HomeMy Public PortalAbout10102 LYNROSE ST_Electrical__ 76A663 OBS SA 3.50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFET /�
COUNTY OF LOS ANGELES �`l��P tVswaimm
I 1
WILLIAM J. FOX, CHIEF ENGINEER
Ft❑ �APPLICAhMT�TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAIvrah-. `
ADDRESS / � V RECEIVEDB READY FOR DAT ISSUED
FIRST INSPECTION
CITY ��jjTEL.NO.
6&T )C
COUNTY LICENSE NO. ,6 EXPIRES BUILDIN
ADORESB
PERMIT FEES
NUMBER EACH FEE LOCALITY /t/� 11 11 i
LIGHT OUTLETS NEAR EBT V
RECEPTACLES Z CROSS ST.
WALL SWITCHES / OWNER _ _J (a_ _
TOTAL OUTLETS 5c $ –2 8 !,
MAIL v
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT I 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 I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
FEE
New MVD. HP OVER INC. ACH OF THE RESIDENTIAL PROPERTY j
DEESSCRIBED ABOVE.
LESS $ .25 SIGNATURE OF/ fq�z 2 g0 PERMITTEE t .�liQ �3' 1�R s
it - A
2 5 1.00 (INSPECTION RECORD
5 15 1.50
15 Bo 2.50
50 200 5.00
200 3130 10.00 J
goo 1000 15.00 Z
OVER 1000 20.00 0
M.G. BET/FREQ. CHANGER-HP Q�
WELDERS:AC-KVA 17
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
N0. NO.TRANS.
NO. NO. LAMPB APPROVALS
FOR EACH PERMIT: DATE INBPECTOR'9 NAME
WIRING $1.00 CONDUIT /
FIXTURES $1.00 Q WIRING
SUPPLEMENTARY .50 FIXTURES v� ��V T' -7—, �
POWER
TOTAL FEE $ UTILITY CO.NOTIFIED
FINAL
V/
76A663-CE306 I'1-7'1 `-JAMPPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BU 'l
ILDIN D/ �
�7� `//1/2c3Sr` OfBUILDING AND SAFETY DIVISION
LOCALITY7ZP?/)4-c:F 0 `'T
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS N0. EACH FEE R/�'
OWNE t f�S ���
RECEPT. $ $ MAIL ,,ssT� -'�'
LIGHT TOTAL
FIRST 20 26 ADDRESS VILs-.'.� L .Iv��j
CITY' _MP � EL. N0.
SWITCH_ — OVER 20 10
PLAN CHECK
LIGHTINGFIRST 20 23 APPLICANT
TOTAL ADDRESS
FIXTURES OVER 20 10
RESIDENTIAL APPLIANCES CITY ��yy//�� TEL. NO..
PERIT
RANGE DRYER_WTR. HTR. APP LII CAN TGO42 OX.)/ -
STA. COOK DISP. F.A.U. ADDRESS, Q/ 40 L... II�1,
SPACE HTR. AIR COND: CITY ' r c_n TEL. NO. '?
CLOTHES WASH. DISHWASH. LICENSE NO. CLASS.
FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AN 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
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
of O'- 1 10 O LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
!J CALIFORNIA OR THAT I AM THE LEGAL OWNER )AND INTEND TO O
1 — tO 300 RESIDE IN, THE A DESCRIOED IDIAL PROPERTY. V
.SIGNATURE Iw
10 — 50 500 OF PERMITTEE O
50 - 100 ,DDD G
DISTRICT NO. CLASS ZONE PROCESSED BY L!J
100 — 500 1500 / N
SIGN, GAS SIGN AND ONE CIRCUIT 500 NOTES:
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100
SERVICENOTOVER600 VOLTS OR 200AMP 300
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICEOVER600VOLTS OR200AMP 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 500
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 300
ROUGH CONDIUT
WIRING
FIXTURES All' 12V
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE ,OV za
FINAL
PERMIT ISSUING FEE 300 3 o D
TOTAL FEE 7,
PLAN CHECK VALIDATION CK. M.0 CASH PERM ATION CK. M.0. CASH `
177Q73' JUN 19 2 D
7.2 -5
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE '
r
7GA663-CE606 4-60 APPLICATION FOR ELECTRICAL RMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
NG
BUILDING AND SAFETY DIVISION fElUILDIEAREST
DDRSSC2/JOHN A.LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUP'TOF BUILDING CALITY /— CFOR APPLICANT TO FILL IN PERMIT FEES Ross sT.
OWNER
1 TE M NUMBER EACH FEE MAIL
OUTLET : S S �isJ ADDRESS/0/40
LIGHTS RECEPT. SW. .10 ALJ
LIGHTING FIXTURES 10 D CITY 72� 4 CIr TEL.NO. 6
ELEC. RANGES CLO. DRYERS ELECTRICIAN
WATER H EATERS .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS CITY L.NO.
GARBAGE DISPOSERS AUTO.. STATE
LICENSE NO.
WASHERS STA. COOKING UNITS .25
MOTORS: OVER INC. H.P. DIST T NO GROUP ZO E PRO S D BY
O +/z 2 5
2 ,50 INSPECTION RECORD
2 5 1.00
CL
5 — 15 1.50 O
U
15 50 2.50
O
50 200 5.00 U
NO TRANS. W
SIGNS: D_
NO. LAMPS Z
SERVICE 0.600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00 ` (JT/
SUPPLEMENTARY PERMIT .50
TOTAL FEE I S O Z)
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WRING '
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL P RTY. POWER
SIGNATURE
OF PERM ITTEE------.d UTILITY CO. NOTIFIED
FINAL
VALIDATIOARTHUR C.VEIT,
CK Mo SH SUPERVISING ELECTRICAL ENGINEER
7 0