HomeMy Public PortalAbout4945 RYLAND AVE_Electrical__ 'm°"-°EBG87., ,APPL.ICAT'ION FOR EL CTRIC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER 0 BUILDING �. )
BUILDING AND SAFETY DIVISION �ADDRESs L
JOHN A. LAMBIE, COUNTY ENGINEER '
CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY L
FGARBAGE
OR APPLICANT TO 71LL IN NEAREST
PERM FEES cRoss
I T E M NUMBER EACH FEE OWNER {� -
: $',f 0 $ d.. ADDRESS MAIL * V V
RECEPT. SW. �./
G FIXTURES 10 CITY G � TEL. NO.Cl O O
GES cLo. DRYERS ELECTRICIAN L
TER H EA T E R S •gG ADDRESS A)) �j
CE HTRS. DISHWASHERS CITY G TEL. NO.E 'Ip 7�p
DISPOSERS AUTO.- STATESTA. COOKING UNITS .25. LICENSE NO. /3 7 �Z: OVER INC. H.P. DISTRIC NO. OUP zONE PRO ESSED BY
0— I/s 28 'o'b' i
v> — 2 3 so d MSPECnON RECORD
2— 5 1.00
'S.— 1S 1.50
is— s0 2.50
00-200 5.00
r SIGNS: NO. TRANS.
NO. LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00 1
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT 50
TOTAL FEE APPROVAM
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ'THIS APPLICATION DATE IHSPS R'S SIGNATURE.
AND STATE THAT THE ABOVE IS CORRECT AND.AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE 'LAWS REGULATING CONDUIT-/549P
ELECTRICAL WIRING. t WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR 4
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ._: 'FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL O R OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE VA UTILITY CO.NOTIFIED ,
OF PERMITTEE
FINAL 7. ! �o•O
A ATION ARTHUR C. VEIT'
cK NO CASH SUPERVISING ELECTRICAL ENGINEER
L;CO 4 2 7 6 %0JUL -9 2 D . 2.9 0
76A663 oBB sn -sn APPLICATION FOR PERMIT
DEPARTMENLOF BUILDING AND SAFETY
COTY OF LOS ANGELES &NUECT'RUC
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN
�^ rRECEIVED BY READY FOR DATE ISSUED
ADDRESS ® �! t".r-Q
W 5TL. ete /� ewe FIRST INSPECTION /a
CITY ENO y-/ 6 g 1. ✓
CMUN-4 LICENSE NO. �' 47 EXPIRES BUILDING 1 q
PERMIT FEES ADDRESS d .'f
r il
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS NEXREErr
v
RECEPTACLES ; CROSS ST. 1 e'
WALL SWITCHES 1 13WNrLRIe
TOTAL OUTLETS SO $ MAIL
ELEC. RANGES 25 ADDRESS -
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES 9
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC.' APPLICATION AND STATE 'THAT THE ABOVE 18 CORRECT
NUMBER OF LIGHT'CIRCUITSf AND AGREE TO .COMPLY WITH ALL COUNTY ORDJNANCES
NUMBER OF RECEPTACLE CIRCUITS 5AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID 'LOB
NUMBER HORSEPOWER FEE •, ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEw Mvo. HP OVER INC. EACH OF THaE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
Y Al LESS 0 .25 SIGNATURE OF
%z 2 .50 PERMITTED
z s 1.013 SPECTIdN RECORD
5 15 1.50
15 5O 2.50
50 2130 5.00
200 5Oo 10.00 J
500 1000 15.130 Z
OVER 1000 20.00 (�
M.G. SET/FREQ.-CHANGER-HP lY
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA "
TEMP. MOTORS (75% of CRIB.)
MOVEP MOTORS (75% OF ORIS.)
MISO.
81GNB
NO. NO.TRANS.
APPROVALS
NO. NO.LAMPS
FOR EACH PERMIT: DATE INSPECTORVB NAME
WIRING $1.00 CONDUIT
FIXTUREB X1.00 WIRING
.SUPPLEMENTARY .60 FIXTURES `
POWER
TOTAL FEE UTILITY CD.NOTIFIED I
�p71�
FINAL '�!7
1'Zei.l rr 41VORKERS'COMPENSATION DECLARATION CBEA_8ossG tD �B1 APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have.a certificate of consent to self insure,
t dr Is ertfficate of Workers'Compensatiob In'suranc'e, or a certified ; COUNTY OF LOS ANGELES BUILDING AND SAFETY
opy
cthereof(Sec.3800,Lab.C.)
Poli No. Cbmpany I FOR APPLICANT TO FILL IN JOB
EACH NO. ADDRESS
❑� Certified copy is hereby furnished. New Residential Bldgs.&'Pools FEE .
1�&2-Family,Sq.Ft: $ — $ LOCALITY
❑ Certified copy is filed with the county building inspection 1
department. Multi-family Sq.Ft. NEARESTCROSS ST
s Residential Swimming Pools OWNER OR
Date- Applicant
FIRM NAME (Ir,IGNT
CERTIFICATE OF EXEMPTION FROM WORKERS' Outl�ts Rec Light S.w. MAIL
COMPENSATION INSURANCE ( IQ
ADDRESS
(?his section need not be completed if the work Involved by the First 20
CITgr Tel.No.
Permit is for one hundred dollars($100)or less.) Total No. Additional G
,I.certify that in the performance of the.work for which this permit ` PLAld CHECK
is issued, I shall not employ. any'pe a n { APPLICANT
Become subject to the Workers'Co. Lighting Fixtures First 20 ADDRESS
' I Additional
_ l / Tgtai No. `� CITY Tel.No.
Date Applicant� A Fixed Appliances Not Over 1 HP PERMIT "
,NOTICE TO APPLICANT: If, after mak.• g this Certificate of APPLICANT
Exemption,.you should become subject to the Workers'Compensation Range_ Heater D.W.
provisions of the Labor Code,you must forthwith:comply with such Oen _ Dryer_ W.M._ ADDRESS
provisions or this permit shall be deemed'revoked, TopFAU _ W.H. _ CITY ,No .
LICENSED CONTRACTORS DECLARATION- Hood Fan _ Other_ �•
I hereby affirm that I,am licensed under oroyisions of Chapter 9 /O LICENSE OR '
Disp. Room Air Cond'. REG.NUMBER Class.
(commencing with.Section 7000)of Division 3 of the Business and
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 .O
License Number. Lic.Class 1 Up to 1 Incl., FINAL
Over l to 10 Incl. DATE - VALIDATION
Contractor Date i Over 10 to 50 Incl. FINAL O
❑ I am exempt under Sec. Over 50 to 100 Inc. BY
Over 100 A 4
BAP.C.for this reason N.
Services,Swbd.,MCC&Panelboards Z
Date: 0-200 Amp.Under 600 V J'ad A
Signature. 201:-'1000 Amp.Under 600 V
❑ Over 10.00 Amp.or Over 600 V '
Exemption for Reg.Maint.Elect.
SINGLE FAMILY Temp.Power Pole&Appurtenances 2
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit p
I hereby affirm that I am exempt from.the Contractor's License Law ACCT.Tr
for the following reason.(Section 703'1.5;Business_ and Professions Additional Sign Branch Circuits Nto1s
Code): ,
, I �7 49.50
1,as owner of the property,will do the work and the-structure Misc.Conduits&Conductors' I ITas
is not intended or offered for sale (Section'7044, Business Other(See Complete Fee Schedule) _ F1r;�dtt
and Professions.Code). TOM �},.9.50
CONSTRUCTION LENDING AGENCY ry + 49.W
I 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 (Sufi Total) C•I'LI�� +�
Civ.C.). 'r .
PLAN CHECKING FEE
Lender's Name
PERMIT,ISSUING FEE
Lender's Address ' 40 q��111 a°
I certify that I have read this application and state that the 'above' TOTAL FEE , �. 4
information is correct.I agree to comply with all County ordinances
and State,laws regulating Electrical wiring, and hereby authorize
re sentatives of this unty to enter upon.the above-mentioned
'on )� SEE REVERSE FOR EXPLANATORY LANGUAGE.
Si nature of Per a Date