HomeMy Public PortalAbout4906 RYLAND AVE_Electrical__ 76A668 DBS SA 11-60 APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY ELECTRIC
" COUNTY OFF LOSLOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICTS NO. GROUP I ZONE �PERMIT NO.
ELECTRICIAN
��"" RECEIVED BY READY FOR DATE ISSUED
ADDRESS �J/ esasa.q FIRST INSPECTION
CITY t ,y- .1!,f TEL. NO r1,0 1Y-
_COUNTY LICENSE NO. .5�- EXPIRES BUILDING -22
PERMIT FEES' ADDRESS yf4oll
i
FEE
NUMBER EACH LOCALITY
LIGHT OUTLETS CROSS ST.
RECEPTACLES
WALL SWITCHES OWNER
TOTAL OUTLETS .3 SC S a MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES g
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 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
FEE OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
NEW MVD. HP OVER I INC. EACH
1/2&LESS S .25 SIGNATURE OF /
1/9 2 .50 PERMITTEE-
2
ERMITTEE
2 s 1.00 INSPECTIOI(RECORD
s Is 1.50
1s so 2.50
50 200 5.00
200 500 10.00 .1
500 1000 15.00 Z
OVER 1000 20.00
M. G. SET/FREQ. CHANGER-HP a
WELDERS:AC-KVA 0
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (75%OF ORIG.)
MOVED MOTORS (75%OFORIO.)
MISC.
SIGNS
NO. NO.TRANS. ( I APPROVALS
NO. NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
WIRING $1..00 O 0 CONDUIT
FIXTURES $1.00 -WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE S UTILITY CO. NOTIFIED
® FINAL b'ylidld '�'
c-cZ I
76.0663-CE80611-71 APPLICATION FOR. ELECTRICAL PERMIT u
.COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS /(!g rJ�
LOCALITY ��J1'!��/C C/7-V
NEAREST ,00
FOR APPLICANT TO FILL IN CROSS T./GG++g. 11
„Xtt;s3
OUTLETS NO. EACH FEE
$ OWNER
RECEPT. �7_S ��Q�y
MAIL O 6 Z ��171� iF �
LIGHT TOTAL FIRST 20 2 �¢"
5 � ADDRESS r
CITYTZf&�4?V- TEL. N0. 4/-OA/,&r,
SWITCH �� OVER 20 10
PLAN CHECK
LIGHTINGTOTAL FIRST 20 .25 APPLICANT
FIXTURES
OVER 20 .10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT A �r
RANGE DRYER L WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS �f� v'� •/ � �
SPACE HTR. AIR COND. CITY 7�/ ,Pw'= 6T TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE NO. CLASS.
FAN OTHER �'J 1.00 �7 �/ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
v G.� 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. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF d
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
i - 10 3.00 RESIDE IN: THE ABO DESCRIBED RE DENTIAL PROPERTY. V
SIGNATURE
10 - 50 5.00 OF PERMITTE v�.J:t✓/Y � O
R/
so-- 100 10.00 1--
DISTRICT N CLASS ZONE PROCES ED BY u
100 - 500 15.00
SIGN, GAS ][SIGND ONE CIRCUIT 5.00 NOTES: Z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 DD
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICEOVER 600 VOLTS OR 200 AMP 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING
FIXTURES
rPERMIT FEE (SUB TOTAL) POWER AUTHORIZED
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE 3.00
TOTAL FEE
PLAN CHECK VALIDATION CK. . M.O. CASH PERMIT VALIDATION c M.o. cAsx
w
is1uo r, `3 � POU 17 2 D .5
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
76A663 DBS'5A 3-50 - APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY "TRIC
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR:APPLICANT TO FILL IN. DISTttRIC"G. ORO ZONE' PERMIT NEO.
ds . _
ELECTRICIAN _ fA _
ADDRESS RECEIVED BY READY FOR DATE ISSUED
CITY tt" TESL. '� ®e�o ,��"��,a� FIRST INSPECTION �� �—si/
COUNTY KENS .NO. ~ EXPIRES BUILDING
PERMIT F ADDRESS
NUMBER EACH. REE LOCALITY Ae
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS ST. �
WALL SWITCHES OWNER� �t Aaeaer 0"'P;? / TtLnc4 r .1
.TOTAL OUTLETS �-t' 5, $ v t) MAIL / ci
ELEC. RANGES 85 ADDRESS
r
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES 5
MISC. �e 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH: ALL COUNTY ORDJ'NANCEB
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER _ FEE ANGELES COUNTY LICENSEr OR I AM THE LEGAL OWNER
NEw Mw. HPI OVER I INC. EACH OF THE RESIDENTIAL P OPERTY DESCRIBED ABOVE.
II2 6 LESS $ .25 SIGNATURE OF •/ ,
vi 2 .50,• 12ERMITTE
v
2 s :- loor `INSPECTION RECORD
5 1S•
15 50 �.•2 50 3 .
50l n 2013
,/ 5.00 Fr =4=4z
%2,00, , t 600 10.00 ( JQ
pBGD`lv 1.000 15.00 _ Z
wa ! 'OVER 1000 20.00 - 0
M.O. SETAREIN CHANGER-HP• E
W1BLk•§ERB:AC-KVA r O.
/f3ENERA710R6 - KW
//TRANSFORMERS - KVA
TEMP. MOTORS (75 OF ORIS-)
MOVED MOTORS (75%'DF ORIS.)
MISC.
SIGNS
NO.. NO.TRANS.
NO. NO:LAMPS APPROVALS-
FOR EACH PERMIT: DATE INSPECTORS NAME
WIRING $1.00 CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50 FIXTURES c
® POWER
TOTAL FEE $ / � 'UTILITY CO.NOTIFIED
FINAL �� X
v
,t tig WORKERS' I%ove a cION DECLARATION CE-806 10/81 /A ®P® KATION F® ELECTRICAL PERMET
;kill hereby affirm that i have a certificate of consent to self CE-806G ^PPLICATION ELECTRICAL PERM
ET
y p COUNTY OF LOS ANGELES BUILDING AND SAFETY
insure, or a certificate of Workers'Com ensation Insurance,
or a certified copy thereof(Sec. 380 La . C.) 0_
Policy No. Company FOR APPLICANT TO FILL IN JOB h
ertified copy is hereby furnished. EACH NO. FEE I ADDRESS eJ
New Residential Bldgs. 8 Pools
Certified copy is filed with the county building inspe - y, Sq. $ — $ I LOCALITY �m
1 8 2-Family, Ft. r
tion department. Multi-family Sq. Ft. — NEAREST
Date Applicant Residential Swimming Pools CROSS ST.
OWNER OR
tFIRM NAME
CERTIFICATE OF EXEMPTION+FRRKERS' Outlets: RecLightSw. MAIL
COMPENSATION INADDRESS 4ao6 IlVi-siab
(This section need not be completed it the work involved by First 20
the permit is For one hundred dollars($100)or less.) Total No. Additional CITY A Tel. No. A°�
I certify that in the performance of the work-for which this PLAN CHECK
APPLICANT
permit is issued,1 shall not employ any person in any manneE
so asto b co a sub' t to the Worker 'Compensation Laws. Lighting Fixtures First 20 ADDRESS
' Total No. Additional
Date pplicant i CITY Tel. No.
NOTICE A PLICANT: If, after mak ng this Certificate of Fixed Appliances Not Over 1, HP I PERMIT r
Exemption, you should become su ect to the Workers' Range_ Heater_D.W. _ APPLICANT
Compensation provisions of the Labor ode, you must forth- Oven —Dryer —W.M.— ADDRESS 10_q7 Sj) e
with comply with such provisions or this'permit shall be Top _ FAU —W.H. —
deemed revoked. Hood Fan _Other—
CITYffikgm Tel.
LICENSED CONTRACTORS DECLARATION _
Disp. _ Room Air Cond. LICENSE , Class.
I hereby affirm that I am licensed under provisions of Chapter 9, � REG.NUMBER C I'� �;
(commencingpp
with Section 7000)of Division 3 of the Business DISTRICT NO. PROCE Y 0-
Power Apparatus&Ldrge Appliances �/
and Professions Code,and my license is in full force and effect. �LC/� V
Size&Type HP, KW, KVA,'or KVAR
License Number Lir. ClassUp to 1 Incl. FINAL
�� •� p t�f�li�h �� Over 1 to 10 Incl. DATE r f yALI ATIOPi
Contractor ate Over 10 to 50 Incl. FINAL L+•1
❑_ I am exempt under Sec. Over 50 to 100 Inc. BY �
B.&P.C. for this reason
Date: Over 100 z
Services, Swbd., MCC&Panelboards
0 -200 Amp.'Under 600 V
Signature 201 - 1000 Amp. Under 600 V
❑ Over 1000 Amp. or Over 600 V 22 3 5 9.3
'
Exemption for Reg. Maint. Elect. # 0 0 0 a 0
SINGLE FAMILY Temp. Power Pole&Appurtenances J. - 44,25
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 0 a 0 4 4.2 5 U
I hereby affirm that I am exempt from the Contractor's License' Additional Sign Branch Circuits 1204-r85
Law for the following reason (Section 7031.5, Business and
Professions Code):
❑ I, as owner of the property, will do the work and the Misc. Conduits&Conductors
structure is not intended or offered for sate (Section Other(See.Complete Fee Schedule)_
7044, Business and Professions Code). Poo
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 V
Lender's Address r ,
I certify that I have read this application and state that the TOTAL FEE T `J'
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 u n
the abov -menti ned property for inspection purpose .
P7,
Q SEE REVERSE FOR EXPLANATORY LANGUAGE
sL, lQ
'Signatur of rmittee Date