HomeMy Public PortalAbout10767 LYNROSE ST_Electrical__ J6A668;cE806 9-64- ' APPLICATION FOR ELECTRICAV PERMIT _ -
COUNTY OF LOS ANGELES,-
DEPA:.FRTMEAT OF COUNTY ENGINEER BUILDING .j� .' $ '
'BUILDING AND SAFETY-DIVISION ADDRESS v
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT. OF'BUILOING' LOCALITY '>L �e 1
NEAREST .' _
FOR APPLICANT TO FILL INCROSS ST.. . -
RECEPT. TOTAL i NO.. EACH. FEE
OUTLETS ; FIRST 20 $2O $ OWNER
'LIGHT MAIL
ADD ®•76 7 f,'' v d•�'"�
2 '
SWITCH. OVER 20 •ip ADDRESS• �
TOTAL CITY �G- EL.NO.
LIGHTING I. FIRST 20 ..20 -
FIXTURES _ ADD'e � ip ELECTRICIAN .I`C �8h P�
OVFR 20 t+
RANGES 'CLO.DRYERS .WTR.kITRB: 1.00 'ADDRE88. 3' Q ems' .1
GARB.DISP.' STA.COOK' /1
CITY /C. �- G TEL.NO.
DISHWASH.
AUTO.-WASH. - STATE
SPACE HTRB. STA.APP.(YS H.P.MAX.) .50 •LICENSE NO.
MOTORS. OVER NOT oveR.' H.Rr DJST ICb N. G P P
O - 1 1.00
1 _ s1.50: S INSPECTION R C RD
-La.LLa S' 2.00 Ated
S 1s 2.50im/DgM { ff'AV
iS 50 5.00 (' p�
so '100, s,0o -
SIGNS:
..NO.TRANS. n • -
NP.LAMPS - N
-SERVICE O.600V•NDT OVER 200A 1.00
SERVICE O•SOOV•OVER 200 A. 2.00
-SERVICE OVER 600V 5.00 •
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT:ISSUING FEE 1.00. ,
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT I HAVE.READ THIS APPLICATION 1• - APPROVALS' DATE ANSPECTOWS.SIGNATURE
AND STATE,THAT.THE ABOVE 18 CORRECT AND..AGREE TO COMPLY -CONDUIT
'
WITH ALL-COUNTY ORDINANCES"'AND STATE LAWS REGULATING
ELECTRICAL.WIRIM& ' WIRING
1 HEREBY.CERTIFY THAT I AM'PROPERLY REOIST.RED AND/OR FIXTURES '
LICENSED AS REQUIRED BY LOS ANGELES COUNTY D STATE OF _
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF A D INTEND TO �.
RESIDE,IN,•THE ABOV DESCRIB D REST IAL P P RTY. 'POWER. '
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE t
I. ®
FINAL. (all / AaJAA
LIDATION JOSErPIi/C: ROOHAN
CK MO CASH SUPERVISING ELECT ICAL-ENGINEER
3.d ,MAY 2 8 2 �'. '
76A663-CEBOS 12-58 A P P L I•C AT I•®N FOR ELECTRIC
ECTRIC PERMIm
COUNTY OF LOS ANGELES ; e�
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION XDDRESS
JOHN A.LAMBIE,COUNTY ENGINEER °
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY'
•q
:FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
PERMIT FEES
.IT E M NUMBER EACH FEE OWNER d
` OUTLEITSis S MAIL
ADDRESS
.LIGHTS ECEPT. SW. •.10
LIGHTING FIXTURES .10-:m CITY TEL.NO.
>ELEC.RANGES CLO.DRYERS. ELECTRICIA J
WATER HEATERS .50 - ADDRESS. '
ELEC.SPACE HTRS. DISHWASHERS
CITY TEL.N
GARB GE DISPOr puTo.. STATE
.W HERS .STA.COOKING UNITS. / .25 LICENSE NO.
MOTORS: OVER INC. H.P. s _DISTRIC�T�O.• GR ZONEP OCESS BY
0— I/z 25 Fj • 7
+ia— 2 5o INSPECTION RECORD
_ I
2— 5 1.00
5— 15 1.50 u
Is— 50 2.50
50-200 5.00
SIGNS: NO.TRANS. '
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC.
e:
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE g 9 APPROVALS
1 HEREBY ACKNOWLEDGE'THAT I HAVE READ THIS APLAATION DATE INSPECTOR'S SIGNATURE
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 CE Y YHAT I AM PRO ERLY EGISTERED AND/OR
LICENSED AS QUI ED BY LOS ANG ES NTY AND STATE of FIXTURES 1 O ti✓� �'" `%r"•-•---^--✓
CALIFORNIA O TH T 1 THE LE AL NW OF THE ABOVE
DESCRIBEDRESI IAL OPERT POWER ✓� � '`y
SIGNATURE ; UTILITY CO.NOTIFIED
OF PERM ITT
FINAL
ATIONARTHUR C. VEIT.
c Mo CASH ' .SUPERVISING ELECTRICAL ENGINEER
X08-3. 8 401, JINN ?3 2 9.95 M
CITY CF TrA?PLE CITY �j I
76A663-CES0611-71 APPLICATION FOR ELECTRICAL PERMIT u
COUNTY OF LOS ANGELES
REPARTMENT OF COUNTY BUILDING AND SAFETY DIVISION ADORE SS C7 107L Eo L Ose St
ADORE
LOCALITY' Temple City -
NST 9 Culloch Ave
FOR.APPLICANT TO FILL IN CROSSROSSST,
OUTLETS N0. EACH FEE
OWNER R. Q Anderson
RECEPT._ $ $ MAIL. 7,
FIRST 20 25 ADDRESS ' 1076 le. Lvnrose Ste
LIGHT TOTAL CITY Temple City TEL. NO,442:�1237
SWITCH_ OVER 20 •10
PLAN CHECK
LIGHTING TOTAL FIRST 20 .25 APPLICANT
FIXTURES
OVER 20 .10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR'. APPLICANT a iInstallers
STA. COOK DISP. F.A_U. - - , ADDRESS,.10920 Ea •'Grm-d Ave. — - -
SPACE HTR. AIR COND. CITY Temple City TEL. N0. 442-7070
CLOTHES WASH. DIST•HWASH. �I LICENSE N0. CLASS.rpn
FAN OTHER Ga. D •'�o 0s 1 1.00 00 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS - RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTR I CAL WIRING.
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
]; O - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF d
CALIFORNIA OR THAT.1 AM THE LEGAL OWNER OF, ND INTEND TO
1 - 10 3.00 RESIDE IN, THE ABOVE DESCRIBED RESIDENT PROPERTY. V
SIGNATURE d.
10 — 50 5.00 OF PERMITTEE 1 O
So— 100 10.00
DISSTRICTNO. CLASS PROCE ED Lu
100 - 500 15.00 Q$ -�� I N
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: ?
TUBE, OR,
MARQUEE ADDITIONAL CIRCUITS 1.001 1
SERVICENOTOVER 600 VOLTS OR 200AMP 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICEOVER 600 VOLTS OR 200AMP IOAO
TEMP.POWER POLE
TEMP SERVICE,POLE,-&APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING 4 /R i 91. 7% %.ereh✓
FIXTURES ,
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL) 2
UTILITY CO. NOTIFIED
PLAN CHECK FEE 2 ` j
PERMIT ISSUING FEE 3.001.
3 00 FINAL a`�� r�6f IrP•.�.+'✓I.ni'..el"�
TOTAL FEE 500
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE'