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Home My Public Portal About4803 RYLAND AVE_Electrical__ 76A663 DBS 6A 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES E L E C7 l WILLIAM J. FOX, CHIEF ENGINEER DISTRICT NO. GROUP ZONE PERMIT NO. FOR APPLICANT TO FILL IN .I ELECTRICIAN �� . ► t�trtt' RECEIJVED BY READY FOR DATE ISSUED ADDRESS �i,> l a+fL .� `7'- FIRST INSPECTION CITY id v' .I'f TEL NO.+ �a • A�� / q� c�P/ COUNTY LICE SE NO. EXPIRES BUILDING j PERMIT FL`ES= ADDRESS NUMBER EACH FEE LOCALITY f i% LIGHT OUTLETS NEAREST CROBB ST. RECEPTACLES / u WALL SWITCHES OWNER TOTAL OUTLETS 5c 7 O MAIL ' ELEC. RANGES 85 ADDRESS ELEC. HEATERS 25 CITY TEL NO. FIXTURES 5 7c-j 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. 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 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEw MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. %z 8 LESS $ .25 SIGNATURE OF I/2 2 .50 PERMITTEE a s 1.00 I9SPECTION,RECORD 5 is 1.50 �7 �l "Y'n, r t1 1 s so a.s13 � ` L � A s0 200 /JiJ y >I #-e- 013 ^b0D 13130 10.00 �:. 500 1000 15.130 Y Z OVER 1000 20.00 } .� O M.G. HET/FREQ. CHANGER-HP N O WELDERSIAC-KVA _ GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% DR ORIO.) MOVED MOTORS (75% OF OR18.) MISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO.LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT. WIRING $1.00 00 CONDUIT r- a-fes FIXTURES $1.00 j 0 WIRING 12 '2 Y SUPPLEMENTARY ,5p FIXTURES `��7�� a �` •'Y POWER TOTAL FEE H1 UTILITY 00.NOTIFIED 2, FINAL 1 WORKER S'COMPENSATION DECLARATION 6A663 E-806G (2-80) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES ' i % BUILDING AND SAFETY UJ insure,or a certificate of Workers'Compensation.Insurance,or a.certified,copy thereof(Sec.3900,Lab::C,) FOR APPLICANT TO FILL IN JOB. `L J r•' ��i��,`� Policy No. Company EACH NO. FEE ADDRESS /L +t"' ►� • New Residential Bldgs.&Pools / ❑ Certified copy is hereby furnished. 1 &2-Family.Sq. Ft. $ — $ LOCALITY f�,i/1�jrL f7 Certified copy is filed with the county building inspection Multi-family Sq. Ft. CROSS ST /.,t t c ' /+• e J„`Y�l department. I Residential Swimming Pools OWNER.OR i FIRM NAME > Date Applicant 10utlets: Rec._LightSw. MAIL d fir, �f I 7—First 20 ADDRESS CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY Tel No.f� COMPENSATION INSURANCE I PLAN CHECK W APPLICANT ,., (This.section need not be completed if the work involved j LL by the permit is for one hundred dollars. ($100) or less.) Lighting Fixtures First 20 ADDRESS ,. I certify that in the Total No. �,y Additional performance of the work for which this + i CITY r Tel No. permit-is issued, I shall not.employ any person in any manner Fixed Appliances Not Over 1 HP PERMIT 1-1 OC so as to become subject to-the Workers'Compensation Laws. Range_Heater D.W. APPLICANT Q Oven _ Dryer_W.M._ ADDRESS r0 10 r Date.- Applicant Top _FAU _W.H. _ W Hood — Fen _Other— CITY Mme- `reTNo. H NOTICE-TQ APPLICANT: If, after making this Certificate of Disp. _Room Air Cond._ LICENSE OR Exemption, you should become subject to the Workers' REG.NUMBER. Class Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT N�2,.- PROOESSED BY. -with comply with such provisions or this permit shall be deemed revoked. Size&Type HP,KW,KVA,or KVARrr Up to 1 Incl. FINAL LICENSED CONTRt Over 10 tACTORS DECLARATION Over 1 10.1 ncl..o 50 Incl. DATE ti' VALIDATION • I.hereby affirm that I am licensed under.provisions of Chapter Over 50 to 100.Jnc. .FINAL t, BY 9 (commencing with Section.7000)of Division 3 of the Busi- Over 100 ness:and Professions.Code, andmy license is in full force and effect. Services `, F � License Number A Lic.Class / 0-200 mp.Under 600 V >� .20.1-1000 Amp.Under 600 V Contractor Date Over 1000 Amp.or Over 600-V HOME-OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances Sign with One Branch Circuit ' I hereby affirm that I am exempt from the Contractor's Additional Sign Branch Circuits License Law for the following reason (Section 1031.5, Busi- r . ness and.Professions Code,): • ` •• - Misc.Conduits&Conductors +c I, as owner of the property, will do the.work and the Other(See Complete Fee Schedule)= structure is not intended or offered for sale (Section 'r •+ 'f+�' 7044,Business and Professions Code). it`, 'PIP CONSTRUCTION LENDING AGENCY !a;�..*6'+ ' •um f: I hereby affirm that there, is a. construction lendingagency i +�+1y, • . for the. performance of"the work for which this permit is issued(Sec.3097,Civ.C.). PERMIT FEE (Sub-Total) 1� • Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address PERMIT ISSUING FEES s� I certify that I.have read this application and state that the.. TOTAL FEE ZV above anfor..mation.is,correct.I agree to comply with all County ordinances and State. laws regulating Electrical'wiring, and hereby authotize represents#ves of this County to enter upon the above-mintiDnedf for inspection purposes. f SEE'REVERSE FOR EXPLANATORY LANGUAGE. SiQiature of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0701310015 BUILDING AND SAFETY LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS* TR: 17107 IT: 1 4803 RYLAND AV FEE DESCRIPTION: QUANTITY. UOM. AMOUNT:( TEMP CA 917804033 ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: LOWER AZUSA I8585-009-001 Al PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: B5 LOCALITY. TEMPLE CITY, C I HA PAU LESS 3HP 1.00 PAU 10.95 TENANT: JB AC UNITS +3-10HP 1.00 AC 19.65 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: LB 200 AMP PANELS, MCC 1.00 PAN 38.85 101/31/07 ix 07/30/07 TOTAL FEES 97.20 1 (OWNER: TEL. NO: I IFI 9ATE FIN&L BY: CODE: 1WHITE, SCOTT (626) 253-1339- 1 4803 RYLAND AVE Ap- T i TEMPLE CITY CA 91780 IDESCRIPTION'OF WORK 1200 AMP, SERVICE METER UPG E AND 200 FOR A/C IAPPLICANT: TEL. NO: CAL-LIGHT ELECT. INC. (626) 523-07I5- JP.O. BOX 40517 SPECIAL CONDITIONS PASADENA, CA 91114 (CONTRACTOR: TEL. NO, (APPROVALS DATE INSPECTOR SIGNATURE CAL-LIGHT ELECTRICAL, INC. (626) 523-07I5- I I P.O. BOX 40517 LIC. NO ITEMPORARY POWER POLE I I PASADENA, CA 91114 435630 C10 UNDERGROUND CONDUIT (ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND I I LIC. NO: TROUGH CONDVIT IMAIN WATER LINE IPLASTIC YIN METAL YIN I " 0 0 (UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508