HomeMy Public PortalAbout10131 LYNROSE ST_Electrical__ 76A663 DBS SA 3-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY � ��
COUNTY OF LOS ANGELES qq
WILLIAM J. FOX, CHIEF ENGINEER
FORPPLICANIITO FILL IN DISTRICT NO. GROUPJ ZONE PERMIT NO.
ELECTRICIA�N/ RECEIVED B READY FOR DATE ISSUED
ADDRESS ..C( _ ST INSPECTION
FIRS 9
CITY TEL NO. ^ 1"/
COUNTY LICENSE NO. !�� EXPIRES BUILDING/
PERMIT FEES ADDRESS �/
NUMBER EACH FEE LOCALI
LIGHT OUTLETSV
J NEAREBr
CROSS ST.
RECEPTACLES LIP.
WALL
WALL SWITCHES OWNER /q.P.J
TOTAL OUTLETS SC >$ j V
MAIL
ELEC. RANGES - 25 ADDREBB
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES A B I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE 18 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 POSSEHB THE ABOVE VALID LOB
NUMBER HORSEPOWER FEE
ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEW_ MVD. IjP-j OVER INC. EACH OF THE RESIDENTIAL PROPERTYIIABCRIBEEDD ABOVE,
I/ 6 LESS $ .25 SIGNATURE
'/2 2 ,gD PERMITTED
2 s 1.00 '"INSPECTION RECORD
5 15 1.50
is 60 2.50
50 200 5.00
200 SOO 10.00 J
500 1000 15.00 Z
OVER 1000 20.00 a
M.O. HET/FREQ. CHANGER-HP
WELDERS'AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIS-)
MOVED MOTORS (75% OF ORIO.)
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INBPECTOR'S NAME
$1.00Q CONDUIT
WIRING $1,
FIXTURES 81.00 C WIRING
SUPPLEMENTARY ,50 FIXTURES
POWER
TOTAL FEE UTILITY CO.NOTIFIED
FINAL-- 1
1/
76A663-CE806 4-65 APPLICATION FOR EL'ECTRICA PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FAD
DING /
BUILDING AND SAFETY DIVISION RESS JOHN A. LAMBIE, COUNTY ENGINEERCOLEMAN W. JENKINS. SUPT OF BUILDING LITY {�EST
FOR APPLICANT TO FILL IN CROSS ST /C, z Ph 4/1
RECEPTACLE TOTAL UTLETNO. EACH FEE
S a
LIGHT � � FIRST 20 $20 $ 3 O OWNER P�C ft
SWITCH /- OVER 20 ADD'L 1O ADDRESS F..
�
Aj
TOTAL FIRST 20 .20 D CITY �^ ([�
�t• TEL. NO TT �—tFi//W
LIGHTING 1 FIXTURES
FIXTURES )( ADD'L 10 -CONTRACTOR
OVER 20
RANGES CLO DRYERS WTR HTRS 1.00 ADDRESS
GARB DISP. STA COOK
CITY TEL NO.
DISHWASH AUTO.-WASH. STATE
CE HTR STA.APP.W.H P.MAX.) ,50 U6 -LICENSE NO
M OVER NOT OVER HP DIST COT . GRQUP PR BY
O 1 1.00
1 3 150 INSPECTION RECORD
3 a 2.00
8 15 2.50
15 50 300 O
V
50 100 S.00
NO.TRANS O
SIGN81 NO.LAMPS - ~
V
W
SERVICEO.60OV-NOT OVER200A 1.00 �p
SERVICE 0.60OV-OVER 200 A 2.00
SERVICE OVER 600V 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 200 Q6
SUPPLEMENTAgY PERMIT ISSUING FEE 1.00
TOTAL FEE $ O APPROVALS DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERS LAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING �j
ELECTRICAL WIRING WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED OR FIXTURES / r
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEATE OF f
CALIFORNIA OR THAT 1 A THE LEGAL OWNER OF, AND INTEND TO POWER
RESIDE IN,THE AB VE D CRIBE RESIDE L OPERTY I
SIGNATURE A- AJAfY UTILITY CO.NOTIFIED
OF PERMITTEE ,y P,
FINAL p V
VALIDATION--,,,, JOSEPH C. ROOHAN
CK MOt*' CASH SUPERVISING ELECTRICAL ENGINEER
LJ�tL� 3 7 1 2 0 JUL 2 6 2 D 7.8 0-