HomeMy Public PortalAbout4818 RYLAND AVE_Electrical__ 78AS89 =9 SA 11-90 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
[ADDRESS
CTRICIAN S�3_�
�.i RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
Jul TEL. NO. .ljll / '•'[ice �� _�/TY LICENSE NO. S"41 ✓ EXPIRES BUILDING /�
PERMIT S ADDRESS is
FEE +"'poov
NUMBER EACH LOCALITY rtQa
LIGHT OUTLETS NEAREST
14
CROSS ST.
RECEPTACLES )
WALL SWITCHES OWNERk.)-,., n
d�✓�✓
TOTAL OUTLETS Sc S MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES 5
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 I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
FEE
NEW MVD. HP OVER I INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
1/2 a LESS S .25— SIGNATURE OF
1/2 2 .50 PERMITTEE
le
2 5 1.00 INSPECTION RECORD
5 1s 1.50
1s s0 2.50
so 200 5.00
200 Soo 10.00 ,I
Boo 1000 15.00 Z
OVER 1000 20.00 (�
M. G. SET/FREQ. CHANGER-HP R'
. WELDERS:AC-KVA
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS"(75%OF ORIG.)
MOVED MOTORS (75%OFORIG.)
MISC.
SIGNS
No. No.TRANS. I I APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT* DATE INSPECTOR'S NAME
CONDUIT
WIRING $1.00
FIXTURES $1.00 DO WIRING
SUPPLEMENTARY .50 FIXTURES
p POWER
TOTAL FEE $ V� UTILITY CO. NOTIFIED 9 J y
® FINAL L 4 s
WORKERS'COMPENSATION,DECLARATION fz0-0019 DPW 3i87
I hereby affirm that I'have a certificate of consent to self �� APPLICATION FOR EUCTRI�CAL PERMIT Q
in's'ure, or 5certificate of Workers'Compensation Insurance, � COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS
or Z ertified copy thereof'(See. 3800, Lab.-C.)
Policy No. ` Company I FOR APPLICANT TO FILL IN B
ID Certi4ied copy is hereby furnished. . y New Residential Bldgs. &Pools EACH NO.I FEE ADDRESS
l $ _ $ LOCALITY
Certified copy is'filed with the county building inspec- I 1 &2-Family, Sq. Ft.
tion department. Multi-family Sq. Ft. — NEAREST
CROSS ST.
pp Residential Swimming Pools O NER OR ��
Date A licant IRM
5NAME pr
CERTIFICATE OF EXEMPTION FROM WORKERS' Ouflets:'Rec Light Sw.,/f' i ` � MAIL
COMPENSATION INSURANCE ®First ADDRESS
(This section need not be completed if the work involved by tCI Tel. No. 61V
the.permit is for one hundred dollars($100)or.less.) Total No. Additional � 3
I certify that in the.performance of fhe•.work for which this PLAN CHECK� APPLICANT '
permit is issued,I shall not employ any person in any manner Li htin Fixtures Fust 20 ADDRESS r
to as to become subject to the Workers'Compensation Laws. g g
Additional
Date, Applicant Total No. CITY Tel. No.
NOTICE TO APPLICANT: If, after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT
Exemption,' you should become subject to the Workers' Range— Heater—D.W. APPLICATION
Compensation provisions of the Labor.Code,.you must forth- Oven'_ Dryer —W.M.— ADDRESS
with comply with such provisions .or this,permit shall be I Top FAU W:H.
deemed revoked. CITY Tel. No:
Hood Fan —Other—
LICENSED CONTRACTORS DECLARATION 7 LICENSE OR
I herebyaffirm that lam licensed under Disp. Room Air Cond. — Class.
prov,.isions of Chapter 9 REG.NUMBER
(commenting.with.Section'Y000)of.Diviston.3 of the Business Power Apparatus"&Large Appliances ,DISTRICT NO. PROCE ?
and.Professions Code,and my license is in full force and effect. a
0
Size&Type HP, KW, KVA, or KVAR S• U
License Number Lic. Class � Up to 1. Incl... FINAL
Contractor' pme . Over 1 fo.10 Incl. ;DATE �- VALIDATION 0
Over 10 to 50 Incl. FINAL U
D I am exempt under Sec. Over 50 to 100 Inc. BY W
B.&P.C, fob this reason ; Over 100,
W
Services; Swbd.., MCC&Panelboards ® Z
Date:
- 0 7200 Amp. Under 600 V `� O —
Signature 4201 - 1000 Amp. Under 600 V
'
Exemption for Reg. Maint. Elect. Over 1000'Amp, or Over 600 V
SINGLE FAMILY -s
ME OWNER-BUILDER DECLARATIONTemp. Power Pole&Appurtenances
HO
(. Sign with One Branch Circuit
1 hereby affirm that I am exempt from,the Contractor's License A{4%i,a
Law for the following reason (Section 7031.5, Businest and' i1 Additional Sign Branch Circuits
Professions Code):owner of the property,
Misc. Conduits&Conductors ,t '
® I, as ,. will do the work and the
structure is not intended or offered for sale(Section 7044, Other(See Complete Fee Schedule)_ �_ _ _;
Business and Professions Code). �1 ® !f L "�x36 34-
CONSTRUCTION LENDING AGENCY �•'(�? {�:H { }
I .. .FiL.Ss�
I hereby affirm that.there is a construction lending agency for rit
the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) CHANGE
(Sec. 3097,'Civ. C.).
PLAN CHECKING FEE
Lender's Name ;—,. t
PERMIT ISSUING FEE '' _
Lender's Address _ 183 's13=ti
I certify that I:have read this,application and state that the TOTAL FEE' �B `
above Information is correct. I agree to comply with all County
—or or i nces and State laws regulating Electrical wiring, and
here b authorize representatives of this County to a ter upon
the v -mentione er y for' spection pur es.
SEE REVERSE-FOR'EXPLANATORY.LANGUAGE
Signature of.Permittee Dat , ®s
p .
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0411160008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID
G A
TR: 17107 LT: 40 4818 RYLAND AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804032
SS S50R I FO 0 N BER: NEAREST CROSS STREET:
8585-011-020 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: 85 LOCALITY: TEMPLE CITY, C
HA FAU LESS 3HP 1.00 FAU 10.95
TENANT: JB AC UNITS +3-10HP 1.00 AC 19.65 ISSUED 0 0 BY: L RES .
TOTAL FEES 58.35 11/16/04 JK 05/15/05 .
OWNER: TEL. 0: FINAL DATE FINAL B _ CODE:
MARTIN PATRICIA A (626) 448-2131- /, rL,.- (i�_
4818 RYLAND AV / _IS✓
TEMP 917804032 DESCRIPTION OF WORK
ELECTRICAL FOR HVAC SYSTEM
APPLICANT: T
VAL AIR CONDITIONING & HEATING (626) 810-6897-
592 ABERY AVE SPECIAL CONDITIONS:
LA PUENTE, CA 91744
CONTRACTOR: TEL. 0: APPROVALS DATE INSPECTOR SIGNATURE
VAL AIR CONDITIONING & HEATING (626) 810-6897-
592 ABERY AVENUE LIC. NO TEMPORARY POWER POLE
LA PUENTE, CA 91744 825301C20
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: 0: UFER GROUND
LIC. NO: ROUGH CONDUIT
WIRINGROUGH
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY 0 D
REPORT ID: DPR265 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1202080035
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS:
ITR: 17107 LT: 40 I 4818 RYLAND AV 1
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804032
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET:
18585-011-020 IA1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY CAI
I IG1 OUTLETS-LGT,SW,RECP 5.00 OUT 9.70 1 1
ITENANT: G2 LIGHTING FIXTURES 2.00 LGT 3.V90ISSUED ON: PROCESSED BY: PLAN BY:
1 ILN OTHER PNL 0-399 AMPS 1.00 PAN 38.80 102/08/12 SR
I 1 TOTAL FEES 80.20 1 I
1OWNER: TEL. NO: 1 1FINAL DATE FI AL B : CODE:
IMARTIN PATRICIA A (626) 448-2131- 1 11 I
14818 RYLAND AV 1 I
ITEMP 917804032 MESCRIPTION OF WORK 1
I I 1ELECTRICAL FOR DETACHED GARAGE 5 OUTLETS, 2 LIGHT FIXTURES
I I 1AND SUB-PANEL 40 AMP
1APPLICANT: TEL. NO: 1 I I
IKEN, JOHNSON (951) 233-7489- 1 1 I
141515 CREST DR I ISPECIAL CONDITIONS: 1
HEMET CA 92544
I
ICONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE 1
INEW REAL INC. (909) 931-5280- 1 1 I
11120 W. 9TH STREET LIC. NOI ITEMPORARY POWER POLE I I I
UPLAND,CA 91786 633590-B * I I
UNDERGROUND CONDUIT I I
(ARCHITECT OR ENGINEER: TEL. NO: - I IUFER GROUND 1-1
I LIC. NO: I IROUGH CONDUIT I I
IROUGH WIRING I 1
I I (MAIN WATER LINE
I I (PLASTIC Y/N METAL Y/N I 11
(UTILITY COMPANY NOTIFIE5
1 I I
I I I I I I
I I I I I
I I 1 I I
I 1* ADDITIONAL DATA ON FILE
IREPORT ID: DPR265 ROUTE TO: BS0508 I I I
I I