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Home My Public Portal About10109 LYNROSE ST_Electrical__ 76A663 DB8 5A 3-SO APPLICATION FOR PERMIT t DEPARTMENT OF BUILDING AND SAFETY .._. COUNTY OF LOS ANGELES .> EXCA I WILLIAM J. FOX, CHIEF ENGINEER 1 FOR APPLICANT TOIFILL IN DISTRICT NO. GROUP ZONE PERMIT NO. 1 (x /� 1.5 ../ oG z-ii ELECTRICIAN �� , �"! �- - �� -T "� RECEIVED BY READY FOR DATE ISSUED ADDRESS f� 'J �q FIRST INSPECTION r pf CITY p TEL NO. COUNTY LICENSE NO..`00 fG K EXPIRES 7�; BUILDD ADD PERMIT FEES NUMBER EACH FEE LOCALITY-,f) LIGHT OUTLETSNEAREST w1 RECEPTACLES CROSS ST. '4 WALL SWITCHES TOTAL OUTLETS 5c $ (/ MAIL J' V ELEC. RANGES 25 ADDRESS 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 JZ AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBERHORSEPOWER FEE ANGELES COUNTY LICENSE, OR IMAM THE LEGAL OWNER NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. & LESS $ .25 SIGNATURE OF-{ I ] %2 2 .50 PERMITTEE vvvrrr ` J 2 s 1.00 (/INSPECTION RECORD 5 15 1.50 15 SO 2.50 50 200 5.00 200 5013 10.00 J 500 1000 i5.00 Z OVER 1000 20.00 0 M G. SET/FREQ. CHANGER-HP _ Q' WELDERS: AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG.) MOVED MOTORS (75% OF DR:G.) MISC. .SIGNS NO. No.TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 Q CONDUIT FIXTURES $1.00 WIRING //•'w (-9�n SUPPLEMENTARY .50 FIXTURES POWER ,a TOTAL FEE >$ UTILITY CO.NOTIFIED FINAL W_ORKEf3S'COMPENSATION DECLARATION- 76A663 10/81 APPLICATION PPA IC gTION F®® Ep E, TMC q L PERMIT ` ],hereby Afirm that I have a Certificate-of consent to self insure, ;CE-sosG A� i�9 NV IPb t!� �.r 6i fLGVD II or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof (Sec 3800,Lab C) Policy NoCoFOR APPLICANT TO FILL IN JOB " mpany� S� �•CA 4 jADDRESS 01 ( nrtifi LTJ Certified copy is hereby furnished, New Residential Bldgs�&Pools EACH ANO "FEE' Certified copy is filed with co my b' I n9 n pection 1 & 2-Family,Sq Ft $ — $ LOCALITY'' 1?•C�� , department Multi-family Sq Ft — NEAREST �,t1p1 'CROSS ST Lci S" h EL Date � ) f Applicant '`� Residential Swimming Pools e� OWNER OR •, FIRM NAME J _CERTIFICATE OF•EXEMPTION FROM WORKERS'' Light',' I MAIL Outlets Rec— SwADDRESS L d - COMPENSATION INSURANCE , o... ( OV I /I (This section need not be completed If the work Involved by the I First 20. permit Is for one hundred dollars ($101)ror less) Total No, Additional• CITY C� .Tel No I certify that-in the performance of.thefwork for<which.this permit - PLAN ppuCANTK ' is issued, I shall not employ any person in,any manner so as to u become subject to„the Workers'Compensation Law_s Lighting Fixtures First 20 ADDRESS Additional Total No i / CITY Tel No Date Applicant ' NOTICE TO APPLICANT. If, after making this Certificate of Fixed'Apphances Not Over 1 HP PERMIT Exemption,you should become subject,to the Workers'Compensation Range_ Heater_ DW 11 APPLICANT IX,) provisions of the Labor,Code, you must forthwith comply with such Oven _ Dryer _ W M ADDRESS., provisions or this permii'shall'be deemed revoked Top _,FAU WH CITY J I r 1p 0 I� Tel No' LICENSED CONTRACTORS DECLARATION' Hood Fan Other_ I hereby affirm that l,,am licensed under,provisions,of Chapter,9 LICENSE OR Disp Room Air Cond Class C (commencing•with Section 7000)of Dryision 3 of the Ban usiriess and REG NUMBER - , Professions Code,and my license is in'full force and effectDISTRICT NO PROCESS BY Power-Apparatus& Large Appliances , Size'& Type HP,KW,KVA,or KVAR Q., License Number I Lic-Class Up to 1 Incl FINAL” U Over 1 to 10 Incl DATE ��}�, ^; ✓ 4 IDATION t Q Contractor" Date Over 10 to 50 Incl FINAL I am exempt under Sec ' Over 50 to 100 Inc' BY 1 W 1 BRPC for this reason : Over 100 tn. Services,'Swbd,MCC&'Panelboards Date 0-200 Amp Under 600•V � Signature 201 - 1000 Amp Under 600 V " Over 1000 Amp or Over 600 V Exemption for Reg Maint Elect SINGLE FAMILY Temp Power Pole& Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit , I hereby affirm that I am exempt from the Contractor's License Law A:-jl T �L for the following reason(Section 703,1 5, Business and Professions Additional SIgn.Branch.Circuits Code) 20.25 .2 c . Misc'Conduits ? + ITEM ' I;as owner of the property„will dd the work and the structure & Conductors e is not intended or offered,for.sale (Section 7044, Business ',. Other(See Complete Fee"Schedule) _ �. and Professions Code) s),I 20 :e CONSTRUCTION LENDING AGENCY - {� y 20.25 I hereby affirm that there Is a'construction lending agency for the performance of'the work for which this permit is issued(Sec 3097, • j 1' •PERMIT FEE (Sub-Total) ' ' Civ C) PLAN-CHECKING FEE / O Lender's Name _ fL'f PERMIT ISSUING FEE - Lender's Address ` �Q}�7 LZ I certify that I have read this application and state that the above.. TOTAL FEE 5 information is correctVCun comply with all County ordinances and State laws regutrical wiring, and hereby authorize repre entad sof thito enter-upon the above-mentioned cti0s SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Pe matte Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ;i EL 0508 9803230005 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID --BUTL-DfNG ADDRESS: TR: 16957 LT: 53 10109 LYNROSE ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802717 ASSESSOR IN UMBER: NEAREST CROSS STREET: GLICKMEN 8586-020-024 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: 83 LOCALITY: TEMPLE CITY HA FAU LESS 3HP 1.00 FAU 10.80 TENANT: JB AC UNITS +3-10HP 1.00 AC 19.65 ISSU N: ON: TOTAL FEES 58.20 03/23/98 VG 03/23/99 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: TEILHET RICHARD L CO TR TEILHET TRU (818) 446-9366- 10109 LYNROSE ST -4-2,V TEMP 917802717 DESCRIPTION WORK ELECTRICAL FOR FAU AND A/C APPLICANT: SAME AS OWNER SPECIAL CONDITIONS: GEL S c® CONTRACTOR: EL. NO: ®� (,�im APPROVALS DATE INSPECTOR SIGNATURE SAMELIC. NO TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT ENGINEER: TEL. O: �/ �� \ UFER GROUND LIC. NO: �'' _ _ �i "lllllll �' ROUGH CONDUI ROUGH WIRING MA N WATER LINE PLASTIC Y/N METAL Y/N - UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508 y COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS —EL 0508 9905100013 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 16957 LT: 53 10109 LYNROSE ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 9/7802717 ASSESSOR RMA I MBER: NEAREST CROSS STREET: GLICKMAN 8586-020-024 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY G1 OUTLETS—LGT,SW,RECP 12.00 OUT 23.40 TENANT: G2 LIGHTING FIXTURES 4.00 LGT 7.80 ISSUED ON: PROCESSED PL Y: EXPIRES ON- .-TOTAL FEES 58.95 05/10/99 UT 11/06 OWNER: TEL. NO: FINAL DATE FINAL Y: OD TEILHET RICHARD L CO TR TEILHET TRU (818) 446-9366— �)� 10109 LYNROSE ST 6 TEMP 917802717 DESCRIPTION OF WURK ELECTRICAL FOR CLOSET ADDITION AP . NO: SAME AS OWNER SPECIAL CONDITIONS: �OqE L c CONTRACTOR: TEL. N0: /� APPROVALS DATE INSPECTOR SIGNA RE �®�y SAME AS OWNER — LIC. NO TIEMPORARY POWER POLE UNDERGROUND CONDUIT f ARCHITECT OR ENGI 0: UFER GROUND LIC. N0: • , 1111111 ROUGH CONDUIT � UG I N F U B(l �� (1, /1 /7�(''K S MAIN WATE LINE P�rwv`�.�JJ 6La� 11iJ(l\iUll ILhGU PLASTIC Y/N METAL Y/N II.. UTILITY COMPANY 0 TIFIED V�0 c Service REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508-9802036004 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL -ID: F D _ SS: TR: 16957 LT: 5310109 LYNROSE ST--- FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP-CA7917802717-- AS S A NUMBER: NEAREST CROSS STREET: GLICKMEN 8586-020-024 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY LB 200 AMP PANELS, MCC 1.00 PAN 38.85 TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PLAN B ON: 02/03/98 UT 02/03/99 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: TEILHET RICHARD L CO TR TEILHET TRU (818) 446-9366- 10109 LYNROSE ST TEMP 917802717D SC -T-I -WO E MEW 200_AMP ELECTRICAL_SERVICE UP A 7 APPLICANT: 0: SAME AS OWNER - I; SPECIAL CONDITIONS: SAME CONTRASTOW- TEL. NO: ®� �� APPROVALS DATE NSPECTO SIGNATURE z, LIC. NO � 0", �EhP RAR ER POLE w \ UNDEFGROUND CONDUIT ARCHITECT O N R: TEL. N0: LIFER GR LIC. N0: _ _ ��111111 1��, ROUGH CONDUIT ROUGH WIRING WATER LINE PLASTIC Y/N METAL Y/N -- - - - UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508 ' r i