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Home My Public Portal About10147 LYNROSE ST_Electrical__ i76A663 CBS 5A 3-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY � � asm COUNTY OF LOS ANGELES �� jKlc WILLIAM J. FOX, CHIEF ENGINEER EER 0 FILL IN DISTRICT'NO. GROUP ZONE PERMIT NO. ELECTRICIAN 1 ^,,� A,► S / 0� RECEIVEDY READY FOR DATE ISSUED ADDRESS /// O(<-//-T> FIRST INSPECTION � r CITY TEL.NO. COUNTY LICENSE NO. EXPIRES BUILDING��, �7" ADDRESS / PERMIT FEES NUMBER EACH FEE LOCALITY LIGHT OUTLETS NEAREST CROSS ST. /1 WALL SWITCHES DWNER _r TOTAL OUTLETS Sc U MAIL ELEC. RANGES 25 ADDRESS VVV ELEC. HEATERS 25 CITY TEL NO. FIXTURES g I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MISC. �y 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 1 POSSESS THE ABOVE VALID LOB NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM;rHE LEGAL OWNER NEW MVD. HP OVER INC. EACH OF THE RESIDENTTIAL- PROPERTY DESCRIBED ABOVE. I/2 a LESS $ .25 SIGNATURE OF I/2 2 .50 PERMITTEE- 2 ERMITTEE 2 5 1.00 INSPECTION RECORD/ 5 15 1.50 15 6,0 2.SO 50 200 5.00 200 Soo 10.00 J 500 1000 15.00 Z OVER IOOO 20.00 a M.G. SET/FREQ. CHANGER-HP Q' WELDERS:AC-KVA - 13 GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% Or DRIG•) MOVED MOTORS (75% OF CRIG.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.130 0 CONDUIT FIXTURES $1.00 WIRING SUPPLEMENTARY ,50 FIXTURES H POWER - TOTAL FEE 8 /V(�/ UTILITY CO.NOTIFIED s FINAL ��' 76A663-CE606 9-64 APP CAMN FOR E ECT CfL ®}R 66-237 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS ].0]. L3=ose Ave JOHN A. LAMBIE, COUNTY ENGINEER '} /t COLEMAN W JENKINS, SUP'T OF BUILDING LOCALITY Temple Ci. f NEAREST FOR APPLICANT TO FILL IN CROSS ST RECEPT TOTAL , NO EACH FEE LIGHT OUTLETS FIRST 20 $20 $ OWNER Ills MAIL swlrcH ADD'L f0 ADDRESS OVER 20 OTAL CITY TEL. NO. FIRST 201 .20 FIXTURESE__T _ I ADI10 ELECTRICIAN Time LIGHTING 1 Electric Inc.OV R 20 RANGES CLO DRYERS WTR HTRS 1.00 ADDRESS 16320 S.Figueroa GARB.DISP. STA COOK TA 4- 6 CITY Gardena TEL N DISHWASH AUTO.-WASH. STATE 62 SPACE HTRS STA.APP.(yy H.P.MAX.) ,50 LICENSE NO. 48 MOTORS OVER NOT OVER H P DISTRI N G NE PRO-E D B elO 1 100 1 3 150 INSPECTION R CORD r 3 s 2.00 -� •✓L '1. _! s- a O a is 2.50 V ? 15 50 300 6 50 100 500 O V SIGNS NO TRANS NO.LAMPS (/) SERVICE 0.600V-NOT OVER 200A 1.00 SERVICE 0.60OV-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 r MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTASY PERMIT ISSUING FEE 100 TOTAL FEE h,,,, FIXTU 1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI &TIONAPPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLYUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATINGELECTRICAL WIRING NGIHEREBY CERTIFYTHAT I AMPROPERLY REGISTERED AND/ORLICENSED ASREQUIREDBYLOANGELES COUNTY AND STATE OFRES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN, THE ABOVE DESC IBED ESIDEN AL PRO ERTY ER SIGNATURE TY CO.NOTIFIED OF PERMI ,•/ - L VALIDATION JOSEPH C. ROOHAN bKMO CASH SUPERVISING ELECTRICAL ENGINEER LA(;0 3 5 3 5 a JUL 15 2 D 4.00- 76AS63 DBS 5A 3-50 - APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN pe RECEIVED By READY FOR DATE ISBUED ADDRESS + � vr' `I FIRST INSPECTION CITY LL TEL NO. COU TY LICENSE NO.Qf< EXPIRES 155 ADDREIN SS O/ PERMIT FEES FEE NUMBER JEAcH LOCALITY LIGHT OUTLETS NEAREST RECEPTACLES CROSS ST. LELEC. HES OWNER .d :rO3UTLETS 5c $ MAIL ES 25 ADDRESS ERS 25 - CITY TEL NO. 5 1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS PPLICATION AND STATE THAT THE ABOVE 18 CORRECT NUMBER OF LIGHT CIRCUITS ISS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS L AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS i CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPER DESCRIZoe BOVE. %2 a LESS $ .25 SIGNATURE OF %2 2 .50 PERMITTE _ 2 5 1.00 IA9PECTION RIMORD 5 15 1.50 15 SO 2.50 50 1 200 6.00 200 BOD 10.00 J 500 1000 I5.00 Z OVER 1000 20.00 M.G. SET/FREQ. CHANGER-HP WELDERS:AC-KVA GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% or DRIG.) MOVED MOTORS (75% or ORIG.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS - FOR EACH PERMIT: DATE INSPECTOR'S NAME WIRING $1.00 j CONDUIT FIXTURES $1.00 WIRING SUPPLEMENTARY .50 FIXTURES /C POWER TOTAL FEE $ / 57 POWER CO. NOTIFIED w X17 FINAL !� v WORKER'S COMPENSATION DECLARATI 20-0019 DPW(12-91) to 76A663 FOR ELECTRICAL PERMIT�II �f I hereby affirm that I have a certificate oflconsent 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 JOB ADDRESS Certified copy is hereby furnished New Residential Bldgs &Pools NO EACH FEE$ $ LOCALITY — 9Certified &2-Family,Sq Ft ied c py,is filed with th y Iding in ecti _ • dNEAREST epa a Multi-family Sq Ft CROSS ST Date Appli nt. Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTI FROM W KERS;' Outlets RecI&P Light Sw / OWNER NAOR ME COMPENSATION INSURANCE �(� a� FIRM �/y First 20 MAIL (This section need:not be completed if the work Involved by the Total No Additional ADDRESS permit is for one hundred dollars($100)or less) I certify that in the performance of the work for which this permit _CITY Tel No s issued, I shall not employ any person in any manner sb as to become,sub ect to the Workers'Compensation Laws Lighting Fixtures First 20 PLAN CHECK 1 P g g � APPLICANT• - Total No,,_-3 Additional ADDRESS Date 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 PPLICA Power Apparatus&Large Appliances ANT provisions or this permit shall be deemed revoked , LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR• ADDRESS I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl A�/ (commencing with Section 7000) of Division 3 of the Business and CITY ��I7'L Tel No �7 Professions Code,and my license is in full force and effectLICEOver 10 to 50 Incl J } OR Over 50 to 100 Incl REG NSE NUM ER / Class IZ License Number / /C/S 9 LIC Class Over 100 DISTRICT NO �i P O ESSED BY O Services,Swbd,MCC&Panelboards D O cr u�Gr�j 0-399 Amp Under 600 V FINAL O Contractor Date DATE El" 400-1000 Amp Under 600 V 1J VALIDATION LUI I am exempt under SBC Over 1000 Amp or Over 600 V FINAL B&P C for this reason - BRANCH CIRCUIT FEES BY �], co Date 15A,or 20A,120V,Lighting or Recept a Z_ 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits 41 Or More Branch Cucwts Exemption for Reg Mamt Elect 15A,20A,208V To 277V Lighting Br Circuits SINGLE FAMILY Temp Power Pole&Appurtenances ' HOME OWNER-BUILDER DECLARATION 3 I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit iii_L t e for the following reason (Section 7031 5,•Business and Professions Additional Sign Branch Circuits �- Code) '4j I _i-31,=40 Misc Conduits&Conductors y j;L_ --, I,as owner of the property,will do the work and the structure - is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule) TOTAL 53 = 40 3 = 40 and Professions Code) CONSTRUCTION LENDING AGENCY E' {- 5 €' I hereby affirm that there is a construction lending agency for the :H {3saEL ,rl performance of the work for which this permit is issued (Sec 3097, PERMIT FEE (Sub-Total) Civ C) PLAN CHECKING FEE Lender's Name I -- _ PERMIT ISSUING FEE pQ _C!-*{ a Lender's Address I certify that I have read this application and under penalty of 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 repre as o is Cou ty t enter upon the above-mentioned prope y for nspection pu o s SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE F PER EE DAT -