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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