HomeMy Public PortalAbout4948 RYLAND AVE_Electrical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0008080002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
GAL FEES PAID BUILDING ADDRESS:
TR: 17107 LT: 25 4948 RYLAND AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804037
ASSESSOR N 0 T ON NUMB R: NEAREST CROSS STREET: LOWER AZUSA
8585-013-027 Al PERMIT ISSUANCE FEE 27,75 THOMAS PAGE: 597 GRID: 94 LOCALITY: TEMPLE CITY
HA FAU LESS 3HP 1.00 FAU 10.95
TENANT: JB AC UNITS +3-10HP 1.00 AC 19.65 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 58.35 08/08/00 UT 02/05/01
OWNER: TEL. NO: FINAL DATE FINAY: CODE:
LEI,KUO CHUN; PEI KUI PEI B�z
4948 RYLAND AV L 0 LOflo
TEMP 917804037 D SCRIP ION OF WORK
ELECTRICAL FOR NEW HEATING AND COOLING SYSTEM FOR
APPLICANT: TEL. 0: RESIDENCE
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. 0: 5 R,R13E L Es co APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO TEMPORARY POWER POLE
i UNDERGROUND CONDUIT
ARCH ECT OR E GIN ER: TEL. NO: UFER GROUND
L C T DESIGN GROUP (626) 285-3408!
112 N. EARLE ST. LIC. NO:� / ROUGH CONDUIT
SAN GABRIEL, CA 91775 NONE I` 1111111
ROUGH IRING
LI U D � \\II��O�Ii(( NE
PLASTIN ICY /N
TLER IMETAL Y/N
u ��J V UTILITY COMPANY NOTIFIED
o
JI
EJ
0
48 o�
�erVice Ths�
REPORT ID: DPR265 ROUTE TO: BS0508
76A669 1398 6A I1-50 : APPLICATION FOR PERMIT
/ DEPARTMENT OF BUILDING AND SAFETY
/ COUNTY OF LOS ANGELES ECALECTRIC
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT,1$0.
ELECTRICIA Nr
ADDRESS ,rr "w RECEIVED BY READY FOR FIRST INSPECTION /DATE ISSUEDp
CITY ;•+, rY TEL. NO. C�_& �E'
COUNTY LICENSE NO. J_ EXPIRES---- BUILDING
PERMIT kEts ADDRESS
FEE I �� • V
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAR eL
CROSS T.
RECEPTACLES '
WALL SWITCHES OWNER
TOTAL OUTLETS SC $ O MAIL
ELEC. RANGES 25 r ADDRESS
ELEC. HEATERS 25 2J 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 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBERHORSEPOWER ANGELES COUNTY LICENSE, OR i AM THE LEGAL OWNER
FEE OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
NEW MVO. HIF I OVER INC. EACH
vAd 1/¢a LESS S .25 SIGNATURE OFZV
/
1/a 2 .5O PERMITTE
2 s 1.00 INSPECTION RECORD
5 1s 1 1.50
1s so 2.50
so 200 5.00
200 SOO 10.00 ,J
500 1000 15.00 Z
OVER 1000 20.00
M. G. SET/FREQ. CHANGER-HP
WELDERS:AC-KVA
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (75%of oR1G.)
MOVED MOTORS (75%oFORI�.)
MISC.
SIGNS
NO. NO.TRANS. I I APPROVALS
NO. _LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
WIRING $1.00 d® CONDUIT
FIXTURES $1.00. 400 WIRING
SUPPLEMENTARY 50 FIXTURES
POWER
TOTAL FEE $ UTILITY CO. NOTIFIED
® � FINAL Il Hary
C/
WORKERS'COMPENSATION DECLARATION 76A663 DPW 3/87 APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a certificate of consent to self cE eo6c I�
insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS
or a certified copy thereof (Sec. 3800, Lab. C.)
Policy No. Company FOR APPLICANT TO FILL IN JOB
Certified copy is hereby furnished. New Residential Bldgs. & Pools
EACH NO. FEE ADDRESS
❑Certified copy is filed with the county building inspec- 1 & 2-Family, Sq. Ft. $ — $ LOCALITY
tion department. Multi-family Sq. Ft. — NEAREST
CROSS ST.
J Residential Swimming Pools OWNER OR
Date Applicant FIRM NAME
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw.i_ MAIL
COMPENSATION INSURANCE ADDRESS
First 20
(This section need not be completed if the work involved by Total No. Additional CITY Tel. No.
the permit is for one hundred dollars($100)or less.) PLAN CHECK
I certify that in the performance of the work for which this APPLICANT
permit is issued, I shall not employ any person in any manner Lighting Fixtures First 20 ADDRESS
so as to become subject to the Workers'Compensation Laws.
Additional A
Total No. CITY Tel. No.
Date Applicant Fixed Appliances Not Over 1 HP PERMIT
NOTICE TO APPLICANT: If, after making this Certificate of APPLICATION
Exemption, you should become subject to the Workers' Range— Heater—D.W.
Compensation provisions of the Labor Code, you must forth- Oven — Dryer —W.M.— ADDRESS
with comply with such provisions or this permit shall be Top — FAU —W.H. —
deemed revoked. Hood — Fan —Other— CITY Tel. No.
LICENSED CONTRACTORS DECLARATION Disp. — Room Air Cond. — LICENSE OR
I hereby affirm that I am licensed under provisions of Chapter 9 REG. NUMBER Class.
(commencing with Section 7000)of Division 3 of the Business Power Apparatus& Large Appliances DISTRICT NO. PROCESSED BY d
and Professions Code,and my license is in full force and effect.
Size &Type HP, KW, KVA, or KVAR
License Number - Lic. Class Up to 1 Incl. FINAL LLI
Over 1 to 10 Incl. DATE /j l d– l VALIDATION J
Contractor Date t Over 10 to 50 Incl. / LL
FINALS Q�/ cc
I am exempt under Sec. Over 50 to 100 Inc. BY (JL ` `�/ Q
B.&P.C. for this reason Over 100 LL
Services, Swbd., MCC& Panelboards , O
Date: CL
0- 200 Amp. Under 600 V 2
Signature 201 - 1000 Amp. Under 600 V LLI
❑ Over 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 Additional Sign Branch Circuits
Law for the following reason (Section 7031.5, Business and u ty F'
Professions Code):
Conduits&Conductors❑ • • • • •I, as owner of The property, will do the work and the Misc. r.
l
d
h
S
F
t
l
C
S
(See e)—
Complete Fee Schedule)—
, • + .1
structure is not intended or offered for sale(Section 7044, other
Business and Professions Code).
CONSTRUCTION LENDING AGENCY • • • "�
1 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
Lender's Address
I certify that I have read this application and state that the TOTAL FEE
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 upon
the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Permittee Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
' DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0006200012
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
• PHONE: (626) 285-0488 EXT:
LEGAL D: FEES PAID BUILD I NG DRESS:
TR: 17107 LT: 25 4948 RYLAND AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804037
ASSESSOR 0 MATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA
8585-013-027 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 18.00 OUT 35.10
TENANT: G2 LIGHTING FIXTURES 3.00 LGT 5.85 ISSUED ON: PROCESSED BY: PAN BY: EXPIRES ON:
H7 RES EXHAUST FANS 2.00 EX 21.90 06/20/00 UT 12/17/00
TOTAL FEES 90.60
OWNER: TEL. NO: FINAL DATE FIN BY: CODE:
LEI,KUO CHUN; PEI KUI PEI w
4948 RYLAND AV
TEMP 917804037 DESCRIPTION OF 0 K
ELECTRICAL FOR ADDITIO
APPLICANT: TEL. 0:
SAME AS OWNER -
�_��} SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO f�[.i �"�� \ `��� TEMPORARY-POWER POLE
4y' LL. -�� �;� UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: - Y ` FER GRO D
L C T DESIGN GROUP (626) 285-3401
112 N. EARLE ST. LIC. N0. 6d, - 1 ROUGH CONDUIT
SAN GABRIEL, CA 91775 NONE �— --- _ ROUGH IRI G L
i�,i nII� I CC�� ' MAIN WATER LINE
PLASTIC Y/N METAL Y/N
i c7
---- - ------ ---__ UTILI Y COMPANY NOTIFIED
Service
REPORT ID: DPR265 ROUTE TO: BS0508
i• re WORKERS'COMPENSATION DECLARATION .20-0019 oPwsis7 APPLICATION
d6 TION FOR ELECTRICAL RICAL PERMIT Q
I hereby affirm that I have a certificate of consent to self cE•� /49 �si'�1 1
insure,or a certificate of Workers'Compensation Insuranc , COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS
or a ci6jfied copy thereof(Sec, 3800, Lab. C.)
Policy No. Company FOR APPLICANT TO FILL IN JOB
Certified copy is hereby furnished. ( New Residential Bldgs. &Pools EACH NO. FEE ADDRESS
El Certified copy is filed with the county building inspect- 1 &2-Family, Sq. Ft. $ — $ 1 LOCALITY
tion department. Multi-family Sq. Ft. — NEAREST
Residential Swimming Pools I CROSS ST.
Date Applicant j I OWNER OR 'C.
CERTIFICATE OF EXEMPTION FROM WORKERS' i i FMAIL
IRM NAME
COMPENSATION INSURANCE Outlets: Rec�LightSFirst20 0 I ADDRESS ` s'rV'G
(This section need not be completed If the work involved by Total No. Additional CIT* Tel. No, p '—'Z
the permit is for one hundred dollars($100)or less.)
I certifythat in the performance of the work for which this PLAN HECK
P I` APPLICANT �
permit 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• j• ADDRESS
P. Additional /
Dat.-49-.3- A lice Total No.___I_— CITY Tel. No.
I Fixed Appliances Not Over 1 HP PERMIT
NOTICE TO APPLICANT: f, after making- is Certificate of APPLICATION �L `�
Exemption, you should become subject to the Workers' Range— Heater—D.W.
Compensation provisions of the Labor Code, you must forth- Oven — Dryer M.— ADDRESS L �'i r
with -�.. comply with such provisions or this permit shall be Top — FAU W.H. —
deemed revoked. i CITY 1AVV14"C�t,,, Tel. No.6:
LICENSED CONTRACTORS DECLARATION Hood — Fan —OtherLICENSE OR
—
I hereby affirm that I am licensed under provisions of ChapterI9 Disp. _ Room Air Cond. — REG. NUMBER [ Class.C'ZO
(commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances i DISTRICT NO. I P SSED BY
and Professions Code,and my lic rise is in full force and effect. d
c Size&Type HP, KW,'KVA, or KVAR U
License Numberr--`� c,C�� Lic. Class "'� Up to 1 Incl. I FINAL
�Ni%�' ��7�Date Over 1 to 10 Incl. DATE 9��, VALIDATION.
Contractor
Q Over 10 to 50 Incl. OF_
FINAL
I am exempt under Sec. Over 50 to 100 Inc. gY U
B.&P.C. for this reason Over 100 d
® (n
Services, Swbd., MCC&Panelboards Z
' D//ate: 0-200 Amp. Under 600 V
Signature 201 - 1000 Amp. Under 600 V
Exemption for Reg. Maint. Elect. Over 1000 Amp. or Over 600 V ,-
SINGLE FAMILY
HOME OWNER-BUILDER DECLARATION Temp' ppPower Pole&Appurtenances
I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit ACCT.t
Law for the following reason (Section 7031.5, Business a`d Additional Sign Branch CircuitsL; TI °
Professions Code): �� i Misc. Conduits&Conductors j i I)ENL'
I, as owner of the property, will do the work and the Fee Schedule Complete See �°
structure is not intended or offered for sale(Section 7044, Other( )— TOTAL 30. 60
Business and Professions Code).'
iE`•>rt30.60
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending.agency for CHANGE °DD
the performance of the work for which this permit is issued PERMIT FEE (Sub-Total)
(Sec. 3097, Civ. C.).
PLAN CHECKING FEE 1300,13-0100 1 122,11 _,�,"9I3
Lender's Name I
PERMIT ISSUING FEE /15 O0 421;5 1 PMi2e-10
Lender's Address
I certify that I have read this application and state that the TOTAL FEE
above information is correct. I agree to comply with all County
ordinances and State Idws regulating Electrical wiring, and
hereby authorize representatives of this County to enter upon
the above-mentioned properiv for iWoection purposes.
k 112 -3-161 ` SEE REVERSE FOR EXPLANATORY LANGUAGE
S a re of mittee Date ®'