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Home My Public Portal About10037 LYNROSE ST_Electrical__ i 76ASS3 DBS SA 3-SO �--- 'APPLICAT%ON FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY -j COUNTY OF LOS ANGELES -� J WILLIAM J. FOX, CHIEF ENGINEER - FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. FO/R�APPLICANVTO ELECTRICIA14� i _ 9. / C ADDRESS�c'-a o .4-B to--7y ECEIVED BY READY FOR DAT ISSUED v .® FIRST INSPECTION. CITY TEL NO. C-_ COUNTY LICENSE NO. IeA Y EXPIRES BUILDING DING ADDRESS /7 / PERMIT FEES NUMBER EACH FEE LOCALITY V LIGHT OUTLETS NEAREST V �j .;f _ RECEPTACLES � / CROSS ST. - - WALL SWITCHES OWNER_ ! TOTAL OUTLETS [ SC .$ MAIL. ELEC. RANGES .,. 25'. ADDRESS ELEC. HEATERS 25 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 0 AND AGREE TO COMPLY WITH ALL COUNTY ORD.I'NANCE9 NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWSREGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT I 'POSSESS THE ABOVE VALID LOB NUMBER HORSEPOWERANGELES COUNTY LICENSE, OR 1 •AM THE LEGAL OWNER FEE /d NEW MVD. Hp OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. 1�2 6 LESS $ .25 +-,.SIGNATURE OF !/2 2 .50 PERMITTEE- S.- ERMITTEE 5. 1.00 tINSPECTION RECORD 5 15 1.50 15 50 2.50 50 200 5.00 ' _ 200 SOO 10.00 - -J 500 1000 15.00 Z - OVER 1000 20.00 M:G. SET/FREQ. CHANGER-HP Q' WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - KVA - TEMP. MOTORS (75% OF DRIG•) MOVED .MOTORS (75% OF ORIO.) MISC. SIGNS NO. NO.TRANS. - APPRovALs _ NO. NO.LAMPS FOR EACH PERMIT: DATE INSPECTOR'SNAME, WIRING $1.00 ® CONDUIT FIXTURES $1.00 �� WIRING SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE $� UTILITY CO.NOTIFIED d%— FINAL - WORKERS'COMPENSATION DECLARATION 76A663 i.CE-806612-Bo, APPLICATION FOR ELECTRICAL PERMIT , I'hereby affirm that I, have a certificate of consent,to self > COUNTY OF LOS ANGELES' BUILDING AND SAFETY. �. insure, on a certificate of Workers'Compensation Insurance,or._ -a-certified copy thereof.(Sec.3800,Lab.C:)' I ' FOR APPLICANT TO FILL IN Job /Policy No.' 'Company,-. - EACH NO. FEE ADDRESS . New Residential Bldgs.&Pools r� a Certified copy is hereby furnished. 1 gr'2-Family,Sq. Ft.-- $ — $ —AEAREST Multi-family Sq. Ft., ST 6R1bU310 < 0' Certified'copy'is filed with the county building inspection department. Residential Swimming Pools OWNER OR FIRM NAME `.Date ,Applicant y Outlets:-Rec.=Li ht_Sw. MAIL g First 20 ADDRESS CERTIFICATE'OF EXEMPTION FROM WORKERS' TotaI/No. .,Additional CITY, iZi QL "C\ Tel No. COMPENSATION INSURANCE t1 PLAN CHECK O APPLICANT (This section need not be completed if the work involved i U by the.permit is for one hundred dollars ($100) or less.)' Lighting Fixtures First 20 ADDRESS Additional .•I certify that in.the peiformance of the work for which this Total No. _ CITY 'Tel No. Fixed Appliances Not Over 1 HP permit is issued, I shall not employ any person_ in any manner PERMIT so'as to become subject to the Worker o ensation Laws. Range_ Heater_D'.W. APPLICANT d Oven Dryer_W M. ADDRESS Z 1 -r-'L �$1 . _ .. Top — FAU —W.H.. _ ' Date Applicant Ti)�\, Tel Not. • 'Hood _ Fan _Other CI NOTICE TO APPLICANT: If, after making this Certificate of Disp. _ Room.Air Cond-_ LICENSE OR Exemption, you should .become- subject 'to.the 'Workers' REG.NUMBER Class Compensation provisions of the Labor Code, you must forth- Power Apparatus`& Large Appliances DISTRICT NO. PROCE SED,BY with• comply with such provisions or this' permit shall be Size&Type HP,KW,KVA,or KVAR deemed revoked. Up to 1 Incl. FINAL hull ^ Over 1 to 10 Inc I.,• DATE _ LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl.- VALIDATION I hereby.affirm that I'am licensed under provisions of Chapter Over 50,!6 100 Inc. FINAL 4 9 (commencing with Section 7000 of Division 3 of.the Busi- BY ( g ) Over 100, ness and Professions.Code, and my license is in full force and i effect:. Services License Number Lic.Class 0-200 Amp: Under,600 V 201-1000-Amp. Under 600 V Contractor Date Over 1000 Amp.-or Over 600 V . HOME OWNER-BUILDER.DECLARATION Temp.Power Pole&Appurtenances, Sign with One Branch Circuit .I hereby affirm that I dam exempt from the ,Contractor's 1 ' 'License for the following reason (Section 7031.5,Busi= I Additional Sign$ranch Circuits ness a Professions Code): Misc.Conduits&Conductors I, :as o%' of.Fhe property, will.do the.work and the Other (See Complete Fee Schedule)'— ,2 T5 2 pl structure' is not intended or offered for sale (Section 7,044,'Business and.Professions Code). _ #co o'o o.o 'Z CONSTRUCTION LENDING AGENCY' ' I hereby affirm that'there is a construction lending agency_ - 2 °Y° 2'.3 5 0- for the performance of the work for which this permit is,, PERMIT FEE, (Sub-Total) issued (Sec:3097,Civ.C.). .° ° -2350'5 Lender's,NaTePLAN CHECKINGFEE (One-Fourth Per Feel' / l - Lender's Address 0 4.2 7'—8 2 PERMIT ISSUING,FEE �Sa I certify that I have read this application and state ihat•the TOTAL FEE So above informaf.' is correct. ee to'comply with all County ordinances 'and State laws -regula 'ng Electrical wiring; and :- hereby authorize re se tatives of is County'to enter upon th7ao�' p �forinsoection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signa reyof•Permittee Date - COUNTY OF LOS ANGELES TEMPLE,C_ITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0708010008 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 - PHONE: (626) 285-0488 EXT: ILEGAL ID: 1 FEES PAID I BUILDING ADDRESS: 1 ITR: 16957 LT: 58 I 1 10037 LYNROSE ST 1 IFEE DESCRIPTION: - QUANTITY: UOM: AMOUNT: ( TEMP CA 917802715 (ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ROBINHOOD 1 18586-021-019 - JAI PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY, Cl IC2 SPAS, HOT TUBS, OTHR 1.00 SPA 54.45 1 1 (TENANT: 1G1 OUTLETS-LGT,SW,RECP 22.00 OUT 41.70 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: IG2 LIGHTING FIXTURES . 25.00.LGT 45.75 108/01/07' '- SR 01/28/08 1 • IRA FAU LESS 3HP 1.00 FAU 10.95 1 I (OWNER: - TEL. NO: 1H7 RES EXHAUST FANS 2.00 EX 21.90 IFINAL DATE FI BY: CODE: I IZHOU, FEIMENG - (626) 821-0341- IJB AC UNITS +3-10HP 1.00'AC 19.65 I� - I 110037-LYNROSE ST ILB 200 AMP PANELS, MCC 1.00 PAN 38:85 I � I ITEMP 917802715 - I TOTAL FEES 261.00 IDESCRIPTION OF WORK 1 1 - I (ELECTRICAL FOR ADDITION AND.UPGRADE SERVICE PANEL TO 200 I (AMP (APPLICANT: - TEL. NO:' ICHEN (626) 454-9555- I 11517 S. 8TH ST. 1 ISPECIAL CONDITIONS: IALHAMBR.A, CA 91803 1 I ICONTRACTOR: TEL. NO: .1 (APPROVALS DATE INSPECTOR SIGNATURE I (ALBANS CONSTRUCTION CO, INC. (323) 256-5255- 1 1 I 1210 ST ALBANS AVE LIC. NO I - ITEMPORARY POWER POLE I I ISOUTH PASADENA, CA 91030 604723 B I I (UNDERGROUND CONDUIT I I I 1ARCHITECT OR ENGINEER: TEL. NO: . 1 IUFER GROUND iR - J ICHEN, CHARLES (626) 454-9555- 1 I 11517 S. 8TH STREET LIC. NO: 1 IROUGH CONDUIT I I I IALHAMBRA, CA 91803 "C 019359 1 1 I I I I IROUGH WIRING I I' I IMAIN WATER LINE I ✓ I' I . I IPLASTIC YIN METAL YIN I I I 1 1UTILI_TY COMPANY NOTIFIED.? /� 1 � ' t I I I I I I I I I I I I I I I I I I I • . I I I I I I IREPORT ID: DPR265 ROUTE TO: 2S0508 I I I