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Home My Public Portal About4913 RYLAND AVE_Electrical__ w! ` COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0705250016 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID: I FEES PAID I BUILDING ADDRESS: I ITR: 17107 LT: 12 I 1 4913 RYLAND AV I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917804036 1 (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: I 18585-010-008 IAl PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl ILB 200 AMP PANELS, MCC 1.00 PAN 38.85 1 1 TENANT: TOTAL FEES 66.60 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I 1 105/25/07 SR 11/21/07 I (OWNER: TEL. NO: I IFINAL DATE FI CODE: 1 IVILLASENOR DANIEL;DEBBIE (626) 442-9149- 1 n/ 1 14913 RYLAND AV I 1 V 1 'l ITEMP 917804036 I IDE CRIPTION Of WORK I I I (ELECTRICAL UPGRADE SERVICE ANEL TO 200 AMP (APPLICANT: TEL. NO: I 1 1 ISAME AS OWNER SPECIAL CONDITIONS: (CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE I ISAME AS OWNER - I I I LIC. NO i (TEMPORARY POWER POLE 1-1 I I I (UNDERGROUND CONDUIT I I I (ARCHITECT OR ENGINEER: TEL. NO: IUFER GROUND I I I LIC. NO: I IROUGH CONDUIT I I 1 IROUGH WIRING 1 1 (MAIN WATER LINE I I (PLASTIC YIN METAL YIN 1 1 1 1 1 UT LITY COMPANY NOTIFIBH�Jp► I 1 I I I 1 1 I 1 I 1 I I 1 I I I I I I I I I I 1 I 1 I 1 I I I I I I I I I I I I I I 1 IREPORT ID: DPR265 ROUTE To: BS0508 I I L I WORKER i'COMPENSATION DECLARATION 76-663 ,o/Si ��3j�p ��/f��r�Olap FOR ELECTRICAL PERMIT CE-808G P L� lf�,l 11 p�j I!- If 0 10=L<e I h2rQby�affirrtf that I have a certificate of consent to self insure, ' °`Ur-a..;certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sea 3!�800.Lab.C.) ✓� n �cy ~ !J /v � ,ialo. • Company FOR APPLICANT TO FILL IN JOB Certified co is hereby furnished. EACH NO. FEE ADDRESS PY New Residential Bldgs.&Pools $ _ $ LOCALITY t ❑ Certified-copy is filed'with the county building inspection 1 &2-Family,Sq.Ft. _ ` department. Multi-family Sq.Ft. NEAREST CROSS ST. Q7.ul��- dA Z✓� Date Applicant Residential Swimming Pools ] / J FIRM NAME DA d e i Ai 4/S/ CERTIFICATE OF EXEMPTION FROM WORKERS' I MAIL' �+ Outlets:Rao Light_Sw.- �/. .7 COMPENSATION INSURANCE � �' ADDRESS (This section need not be completed if the work Involved by the First 20 CITY Tel.No. �/ permit is for one Total No.hundred dollars($100)or less.) 9 Additional PLAN CHECK I certify that in the performance of the.work for which this permit PPLICAN.T is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ' ADDRESS Additional Total No. CITY Tel,No. Date` Applicant Fixed Appliances Not Over 1 HP NOTICE TO APPLICANT: If, after making this Certificate of PERMIT Exemption,-you should become subject to the Workers'Compensation Range_ Heater D.W. _ APPLICANT provisions of the Labor Code,you must forthwith comply with such Oven Dryer.— W.M._ ADDRESS provisions or this permit shall be,deemed revoked. Top FA W.H. _ LICENSED CONTRACTORS DECLARATION Hood — Fan T: Other_ ITY Tel.No. ' I hereby affirm that 1 am licensed under provisions of Chapter 9 Dlsp. Room Air Cond. lji LICENSE OR Class (commencing with Section 7000)of Division 3 of the Business and REG.NUMBER Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances DISTRICT NO. PR`OCCE SED BY Size&Type HP,KW,KVA,or KVAR License Number Lic.Class — Up to 1 Incl. FINAL' V Over 1 to 10 Incl. IZ 6,e,7ATE _ VALIDATION. C Contractor Date Over 10 to 50 Incl. FINAL ❑ I am exempt under Sec. Over 50 to 100 Inc. BY W B.&P.C.for this reason Over 100 N' Services,Swbd.,MCC&Panelboards • Z Date: 0-200 Amp.Under 600 V Signature 201 - 1000 Amp.Under 600 V , ❑ Oyer 1000 Amp.or Over 600 V Exemption.for Reg.Maint.Elect: SINGLE FAMILY, Temp.Power Pole&Appurtenances - HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law Branch Circuits n e•F I A? for the following reason(Section 7031.5,Business and Professions Additional Sign =' T Code): .r'_ I,as owner of the property, Misc.Conduits&Conductors will do the work and the structure 'TFIa: is not intended or offered for sale (Section 7044, Business Other(See Complete Fee Schedule)._ s L Hr and Professions Code). T j_j TAL . a CONSTRUCTION LENDING AGENCY [hereby affirm that there is a construction lending agency for the _ performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub-Total) C, Civ.C.). PLAN CHECKING FEE Lender's.NameJ� f 3;i !.!-[tLti 1! f t� o. PERMIT ISSUING FEE Lender's Address ' I pr' that I have read this application and state that the above TOTAL FEE �-5inma'oniscorrect.I agree to comply with all County ordinances St to Ia regulating Electrical wiring, and hereby authorize oewyetsof thi unty to enter upon the above-mentioned p at! rposes. SEE REVERSE FOR EXPLANATORY LANGUAGE r4ftnatuffi of ttee Dat WORKERS'COMPENSATION DECLARATION 78-870/87 APPLICATION I=®R ELE CE -B0BG CTRICAL PERMIT I OB L, •w.,hereby'affirm that I have a certificate of consent to self insure, � A. 'or..q certificate of Workers Compensation Insurance, or a certified I COUNTY OF LOS ANGELES BUILDING AND SAFETY coo iereof(Sec.3800,Lab.C.) J �licy No. Company ; FOR APPLICANT TO FILL IN i JOB t ❑ Certified copy is herebyfurnished: EACH NO. FEE I ADDRESS �r�f/VsL✓ i+�/�, i New Residential Bldgs.&Pools • ❑ Certified copy is filed with the county building inspection. 1 &2-Family,Sq.Ft. $ _ $ i LOCALITY department. y Multi-family Sq.Ft. NEARESTCROSS ST. !N Date Applicant Residential Swimming Pools OWNER OR FIRM NAME 146, 61— CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL COMPENSATION INSURANCE i Outlets:Rec—Light—Sw.— ADDRESS +� (This section need not be completed if the work involved by the First 20 CITY Tel.No. permit is for one hundred dollars($100)or less.) Total No. Additional ( L; � I certify that in the performance of the work for which this permit I PLAN APPLICANT CHECK is issued, I shall not employ any person i any nner so as to become7suject to the Workers'Compe ati n Lighting Fixtures First 20 ADDRESS Additional� !qy A Total No. CITY Tel.No. Date pplicant Fixed*Appliances Not Over 1 HPPERMIT NOTIC TO APPLICANT: If, after making this Certificate of I APPLICANT J Exemption,you should become subject to the Workers'Compensation Range_ Heater_ D.W. provisions of the Labor Code,you must forthwith comply with such Oven _ Dryer_'W.M._ ADDRESS provisions or this permit shall be deemed revoked. i Top — FAU _ W.H. _ CITY Tel.No. LICENSED CONTRACTORS DECLARATION Hood _ Fan _ Other_ I hereby affirm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. LICENSE OR Class (commencing with Section 7000) of Division 3 of the Business and REG.NUMBER Professions Code,and my license is in full force and effect. Power Apparatus&Large Appliances DISTRICT NO. PROCESSED BY Size&Type HP,KW,KVA,or KVAR 4'5 of �GIL✓=l�i License Number Lic.Classi Up to 1 Incl. i FINAL c1 Over 1 to 10 Incl. { DATE ^�$— 1 VALIDATION 0 'Contractor Date I Over 10 to 50 Incl. ~ FINAL U ❑ I am exempt under Sec. Over 50 to 100 Inc. BY /Q B.&P.C.for this reason i Over 100 / � N Date: Services,Swbd.,MCC&Panelboards / 2 Z 0-200 Amp.Under 600 V r' Signature 201 - 1000 Amp.Under 600 V ADCT.s ❑ Exemption for Reg.Maint.Elect. Over 1000 Amp.or Over 600 V 3307 31■00 SINGLE FAMILY Temp.Power Pole&Appurtenances 1 TEMS HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 31.00 I hereby affirm that I am exempt from the Contractor's License Law TOS I AL for the following reason(Section 7031.5,Business and Professions Additional Sign Branch Circuits Code): CHECK 31.0'1 j I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors CHANGE 400Other(See Complete Fee Schedule) _ is not intended or offered for sale (Section.7044, Business and Professions Code). ; CONSTRUCTION LENDING AGENCY 0000— I hereby affirm that there is a construction lending agency for the ^O?40 performance of the work for which this permit is issued(Sec.3097, PERMIT FEE (Sub Total) /� — x-.40 1 AM10�14 Civ.C.). PLAN CHECKING FEE Lender's Name ` PERMIT ISSUING FEE Lender's Address I ce at I have read this application and state that the above TOTAL FEE i rmati0 is rrect. I agree to comply with all County ordinances aStat regulating Electrical wiring, and hereby authorize i /+ /re�psen i f t ' County to enter upon the above-mentioned rt f i e n purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Cl 1 ure of ittee Date I 76A663 DBS SA 11-SO v APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT�IVO. GROUP I ZONE PERMIT NO. fle2- ELECTRICIAN nnIf RECEIVED BY READY FOR DATE ISSUED ADDRESS JA/ CCi1r7 y,,� FIRST INSPECTION �I�� CITY �.rw TEL NO. t�/(/�� COUNTY ICENSE'NO. •v gOl EXPIRES BUILDING PERMI En§ ADDRESS 4 FEE NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST ' CROS3ST�ZilleztAG/D/ .61��.)t�s,� (/�� RECEPTACLES WALL SWITCHES OWNER TOTAL OUTLETS SC $ MAIL V ELEC. RANGES 2g 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 I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEW MVD. HP OVER INC. EACH I FEE OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. I I/z B Ess $ 25 SIGNATURE OF / I/2 2 .50 PERMITTE 2 s 1.00 INSPECTIPW RECORD 5 is 1.50 is so 2.50 so 200 5.00 20ogoo 10.00 J Soo 1000 15.00 Z OVER 1000 20.00 M. G. SET/FREQ. CHANGER-HP WELDERS:AC-KVA 0 GENERATORS-KW TRANSFORMERS-KVA TEMP. MOTORS (75%OF 01110.) MOVED MOTORS (75%OF ORIG.) MISC. SIGNS NO. NO.TRANS. I APPROVALS NO. NO. LAMPS FOR EACH PERMIT: DAA INSPECTOR'S NAME WIRING $1.00 C CONDUIT FIXTURES $1.00 WIRING f ��C• — �ro SUPPLEMENTARY gp FIXTURES POWER TOTAL FEE $ UTILITY CO. NOTIFIED •7.B 7'J ® �� FINAL �+