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Home My Public Portal About10733 LYNROSE ST_Electrical__ 76A868_CEBD6 12.58M®.P LI CATION F O R C LE CT R I C P E R�� . pl COUNTY OF LOS ANGELES. DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS • JOHN A.LA•MBIE.COUNTY ENGINEER CASSATT D.GRIFFIN,SUPT OF BUILDING. LOCALITY 1 FOR APPLICANT TO FILL IN' NEAREST CROSS ST. -PERMIT FEES OWNER- ITEM NUMBER EACH FEE FLIGHijw TL & O' I 96 S AAIL RECEPT SW .10 HTING FIXTURES 10 CITY TEL.NO. ELEC.RANGES CLO.DRYERS ELECTRICIA 't WATER HEATERS .50 ADDRESS- ELEC.SP SHWASHERS CITY TEL.NO.�G ARBAGE DISPOSER AUTO.- STATE .WASHERS STA.COOKING UNITS. .25 LICENSE NO. MOTORS: OVER INC H.P. .DISTRICT O. GR . ZONE i OCESSE BY 0— 1/2 25 +iz— z so INSPECTION RECORD 2— 5- 1.00 5— 15 1.50 15— 50 2.50 !i. 50^200 5.00 , SIGNS: NO.TRANS. - - NO.LAMPS SERVICE 0-600V 7400 SERVICE.OVER 600V 5.00 ' E"MISC. A - WIRING PERMIT 1.00 FIXTURE PERMIT .1.00 SUPPLEMENTARY PERMIT 50 TOTAL FEE � � APPROVALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THISFFAPPLICATION DATE INSPECTOR'S SIG ATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ELECTRICAL WIRING. WIRING , ' 1 HEREBY CERTIFY THAT I AM PRO ERL EG_ISTERED AND/OR . LICENSED AS. R RED BY LOS A ES UN. AND STATE OF FIXTURES :�/=3 Fy�s �'`•'�;! - CALIFORNIA O T T 1 M THE LEG L N OF THE ABOVE - - DESCRIBED.RE DE IA OPE RT POWER SIGNATURE UTILITY CO.NOTIFIED -LL OF PERMI FINAL fir... ATION' ARTHUR C. VETT. cK Mo' CASH SUPERVISING ELECTRICAL ENGINEER c Gam' JUL g 2 A 10.90- ,. 76A66s;CE806 8-62 APPLICATION FOR. ELECTRICAL PERMIT COUNTY OF LOS ANGELES ,DEPARTMENT OF COUNTY ENGINEER BUILDING- BUILDING AND SAFETY DIVISION ADDRESS '/�E5 JOHN A. LAMBIE,-COUNTY.ENGINEER WILLIAM A.JENSEN,SUPT of BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. C 40 Lf RECEPT. TOTAL .NO. EACH FEE OUTLF S r FIRST 20 9,20 $ OWNER wp ®:44�Gc/ LIGHT•• - 1' ®I MAIL •�YSA/1 _ ADD'L ADDRESS. T7i. SWITCFI.•'J� OVER 20 -10' F` TOTAL CITY TEL.NO. LIGHTING F1Rar 20 .20 FIXTURES I` ADD'L .10 ELECTRICIAN 1 ov R 20 I r RANGES 'CLO.DRYERS WTI.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK N . CITY TEL.NO.' DISHWASH. AUTO.-WASH. STATE SPACE HTRB. _STA.APP.(ym Her.MAX.) .50 LICENSE NO. , MOTORS,' OVER •NOT OVER H.P. DISTPICT MO. P ;ONE , P ^ CESSED BY O 1 1.00 I s 1.50 INSPECTION RECORD s 6 2.00' .% 8 is 2.50 fer 1s so .0.00r '/.+�r' >. . ^.'1/ 00 so 100 '" 5:00 ° f U SIGNS, NO.TRANS. NO.LAMPS• 0 ' SERVICE O'-600V-NoT OVER 200A 1.00 W SERVICE 6-60OV-OVER 200 A. 2:00 ' N SERVICE OVER 600V 5.00 2 MISC. 1 PERMIT ISSUING FEE r 2.00 SUPPLEMENTARY PERMIT ISSUING.FEE 1.00.- TOTAL FEE r 6 71 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS .DATE_ INSPECTOR'S SIGNATURE AND STATIC THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY F WITH ALL-COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT p ppy'a -/�))q .� •,• ELECTRICAL WIRING. WIRING 418/1"1!(6 S � •,lr. Jfr "� I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR — LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES 1 ,''✓. CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE 6• ,• ' DESCRIBED RESIDENTIAL PROPERTY. POWER BIGMATURE �f�J/ I UT00 ILITY CO.NOTIFIED OF ERMITTE v'� FINAL ,2Z Cs-3 2Z!�4mWA IDATION AR HUR`C. VEIT CK MO CASH SUPERVISING ELECTRICAL ENGINEER i . Llu0 4 ,5 6 2 MAY 0 � G LI .4 CSN ' t ON TION 2D-0019 I hereby affirm that WORKER'ShaveMa certificate of cone t to self Insure, 76MM DPW sfe9 APPLICATION,FOR. ELECTRICAL PERMIT or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF F PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.38110 Lab.C.) OB Policy No. Company FOR APPLICANT TO FILL IN ADDRESS �v�v Certified copy is herebyfurnished. EACH NO. FEE L C� New Residential Bldgs.&Pools LOCALITY 1&2-Family,Sq.Ft. $ — $ ❑ Certified copy is filed with the county building inspection _ NEAREST department. Multi-family Sq.Ft. CROSS ST, e- . Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._Light Sw. 1FIRM NAME COMPENSATION INSURANCE First 20 _�M-JAJIJ MA14 .U (This section need not be completed if the work Involved by the —,MAIL /�+�5 permit is for one hundred dollars($100)or less.) Total No. Additional de I certify that in the performance of the work for which this permit ,CITY Ld- Tel.Na. is issued, I shall not employ any persoyf in any manner so as to PLAN CHECK become subject to.the Workers'Compen tion La Lighting Fixtures First 20 'APPLICANT Total No. Additional ;ADDRESS Date Z Applican15 OR 20A,.120V BRANCH CIRCUITS NOTI T APPLICANT: If, a ter I this erti.ficate of CITY Tel.No. Exemption,you should become subject to the Workers'Compensation 1 TO 10 INCLUSIVE EACH IT provisions of the Labor Code,you must forthwith.comply with such 11 TO 40 INCLUSIVE EACH 'APPLICCANT provisions or this permit shall be deemed revoked. 41 OR MORE BRANCH'CIRCUITS EACH s LICENSED CONTRACTORS DECLARATION. :ADDRESS �j. L L* d I hereby affirm that I am licensed under provisions of Chapter 9 15 OR 20A,208V TO.277V LIGHTING EACH (commencing with Section 7000)of Division 3 of the Business and 'CITY Tel.No. 7f1 $ V Professions Code,and my license is in full force and effect. RESIDENTIAL APPLIANCES UP TO 3HP •LICENSE OR pp Power Apparatus&•Large Appliances REG'.NUMBERI/Zy� CIS' `�0 Q License Number Lic.Cuss IC Size&Type HP,KW,KVA,or KVAR ;DISTRICT No. y PR sEb ev F- 1/74(o bJJ Up to 3 Incl. P/O ✓r �Y �,. _� Over 3 to 10 Incl. FINAL CL Contracto*. ./7pt.A/drSe.. Date' DATE ❑ Over 10 to 50 Incl. . �2,; Z 1 Over 50 to 100 Incl. VALIDATION g NAL B.&P.C.for thisOver 100.reason• � Services,Swbd.,MCC&Panelboards Date: 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. •.n� y SINGLE FAMILY Temp.Power Pole&Appurtenances iv,i a c HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I.am exempt from the Contractor's License Law F• L+ for the following reason(Section 7031.5, Business and Professions Additional Sign Branch Circuits l Y w Code): . j:-HZ; El1,as owner of the property,will do the'work and the structure Misc.Conduits&Conductors i, ::;`;'�i =_-ar is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) , r and Professions Code). '=4 UK rL CONSTRUCTION LENDING AGENCY t 1E I hereby affirm that there is a construction lendingagency for the- performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) CIV.C.) PLAN CHECKING FEE Lender's °�I- Lender's Name �1 � :.331.+.= PERMIT ISSUING FEE oZ7 Lender's.Address I certify that I have read this application and state that the above TOTAL FEE informa' nils correct. I agree to comply with all County ordinances and St a laws regulating Electrical wiring, and hereby authorize repreggritatives of this C my to enter upon the above-mentioned pr p y for insp do . pos SEE REVERSE FOR EXPLANATORY LANGUAGE SINAT3RE-07PRUCANT,OR AGENT PAIIE del Ac WORKERS'COMPENSATION DECLARATION , :--'76AW 10/81 APPLICATION FOR ELECTRICAL PERMIT I fiereby ffirm that I have a certificate. of consent to self CE-806Cw insure,p certificate.of Workers'Compensation Insurance, COUNTY .OF LOS ANGELES BUILDING AND SAFETY yo u rerf led copy thereof(Sec. 3800, Lab.C.) PoI.4Ey No. Company "sir'' FOR APPLICANT TO FILL IN JOB JD�JCertified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO. FEE ADDRESS rose SIC, a Certified co is filed with the count building p LOCALITY copy' y gins ec- 1 &2-Family, Sq. Ft. $ — $ � � tion department. Multi-family Sq. Ft. — NEAREST CROSS ST., � �r� Residential Swimming Pools � Date � r-Applicant l _ 1��^ OWNER OR __// �/ FIRM NAME PC'Te �►/ CERTIFICATE.OF'EXEMPTION FROM WORKERS' Outlets: Rec.�Light'_ZSw. MAR COMPENSATION INSURANCE ADDRESS S This section need not be completed if the work involved b First 20 ( p Y Total No. Additional CITY Tel. No. the permit is for one hundred dollars($100)or less.) PLAN-CHECK I certify that in 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 / Total No. {. . Additional CITY Tel. No. Date Applicant 7 Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of APPLICANT p-r' fs�OR� -psrf: Exemption, you should become subject to the Workers' -Range— Heater—D.W. Compensation provisions of the Labor Code, you must forth- Oven —Dryer _W.M._ ADDRESS' with comply with such provisions or this permit shall be Top _ FAU =W.H. — ,110 deemed revoked. CITY Tel. No. 7 LICENSED CONTRACTORS DECLARATION Hood _ Fan _Other_ drV® 9 Dis. _ Room Air Cond. LICENSE M ,,`` Class. 40-1 hereby affirm that I am licensed under provisions of Chapter 9 p' REG: NUMBER 16��ISb�,S 40`°' (commencing with Section 7000)of Division 3 of the Business DISTRICT NO. PROCEE��S BY and Professions Code,.and my license is in full force and effect. 5ed Power Apparatus&Large Appliances C L !� Up to 1 Incl. Size&Type HP, KW, KVA, or KVAR• License Number rN /� Lic. Class i FINAL 4J � /� Date 2�� MES Over 1 to 10 Incl. DATE ��`— VALIDATION Q Contractor Over 10 to 50 Incl. V � ❑ FINAL I am exempt under Sec. Over 50 to 100 Inc: BY AU B..&P.C. for this reason .Over 100 U) Date: Services, Swbd., MCC&Ponelboards 0 -200 Amp. Under 600 V Signature 7. 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V 21 5 6 9 A Exemption for Reg. Maint. Elect. SINGLE FAMILY Temp. Power Pole&Appurtenances # 0 0 0 0 0 2 HOME OWNER-BUILDERDECLARATION Sign with One Branch Circuit .,� o o 1 S 0 0 1 hereby affirm that I am exempt from the Contractors License Additional Sign Branch Circuits. Law for the following reason (Section 7031.5, Business and o 0 0 1 5 Professions.Code): ❑ I, as owner of the property, will do the work and the Misc. Conduits&Conductors. p e t r Other See Complete Fee Schedule)- 7044,. 2 21 -85 structure is not intended or offered 'for sale (Section ( P ) ' 7044,.Business and'Professions Code). , CONSTRUCTION LENDING AGENCY 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. PERMIT ISSUING FEE O Lender's Address. �f I certify that I have read this application and state that the TOTAL FEE J!D 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 t above-mentioned property for inspection purposes. , SEE REVERSE FOR EXPLANATORY LANGUAGE o T 2*(2eE- Signature of Permittee Date WORKER S'COMPENSATIONDECLARATION• ICE-806G (2-80) APPLICATION FOR ELECTRICAL PERMIT I, hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES ' BUILDING AND SAFETY insure,or a certificate of Workers Compensation Insurance,,or I a certified copy thereof(Sec.3800,Lab..C.) Aircy gfi4(P3 Company, =NA. FOR APPLICANT TO FILL IN JOB New Residential Bldgs.&Pools• EACH NO.I. FEE ADDRESS 10 1115 P, L ❑ Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY ery �E C' Multi-family Sq.Ft. — NEAREST Certified copy is filed with the ounty building inspection CROSS ST dep tm nt. Residential Swimming Pools OWIIIER oR +FIRM NAME ✓ D8r S Date Applicant Outlets: Rec._LiglitSw. MAIL First 20- ADDRESS �V 73 � . L 45d* CERTIFICATE OF EXEMPTION FRO WORKERS' Total No. Additional CITY �� le C-4 Tel No. LfL�P_O 'o COMPENSATION INSURANCE PLAN CH.EC CL APPLICANT (This section need.not be completed if the work involved Pmcs by the permit is for one: hundred dollars ($100) or less.). Lighting Fixtures First 20 ADDRESS Additional. Sem L,A% I vu 4%. � I certify that in' the performance of the work for which this Total No. I CITY /' Tel No. $ O Fixed Appliance Not Over 1'HP " l7 >ti1t L 3 Z F' permit is issued, I shall not employ any person in any manner PERMIT W so as to Become subject to the Workers'Compensation Laws. Range_Heater D.W. _ APPLICANT 9L Oven _ Dryer_W.M._ ADDRESS W Date—Applicknt Top AU _W.H.._ CITY Tel:No. Hood _ an _Other_ NOTICE TO APPLICANT: If, after making this Certificate of Disp. Room Air Cond_ LICENSE OR r/Q V5CZ C_ Exemption, you should become subject to the- Workers.' REG.,NUMBER I 1OClass _ S'a Compensation provisions of the Labor Code,you must forth- Power Apparatus&Large Appliances DISTRICT NO. PROC SED.BY'- with comply with. such provisions or this. permit shall be I deemed revoked. Size T' pe-HP KW,KVA,or KVAR �-1 d Crto 1 Incl. FINAL LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl. DATE /D —� VALIDATION Over 10 to 50 Incl. � �$r I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100-Inc. FINAL 9 (commencing with Section 7000)of Division 3 of the Busi- Over 100 BY npss.and Professions.Code., and my license is in full.force and effect. Services License Number tic.Class- G_ 5 3 0-200 Amp.Under 600 V J - p A201-1000 Amp.Under 600 V Contractor. Date- CA— "C] r Over 1000 Amp.or Over 600 V ' HOME , R-BUI ER DECLARATION. Temp.Power Pole&Appurtenances , I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit' License Law for the following reason '(Section. 7031.5, 'Busi- Additional•.Sign Branch Circuits ness'and Professions Code): Misc.Conduits&Conductors r Ell, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— �_9 Q 6 8 4 A, structure is not intended or offered for sale (Section 7044,.Business and Professions Code). CONSTRUCTION LENDING AGENCY _ 0 0 0 b � o I hereby affirm that there is a construction lending.agency for the performance of the work for, which this permit is PERMIT FEE (Sub-Total) �.° ° 3 2 O 0,issued(Sec.3097,Civ.C.). T n Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) ° ° ° 3 2.() Lender's Address PERMIT ISSUING.FEE 08 07-8.1 7 . I certify hat I have read this application and state that the TOTAL.FEE above i rmation i cor t..I agree to jcdmplyawith all County ordina sand St a regulating Electrical wiring, and hereby uthorize r an tives of this County fo ant r upon the ab e-mention rty for inspection pur oses. SEE'REVERSE FOR EXPLANATORY LANGUAGE I lattr