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HomeMy Public PortalAbout10501 LYNROSE ST_Electrical__ 76A663-CE806 9-64 APPUCAMN FOR En ('�u MUCAn P �jM07 'I COUNTY OF LOS ANGELES tiv 1� 1� ILJI DEPARTMENT OF COUNTY ENGINEER BUILDING SD ' Q BUILDING AND SAFETY DIVISION ADDRES JOHN A. LAMBIE, COUNTY ENGINEER J COLEMAN W JENKINS, SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT. TOTAL NO EACHI FEE OUTLETS FIRST 20 $20 $ OWNER �/ V� - LIGHT ` MAIL _ ` AOD'L ESS SWITCH 10 ADDRQ Q OVER 20 f� LIGHTING I TOTAL t F1Rsr20l .20 CITY EL.NO. FIXTURES ADD'L 10 ELECTRICIAN OVER 20 RANGES CLO DRYERS WTR HTRS 1.00 ADDRESS GARB DISP. STA COOK CITY TEL. NO. • DISHWASH AUTO.-WASH STATE SPACE HTRS STA.APP.(M.H.P.MAX ) .50 LICENSE NO F MOTORS: OVER NOT OVER H.P. DISTRICT NO. GROUP E P64kCESSED B O 1 100 1 3 1.So ' INSPECTION RECORD s a 200 v a 15 250 ! 7AI" ;IA�l,o 73 SO 300 /' n ,�Q ! m y} 50 100 500 [�V ,e.�C. �. � Tb aIJT�aT L5 a SIGNS- NO TRANS �p }� I Q H t NO.LAMPS i w/'� ST Vd IAQ�t_7. 5 O G'Qd�,PS _Z ` SERVICE 0.600V-Nor OVER 200A 100 „1 I SERVICEO.60OV-OVER 200 A. 2001 ! SERVICE OVER 600V 5.00 I �f MISC U PERMIT ISSUING FEE 2 00 SUPPLEMENTASY PERMIT ISSUING FEE 100 TOTAL FEE $ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT / WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING _ ELECTRICAL WIRING WIRING _r I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF _ CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY POWER J SIGNATURE OF PERMITTE OF CO.NOTIFIED dl ` FINAL VALID N JOSEPH C. ROOHAN CK M CASH SUPERVISING ELECTRICAL ENGINEER � fl 2 9 4 2 juu 2 2 2 D 2.8 0, Q 76A663-CE80610-62y APPLICATI®N FOR ELECTRICAL PERMIT •"� COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING �D r-• _ BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A JENSEN, SUP'T OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT TOTAL NO. EACH FEE OUTLETS FIRST 20 �ffi 20 $ OWN LIGHT MAIL SWITCH I OVER 20 .10 - ADDRESS LL LIGHTING l4 TOTAL FIRST 20 .20 CITY TEL NO 5�6'oo FIXTURES 1 ' ADD'L 'O ELECTRICIAN 111 OVER 20 raj RANGES CLO DRYERS WTR•HTRS 1.00 .ADDRESS GARB.DISP. STA COOK CITY TEL NO.7" •' ;b DISHWASH AUTO.-WASH STATE -^� _ SPACE HTRS STA.APP.('A H.P.MAX ) .50 LICENSE NO !.� MOTORS: OVER NOT OVER H.P DISTRICT NO. GROUP I ZONE PRO SSED BY O 1 1.00 3 •1.50 INSPECTION RECORD s a 2.00 _ [,GClrZICAL 6f fd.' -S a a Is 250 1 7 /A-) od,_,"- 1 S TO O . 15 50 3.00 e-- - -�u o o 12 p ' S0 100 5 00 OP Av SIGNS NO.TRANS. NO LAMPS SERVICE O-GOOV-NOT OVER 200A 1.00 SERVICE 0-60OV-OVER 200 A. 200 - SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 200 „ SUPPLEMENTARY PERMIT ISSUING FEE 100 TOTAL FEE $ ol3 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S 81 NATURE 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 M THE LEGAL OWNER OF THE ABOVE - DESCRIBED RESIDENT IA ROPERTY. POWER OF PERM 11 OF CO.NOTIFIED FINAL /'-- -71 Z y; •,�'� IIALIDATfPN URIC. VETT SU CK MO CASH SUPERVISING ELECTRICAL ENGINEER L& 1.370 7�1 Ja 1 4 2 0 3.60— 75AS69_CESOO 10.60 APPLICATION FOR ELECTRICAL PERMIT 1 COUNTY OF LOS ANGELES DEPARMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 10501 T{ynrose St. JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY TP.mlple City FOR APPLICANT TO FILL IN CROSS ST. Tract 26551 Lot 11 PERMIT FEES OWNER Thi3nderbjxd Estates ITEM NUMBER EACH I FEE MAIL OUTLET $ S ADDRESS LIGHTS RECEPT. SW. .10 CITY TEL. NO. LIGHTIN FIXTURES I 10 ELEC. RANGES CLO. DRYERS ELECTRICIAN _ WATER HEATERS .50 ADDRESS ,2610 So• Peck Road ELEC.SPACE HTRS. DISHWASHERSCITY PZOI'12'OVlc'�EL NO. Hi -2131 GARBAGE DISPOSERS AUTO.- / STATE WASHERS STA.COOKING UNITS ,25 LICENSE NO. 15116 MOTORS: OVER INC. H.P. DISTRICT GROUP Z NE I PR SSED By .25 0— 1/2 �v kb 1/2— 2 .50 INSPECTION RECORD o_ z— 5 1.00 O 5— 15 1.50 U 15— 50 2.50 O SO— 200 5.00 NO TRANS. SIGNS: H NO.LAMPS -� SERVICE 0-600V 1.00 G SERVICE OVER 600V 5.00 MISC. WIRING PERMIT 1.00 FIXTURE PERMIT 1.00 Cl SUPPLEMENTARY PERMIT .50 TOTAL FEE S 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR , LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AMT L AL OWNER OF THE ABO DESCRIBED RESIDE IAL P Y. POWER SIGNATURE /I UTILITY CO.NOTIFIED OF PERMITTE - 1 FINAL - IDATION ARTHUR C. VEIT SUPERVISING ELECTRICAL ENGINEER CK MO CASH G 1 1 .65 WORKERS' COMPENSATION DECLARATION '76A663 DPW 3/87 APPUCAMON FOR ELECTMC AL PERNT I hereby affirm that I have a certificate of consent to self -�eA� insure%or a certificate of Workers' Compensation InsuLance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Woc hfied copy the f (Sec 3800 ab Co '�Company FOR APPLICANT TO FILL IN JOB Certified rtified copy is hereby furnished New Residential Bldgs & Pools EACH NO FEE ADDRESS copy is filed with the county building inspec- 1 &2-Family, Sq Ft $ — $ LOCALITY n a rimentMulti-family Sq Ft NEAREST y Residential Swimming Pools CROSS ST Date Applicant _ OWNER OR FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets Rec_LLi ht MAIL COMPENSATION INSURANCE g �Sw— ADDRESS First,20 r (This section need not be completed if the work involved by CITY Tel No the permit is for one hundred dollars ($100)or less.) Total No Additional PLAN CHECK I certify that m the performance of the work for which this � � APPLICANT permit 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 ADDRESS Additional 'Total No CITY Tel No Date Applicant Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT If, after making this Certificate of PERMITUA Exemption, you should become subject to the Workers' Range— Heater—D W — APPLICATION Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W M — ADDRESS 7 with comply with such provisions or this permit shall be Top FAU —W H deemed revoked Hood Z)Fan —Other— CITY Tel No A6 77 LICENSED CONTRACTORS DECLARATION Q LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp _ Room Air Cond REG NUMBER Class (commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO PR SED BY and Professions Code,and my Iicen is in full force and effect ` t1 Size &Type HP, KW, KVA, or KVAIR �f Q License Number O Lic Class Up To 1 Incl FINAL - U Contractor✓`� t Over 1 to 10 Incl DATE / VALIDATION CE ElOver 10 to 50 Incl FINAL I— I am exempt under Sec Over 50 to 100 IncgY U LL Over 100 B 8P C for this reason t1 Date Services, Swbd , MCC& Panelboords Z 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 'c HOME OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit HIL C.E r a \ Law for the following reason (Section 7031 5, Business and Additional Sign Branch Circuits Professions Code) ❑ I, 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)_ D ; I' }riL 90 Business and Professions Code) CONSTRUCTION LENDING AGENCY i:;�Ei. ', i a.•'`_} 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 }_}j}i3«_} }:_� PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the TOTAL FEE above information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring, and h�qnjioned tatives of this County to enter upon perty for inspects n purpos s SEE REVERSE FOR EXPLANATORY LANGUAGE I °1 Signature'ST Permittee Date Os