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Home My Public Portal About10112 LYNROSE ST_Electrical__ - I 76A663-CE806 8-62 APPLICATION FOR EL CTRICAL P RMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER �; WILLIAM A. JENSEN, SUPT of BUILDING - LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT TOTAL EACH FIRST 2O $20 $ FtEE ♦ �� 1 OUTLETS LIGHT MAIL SWITCHAoo'L 10 ADDRESS 8 OVER 2O LIGHTING TOTAL F)RST20 .20 CITY 'o TEL NOA - %/I FIXTURES OD'L 10 ELECTRICIAN OVAR 2O RANGES CLO DRYeR3 WTR HTRS. 3 1.00 3 00 ADDRESS GARB.DISP. STA'.COOK fS ' CITY s TEL NO. a7 DISHWASH AUTO.-WASH STATE ' SPACE HTRS STA.APP.(ya H.P.MAX.) ,50 LICENSE NO MOTORS. OVER NOT OVER HP DISTRICT Nom(/ GRO.l,�P ZONE P ESSED Y O 1 100 [l 1 3 ISO Q� INSPECTIO_N 3 S 2.00 O �� n I /1 J'�t1 �.i`� ✓4 j� O v B 15 2.50 15 50 300 SO 100 500 SIGNS NO TRANS G,� _ /I _ 'Ll _L]L/� l .��C1,,-, NO.LAMPS �I , '� •.1'T /I Q��j� I •et't fI�/ SERVICE 0.600V-NOT OVER 200A 1.00 Q Q-r\- &L SERVICE 0.60OV-OVER 200 A. 2.00 SERVICE OVER 600V 500 MISC - - A i PERMIT ISSUING FEE 200 'AQ SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE >8 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROYALS DATE INBPECTOR'881GNATURE i AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. ` POWER SIGNATURE UTILITY CO NOTIFIED ' OF PERMITTEE FINAL � IIDATION ARTHUR C. VEI SUPERVISING ELECTRICAL ENGINEER C / MO CASH LY(La 4 0 4 9-0 APR _z 0 2 D 6.6 0 J 76A663-CE806 8/63 APPLICeATION FOR ELECTRIC L PERM COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING �/ _ �C, BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER 1 i WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY NEAREST tj FOR APPLICANT TO FILL IN CROSS ST. tuarigg6 — RECEPT TOTAL NO. EACH FEE ' + ach o I der" FIRST ZO 20 $ • (? OWNER LIGHT MAIL 16019 ,p ADD'L f0 ADDRESS !6 I Q.•J�V SWITCH" OVER 20 p LIGHTING TOTAL FIRST 20 .20 p CITY e TEL. No. L/y7-/> 7 FIXTURES / ADD'L 10 ELECTRICIAN w Cil OV R 20 J) t+ RANGES CLO.DRYERS WTR HTRS 1.00 ADDRESS GARB.DISP. BTA.COOK CITY 1�r 1 - TEL NO. 641 1�f DIBHWABH. AUTO.-WASH. STATE ' SPACE HTRS. STA.APP.(ys N.P.MAX.) .50 LICENSE NO. MOTORS OVER NOT OVER H P. DISTRICT Nin. O Z NE P D B .' 0 1 1.00 or 1 8 1.50 - INSPECTION RECORD 9 a 2.00 - o_ 8 15 ' 2.50 0 15 so 300 - w O 50 100 5.00 V W SIGNS NO.TRANS (L NO.LAMPS H Z SERVICE 0.60OV-NOT OVER 200A 1.00 SERVICE 0-60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 200 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS /DATE INSPEgOR'Sf§IGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUITIQ- G- WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING ov 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LLFRNIA REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES - R THAT t AM THE LEGAL OWNER OF THE ABOVE SIDENTIAL PROPERTY POWER UTILITY CO.NOTIFIED EE FINAL I I n.• �•d•`, VALIDAT� ARTHUR C. VETT CK MO CASH SUPERVISING ELECT ICAL ENGINEER i 1 4 5 3 2 OCT 5 2 0 3.6 Q- TEMPLE CITY 76A663-CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES y DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST —�� RECEPTTOTAL NO EACH FEE l OUTLETS FIRST 20 $20 $ �0 OWNER i £ LIGHT a, MAIL SWITCH j OVER 20 .10 ADDRESS LIGHTING TOTAL FIRST 20 J 1.20 CITY r- C c TEL. NO. T ( / FIXTURES L—i— ADD'L 10 ELECTRICIAN �R L� a OV R 20 RANGES CLO DRYERS WTR HTRS. 1.00 ADDRESS W YK! GARB.DISP STA COOK CITY-'SW � ®T!_ � �I TEL NO.�rff { l>7 ��V DISHWASH. AUTO.-WASH STATE SPACE HTR9 BTA.APP (/s H P.MAX.) .50 LICENSE NO _ MOTORS. OVER NOT OVER H.P DISTRICT NO. GROUPZONE PROCESSED BY O 1 1.00 ��0p 4_/ (:::Tl - 1 3 1 50 INSPECTION RECORD 3 S 2.00 8 15 250 15 50 300 a 50 100 500 0 L SIGNS- NO.TRANS - NO LAMPS SERVICE 0-600V-Nor OVER 200A 1.00 Y W SERVICE 0-60OV•OVER 200 A. 2.00 j Z SERVICE OVER 600V 500 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 100 TOTAL FEE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS .Q DATE .,q INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT b�9 i9'd� //l Y4�1� WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING _ I/ ELECTRICAL WIRING. WIRING / 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTE ED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY STATE OF FIXTURES CALIFORNIA OR THA&[ AM HE LE ALOW ER F HE ABOVEDE8CRIBED REBIDENTIRT POWER SIGNATURE - UTILITY CO.NOTIFIED OF PERMITTEE - FINAL' ALIDATION ARTHUR C. VEIT C MO CASH SUPERVISING ELECTRICAL ENGINEER 3232% AUG28 2 D 4 .30!- a 76A663 DBS SA 3-50 ' APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES /4 WILLIAMJ. FOX, CHIEF ENGINEER FOA APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIA z ADDRESS 4 `-,�-.fa ( � ,y RECEIVED BY FIRST INSPECTION READY FOR DATIBHUECITY /�/,�,�a.p yy'' TEL NO. 7� COUNTY LICENSE NO. A9, Q� EXPIRES BUILDING PERMIT FEES ADDRESS � �� ,g NUMBER EACH FEE LOCALITY ,— � Sst/ 1 , 'e LIGHT OUTLETS �S NEAREST ,ROBS ST. RECEPTACLES WALL SWITCHES OWNER TOTAL OUTLETS Sc >$ MAIL ELEC. RANGES 26 ADDRESS ELEC. HEATERS l 25 CITY TEL NO. FIXTURES 5 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS D 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 LOB NUMBER HORSEPOWERANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER FEE NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPER=ESCRIBED./A,(IBOVE. I/s a LESS $ .25 SIGNATURE O 1/ (%2 2 .513 PERMITTED X 'l 'Q-�A 2 5 1.013 V INSPECTION RECORD 5 15 1.50 15 SO 2.50 50 2130 5.00 200 500 10.013 J 500 1000 15.00 Z OVER 1000 20.00 M.G. HET/FREQ. CHANGER-HP Q' WELDERS:AC-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 Q CONDUIT FIXTURES $1.00 ! ('] WIRING v SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE �� UTILITY CO.NOTIFIED pr FINAL 76A663 CE 806R 110/77 All 11 I,1 I /\MN FOR ELECT] (tellAL O ER_UVO� ll , rt COUNTY OF LOS ANGELES Illill Ilb� - tl FO✓�Q9' - •- DEPARTMENT OF COUNTY ENGINEER JOB 11 f,� `� BUILDING AND SAFETY DIVISION ADDRESS (J FOR APPLICANT TO FILL IN LOCALITY l�i�'Y► 1.New Residential Bldgs &Pools EACH NO FEE CNEAREST ROSS ST G � 1 &2 Family,Sq Ft $ 025 — $ OWNER OR Multi family Sq Ft 02 — FIRM NAME Qi Residential Swimming Pools 2500 AMAIL DDRESS Outlets Rec Llght_Sw _ CITY Cj' Tel No7-17 9 First 20 50 PLAN CHECK Total No Additiorial 30 APPLICANT ADDRESS Lighting Fixtures First 20 .50 CITY Tel No Additional 30 PERMIT j Total No APPLICANT �iF Fixed Appliances Not Over 1 HP ADDRESS ` j os Range—Heater_D W CITY, v Tel No Y7-1, Oven_Dryer_W M_ LICENSE OR Top —FAU —W H REG NUMBER Class Hood-Fan _Other_ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Disp — Room Air Cond 2 50 1 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN 7ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING Power Apparatus&Large Appliances Size&Type HP, KW, KVA,Or KVAR , I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM > Up to 1 Incl 250 THE LEGAL OW R OF THE ABOVE DESCRIB D RESIDENTIAL PROPERTY Over 1 to 10 Incl 500 C:) Over 10 to 50 Incl 1250 PERMITTEE Over 50 t6.100 Inc 2500 SIGNATOR Over 100 40.00 DISTRI T O: ROCESSE B d Services v z 0-200 Amp Under 600 V 1250 INsnefOR S •201-1000 Amp Under 600 V , 2500 APPROVALS DATE SI ATURE Over 1000 Amp or Over 600 V 5000 TEMP POWER POLE UNDERSLAB WORK Temp Power Poie&Appurtenances 1000 Sign with One Branch Circuit 1000 ROUGH CONDUIT 200 WIRING Additional Sign Branch Circuits Misc Conduits&Conductors 1000 FIXTURES Other(See Complete Fee Schedule) POWER AUTHORIZED UTILITY CO NOTIFIED FINAL PERMIT FEE Sub Total) NOTES PLAN CHECKING FEE (One-Fourth Permit Feel PERMIT ISSUING FEE $700 TOTAL FEE Z. PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION y MO CASH LE 1 4 7�AJG 4 2 A 21.5 U e ; SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE _ � WORKER'S COMPENSATION DECLARATION 20.0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that'l have a certificate of consent to self Insure, C 76A663 ((r or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec 3800 Lab ) - - - •40 ADDRESS v,�"2— PDII O Company �� FOR APPLICANT TO FILL IN JOB FF-1Certified copy,ls hereby furnishedNew Residential Bldgs &Pools NO EACH FEE LOCALITY — - � Certified copy Is fl1&2-Family,Sq Ft $ $ed with the county building Inspection NEAREST department 1 Multi-family Sq Ft CROSS ST 'I- �� Residential Swimming Pools, ASSESSOR Date � Applicant D o I MAP BOOK bl�p PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER OR y� _ • - Outlets Fee Light Sw FIRM NAME COMPENSATION INSURANCE (T'� First 20o his section need not be completed MAIL the work involved by the Total No Additional ADDRESS L� �V V �- It-,Is for one hundred dollars($1000)or less) I certify that in the performance of the work for which this permit CITY �t (C'. Tel No yyja-A 1 Is Issued, I shall not employ any person in any-manner so as to become subject to the Workers'Compensation Laws, Lighting Fixtures First 20 ACHECKLAN PPL CANT Total No Additional ,-L - ADDRESS Date•' - Applicant' RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE'TO APPLICANT If, after making this Certificate of CITY G Tel No ��Zrt Exemption, you should become subject to the Workers' Compensation OTHER APPLIANCES NOT OVER 3 HP provisions of'the Labor Code, you must forthwith comply with such PERMIT provisions or this permit shall be deemed'revoked ' Power Apparatus&Large Appliances APPLICANT LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS l - Oe_r c, 1►y��Or I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl (commencing with Section 7000) of Division 3 of the Business and CITY �� Tel No��L 17'x,4 Professions Code,and my license Is In full force and effect Over 10 to 50 Incl �� } i i LICENSE ORLi 4 Q q 1 Over 50 to 100 Incl REG NUMBER Class a 1 Over 100 DISTRICT NO PROCES BY 0 License Number Lic Class ,J�•� Services,Swbd,MCC&Panelboards •� U Contractor Cc^-ST Date '1 0-399 Amp Under 600 V FINAL DATE DATE ❑ 400-1000 Amp Under 600 V I am exempt under Sec N Over 1000 Amp or Over 600 V FINAL ( � �___ W B&P C for this reason- BRANCH CIRCUIT FEES BY 0- Date 15A,or 20A, 120V,Lighting or Recept , Z • 1 To 10 Branch Circuits Signature i 1 To 40 Branch Circuits. ❑ 41 Or More Branch Circuits r Exemption for Reg Maint Elect _15A,20A,208V To 277V Lighting Br Circuits SINGLE FAMILY Temp Power Pole&Appurtenances i 1 HOME OWNER-BUILDER DECLARATION -- ` _�r. I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit A i t7 n for the following reason (Section 7031 5, Business and Professions Additional Sign Branch Circuits a_ri! Code) - � - - TTEN ❑ I,as owner of the property,will do the work and the structure Vise Conduits&Conductors 7 Is not Intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) T'-)I AI- 58 m -EEM and Professions Code D j z ) ��L1.•�l __uLE_ CONSTRUCTION LENDING AGENCY CHANGE I hereby affirm that there Is a construction lending agency for the CHANGE performance of the work for which this permit Is Issued (Sec 3097, PERMIT FEE (Sub-Total) CIV C) PLAN CHECKING FEE l 0 0 0-0 0011 11 f i),(Q Lender's Name .z :,_, a y PERMIT ISSUING FEE L%3- W ID° '6 Lender's Address I certify that I have read this application and under penalty of purjury state TOTAL FEE j\ that the above information Is correct I agree to comply with all County �v+ ordinances and State laws regulating Electrical wiring,and hereby authorize representatives of this County to enter upon the above-mentioned property spectio urposes SEE REVERSE FOR EXPLANATORY LANGUAGE TORE OF PERMITTEE DATE ' WORKERS' CQMPENSATION DECLARATION 7A613DPW 3%87 APPUCAMN FOR ELECMC AL PERM67 1 hereby affirrp that I have a certificate of consent to self CE-806G, O insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified copy thereof (Sec 3800, Lab C ) Policy No - /_� Company FOR APPLICANT TO FILL IN ,IOg Certified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS C j� ,• Certified copy is filed with the county building inspec- 1 & 2-Family, Sq Ft $ — $ LOCALITY T6AIpOL� L1♦ 7� tion department Multi-family Sq Ft — NEAREST �( CROSS ST U / � Residential Swimming Pools Dote Applicant OWNER OR / t CERTIFICATE OF EXEMPTION FROM WORKERS' //10� �� FIRM NAME RT L� (J/Z Outlets Rec.L�Light�Sw—bc MAIL D COMPENSATION INSURANCE G l ADDRESS IAZZZ (This section need not be completed if the work involved b �o First 20 A the permit Is For one hu ed dollars ($100)or less.) y Total No ��/ Additional CITY SMP &r'y Tel No-574- Q S'l PLAN CHECK I certify hat in .he per once of the work for which this APPLICANT ' permit s iss d, shall t employ any person in any manner o as b o e suble e Workers'Compensation Laws Lighting Fixtures First 20 ADDRESS I ' Additional r Total Nc CITY Tel. No Date li ant Fixed Appliances Not Over 1 HP PERMIT NOTICE T AP IC If after making this Certificate of Range— Heater—D W — APPLICATION emption, you sh ul become subject to the Workers' 9 Compensation provi ns of the Labor Code, you must forth- Oven — Dryer —W M — ADDRESS / with comply with such provisions or this permit shall be Top — FAU WH — deemed revoked Hood — Fan ITY i Tel No LICENSED CONTRACTORS DECLARATION L Other- - Disp Room Air Cond (CENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBER / Class (commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO PROCESS BY >- and Professions Code,and my license is in full force and effect �� D t1 Size 8 Type HP, KW, KVA, or KVAR V Q License Number / Lic Class Up to 1 Incl FINAL O U Contractor / Date 11 , , Over 1 to 10 Incl DATEV__) VALID ION Over 10 to 50 Incl I— I am exempt under Sec / FINAL p Over 50 to 100 Inc BY W B &P C for this reason Over 100 a D -�Services, Swbd , MCC& Panelboards Z Date 0- 200 Amp Under 600 V Z_ - — Signature 201 - 1000 Amp Under 600 V Q Exemption for Reg Maint Elect Over 1000 Amp or Over 600 V p 7 6.2'A o SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Temp Power Pole &Appurtenances # L e'o o o e 2 1 hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit 1,,o 0 51.2 5 Law for the following reason (Section 7031 5, Business and -Additional Sign Branch Circuits L Professions Code) � � .e o'0 51,2 5 as owner of the property, will do the work and the Misc Conduits&Conductors structure is not intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)_ 0 9 2 3+8 8 Business and Professions Code) CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec 3097, Civ C ) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address I certify tho ave read s application and state that the TOTAL FEE S above mf ma ion is car c I agree to comply with all County ordinan s a State a s regulating Electrical wiring, and t hereb out ize rep entatives of this County to enter upon \ the ov en on erty for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Sig atu a e it a Date Os