HomeMy Public PortalAbout10046 LYNROSE ST_Electrical__ 76A563 oss sA 3-sfl. - APPLICATION_ .FOR.PERMIT
•
DEPARTMENT OF BUILDING AND SAFETY'' _ -
COUNTY OF LOS ANGELES
Ato
WILLIAM J. FOX, CHIEF ENGINEER '
FOR APyPPL�ICA14T TO FILL IN DISTRICT.'NO. GROUP ZONEOPERMIT NO. ,
ELECTRICIIAy ; •(.,C 1x. -�4
/ ADDRESS ��+l,V RED BY - READY FOR DATE
FIRST INSPECTION
CITYPxx'zl .s1"-H1. TEL. NO.
COUNTY:LICENSE .NO. �r3�A EXPIRES.- BUILDING �� 1 _
PERMIT FEES ADDRESS v nn
-- NUMBER EACH. FEE LOCALITY -LIGHT OUTLETS " NEAREST - ✓ - -! ,
CROSS ST.
RECEPTACLES 2 -
WALL SWITCHES ,OWNER .sL.E•f.@ .P A ?s�Je
TOTAL OUTLETS.- Sc $ MAIL
ELEC. RANGES 2B ADDRESS l!
ELEC. HEATERS - - 25 CITY TEL. NO.
'FIXTURES 5 _ < I HEREBY ACKNOWLEDGE THAT I. :HAVE READ' THIS
MISC. - APPLICATION AND STATE THAT_ THE ABOVE•IS CORRECT
NUMBER OF LIGHT.CIRCUITS-. o 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 - HORS EPOWERANGELES COUNTY-LICENSE, OR 1 AM THE .LEGAL OWNER
FEE
NEW MVD. HP DYER INC. EACH 7 e� OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
%z & LESS $ .25 J SIGNATURE OF w '
%z- 2 .50 _ PERMITTEE "
P
z s 1.00 INSPECTION RECORD'
5 1s 1.so
is s0 - 2.50' -
50 200 •-5.00
t 2013" 500 10.00
- - SOO -1000 15.00
OVER 1.000 20.013 _ O
M.G. SET/FREQ. CHANGER-HP -
WELDERS:AC-KVA • - - O-
GENERATORS -. KW - - -
TRANSFORMERS - KVA - - - -
TEMP. MOTORS (75% OF GRID-). - -
MOVED MOTORS (75% OF ORIG.) - -
MISC. -
SIGNS
NO. NO.TRANS:
APPROVALS—
NO.NO.. - NO. LAMPS -
FOR EACH'PERMIT:. - - - DATE INSPECTOR'S'NAME.
.WIRING. $1,.130' - ® Q CONDUIT _�.
FIXTURES WIRING-
.SUPPLEMENTARY - .50 FIXTURES
.POWER - - -
TOTAL -FEE - SIS UTILITY CO.NOTIFIED
FINAL
y
,'. +rte I��y I'�+ 1pI' pq_pp� ���gg g�m� ���ip� gym_ Ip��ppp�p��g
.,76A665-CE806-11-8'3i Ad 9 " 15'��'@®B"'ll T�.®tl��V lt 0- +ELE_`R9'T,RIa9 PERMIT-
COUNTY
E 1I 17 tlFY ttIT`'' •
COUNTY OF IOS MlGELE$
DEPA,RTIvIENT OF.-COUNTY'.ENGINEER. - , . •: ,ADOREss BUILDING
BUILDING AND SAFETY:DIVISION:
JOHN'& LAMBIE.County.Engineer '
CASSAIT D.GRIFFIN.Suet of Building` _ LOCALITY (P,+-¢',.
NEAREST
'FOR-APPLICANT TO FILL IN CROSS ST.
PERMIT.FEES
ITEM ° .NUMBER. EACH :• `,•FEE
OUTLETS: .$.;- MAIL
.LIGHTS RECEPT:' - 'SW.' �. -..10 ..'S A'DDRESS'- '
LIGHTING FIXTURES .10 - CITY TEL:NO.
ELEC.RANGES CLO:-DRYERS
k ;; ,ELECTRICI4
` H E AT E`R S
ELEC:,SPACE HTRS. ',DISHWASHERS - `•ADDRESS ' Gam"''
GARBAGE DISPOSERS' AUTO. - CITY,
WASHERS•. -STA.COOKING UNITS •.25 = - J
STATE _
LICENSE NO.
�. 'MOTORS:. OVER INC.. 'H.P.. -
J - 0 —' 1�2 .25 - D IST RICT.'NO.� IGROUPI Z•NE� TREADY FOR INSPECTION
V2 po
INSPECTION RECORD
2. 5 7.00 '
5: 15 1:50
15 50 2`50
50— 200 .5;00'
SIGNS: NO.TRANS. .. -
NO..LAMPS ,
SERVICED-600V 1:00': - -
SERVICE OVER 600V - - ' 5,00 - -
MISQ
WIRING*PERMIT W:�f.00',,
FIXTURE PERMIT .!-q0°
SUPPLEMENTARY PERMIT
-I HEREBY.ACKNOWLEDGE,THAT I HAVE,READ I---- DATE'J-$
- APPROVALS -; .. °• _ --_
HIS AP CICATION INSPECTOR
-S-SIGNATURE
AND. STATE THAT THE,ABOVE IS.CORRECT AND- AGREE' TO COMPLY - - - 4
WITH ALL COUNTY -ORDINANCES'AND" STATE .LAWS .REGULATING'
CONDUIT'•..
ELECTRICAL WIRING•. • ( ». ,.-.;... �. .. ,0�' ,
WPRING,
I HEREBY CERTIFY HAT, I.-AM P;ROPERLYe REGISTERED.'AND/OR
LICENSED AS.REQUIRED'•BY LOS.`ANGELES COUNTY..A_ND STATE OF, FIXTURES -,' ° ` '1•
CALIFORNIA OR THAT I AM ,THE -LEGAL OW R`' F,-THE ABOVEPOWER '
DESCRIBED RESIDENTIAL.PRO R`F�C•' - -
SI.GNATURE - UTI-LIT Y,CO.'NOTIFI.ED -OF PERMIT
TE /.•
VALIDATION ', ARTFJtlR.C.VETT:
CK Mo^, sH SUPERYISINB ELECTRICAL"ENGINEER;"
. L
tt
r
,
-oeT 1 7°5
~ COUNTY OF LOS ANGELES t APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN OISTRI NO. GROUP ZONE PERMIT NO.
ELECTRICIAN �/ CS ECEIV D BY READY FOR DATE ISSUED
_ADDRESS go d 4( E� ,]Pp FIRST INSPECTION
CITY • ' TEL. NO. Pad
COUNTY LICENSE NO. EXPIRES BUILDING 10
PERMIT FEES ADDRESt3 Id,
FEE ��
NUMBER EACH LOCALITY '7 �•
LIGHT OUTLETS - NEAREST / A®
RECEPTACLES �_ CR068 HT. /e�4,p��.I/
WALL SWITCHES OWNER 1414.dz ��
TOTAL OUTLETS -ti-� 5c $ _ v MAIL lea"
�y_ �evzdx�.
ELEC. RANGES 28 ADDRESS YIT-(B 6r_�!c{
ELEC. HEATERS - 25 CITY T c► TEL. NO. D• -S
FIXTURES B
1 HEREBY ACKNOWLEDGE THAT 1 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 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
FEE
NEW MvD. HP" OVER IN0. EACH OF THE RESIDENTIAL PROPERTY'DESCRIBED ABOVE.
I/2 LES13 $ .25 SIGNATURE OF
%2 2 .50 PERMITTE -
2 B 11.00 INSPECTION EFOtt
5 15 1.50
15 50 2.50 -
50 200 5.00
200 500 10.00 - - - J
500 - 1000 15-00 Z
---- "OVER 1 000 20.00 - E7
M.G. SET/FREq. CHANGER-HP
WELDERS:ACr.KVA - O
GENERATORS - KW -
TRANSFORMERS — KVA'
TEMP. MOTORS (75% OF ORIG-)
MOVED MOTORS (75% OF ORIG.) -
MISC.
SIGNS
NO. NO.TRANS. -
APPROVALS
NO. NO-LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 _ �{� - CONDUIT
FIXTURES $1,00 WIRING
SUPPLEMENTARY '.50 FIXTURES -
POWER -
TOTAL FEE $/ UTILITY CO.NOTIFIED
FINAL
76AG63 DES#5A 4-52
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX. County Engineer
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN gIMA/V� RECEIVED BY READY FOR DATE ISSUED
ADDRESS _ { �/� �� ��@.� leo J� FIRST INSPECTION r
CITY/.(T �,It.�NsL.il �, TEL. NO.
COUNTY LICENSE pNO. EXPIRES _V / ',' '� BUILDING
PERMIT FEES ADORESB/�
FEE
NUMBER EACH LOCALITY it
LIGHT OUTLETS _ NEAREST
RECEPTACLES CROSS ST. -
WALL SWITCHES OWNER r � .f,�°N'Yi1 aP 1. ✓�t�/ /- _
TOTAL OUTLETS 5C _$ MAIL
ELEC. RANGES 25 -ADDRESS /L
ELEC. HEATERS 25 - -
- CITY TEL. NO.
FIXTURES B
- 1 HEREBY ACKNOWLEDGE THAT ! 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 1 POBBESS THE ABOVE VALID LOS
NUMBER HORSEPOWER ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
FEE
NEW MVD. HP OVER INC. EACH OF THE REBIDENT L PROPERTY DESCRIBED ABOVE.
!/2 a LESS $ . .25 SIGNATURE OF
V2 2 .50 PERMITTEE
2 5 1.00 19SPECTION RECORD
5 15 1.50
_
is 50 2.50
50 200 5.00
200 500 10.00 P J..
Z
Z
-_ OVER 1.000 20.00
L7
M.G. SET/FREQ. CHANGER-HP
WELDERS: AC-KVA O
GENERATORS - KW -- - - -
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIO•)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT:
- DATE INSPECTOR'S NAME
WIRING $1.00 -1�, CONDUIT
FIXTURES 51.00 - WIRING
SUPPLEMENTARY .50 FIXTURES- '
—POWER
TOTAL FEE S UTILITY CO.NOTIFIED n /
- FINAL
7GASr3 DBS.}'`'5A 2-53 J
WORKERS' COMPENSATION DECLARATION DPw3 87
'766663766663 APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a certificate of consent to self CE-806G
insure, or a certificate-of Workeis':Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS
or a certified copy thereof,(Sec. 3800, Lab. C.)
60 Policy Na Company FOR APPLICANT TO FILL IN JOB �� / / U 5 C
Certified copy is hereby furnished. New Reside ntial;Bldgs. & Pools EACH NO. FEE ADDRESS (o 4
Certified co is filed with the count buildinginspec- 1 & 2-Famil S Ft. $ — $ LOCALITY
copy y p y q• NEAREST
tion department. Multi-family Sq. Ft. CROSS.ST.
nResidential Swimming Pools.
Date Applicant t -m ml OWNER OR r_
—�— 1, FIRM NAME
CERTIFICATE OF EXEMPTION FROM'WORKERS' Outlets: Rec.�light Sw.LL MAIL
COMPENSATION INSURANCE Q'
First 20 / �tf pO ADDRESS
(This section need not be completed if the work involved by Total No. Additional ;- CITY T �J� c' Tel. No. y -Y494-
(This
the permit is for one hundred d6llars_($100)or less.) PLAN CHECK
d certify that in the performance of the work for which this i APPLICANT. r
permit is issued, I shall not employ any person in any manner Lighting Fixtures First 20 ADDRESS
so as to become subject to the Workers'Compensation Laws.
Additional d
Total No. f CITY Tel. No.
DateApplicant Fixed Appliances Not Over 1 HP, PERMIT
NOTICE TO APPLICANT: If, after making this Certificate of APPLICATION /�} T A/
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
with comply with such provisions .or, this permit shall be Top FAL) —W.H.
deemed revoked. f CITY&� v r VE Tel. Rr �1
Hood Fan/ Other— S-40 -5QZd'
iICENSED CONTRACTORS DECLARATION ,_�� / LICENSE OR
I hereby affirm that I amdicensed under provisions of Chapter.9 Disp. Room Air Cond. — REG. NUMBER ��d' � Class.1
(commencing with Section 7000).of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO. PR ED_BY d
and Professions Code,and my license is in full force and effect. p -�
G' Size &Type HP, KW, KVA, or KVAR Q(! O
License Number lis/6,���Lic. Class Up to 1 Incl FINAL U
Contractor Date Over 1.to 10 Incl. DATE �,
�2 - _ f Z �U^ �� VALIDATION 0
❑ Over 10 to 50 Incl. FINAL F
I am exempt under Sec. Over 50 to 100 Inc. gY U
Over 100_ W
.B.&P.C. for this reason O_
Services MCC& Panelboards Q Z
D te: o-
Under 600 V , —
Signature, 201 - 1000 Amp. Under 600 V y
❑ Over 1000 Amp. or Over 600 V _ -
' Exemption for Reg. Maint. Elect., -
__ SINGLE FAMILY-
HOME OWNER_BUILDER DECLARATION. Temp. Power Pole&Appurtenances - " ° i- «c .;.
` s s i
I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit r
Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits s. I U
Professions Code): 1 -A
Misc.-Conduit's Conduits&Conductors - J`
❑ I, as owner of the_property, will do'the work and the `[j l {
structure isnot intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)— -- _
Business and Professions Code).
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agencyfor
this
the performance of the work for which permit is issued PERMIT FEE (Sub�Total) tl`r "'_)�=i.E _
(Sec. 3097, Civ. C.). l__L= t s u
'PLAN CHECKING FEE -
Lender's Name
PERMIT ISSUING FEE All
Lender's Address/
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
hereby authorize representatives of this'County to enter upon
the ab ve-mentione o erty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE j
Signature dUPLOrhittee • Date•'
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0308140007
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 16957 LT: 148 10046 LYNROSE ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802714
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BALDWIN
8586-019-031 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID:. B3 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 5.00 OUT 9.75
TENANT: G2 LIGHTING FIXTURES 1.00 LGT 1.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 39.45 08/14/03 JK 02/10/04
OWNER: TEL. N0: FIN D E n� FINAL BY: CODE:
HO FRANCIS (626) 574-9668- C/
10046 LYNROSE ST
TEMPLE CITY 91780 DES IPTI OF WORK
ELE TRICA FOR PATIOS
APPLICANT: TEL. NO:
L J HAUSNER CONSTRUCTION (714) 544-3100-
505 W FIRST ST SPECIAL CONDITIONS:
TUSTIN 92780
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
L J HAUSNER CONSTRUCTION (714) 544-3100-
505 WEST 1ST STREET LIC. NO TEMPORARY POWER POLE
TUSTIN CA 92780 B/L LOMITp
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRIN
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
* ADDITIONAL DATA ON FILE
REPORT ID: DPR265 ROUTE TO: BS0508