HomeMy Public PortalAbout4814 RYLAND AVE_Electrical__ 7GA663 DBS SA II-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY �����
COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER '
IC 2
FOR APPLICANT TO FILL IN DISTRICT?. GROUP I ZONE PERMIT NO.
ELECTRICIAN �sl �
RECEIVED BY READY FOR DATE ISSUED
ADDRESSl `.vrq 1/1 A_
OFIRST•INSPECTION
CITY �J TEL. NO. a �� �1�•(,�-/�� / (O
COUNTY LICENSE N . 7 EXPIRES a ADDRESS ,//f i / .�
PERMIT S
FEE ✓ '
NUfMBER EACH LOCALITY ,. 07
���fff f
LIGHT OUTLETS •e NICARST
CROSS
RECEPTACLES /V .
Y
WALL SWITCHES OWNS ,,
TOTAL OUTLETS 3S Sc S B
MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS �1 25 r CITY TEL. NO.
FIXTURES / 5 V
I 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 w4f AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
NEW 'MV;d. _ FEEOVERINC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
NEW "MVD.
r
I/a a I.EBS S .25 SIGNATURE OF
or I/a 2 .50 PERMITTEE_ .��•°
2 5 1.00 INSPECTION RECORD
5 15 1.50
15 Sp 2.50
50 200 5.00
200 500 10.00 W
Boo 1000 15.00 V
OVER 1000 20.00 J
M. G. SET/FREQ. CHANGER-HP IL
7
WELDERS:AC-KVA Q
GENERATORS-KW
TRANSFORMERS-KVA,
TEMP. MOTORS (75%OF ORIG.)
MOVED MOTORS (75%OF ORIG.)
MISC.
SIGNS
NO. NO. TRANS. I APPROVALS
NO. NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
WIRING $1.00 1 loo CONDUIT
FIXTURES $1.00 00 WIRING
t
SUPPLEMENTARY Bp FIXTURES `\
,,f POWER
TOTAL FEE C,#
.L� UTILITY CO. NOTIFIED
® r FINAL
7SA6e3,.DOS SA 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES L ECTRIC 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
ELECTRICIAN Jam' a •�7/ �s� 1
r RECEIVED BY READY FOR DATE ISSUED
ADDRESS e^ FIRST INSPECTION
CITY TEL. NO. 1-�e-ofj
9V�IUhI/w\ (e)
COUNTY LICENSE NO. EXPIRES u BUILDING
PERMIT EES ADDRESS er1
FEE Ii
NUMBERIEACHI LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES f CROSS ST. .
I
WALL SWITCHES
TOTAL OUTLETS Sc $ d MAIL
ELEC. RANGES 2S ADDRESS
ELEC. HEATERS 25 CITY TEL. NO,
FIXTURES 5
1 HEREBY ACKNOWLEDGE THAT I 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 I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
FEE OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
NEW MVD. HP OVER INC. EACH A/f
1/2&LESS S .25 SIGNATURE OF /�/
1/2 2 .50 PERMITTE
2 5 1.00 INfSPECTION RECORD
5 15 1.50
15 50 2.50
SO 200 5.00
200 500 10.00 J
500 1000 15.00 a
Z
OVER 1000 20.00
M. G. SET/FREQ. CHANGER-HP
WELDERS:AC-KVA 0
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (73%OF ORI6.)
MOVED MOTORS (75%OF ORIG.)
MISC.
SIGNS
NO. NO.TRANS. I I APPROVALS
NO. NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
CONDUIT
WIRING $1.00 I
FIXTURES $1.00
WIRING
� QQ
SUPPLEMENTARY •50 FIXTURES V L fury
j< POWER
TOTAL FEE $ .! UTILITY CO. NOTIFIED
® FINAL b d s1/,-,,-
r
WORKERS.'COMPENSATION DECLARATION CE 806G tDiet APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a certificate of consent•to self insure,
ora certificate of Workers'Compensation Insurance,or a certified I COUNTY OF LOS ANGELES BUILDING AND SAFETY
copy thereof(Sec.:3.800,Lab.C.) ; 1
Policy.No. Company FOR APPLICANT TO FILL IN JOB
❑ Certified copy is hereby furnished. ' New Residential Bldgs.&Pools EACH NO. FEE ,
ADDRESS
❑ 1 &2-Family,Sq.Ft. $ — $ LOCALITY
Certified copy Is filed with the county building inspection NEAREST
department. Multi-'family Sq.Ft. —
Date OSS ST. lop
Residential Swimming Pools Je
CR WN
OR /�
Applicant ] FIRM NAME S- (�o dt-w
'CERTIFICATE OF EXEMPTION FROM WORKERS' � � MAIL
COMPENSATION INSURANCE 7 Outlets;Rec Light Sw. s� p
//�� First'20 �� � � ADDRESS) p FLY'C`o ®i
(This section need not be completed if the work involved by the j Total No. First'onai CIT w P r Tel.No.
permit is for one hundred-dollars($100).or less.) a 6
I certify that in the performance of the work for which this permitPLAN CHECK
is issued,.I shall not employ.,any person in any manner so. as to APPLICANT
become subject to the Workers'Compensation Laws. I Lighting Fixtures First 20- ADDRESS
Additional
Total No.. CITY Tel:No.
Date ApplicantI PERMIT
Fixed Appliances Not Over 1.HP'
NOTICE TO APPLICANT: If, after making, this Certificate of = ' APPLICANT
Exemption,you should become subject to the Workers'Compensation I Range_ Heater D.W.
provision's of the Labor Code,you must forthwith comply with such i Oven. _ Dryer_ W.M._ �, ADDRESS
provisions or this permit shall be deemed revoked. * Top. _ FAU. W.H.
LICENSED CONTRACTORS DECLARATION Hood:_ Fan Other_ :1 CITY Tel..No.
I hereby affirm that I am licensed under provisions of Chapter,9 LICENSE OR
(commencing with Section 7000)of Division 3 of the.Business and Disp, — Room Air Cond. REG.NUMBER Com$
Professions Code,and my license.is in full force and effect. DISTRICT NO. P CESSED BY �7
Power Apparatus&Large Appliances
Size&Type HP,KW,KVA,or KVAR
License Number. • Lic.Class. Up to 1 Incl: FINAL; C�
Over 1.to 10)ncl. DATE.
Contractor Date �J VALIDATION- q
1 Over 1.0 to 50 Incl. (~j
❑
'I am exempt under Sec. I Over 50 to 1FINAL
.00 Inc. FI may) W
BAP.C.for.this reason Over 100 v V)
Date ; Services,Swbd:,MCC&Pane)boards , Z
0-200 Amp.Under$00 V
Signature I 201`- 1000 Amp,Under 600,V ;
Over 1000-Amp.or Over-600 V
❑ Exemption.for Reg.Maint.Elect. i
SINGLE FAMILY , Temp.Power Pole&Appurtenances
'HOME OWNEWBUILDER DECLARATION Sign with One'Branch'Circult AC�Tov '
I hereby affirm that I am exempt from the Contractor's License Law ,
for'the following reason.(Section 703 1.5,Business and Professions Additional Sign Branch Circuits n
Code): I 4Q:
I Misc.Conduits&Conductors r i ITEMS ,fit,.
I,as owner of the property,will do the work and the.structure TOTAL -'
Is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Sch..edule,) _ o
and Professions Code). 71 I , CASH 49030
CONSTRUCTION LENDING AGENCY,
CHARGE
.00
I hereby affirm that there is a construction lending agency for the is
performance of the work for which this permit is issued(Sec:3097., PERMIT FEE (Sub Total)
Civ.C.). ,.
PLAN CHECKING'F.EE I, eodo- 001, 11/ 6/9
Lender's Name
PERMIT.I.SS.UING FEE p? 3166 1 �`H12Z 9
jin
er's Address
tify that I,have read this application and state that the above TOTAL FEE ,
inatton is correct.I agree to comply with all County ordinancesState laws regulating Electrical wiring, and hereby authorize
sentatives of this County to enter upon.the above-mentioned 1ty for ins actio. ur ses. SEE REVERSE FOR EXPLANATORY LANGUAGE
ture of Permittee Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1304220022
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I I4,DING ADDRESS:
ITR: 17107 IT: 41 I I 481AV
IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917804032 I
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET:
I I
18585-011-021 Al PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: 85 LOCALITY: TEMPLE CITY CAI
IG1 OUTLETS-LGT,SW,RECP 3.00 OUT 6.00 I I
ITENANT: IG2 LIGHTING FIXTURES 4.00 LGT 8.00 (ISSUED ON: PROCESSED BY: PLAN BY: I
TOTAL FEES 41.80 104/22/13 SR
(OWNER: TEL. NO: I IF AL DATE FINAL BY: CODE:
(TANG, YU HANG (626) 264-0482- I I V 1
14814 RYLAND AVE I
ITEMPLE CITY CA 91780 I 1DE IPTION F WORK
I 13 OUTLETS AND 4 LIGHT FIXTURES FOR NEW BATHROOM
I
(APPLICANT: TEL. N0: 1 I I
SAME AS OWNER i ISPECIAL CONDITIONS:
1 � I
]CONTRACTOR: TEL. NO: I (APPROVALS DATE- INSPECTOR SIGNATURE 1
ISAME AS OWNER -
I LIC. NO I (TEMPORARY POWER POLE I I I
I
(UNDERGROUND CONDUIT I I I
I
(ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND
LIC. NO: I IROUGH CONDUIT I I I
IROUGH WIRING I I
(MAIN WATER LINE 1 I
IPLASTIC Y/N METAL Y/N I I I
(UTILITY COMPANY NOTIFIED( I I
I I I I I I
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I I I I I I
I I I I I
I I I I I I
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I IREPORT ID: DPR265 ROUTE TO: BS0508
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