Amp.Under 600 V APPROVALS DATE INSPECTOR'S
SIGNATURE
Over 1000 Amp,or Over 600 V
MR
EMP.POWER'POLE
Temp. Power Pole&Appurtenances NDERSLAB WORK
Sign with One Branch Circuit
Additional Sign Branch Circuits OUGH CONDUIT
(Other)' IRINGIXTURESOWER AUTHORIZED
PERMIT FEE (Sub-Total) TI LITY CO.NOTIFIEDr�PLAN CHECKING FEE (One-Fourth Permit FeelINAL V
PERMIT ISSUING FEE
NOTES
TOTAL FEE -7 A
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. ;;CA4S __
7 1. 6h DEC .10 2 0 1 4.7 0 ,:b
-�,
i)7BA569-GE`S Ao. 'APPLICATION FOR, ELECTRICAL P RAAIT
I CbUNTROF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING o (f puO L aP7,n�
BUILDING AND SAFETY DIVISION ADDREss 9A K.�./
JOHN A. LAMBIE. COUNTY ENGINEER LOCALITY '��
COLEMAN W. JENKINS. SUPERINTENDENT OF BUILDING
NEAREST
_ FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACH FEE n
OWNER M. {(8 V�/1`,
RECEPT._ S $ MAIL
LIGHT TOTAL
FIRST 20 .20 ADDRESS
OVER 20 CITY TEL. NO.
SWITCH_ f0, PLAN CHECK
LIGHTINGTOTAL FIRST 20 20 APPLICANT
FIXTURES
OVER 20 .10 ADDRESS
APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR: HTR. APPLICANTS-C&
STA. COOK DISP. F.A.U. ADDRESS �f[�
SPACE HTR. AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE N0. 245Cta eLq CLASS. --
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANO 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 I AM PROPERLY REGISTERED AND/OR
0 — 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT AM THE LEGAL OR OF, AND INTEND TO
1 — 10 3.00 RES DE IN, THE A 1 BOVE DESCRW IBED REESIDENTIAL PROPERTY.
SIGNATURE �'
10 - 50 5.00 OF PERMITTEE
50 - 100 10.00Im
DISTRICT NO. CLASS GROUP , ZONE ,PRO SEED BY O
100 - 500 15.00 .J• '� 7�t - �i y4 ti
W
SIGN, GAS SIGN AND ONE CIRCUIT 3.00 NOTES, h
TUBE, OR Z
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICENOTOVER 600VOLTS OR200AMP2.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AM P 5.00
TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES 9.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING i -7,q �
PERMIT FEE (SUB TOTAL) c FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED
UTILITY CO. NOTIFIED
PERMIT ISSUING FEE 2.00
13 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
• JOSEPHH'�C.'ROOHAN
TOTAL FEE ov SUPERVISING ELE AL ENGINEER.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
,4} !Ar_ 0 9 0 39 .suN!16 2. D
4.00-
SEE
.0ONSEE BACK OF APPLICATION FOR COMPLETE SCHEDULE _
L: G
78'A563.CE308 :. . •APPLICATION FOR ELECTRICAL PERMIT 7
COUNTY'OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS !q 123 vAulun Rm
JOHN A. LAMBIE. COUNTY ENGINEER LOCALITY
COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS N0. EACH FEE
OWNER
RECEPT. $ $ di1 ADAIL
DRESS �•
LIGHT TOTAL FIRST 20 (/V '
OVER 20 ® CITY TEL. N0.
SWITCH .f0 PLAN CHECK! _
LIGHTINGFIRST 20 APPLICANT
FIXTURES
TOT
OVER 20 ADDRESS
f0
APPLIANCES CITY TEL. N0,
PERIT
RANGE DRYER_WTR. HTR. APPLICANT _
STA. COOK DISP. F.A.U. ADDRESS tj
SPACE HTR. AIR COND. CITY TEL. NO. �=
CLOTHES WASH. DISHWASH. LICENSE NO. l?,lS4qoM CLASS. J3.-1
FAN OTHER 1.00 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 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
I. HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
O — 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
I — 10 3.00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE Q
10 - 50 5.00 OF PERMITTEE V
50 — 100 10A0 OC
DI1•� 10!�pJZONF_
NO CLA99 RO BY O
100 - Soo 15.00 ! G
W
SIGN, GAS=ND ONE CIRCUIT 3.00 NOTES: N
TUBE, OR Z
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVI CENOTOVER 600 VOLTS OR 200AMP 2.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICEOVER 600 VOLTS OR 200 AMP 5.00
TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES 3.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.001 1
ROUGH CONDIUT
WIRINGcz'o, � V'6).•
PERMIT FEE (SUB TO FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED
UTILITY CO. NOTIFIED
PERMIT ISSUING FEE �L
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
JOSEPH`C. ROO AN
TOTAL FEE 101 SUPERVISING ELECTRICAL ENGINEER.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION OCK. M.O. cases
1 a 2 0.9 AUG 4 2 D 1 011 5f&
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE '
76q.663-CE806: 10/72 APPLICATION F R ELECTRICAL PERMIT u
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER pooRESS qi: �
BUILDING AND SAFETY DIVISION
ilo
LOCALITY7
A, �.
FOR APPLICANT TO FILL IN NEAREST CROSS ST. W.1,004,
OUTLETS NO. EACH FEE OWNER OR
FIRM NAME
RECEPT. �?+ $ 5 MAIL "
�(� FIRST-20 25 ADDRESS
LIGHT TO AL ��
JJ OVER 20 CITY �. N0.
SWITCH,,_ �{G� •10 PLAN CHECK'
FIRST 20 .25 � APPLICANT
LIGHTING TOTAL
OVER 20 .ADDRESS
FIXTURES .10
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
,
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY TEL. NO.
'CLOTHES WASH. DISHWASH. LICENSE OR CLASS.
REG. NUMBER
FAN OTHER 1.00 10 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AN STATE THAT THE ABOVE 15 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 I AM PROPERLY REGISTERED AND/OR
0 — 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE.OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
1 — 10 3.00 DESCRIBED RESIDENTIALzlg�
PERMITEE
* V
10 - 50 5.00 SIGNATURE -09
O
50 - 100 10:00. DISTRICT NO. PROC SED BY v
W
100 - 500 15.00 .�
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPEC sSIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1A0 TEMP. POWER POLE
SERVICE NOT OVER600VOLTS OR200AMP 3.00 UNDERSLAB WORK
SERVICE OVER 600V.OLTSOR200AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE,&APPURTENANCES 5.00 W.IRING �(
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
t
POWER AUTHORIZED
UTILITY CO.,NOTIFIED
FINAL `
PERMIT FEE (SUB TOTAL) COO NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 ac
TOTAL FEE �fj O
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. CASH
1484 2 5.00
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
p"Ma-5X412-49 25M APPLICATION FOR rEiM
DEMTMENT OF BUILDING AND SAFETY ELECTRIC
COUNTY OF LOS ANGELES
WM. J. FOX CHIEF ENGINEER
e NAME DISTRIC-TSI ov GROUP I ZONE PERMIT NO.
ADDRES n1)4
t� RECEIVED BY READY FOR DATE ISSUED
CITY TEL.NO. FIRST INSPECTION
COUNTY
/ J s
d CERT.NO. EXPIRES •'r'�!�•"�' �` `� • c • Ft'��
APPLICANT FILL IN HEAVILY OUTLINED POR ON ON&Y „ , „ A
JOB
DESCRIPTION OF WORK ADDRESS/ �"� ®
NUMBER OF OUTLETS ON CIRCUITS LOCALITY �..1+<�- �, ��[ K Rs
LOCATION 13Y ROOMS
NEAREST
LIGHT OUTLETS SW- PLUGS FOLT CROSS ST.
CIRCUIT A B JCJDJ E F Jr. I H E NAME
p Z MAIL
1 3 ADDRESS i1
e O
CITY TEL.NO.
1 AM p�THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
EIJ=RIC1AN.
A�8'1712 . , OF T116 PR}OPERTrYr�ESC-RIB
OWNER.
RRECHONS
J
_Z
r 17
r
f
i
OTAL
NO. OF OUTLETS y- eqq APPROVALS
NO. OF FIXTURES DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. S CONDUIT Jf
NO. OF SIGNS TRANS. E WIRING 6tlil+IO .
NO. OF RANGES OR HEATERS FIXTURES
MISCELLANEOUS E POWER
PERMIT FEE B '�r 'UTILITY CO.NOTIFIED
TOTAL FEE FINAL y