HomeMy Public PortalAbout5030 RYLAND AVE_Electrical__ D.B.B.SA 25M SETS 1D-47 ®g�ye*I'1 TION FOR
DEPARTMENT OF BUILDING ALW/ St1S1�13 2���g4AiH L� a'QY
COUNTY OF LOS ANGELES ELECTRIC
ENGINEER
a DISTRICT NO. GROUP ONE PERMIT NO.
NAME
U ADDRESS
ECEIVgD BY READY FOR DATE ISSUED
�j CITY TENO. i FIRST INSPECTION
G , L. //'� / d
CERT.NO. c/ d� EXPI Ey3 !
APPLICANT FILL IN I�VILY OUTLINED PORTION O Y'
I DNESCIRHPTItON OF WORM ADDRESS �' /�.
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS SW. PLUGS FiXT CR SS n
CIRCUIT A B C D E F G H Ir NAME T IJ! i�1V
Fy W
MAIL
3 ADDRESS
O
CITY TEL.NO.
I AM THE LEGAL PO ESSOR THE ABOVE LOS
A14GE_LCO COUNTY CARS ! T ALIFICATION..
�•�`:��
ELECTRICIAN.
1 AM'l �,ECiAL OWNER OF'!HE PROPFd rr DESCRIBED
ABOVE
OWNER.
� V�V.Vi1�W�UtiB®1\�7
J
Q
Z
2
O
TOTAL
NO. OF OUTLLrrS I 0 D APPROVALS
N . OF FIXTURED 0 DATE INSPECTOR'S NAME
NO. OF MOTORPI H.P. 0 CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MISCEL US B POWER
PERMIT FEE 0 / ss� UTILITYCO.NOTIFIED
_TOTAL_FEE 4 FINAL
i'7SAS68 DBS 8A 11-80
APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN ,4
4-f 3?-4? 4g.
/ RECEIVED BY READY FOR DATE ISSUED
ADDRESS f FIRST INSPECTION /
CITY TEL. NO. r–r
COUNTY LICENSE NO. EXPIRES AUILDING
DDRESS 1.'f1 a 0 A,AI Ar
PERMIT FEES
FEE
NUMBER EACH LOCALITY PL /
LIGHT OUTLETS NEAREST
CROSS ST.
RECEPTACLES
WALL SWITCHES OWNER
TOTAL OUTLETS Sc MAIL, / ! �
ELEC. RANGES P8 ADDRESS c mJv
ELEC. HEATERS 25 CITY f
C 1. TEL. NO. Q 4
FIXTURES 5 I
X HEREBY ACKNOWLEDGE THAT I 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 I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEW MVD. HP OVER INC. EACH FEE OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
1/2 9 LESS ffi .25 SIGNATURE OF
1/2 2 .50 PERMITT2
2 5 1.oo INSPECTION RECORD
s 1s 1.so
15 SO 2.50 17 ig
Q— J
501 200 5.00'
200 Boo 10.00 J
500 1000 15.00 Z
OVER 1000 20.00 J a
M. G. SET/FREQ. CHANGER-HPIt
WELDERS:AC-KVA ' v A 0� 0
GENERATORS-KW
TRANSFORMERS-KVA All,1
TEMP. MOTORS (73%oFORta.)
MOVED MOTORS (7S%of ORIG.)
MISC.
SIGNS
NO. NO.TRANS. I APPROVALS
NO. NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
WIRING $1.001 1
CONDUIT
FIXTURESffii.00 WIRING
SUPPLEMENTARY .50 FIXTURES
p� POWER
TOTAL FEE ffi �v UTILITY CO. NOTIFIED
® FINAL
WORKERS'COMPENSATIONDECLA'R?elIoFf ` I C 8�G (2!80) APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY
insure,or a certificate of Workers'Compensation Insurance,or,
a certified copy thereof(Sec.3800,Lab.C.) l� pJVX/ J9Ag�6 A/�•
FOR APPLICANT TO FILL IN JOB
ADDRESS wJ®3® /� f
Policy No. Company EACH NO. FEE
• New Residential Bldgs:&Pools
Q Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY / d1� C/r
Certified co y g p Multi-family Sq. Ft. NEAREST
py is filed with the count building inspection•I Residential Swimming Pools CROSS ST
department.
OWNER
FIRM NAME
Date Applicant Outlets: Rec�Light Sw.� �,pC�'ADDRESS m
First 20
CERTIFICATE OF.EXEMPTION FROM WORKERS' Total No. Additional CITY Tel No. It rr—d 4,rO }
COMPENSATION INSURANCE PLAN CHECK a
APPLICANT
(This section need not be completed if the work involved� Lighting Fixtures First 20 U
by,the permit is for one hundred dollars,($100) or less.) I g ADDRESS
Total No.
Additional
I certify that in the performance of the work for which this i Fixed Appliances Not Over 1 HP CITY Tel No. O
permit is issued, I shall not employ any person in any manner I PERMIT A J �- V
so as to become subject to the Workers'C r pensation Laws. I Range_HeateD.W. _ APPLICANT , 11�/"aT�1 1Z &M SI i dio, W
Oven _ Dryer_W.M._ ADDRESS &9AS( A zlrki feQ s � tai)
Y
Date Applica �• Top •_ FAU _W.H.._ Z
Hood — Fan ' —Other CITY o t Tel N �'`��e.47 j
NOTICE TO APPLICANT: , after making this Certificate of Disp. _ Roam Air Cond-_ LICENSE OR 7 /a
Exemption, you should become subject to the .Workers' REG.NUMBER 0J Class, 6
Compensation provisions of the Labor Code,you must forth- Power Apparatus&Large Appliances DISTRICT NO. PROCESSED BY
with comply with such provisions or this permit shall be
deemed revoked. ,, Size&Type HP,KW,KVA,or KVAR
Up to 1 Incl.
Over 1 to 10 Incl. DATE A0�/�r VALIDATION
LICENSED CONTRACTORS DECLARATION I Over 10 to 50 Incl, tE�
I hereby affirm that I am licensed under provisions of Chapteri Over 50 to 100 Inc. FINAL
9 (commencing'with Section 7000)of Division 3 of the Busi- ,I Over 100BY
'"'
ness and Professions Code, and my license is in full force and
effect. S Services
License Number. Lic.Classy I 0-200 Amp.Under 600 V
y 1 201-1000 Amp.Under 600 V
Contrac a �' O a �� Over 1000 Amp.or Over 600 V J
ME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances
I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit
Additional Sign Branch Circuits
License Law for the following reason (Section 7031.5, Busi=
ness and Professions Code):
Misc.Conduits&Conductors
I, as owner of the property, will do the work and theether(See Complete Fee Schedule)— [) 4,
structure is not intended or offered for sale (Section
7044,Business and Professions Code). # o 0-0 a a 2
• CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a 'construction lending agency l
for the performance of the work for which this permit is PERMIT FEE (Sub-Total) 2 ° - 1270
issued(Sec.3097,Civ.C.). � Q •� Q 1 2 I 0_
Lenders Name PLAN CHECKING FEE (One-Fourth Permit Fee) `'
Lender's Address I �Q 0 O a r 8 2
. PERMIT ISSUING FEE O i
I certify that I have read this application and state that the TOTAL FEE oP.. 70
above information is correct.I agree to comply with all County
ordinances and State regulating Electrical wiring, and
hereby authori a ntatives of this County to enter upon
thea e e do roperty for inspection purposes. ( SEE'REVERSE FOR EXPLANATORY LANGUAGE
r mfttee Date
of r
WORKER'S COMPENSATION DECLARATION 200019 DPW(12-91) a41���.ICA1'I®IV ®R ELECTRICAL PERMIT
I hef py affirm Shat I have a certificate of consent to self insure, 76A863
or a certificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV.
copy thereof(Sec.3800 Lab.C.) `
Policy No. Company FOR APPLICANT-TO FILL IN ADDRESS
Certified copy is hereby furnished. New Residential Bldga.&Pools NO. EACH FEE
$ $ LOCALITY
❑ Certified copy is filed with the county building inspection 1&2-Family,Sq.Ft. _ NEAREST
department. Multi-family Sq.Ft. CROSS ST.
Date Applicant Residential Swimming Pools ASSESSOR
-MAP BOOK � PAGE PA CEL!/ '✓
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER OR
COMPENSATION INSURANCE Outlets:Rec._Light Sot FIRM NAME
i
(This section need not be completed if the work Involved by the First 20
.wMAIL
permit is for one hundred dollars($100)or less.) Total No. Additional 'ADDRESS "Q .
I certify that in the performance of the work for which this permit CITY I
is issued, I'shall not employ any person in any manner so as to PLAN CHECK
become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 APPLICANT op, Jf
-—4 ��,G,2���� Total No. Additional ADDRESS
Date Applicant RESIDENTIAL APPLIANCES NOT OVER 3 HP.
NOTICE TO APPLICANT: If, after making this Certificate of CITU Tel.No.
Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP.
PERMIT
provisions of the Labor Code,you must forthwith comply with such Power Apparatus A Large Appliances APPLICANT'
provisions or this permit shall be deemed revoked.
LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA;or KVAR ADDRESS
I hereby affirm. that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. � . 7
'_
(commencing with Section 7000) of Division 3 of the Business and CI // ' C� Tel.No.p� �o
Professions Code,and my license is in full force and effect. Over 10 to 50 Incl. }
LICENSE OR �7 /7&1 ? /
Over 50 t0 100 Incl. REG.NU /MBER pS ar/ J
License Number 7 T /3 / LIC.Class Over 100 DISTRICT NO. P 0 BED�BY U
3 Services,Swbd.,MCC�P e�a /
Contractor Date 0-388 Arr1p.'"n 66 O�O V �7 DATE
F-1 I a xer pt under Sec.. 400-1000 Amp.Under 600 V ^Z VALIDATION W
Over 1000 Amp.or Over 600 V FINAL fl
B.&P.C.for this reasonBY 0 CD
BRANCH CIRCUIT FEES '/�Wu
Date: 15A,or 20A,120V,Lighting or Recept. Z
1 To 10 Branch Circuits
Signature t1 To 40 Branch Circuits
❑ •41 Or More Branch Circuits
Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits
SINGLE FAMILY Temp.Power Pole&Appurtenances F'
HOME OWNER-BUILDER DECLARATION with One Branch Circuit n
I hereby affirm that I am exempt from the Contractor's License Law Sign r, j�i�rt.t,a t
for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits ,,,� `� 61-91Code): _. .. vU
❑ I,as owner of the property,Will do the work and the structure Misc.Conduits&Conductors ITE
is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) 61 c 6=
and Professions Code). _......_ TOTAL 4
CONSTRUCTION LENDING AGENCY CHECK. 61-9
I hereby affirm that there is a construction lending agency for the ,I]I
performance of the work for which this permit is issued(Sec. 3097, PERMIT FEE (Sub-Total) CHANGE
Civ.C.)
PLAN CHECKING FEE *, t�,y rrttqq f
Lender's Name 8000 0go, 3f�7/?
PERMIT ISSUING FEE
Lbnder's Address 2,736 P1112 i
1 certify that I have read this application and under penalty of purjury state TOTAL FEE
that the above information is correct. I agree to comply with all County
ordinances and State laws regulating Electrical wiring,and hereby authorize
representativ s of s to enter pon the above-mentioned property
for Ins p ion pos SEE REVERSE FOR EXPLANATORY LANGUAGE
SIGN A pasMP
E DATE
WORKER'S COMPENSATION DECLARATION i6AS6a DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT
I her'by`affir(i,•that I have a certificate of consent to self insure,
or a dertificate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV.
copy thereof(Sec.3800 Lab.C.) q��
Policy NO. Company FOR APPLICANT TO FILL IN ADDRESS JOB ���L� s_
❑ Certified copy is hereby furnished. New Residential Bldgs.&.Pools NO. $EACH $ FEE
LOCALITY
ElCertified copy is filed with the county building inspection 1&2-Family,Sq.Ft. NEAREST
department. Multi-family Sq.Ft. CROSS ST. J
Date Applicant Residential Swimming Podls ASSESSOR'
MAP BOOK PAGE I PARCEL V V
CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec. Light Sw.� OWNER OR FIRM NAME --.j��AJ/g_ 1�ia 40A bl
COMPENSATION INSURANCE _
First 20 ' MAIL
(This section need not be completed if the work Involved by the Total No. AdditionalADDRESS S/�j')'t L
permit Is for one hundred dollars($100)or less.)
I certify that in the performance of the work for which this permit CITY Tel.No.
Is Issued, I shall not employ any person in any manner so as to PLAN CHECK
become subject to the Workers'Compensation Laws. Lighting Fixtures sJ First 20 APPLICANT
Additional
Date 1
r2 9-1
3ApplicanYg; eV Ttal No. ADDRESS
RESIDENTIAL APPLIANCES NOT OVER 3 H.P.
NOTICE TO APPLICANT: If, after making this Certificate of CITY Tel.No.
Exemption,you should become subject to the Workers'Compensation OTHER APPLIANCES NOT OVER 3 HP.
provisions of the Labor Code,you must forthwith comply with such power Apparatus&Large Appliances APPLICANT ft 'rrR C��f�5/� CJs
provisibns or this permit shall be deemed revoked.
LICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS
( hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl. CITY �� Tel,N
commencingwith Section 7000 of Division 3 of the Business and
Professions Code,and my license is in full force and effect. Over 10 to 50 Incl.
LICENSE B / �/ Class ' d
Over 50 t0 100 Incl. REG.NUMBER (O
License Number—07'%p/-9/ LIC.Class Over 100 DISTRICT NO. G P O SED BY 0
1 c Services,Swbd.,MCC&Panelboards � O CL
r 6;e /"�'�-9-? 0-399 Amp.Under 600 V FINAL
Contractor Data DATE I--„
F1400-1000 Amp.Under 600 V -L — VALIDATION V
I am exempt under Sec. Over 1000 Amp.or Over 600 V FINAL d
B.&P.C.for this reason BRANCH CIRCUIT FEES BY to
Date: 15A,or 20A,120V,Lighting or Recept. Z_
1 To 10 Branch Circuits
Signature 11 To 40 Branch Circuits
41 Or More Branch Circuits
Exemption 1`014/139.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits 2
SINGLE FAMILY Temp.Power Pole&Appurtenances/ L A
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit ACCT.
I hereby affirm that I am exempt from the Contractor's License Law
ir
for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits 37,07 ,ter.6.1,51'
Code):
❑
I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors _ 1 ITEMS
is not Intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) ® TOTAL AL . 53 m 65
and Professions Code). C {.Lit, ue ,r c
CONSTRUCTION LENDING AGENCY CHANGE .00 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.) "
PLAN CHECKING FEE 00100-0001 1/29/93
Lender's Name p
PERMIT ISSUING FEE p? 7889 1 AM 9:37
Lender's Address
I certify that I have read this application and under penalty of purjury state TOTAL FEE
that the above information is correct. I agree to comply with all County
ordinances and State laws regulating Electrical wiring,and hereby authorize
representatives of thpqpuDbA to enter upon the above-mentioned property
for inspection ur ses 73 SEE REVERSE FOR EXPLANATORY LANGUAGE
l
SIGNATUR ITi DATE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1112220013
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: I FEES PAID I BUILDING ADDRESS: 1
TR: 10821 IT: 9 BL: .001 I I ' 5030 RYLAND AV 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804038 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LOWER AZUSA 1
18585-013-003 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY
I ILA 100 AMP PANELS, MCC 1.00 PAN 38.80 I I
[TENANT: 1 TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PLAN BY:
1 112/22/11 SR
TOWNER: TEL. NO: I IFINAL 9ATE FI BY: CODE:
IGUARD JENNIFER M (626) 448-0680- T I I
15030 RYLAND AV 1 I I
ITEMP 917804038 T IDESCRIPTION OF WORK VT
I T JEXISTING PANEL 100 AMP CHANGE SERVICE RISE HEIGHT
(APPLICANT: TEL. NO: T I I
IYECHRKELY, TAMAR (310) 854-2684- T I
15834 LASAINE AVE. I ISPECIAL CONDITIONS:
IENCINO, CA 91316
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE T
IR J ELECTRIC INC. (818) 744-4151- I 1 I
15834 LASAINE AVENUE LIC. NO I ITEMPORARY POWER POLE I I I
IENCINO, CA 91316 888283-C10 I [ I I I
I i (UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: - i IUFER GROUND I I I
LIC. NO: i TROUGH CONDUIT I I I
TROUGH WIRING
IMAIN WATER LINE
PLASTIC YIN METAL YIN i I
1 i JUTILITY COMPANY NOTIFIED( \�
I I I I I I
I I I I I I
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IREPORT ID: DPR265 ROUTE TO: BS0508 I I I I
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