HomeMy Public PortalAbout10621 LYNROSE ST_Electrical__ B
DS-5A 12.54 APPLICATION FOR ELECTRIC PERMIT
DHS-SA �,
DIVISION OF BUILDING AND SAFETY ( a,
Department of County Engineer
County of Los Angeles
BUILDING
WM.J. FOX, COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN,SUPT OF BUILDING
FOR APPLICANT TO FILL IN LOCALITY
PERMIT4 -
FEES NEAREST_
CROSS ST.
NUMBER EACH FEE
LIGHT OUTLETS �L OWNER
RECEPTACLES MAIL / 0-'/ 7
ADDRESS
WALL SWITCHES �[_ -
TOTAL OUTLETS ' 5o 9 J CITY NO.
EIEC. RANGESy 25 ELECTRICIAN
ELEC.HEATERS, ADDRE
KW EA CITY /ss�� TEL. NO.
_FIXTURES 5 �.r LICENSE NO. /K ��
NUMBER OF LIGHT CIRCUITS
DISTRICT NO. ONE READY FOR INSPECTION
' NUMBER.O RECEPTAC E CIRCUITS
MOTORS IGROUP
_ �D b� Al Y✓
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD. HP OVER INC. EACH
�2 a LESS $ .25
1/2 2 .50
2 5 1.00
5. 15 1.50
15 50 2.510
50 200 5.00
MISC.
NO.SIGNS NO.TRANS.
NO.SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING $1.00
FIXTURES $1.00 _L
SUPPLEMENTARY 50
APPROVALS
° TOTAL FEE s DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE.THAT I HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING.-
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PROPERTY. / UTILITY CO.NOTIFIED
lop
SIGNATURE OF PERM TTEE0N B CNV !• INAL
i
WILLIAM J.FOX.COUNTY ENGINEER VALII WI ,•;•�_*�t:� F81 2 4.6:5 n '
v 8Y
® DEPUTY
F&MM CE-W6(11 APPLIC R TRICPiLDINPG
. ER . IT _
COUNTY OF LOS GEL AND SAFETY00
FOR APPLICANT TO FILL IN JOB
New Residential Bldgs.&Pools EACH NO. - FEE ADDRESS., .. � " •. /jr,056� -.
,1 &2-Family,Sq.Ft. .025 —'1$ LOCALITY IGim'�T( 1ClT�`
Multi-f6mily Sq.Ft. :02 — NEAREST o
Residential SwimmingPools 25.00 CROSS ST. -
• -. OWNER OR 1
FIRM NAME L
Outlets:Rec'b_Li ht SW*
50 ADDRESS �I
First 20
Total No. Additional 30 CITY TSI.No.
L PLAN-CHECIV
APPLICANT ..
Lighting Fixtures First 20 •50'• ADDRESS
Additional .3.0
Total No •CITY Te No.
Fixed Appliances Not Over 1.HP _PERMTT'
Range_Heater_D.W.— APPLICANT YQ
Oven •'_Dryer_W.M. ADDRESSV44a - -
Top _FAU —W.H._ EL
Y
Hood_Fon _Other_ EDisp._Room Air Cond. 2.50 .:NUMBERJ , _ - Class. 1
I HEREBY AC OWLEDGE THAT I HAVE READ THIS APPLICA:
Power Apparatus&Large Appliances TION AND STATE THATTHE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH ALL,COUNTY ORDINANCES AND-STATE'LAWS
Size&Type HP,KW,KVA;or KVAR REGULATING ELECTRICAL WIRING.
Up to 1 Incl. - 2'50 1 I HEREBY CERTIFY-THAT I AM PROPERLY REGISTERED'AND/OR
Over 1 to l0 Incl. 5.00 LICENSED AS REQUIRED.BY.LOS ANGELES COUNTY AND STATE OF 99
Over 10 to 50 Incl. 12.50• CALIFORNIA OR THAT I T GAL OWNER OF HE ABOVE, O
Over 50 to 10.0.Inc.
25.00 DESCRIBED RESID IAL PE E.
40:00 PERMIT.EE-
Al 10
Ove SIGNATURE yp
Services ��Q 12.50 ,J� DISTRICT NO. PR �.
0.200 Amp.Under V
201-1000 Am
Amp.Under-600 V 25,00
50.00
•' Over 1000 Amp.or Over 600 V Z '
Temp.Power Pole&Appurtenances 10.00
Sign with One Branch Circuit 10.00
Additional.5ign Branch Circuits 2.00 INSPECTION >
INFORMATION u
Misc.Conduits B.Conductors 10.00 ON REVERSE s
Other(See Complete Fee Schedule) SIDE u f 9 2 9.4 A
Z
- - g. '# O O O O O �
'.2 * o 2 IL 0 0
PERMIT FEE• (Su6=Total)
D I o c 2 U T_
PLAN CHECKING FEE (one-Fourth Permit Fee) O 4,
a 031 0='80
PERMIT ISSUING FEE $7.00 - o
TOTAL,FEE' >
INSPECTION FINALED oZ
date: r /r-/�1i By ,•_ G ®s
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0202050013
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGALD: FEES PAID B IL G D R S:
ON FILE 10621 LYNROSE ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802841
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: EL MONTE
8586-009-025 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 12.00 OUT 23.40
EN H2 RES GRBG DISP LT 3HP 1.00 DIS 10.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
H7 RES EXHAUST FANS 1.00 EX 10.95 02/05/02 JK 08/04/02
TOTAL FEES 73.05
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
BRANDVOLD;AL (626) 447-3603-
P.O.BOX 660892
ARCADIA 91006 DESCRIPTION OF WO K
KITCHEN REMODEL
APPLICANT:
L. 0:
SAME AS OWNER -
SPECIAL CONDIT 0 S:
CONTRACTOR: TEL. 0: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR E GINEER: TEL. 0: UFER GROUND
LIC. NO: ROUGH CONDUIT
l�
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508