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Home My Public Portal About5025 RYLAND AVE_Electrical__ �04peLIC C 76A663-CES0612-6s APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FNEAREST G BUILDING AND SAFETY DIVISION S JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGY FOR APPLICANT TO FILL IN T. RECEPT. TOTAL No. EACH FEE 1lI OUTLETS I FI $.20 $ OWNER LIGHT J MAIL SWITCH ADD'L f0 ADDRESS EJ OVER 20 TOTALFIRST 20 .20 CITY TEL.NO. LIGHTING FIXTURES FIXTURES ADD'L 10 CONTRACTOR OVER 20 RANGES DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK CITY TEL.,A DISHWASH. AUTO.-WASH. STATE SPACE HTR8. BTA. APPL. .50 LICENSE NO. MOTORS: OVER NOT-OVER H.P. DISTRICT INO. GROUP ZONE I PROCSSSED BY 0 , 11.00 s, 0 Q z I a 1.50 INSPECTION RECORD s S 2.00 ! V 109 a 15 2.50 0 1S 50 8.00 W C 50 100 5.00 N Z SIGNS, NO.TRANS. NO.LAMPS SERVICE 0-000V-Nor OVER 200A 1.00 SERVICE 0-SOOV=OVER 200 A. 2.00 SERVICE OVER SOOV 5.00 OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'S SIGNATURC TOTAL FEE $ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDERSLAB WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 'ROUGH CONDUIT WITH ALL.COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF;AND INTEND TO POWER / RESIDE IN.THE AB ES RESIDENT Al O RTY. i SIGNATURE UTILITY CO.NOTIFIED OF PERMITTEE (DATION JdSEPH C. ROOHAN CK O CASH SUPERVISING ELECTRICAL ENGINEER ,111 _ACO:9 7 0 5 0 JUL 2 0 2 .D 2.00- 76A665-CES06 12-65 . APPS CATION FOR ELECTRIC . PERMIT C T•I OF p ANGELES D.EBPU.ILDI. AND• ATIE-TY DIVISION FARBUILS7 0 gp?S C-A� Jo A..LAMBIW# COUNTY ENGINEER -/t��^ r COL MAN W.�AICIN$�`iS(1PERINTENDENT OF BUILDING' �Lr7'►rl FOR APPLICANT TO FILL IN CR o88 ST. Z A V A RECEPT. TOTAL r i NO. EACH FEE IZ- LIGHT OUTLETS .FIRST 20J7 5:20 S OWNER .0 /7 MAIL SWITCH ADD-L ? f0 ADDRF,138u/(T/ Z- AJ) OVER 20 1 TOTAL FIRST 201 .20 CITY L( TEL.NO. LIGHTING l FIXTURES ,�^� -�9 FIXTURES J( OVER2 1O CONTRACTOR V NA M � FiBX�S.I/Qi OVER 20 q RANGES DRYERS WTR.HTRS. 1.00 ADDRt SSt:t3 3 �' RA{ll A GARB.DISP. STA.COOK CITY Aj.4 TEL. DISHWASH. AUTO.-WASH. STAT - SPACE HTRS. STA. APPL. .SO LICENSE NO.,/--/,?'7 MOTORS: OVER NOT OVER H.P. DISTRI7 G E FIR D B O 1 1.00 G�// 1 s 1.50 INSPE TION RECORD °- 8 S 2.00 ' u Ix s 1s z.so O 1s s0 8.00 U X` r .! r <L so 100 5.00 / h SIGNS: NO.TRANS. - - NO.LAMPS 44 .a-. SERVICE 0.600V•N6T OVER 200A 1.00 SERVICE 0.600V-OVER 200 A. 2.00 SERVICE OVER 600V 5.00 OTHER (SEE COMPLETE FEE SCHEDULE) 10 PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INBPECTOR'S BIGNATUR! TOTAL FEE rj 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDERSLAB WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO.COMPLY 'ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 7 / ELECTRICAL WIRING. WIRING I HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR FIXTURES + v V LICENSED AS REQUIRED Y LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR T54, THE LEGAL OW ER OF,AND INTEND•O PpWER RESIDE IN.THE ABCRIBE RESID TIAL PRO ERTYSIGNATURE UTILITY CO.NOTIFIED ERMITTE FINAL �I O CA SU'JOSER SIC. G ELECTRICAL CK MO CASH SUPERVISING ELECTRICAL ENGINEER _Cs � ss MAY 31 2D 620- co D.B.S.SA ZSM SETTS ID1-47 6*1�� UTION FO+w.ELECTRIC PEEW ' DIPM2 MENT OF BINDING AM MFFW III COUNTY OF LOS ANGELES a, CHIEF ENGINEER NAME DISTRICT NO. GROUP I ZONE PERMIT NO. � ADDRESS - CITY TEL.NO. sIYED�BY READY FOR DATE ISSUED FIRST INSPECTION COUNTY P� CERT.NO. EXPI[16S -% r�� / �� •� APPLICANT FILL. IN 1HIMEOUTLINED PORTION ONLY JOB DGII6>I><Y aON ®F ®L� A D Fi.� RESS NUMBER OF OUTLETS ON CIRCUITS —LOCALITY / , i. LOCALITY . I f ��•' ire' , �• LOCATION BY ROOMS NEAREST _Yr,) LIGHT OUTLETS SW. PLUGS FI CROSS or.,- (•- . CIRCUIT A B C D_I E F IG,--1,H ' E NAME l�'.9 jOf � �• :� ADDRESS CITY w.r ., t' r - G(1—� TEL.NO.;�j,g t 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS MGM" COUNTY CERTIFICATE OF QUALIFICATION.. ELECTRICIAN. 1 NAM THE LEGAL.OWNER OF THE-PIIOPCiRTY DESCRIBED ABOVE OWNER. Q'.O$IB.EMONS AM rI2 fr�GL J Q 17 L NO. OF OUTLETS F177 APPROVALS NO. OF FIXTUREG f DATE INSPECTOR'S NAME O. OF MOTORS H.P. CONDUIT NO. OF SIGN I TRANS. WIRING NO. OF RANGES OR HEATERSFIXTURES MI CELLANEOUS POWER • I PERMIT FEE ffi ! S� UTILITY CO.NOTIFIED TOTAL_FEE S" FowAw. .•�:7. r �t WORKERS'COMPENSATION DECLARATION 7BA663 10/81 CE-806G Al PUCATION FbR ELECTRICAL PERMIT I h affirm that I have a certificate of consent to self insure, or ificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY co of(Sec.3800, b.C.) Policy No: Company FOR APPLICANT TO FILL IN JOB ADDRESS V� ` Certified copy is hereby furnished. New Residential Bldgs.&Pools� EACH NO. FEE LOCALITY ` Certified copy is filed.with the county building inspection 1 &2-Family,Sq.Ft. $ — $ YLP < < department. ` Multi-family Sq.Ft. NEAREST CROSS ST. ef Date Applicant \nJ AA Residential Swimming Pools OWNER OR FIRM NAME lr CERTIFICATE OF EXEMPTION First-20 ROM WORKERS' + Outlets:Rao J.Light-7-Sw.� MAIL COMPENSATION INS RANCE Q � ADDRESS G r (This section need not be completed If the work involved by the Total No. Additional CITY Tel.No. 17117 permit Is for one hundred dollars($100)or less.) PLAN CHECK I certify that in the performance of the work for which this permit APPLICANT An 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 az Total No. Additional. CITY `C Tel.No. 6� Date Applicant NOTICE TO. APPLICANT: :If, after making this Certificate of Fixed Appliances Not Over 1 HP :PERMIT ^ APPLICANT Exemption,you should become subject to the Workers'Compensation Range_ HeaterD.W. V '_Zr I ^ 11. .provisions of the Labor Code,you must forthwith comply with sdch Oven 11 , Dryer,_ W.M._ ADDRESS 91 provisions or this permit shall be deemed revoked. Top L. FAU _ W.H. _ ` LICENSED CONTRACTORS DECLARATION Hood � Fan _ Other_ CITY' �_�®u Tel.No. [ !^ I hereby affirm that I am licensed under provisions of Chapter 9 LICENSE OR Disp. � Room Air Cond. O �. REG.NUMBER q Class.48 (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. PR CESSED BY • Size&Type HP,KW,KVA,or KVAR �D c°oa 'License-Number 557723 Uc.Class _ Up to 1 Incl:. FINAL -� Over 1 to 1.0 Incl. DATE VALIDATION Contractor Date Over 10 to 50 Incl. _� � V FINAL ❑ I'am exempt under Sec. Over 50 to 100 Inc. BY W B&P.C. Over 100 a.for this reason Cl) Services,.Swbd. MCC&Panelboards �! ` Z Dat _ 0 00 A Under 600 V •v / P6 [Pr ' Signature 201 - 10 0 Amp.Under 600 V E] Over 1000 Amp.or Over 600 V. Exemption fo eg.Maint.Elect. i SINGLE FAMILY Temp.Power Pole&Appurtenances - HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractors License Law for the following reason(Section 7031.5,Business and Professions Additional Sign Branch Circuits Code) ;^_:i � I:sL•'i Misc.Conduits&Conductors I %i I_rl ❑ I,.as owner.of the property,will do the work and the structure Other(See Complete Fee Schedule) _ is not intended or offered for sale (Section 7044, Business ;' r. �j . :-;� Z1 _�_' and Professions Code).. s �f 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(Sec.3097, PERMIT FEE (Sub Total) + Civ.C.). i PLAN.CHECKING FEE r,-•l- r.=.�•. 5�^I I.- 11 f""719: Lender's Name PERMIT ISSUING FEE p� ;g �' 'i - •y_a y;� ' Lende y Address "0 certify that I have read this application and state that the above TOTAL FEE for is correct.I agree to comply with all.County ordinances d State laws regulating Electrical wiring, and hereby authorize resentatives of this County to enter upon the above-mentioned arty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE lure of Permittee Date DEC WCirm that COMPENSATION cafe of corse I 76-663 10/81 [,ia, i.�PA CAU OXN k2O 2.i1 Efr�Tio A PERMIT.I hereby affirm that I have a certificate of consent to self CE-806G G�1if" L�, !t"�, IJV FOR L51� @� lI� L B'i'�II� insure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY orf ceerrtifjed�copy thereof(Sec. 3800,.Lab. C.)41 q Po'cy Nom.�J� Company.51 gqgr 0/L /� /tom/ FOR APPLICANT TO FILL IN JOB Certified'copy is hereby furnished. EACH NO. FEE ADDRESS .J 0 • New Residential Bldgs, &Pools rV Certified copy is filed with the county building inspec.' 1 &2-Family, Sq. Ft.. $ _ $ LOCALITY tion de artm.ent. Multi-family Sq. Ft. INEAREST Residential Swimming Pools CROSS ST. Date –� Applicant OWNER OR CERTIFICATE OF EXEMPTION FROM WORKERS' riDRES:S : M NAME /Z /� COMPENSATION INSURANCE Outlets: Rec�Lighf ' Sw. This section need not be com leted If the work involved b First 20 ( P Y Total No. Additional Tel. No.WY-17613 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 to as to become subject to the Workers'Compensation Laws.. Lighting Fixtures First 20ADDRESS Total No. Additional CITY Tel. No. Date Applicant. Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: lf; after making this Certificate of 0/t/ !L Exemption, you should became subject to the Workers' Range_ Heater_D.W. APPLICANT A, 41W" Compensation provisions of the tabor Code, you must forth- Oven —Dryer W.M.— ADDRESS with comply with such provisions or this permit shall be Top _ FAL; F W.H. — deemed revoked. CITY C Tel. IVo. C LICENSED CONTRACTORS DECLARATION Hood _.Fan _Other_ Dis _ Room Air Cond. LICENSE OR M1 ' I hereby affirm that I am licensed under provisions of Chapter'9 p' REG.NUMBER 'Vo 7,3 Class.cSY (commencing with Section 7000) of Division 3 of the,Business power Apparatus.&Large Appliances DISTRICT NO. PR S BY and Professions Code,and my license is in full.force and effect. ff Y637�S 3X Size&Type HP, KW,KVA, or KVAR' t License Number Lic. Class Up to 1 Incl. FINAL _ Over 1 to 10 Incl. DATE� Contractor U Date f VALI TIOf�I ❑ �� Over 10 to 50 Incl. FIN- I am exempt under Sec. Over 50 to 100 Inc. BY Lu y Over 100 B.&P.C. for this reason FA Date: Services, Swbd.,MCC&Ponelboards 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ •• Over 1000 Amp. or Over 600 V Exemption for Reg. Mainf. Elect. 9 6 5 3,Q•A SINGLE FAMILY Temp. Power Pole&Appurtenances # 0 0 0 0 0 2 HOME OWNER-BUILDER DECLARATION Sign.with One Branch Circuit I hereby affirm that I am exempt,from the Contractor's License ) o o J 625 Law for the following reason (Section 7031.5, Business. and Additional Sign Branch Circuits Professions Code): o 0 0 1 (a 2.5 5 I, as owner of the property, will do The work and the Misc. Conduits&Conductors structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ 0 2 1 8-8 7 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work foe which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). S 14 PLAN CHECKING FEE Lender's Name ,.f PERMIT ISSUING FEE (f Lender's Address I certify that I have read this application and state that the TOTAL FEE above information is'correct, I agtee to comply with all County 10a :I ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above-mention_ed erty for inspection purposes. • SEE REVERSE FOR EXPLANATORY LANGUAGE .2 -/.?-0 Signature of Permittee Date