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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 ®'