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HomeMy Public PortalAbout10118 LYNROSE ST_Electrical__ r t ' 76A663 DBS SA 3-50 APPLICATION FOR PERMIT - DEPARTMENT OF BUILDING AND SAFETY 3 COUNTY OF LOS ANGELES / LECT _� 1 WILLIAM J. FOX, CHIEF ENGINEER FQ PPLICAyT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. s ELECTRICIAN p� / ' RECEIVED B. READY FOR 4DAT.E IBSU D ADDRESS D ` FIRST INSPECTION r � l( ✓ CITY /' ,y t,TEL. NO. COUNTY LICENSE NO.,/ /n R EXPIRES _� qDD ADDRESS PERMIT-FEES FEE NUMBER EACH LOCALITY /} v LIGHT OUTLETS NEAREST • RECEPTACLES a CROSS ST. _ WALL SWITCHES OWNER CA TOTAL OUTLETS ScJ _ MAIL ELEC. RANGES 85 ADDRESS ELEC. HEATERS 25 -C,TY 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 �� AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOB NUMBER HORSEPOWERANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER FEE OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. NEW MVD. HP OVER INC. EACH - %2 a LESS $ .25 SIGNATURE OFI I/2 2 .50 PERMITTEE 11x/1 f/ /! 2 s 1.00 INSPECTION REOORD 5 14 1.50 15 40 2.50 40 200 5.00 200 500 10.00 J 500 1000 15.00 Z OVER 1000 20.00 M.G. BET/FREQ. CHANGER-HP WELDERS:AC-KVA - O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG.) MOVED MOTORS (74% OF ORIG.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 © U' CONDUIT FIXTURES $1.00 WIRING 4 ..-_-re_--/.&-- -7 SUPPLEMENTARY .50 FIXTURES !- �T—I '-w POWER TOTAL FEE $ UTILITY CO.NOTIFIED .� / FINAL J TEMPLE Ctyyj 76A663-CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILD7--'--- WILLIAM BUILDING AND SAFETY DIVISION ADDR JOHN A. LAMBIE, COUNTY ENGINEER //,A. JENSEN, SUPT OF BUILDING LOCALe NEAREST e FOR APPLICANT TO FILL IN CROSS ST. TOTAL NO. EACH FEE RECEPT OUTLETS FIRST 20 20 $ OWNER / % Z •.� LIGHT MAIL ADO'L 10 ADDRESS SWITCH OVER 20 - 1 TOTAL CITY' TEL NO. �• LIGHTING F7RSr20 .20 FIXTURES ADD'L0 .10 ELE6TRICIAk RANGES CLO DRYERS WTR HTRS. 1.00 ADDRESS GARB'DISP, STA COOK ' CITY TEL, DISHWASH AUTO. VWASH STATE SPACE HTRS - STA.APP (I/s H.P.MAX 1 .50 LICENSE NO MOTORS OVER NOT OVER H P. ':DISTRIC.T�N GRJP1 ZO E P� BY O 1 100 1 3 1.50 �h5 )IIN�SPECTION RECORD y �p 3 8 2.00 -`�!�✓'�i'�a Y bY''h/ 8 15 250 ,t 7 a 15 50 3.00 50 100 500 jt-, !I!- � _ .fiz+►iLG�3' O NO.TRANS SIGNS: NO LAMPS •, jT G, � /J'� .2r•✓ O SERVICE 0.60OV-NoT OVER 200A 1.00 1 h Lu SERVICE 0.600V-OVER 200 A. 2.00 SERVICE OVER 600V 5 00 r PERMIT ISSUING FEE' 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1 00 , TOTAL FEE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPL CATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT i a WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ,Ny- �{, ',`� ELECTRICAL WIRING. WIRING A _ Ad !lu f7A' % .dS�vhl 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/ORCk 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES -C CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PR-7 Y POWER GNATURE UTILITY CO.NOTIFIED OIF PERMITTEE pf♦o� �tQp .s9 E h� FINAL VALIDATION ARTHUR C.`VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER 16 20 4.0 0- V `�., z? 76A663CE-806(11 /78)' ;AAPP UCQ�' N FOR.EL CTMCA ��.77 i COUNTY OF LOS ANGELES BUILDING,AND SAFETY FOR APPLICANT TO FILL IN JOB ' New Residential Bldgs &Pools =EACH -NO - FEE - •- ADDRESS. . �C '0 2 - 1 &2-Family,Sq Ft. $ 025 - $ LOCALITY ! ' Multi family Sq Ft~ 02 - NEAREST a' , •25 00 CROSS ST C_f Residentiol,Swimming Pools -OWNER OR - - .�• - '� FIRM NAME Outlets-Rec �S bght'�ZSw _ I MAIL ...._ r ` First 20` 50 ADDRESS P -Total.No 'Additional 30" _ CITY 'PLAN CHECK �.AP.PLICANT Lighting Fixtures First 20' 50 ,ADDRESS,' i7 - '_.Ad'ditional 30.. -- Total No CITY Tel,No ' Fixed Appliances Not Over 1-4-- - PERMIT-- Range_Heater ti 'D W APPLICA' j' QC. VOver—Dr'er'' 'W,M— " -ADDRESS- ',Top _FAU — W'H CITY Hood_ran _Other_ LICENSE OR Disp,__Room A4r Cond- 2 50_ °c -60 REG NUMBER' _ _ _ClassT��a I HEREBY ACKNOWLEDGE THAT-I HAVE READ THIS APPLICA' 'Power Apparatus&Large Appliances TION AND STATE'THAT THE ABOVE IS CORRECT AND'AGREElTO Size&T 'COMPLY WITH-ALL'COUNTY-ORDINANCES-AND-STATE'LAWS 2•, Type HP, KW, KVA,or•KVAR I REG ULATING'ELECTRICAL WIRING - IL up-to 1•Incl 2 50 -r• 0. 5 00 I HEREBY CERTIFY THAT�I-AWPROPERLY'REGISTERED AND70R " 'V Over 1 to 10 Incl LICENSED,AS REQUIRED BY OS ANGELES COUNTY-AND STATE OF, Oyer-l0,to 50Incl.y1- - -_1.2 50•x. _CALIFORNIA OR THAT THVLEG "NER'OF ZHE A@OVE, L;.®25 00DESCRIBED RESIDENTI PR ERT0 Over•50 to 100 Inc_ _ 6CiJd 40 00,- 'PERMITH " Over 1'00 ' ' SIGNATURE- ®' Services - - 1 DISTRICT'NO "` '- ` 'PR OCESjrED"BY 0 200 Amp Under 600 V 1'2 50 r 201'-1000 Amp Under 600 V - 25 00-. Over 1000 Amp or Over 600 V 50 00 , Z if O Temp Power Pole&Appurtenances -10-00- Sign with One'Branch Circuit• 1000 Additional Sign Branch Circuits; +„.`-2_00 ” INSPECTION > = INFORMATION ;3- Misc'Conduits&Conductors " I _" LO 00 _ N QEbEl35E- Other(See Complete Fee Schedule) Ou SIDE:'._.. Z 27 4 C c'o'o 0, 0,2' PERMIT FEE 'ISub'-Total) �d y R2 0 0 4�0 Q PLAN CHECKING FEE (One-Fourth Permit Fee) y _ _ O �o o, o 1�0,0-9 PERMIT ISSUING FEE- $7 00 Q,2tJr-,7 9 J , TOTAL FEE' INSPECTION FINALED W date �'�� /� /�� By d Oi WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91) APPUCATIO tl FOR EL5C G RICAL PERMED. 76A663 hereby affirm that I have a certificate of consent to self Insure, 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• C) Policy No Company FOR APPLICANT TO FILL IN - B Q ADDRESS C_ F1, Certified copy is hereby furnished New Residential Bldgs &Pools NO EACH FEE • _ $ $ LOCALITY El Certified copy is filed with the county building Inspection 1 &2-Family,Sq Ft NEAREST department I Multi-family Sq Ft CROSS ST Date Applicant I tR Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF,EXEMPTION FROM WORKERS' Outlets Rec Light g �Sw OWN R OR �_ COMPENSATION INSURANCE First 20 • 70 �/ (This section need not be completed if the work involved by the Total No Additional permit Is for one hundred dollars($100)or less) el N I'cerUfy that in the perCITY formance of the work for which this permit _ Qgr � 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 PLAN C EOK s ice[ P g g APPLICANT 4�/ '�-7 Total No Additional n ADDRES Date 112-- Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT If, after making this Certificate of CITY Tel No 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'tie deemed revoked Power Apparatus&Large Appliances APPLICANT LICENSED CONTRACTORS DECLARATION Size&T_ype HP,KW,KVA,or KVAR ADDRESS 1 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 Professions Cade, and my license is in full force and effect Over 10 to 50 Incl �9Z Over 50 to 100 Incl LICENS OR REG NUMBER ass �j/3. � a License Number LiC CIeSS over 10o�!—�� DISTRICT NO PROCE ED BY Q rd tG-' G r cy Services, 600 Swbd,MCC&Panelboards U ContractorPS-Z //t LIEDate �c�t 9. / 0-393 Amp Under V DIATE 0 El400-1000 Amp Under 600 V 7_ VALIDATION V I am exempt under Sec Over_1000 Amp or Over 600 VW FINAL B&P C for this reasonBY BRANCH CIRCUIT FEES I Date 15A,or 20A, 120V,Lighting or Recept Z -- 1 To 10 Branch Circuits Signature� 11 To 40 Branch Circuits EJ41 Or More Branch Circuits r Exemption for Reg Maint Elect 15A,20A,208V To 277V Lighting Br Circuits ' • ILSINGLE FAMILY Temp Power Pole&Appurtenances 'g HOME OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law .Sign with One Branch Circuit, for the following reason (Section 7031 5, Business and Professions Additional Sign Branch Circuits t Code) - _ 1 ITEM ❑ 1, as owner of the property, will do the work and the structure Mlsc Conduits&Conductors A 1 -75 is not Intended or-offered for sale (Section 7044, Business Other(See Complete Fee Schedule) TOTAL OtT � '® and Professions Code) CHECK 41.75 CONSTRUCTION LENDING AGENCY CHANGE ,[I{I I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is Issued (Sec 3097, PERMIT FEE (Sub-Total) /� b Civ C) i PLAN CHECKING FEE17!'72/41 Lender's Name A/C l` 1 / 7198 ` � PERMIT ISSUING FEE f Lender's Address / i I certify that I have r penalof read this application and dety purjury state TOTAL FEE that the 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 above-mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF PERMITTEE DTE