HomeMy Public PortalAbout5441 RYLAND AVE_Electrical__ * • COUNTY OF LOS ANGELES APPL=T= FOS PERMT
Depaof Con EaglaeNlr ��������
DMSION OF OF SIIII.DIIN�iG 8c SAFETY
WILLIAM L FOX. County ERoIow
FOR APPLICANT TO FILL IN DIETRI13T NO. OROLIP I ZONE PERMIT NO.
ELECTRICIAN I QiAlVARAOLI ^
RECEIVED BY READY ran OATS IM A17
ADDR /� FIRST INJECTION •.
CITY
TELNo b .f t
COUNTY LIOENNE NO. MPIREmumoimm
PEHIM FSEs ADDRESS
NUM■ER EAON FEE LOCALITYI7�f� r
LIMHT OUTLETS NEAR®T
RECEPTAOLER OEs�.
WALL SWITONE■ WNER
TOTAL OuTLETS 60 MAIL
ELEO. MA OEM m ADDRESS
ELEC. HEATERS TEL. NO.
rIXTumm 5 1 NEWRY AUMCF II.ED■E THAT 1 HAVE READ THIN
APPLICATION AND ■TATE THAT THE ABOVE IN CORRECT
NUMBER Or LIMHT CIRCUITS AND AMREE TO COMPLY MTN ALL COUNTY ORDINANCE■
NUMSER Or RECEPTACLE CIRCUITS AND ■TAT! LAWN R ULATINC ELECTRICAL WIRIMIL
MOTORS 1 OMWIFY THAT 1 PON■ER AN V ID LOS
NUMBER NOR■EPCWER FEE MISSILES OOUNTY LICE NNToTHE OWNER
NEW Mvo. HP OVER INR. EAM Or THE NENIDENTIAL ELN E.
• LEea .$5 ■IOMATUIM O
va
■ .� PERMI -----
■ ■ 1.00 n imlimmS iscom
5 75 1.SO
�■ sD s.SD
5o NCO 5.00
son SOD 10.00
so0 loom I Ism 44Z
OVER loon ■CAO p
MA. mcT/rnm& CHANGER-HP O;
WELDER■IAO-RVA O
ENERATOR■ - EW
TRANSFORMEII■ - KVA
TEMPO MOTORS 1759E Or OR1R.1
MOVED MOTOR■ (75 Or anon.)
Himm
81ONB
NC. NO.TRAN 6 APPSOVMA
N NQ WMPS
FOR EACH PERMITI DA IN■PECTORV■NAME
WIRING 011.0113 CONDUIT _
FIXTURES1.pp WIRINS 0
JNMI FIXTURE■
POWER
TOTAL FEE M UTILITY 94 MOTIr1ED ••
FINAL
THINE DBS#lit 4-0
W..ORKER'S COMPENSATION DECLARATN2�0�DPW(12-.9
7 1)
APPLICATION FOR .ELECTRICAL PERMIT
I hereby affirm that I have:a certificate of consent to self Insure,
..or'a certificate of Worker's.Compensation Insurance, or a certified I' COUNTY OF.LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV.
copy thereof,(Sec.3800 Lab,.C.) '
Polley No.. . . Company FOR APPLICANT TO FILL IN ADDRESS
Y New Residential Bidgs.&Pools I .LOCALITY
Certified copy is hereb.furnished. NO. EACH. FEE
ALI
Certified copy willed with the county bui.l.din. inspection 1 A 2-Family,'Sq.Ft.
NEAREST
department. Multi.-family Sq.Ft. CROSS ST.
Residential Swimming Pools
ASSESSOR
Data Applicant .. i MAP.BOOK PAGE I PARCEL
CERTIFICATE OF EXEMPTION FROM WORKERS' }(OWNER OR
Outlets:Reb._.Light SW. FIRM NAME
'EOMPENSATION INSURANCE
First 20
(This section need,not.be completed If'the work Involved by the !.MAIL
Total No. Additional I'
permit is for one hundred dollars($100)or less.) I ADDRESS
'
I bertify:that In'-the performance of the work for which this permit CITY Tel.No.T
;nrL
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
Total No. Additional
ADDRESS
Date. „• Applicant.
NOTICEO:AP,PL'ICANT: If, after making this Certificate of !
-TRESIDENTIAL APPLIANCES NOT OVER 3 HP.
I; 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 PERMIT
provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances APPLICANT
LICENSED CONTRACTORS'DECLARATION j Size'&Type HP,KW,KVA,or KVAR ADDRESS
I hereby affirm that d am'licensed under provisions.of'Chapter 9 1 Over to 10 Incl.
(commencing with Section 7000)of Division 3 of the Business and, CITY Tel.No.
Professions Code.;'and'my license is in full force and effect. f Over 10 to 50 Incl.
I LICENSE OR
Over•60 to 100 Incl. - - REG.NUMBER Class., d
v.
Over 100 DISTRICT NO. R SSED:BY V
License Number Lie.Class
Services,Swbbdd..,,1p�V�!CC an.Ib�Aa�G s I n�
�,�689Am Wo - '� FINAL
Contractor Date p,. nd V' i. DATE
400 m 1000 Amp.Under 600 V
• 0. I.im exempt under Sec.
Over 1000 Amp.or Over 600 V' FINAL d
VALIDATION
BAP.C.for this reason BRANCH CIRCUIT FEES B'
Date:. I ISA,or 20A,120V,Lighting or Recept: ( Z
1 To 10 Branch.Circuits
Signature, 11 To 40 Branch Circuits
41 Or More Branch Circuits
0 Exemption for Reg.Maint.Elect. 15A,20A,•208V To 277V Lighting Br..Circuits- 1. ,
SINGLE FAMILY Temp.Power Pole&Appurtenances ALV`a
HOMEOWNER=BUILDER DECLARATION '":s f ' +`f'0
I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit .'s� _ Off.3
for the following reason (Section'7031.5, Business and Professions Additional Sign Branch Circuits �' I° G�'
Code):
0s TO 4. 0
I.,as owner of the.,property,will do the work and the structure Mise.Conduits.&.Conductors 1 rTA`~•
r._, -
Is. not:intended or offered for sale(Section 7044, Business Other.(See Complete Fee Schedule) 71
HECK €+4.33,131
and;Professions Code).- " !
CONSTRUCTION LENDING AGENCY• thPt Octa
I hereby affirm that there is a construction lending agency for the '
performance of the work for which this 3 permit is issued(Sec.3097, PERMIT FEE (Sub=Total) 11
Civ.C.) I �U90-0013 2/23/95
I
PLAN CHECKING FEE P-2 13 I Ar.K" 49
Lender's Name.
I - PERMIT ISSUING FEE
Lender's Address
1 I certify that I have read this application and under penalty of purjury state TOTAL FEE
�p 7,
• that the above information is correct. I agree to comply with all County
ordinances and State laws regulating.Electrical wiring,lend herebyauthorize
representatives-of this County to enter upon the above-mentioned property
for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
I
— .
I3.9.E
i�'S iNA OF P MITTS DATE
76ASM DBE SA 11-49 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL I DISTRICT NO. GROUP ZONE PERMIT/NO.
ELECTRICIAN
RECEIVED BY READY FOR DATE ISSUED
ADDRESS gp FIRST INSPECTION
CITY
COUNTY LICENSE NO. EXPIRES e1.1lt.C? ®— -EIG1LDING
PERMIT FEES ADDRESS
NUMBER OUTLETS EACH FEE LOCALITY
LIGHT 5O $ NEAREST
CROSS 9T.
RECEPTACLES 5
FIXTURES 5 OWNER
WALL SWITCHES 5 MAIL
ELE . RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
M19C. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
NUMBER OF CIRCUITS INSTAIr:
TOTAL- APPLICATION AND STATE THAT THE ABOVE IS CORRECT
L113HTS RECEPTACLES AND AGREE TO COMPLY WITH. ALL COUNTY ORDINANCES
MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING.
NUMBER HORSEPOWER FEE I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NEw Mvo. HP OVER IND. EACH ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
Yz s LESS $ .25 OF THE RESIDENTIAL_PROPERTY DESCRIBED ABOVE
%z 2 .513 SIGNATURE OF �►
2 5 1,00 PERMITTEE °
s is 1 1.50 INSPECTION RECORD
1s so 2.50 1 � S`
50 200 5.00
200 500 113.130 U L C • /°r Jc r -709 Q0_+
500 10013 15.130 -j
EfE I ®
OVER 1 OOO 20.00 a�.b Z
M.G. SET/FREQ. CHANGER-HP 0
WELDERS:AC-KVA
GENERATORS - KW L1 .� ' O
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF CRIB.)
MOVED MOTORS (75% OF CRIB.)
MISC.
SIGNS
TYPE: NO.TRANS.
TYPE: NO. LAMPS APPROVALS
FOR EACH PERMIT. DATE INSPECTOR'S NAME
WIRING $1.00 CONDUIT
FIXTURES $1.00 WIRING 0-5•j
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE UTILITY CO.NOTIFIED OL
FINAL —/CA;1-t
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer qmw
DIVISION OF BUILDING & SAFETY � a -- - -
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN DISTRICT
�NO. GROUPI ZONE4v �INO.
ELECTRICIAN
DWAan F IlUnEMANN BY WRY FOR DATE ISSUED
ADDRESS / 4 �� FIR /!
CITY ///���
COUNTY LICENSE NO. i EXPIRES BUILDING ��'�
PERMIT f`EES ADDRESS P.v C% .
9
NUMBER EACH FEE LOCALITY �.�� ;4'-f 0
LIGHT OUTLETS NEAREST
-
RECEPTACLES CRON ST. // 9• .? �I
WALL SWITCHES OWNER !?� f"B /1 0.9
TOTAL OUTLETS pppp 5D S MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES B
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 CF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOB
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEw MVD. HIS OVER INC. EACH OF THE REBIDENTI =Rw' 8SIRIBED SAVE.
I�2 6 LEBH 6 .25 SIGNATURE OF
i/2 2 .60 PERMITTEE ' 1 —
a B 1.00 INSPECTION RECORD
5 15 1.50
15 50 2.50
513 200 5.00
200 BOO 10.013 J
5130 1000 15.00 Z
OVER 1000 20.00 0
M.G. BET/FREQ. CHANGER-HP
WELDERS:AC-KVA
GENERATORS - KW
TRANSFORMERS KVA _
TEMP. MOTORS (75% DF DRIES.)
MOVED MOTORS (75% DF DRIES.)
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
N0. NO.LAMPS
FOR EACH PERMIT. DATE INSPECTOR'S NAME
WIRING $1.00 p&p CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50 FIXTURES
Er POWER
TOTAL FEE S I UTILITY Co.NOTIFIED
FINAL �� / Z f�!
T6A668 DBS*5A 4-52
WORK RS'COMPENSATION DECLARATION It, CE-806 l0%f APPLICATION p TION FOR ELECTRICAL
PER'
Ijher%Liy affir that I f ave�a certificate of consent to self CE-806G i r �\rr/a 1� 1' 1� ` PER'
a. ;ificotd of 11Vorkers'Cerr(pensation Insurance, j COUNTY OF LOS ANGELES BUILDING ANDS FEtY.
or a•cfsrtif�ed py the?of (Sec. 3800, Lam. C.)
t.
n
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 ' y 3
tion deportment. Multi-family Sq. Ft. — NEAREST
CROSS ST.
Residential Swimming Pools OWNER OR
Date Applicant
FIRM NAME.
' CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light Sw._ MAIL
COMPENSATION INSURANCE ADDRESS A
(This section neod not be completed if the work Involved by Total No. Additional CITY're - , Tel. No.
the per 10
if Is for one hundred dollars($100)or less.) I 4
I certi that in the performance of the work for which this APpLICANTK
perm',is issued, I shall not employ any person in any manner
so ag,to become.subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS
Total No. Additional CITY Tel. No.
Date "` pplicant �C � i C. Fixed Appliances Not Ov 1 HP PERMIT '
N r ICE TO APPLICANT: If, after making this Certificate of i� t� APPLICANT' C_
E !on, you should become subject to the Workers' Range_ Heater_D'.W.
Wei
C mpensation•proisions of the.Labor Code, you must forth- Oven —Dryer _W.M.— ADDRESS '',� r 8 et��
ith 'comply with'Such provisions or this permit shall be Top _ FAU —W.H. —
eemed revoked. CITY G Tel. No /
LICENSED CONTRACTORS DECLARATION Hood _ Fan _Other_
Disp. Room Air Cond. 3,45-0 LICENS OR
• _
j hereby affirm that I am licensed under provisions of Chapter 9 REG. NUMBER 6- 3 Class.
(commencing with Section 7000)of Division 3 of the Business DISTRICT NO.. C SED BY p�
Power Apparatus&Large Appliances
' and Professions Code,and my license is in full force and effect. �
rr�� Size 8 Type HP, KW, KVA, or KVAR'
Number V License Numbe $; '�Lic. Class C —i d Up to 1 Incl. FINAL L7r
C1'2�Th Over 1 to 10 Incl. DATE �2 VALIDATION
Contractor ate Q"'����❑ Over 10 to.50 Incl. FINAL' W'
I am exempt under Sec. Over 50 to 100 Inc. BY
B.&P.C. for this reason Over 100 GL Z
' Date: Services, Swbd., MCC&Panelboards
1 0 -200 Amp. Under 600 V
Signature 201 - 1000 Amp. Under 600 V
❑ Exemption for Reg. Mainz. Elect. Over 1000 Amp. or Over 600 V
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
Professions
Code):
U 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)_
7044, Business and Professions Code). 5831 A
iAR
CONSTRUCTION LENDING AGENCY # 0000.02
I heleby'affirm that there is a construction lending agency for o o32_50
0e.performance of the work for which this permit is issued PERMIT FEE (Sub-Total)
(Sec. 3097, Civ. C.). i 0 0 0 3 2 5 0
I PLAN CHECKING FEE
Lender's Name. 10,30"86
PERMIT ISSUING FEE /a
tLender's Address ,
1 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
'1 ordinances anpl State laws regulating Electrical wiring, and
hereby authorize representatives of this County to enter upon
tlt above-mentioned property for inspection purposes. f SEE REVERSE FOR EXPLANATORY LANGUAGE
'Sig ure of Permittee Date
WORKERS'COMPENSATION DECLARATION CEA8o8G 1
0/81 APPLICATION FOR ELECTRICAL. PERMIT
I hereby affirm that I have a certificate of consent to self insure,
,%or a cejtificate of Workers' Compensation Insurance, or a certified I COUNTY OF LOS ANGELES BUILDING AND'SAFETY.
copy thereof(Sec.3800,Lab.C.)
Policy No. Company" FOR APPLICANT TO FILL IN JOB
❑ Certified copy is hereby furnished. EACH NO. FEE ADDRESS
New Residential Bldgs.&Pools
❑ _ 1 &2-Family,Sq.Ft. $ — $ LOCALITY `
Certified co is filed with a county building inspection NEAREST
tment�{. _ Multi-family Sq.Ft. CROSS ST.
Date �� v Applicant Residential Swimming Pools OWNER OR
FIRM NAME irr7 't If
JIRTIFICATIE OF EXEMPTION FROM WORKERS _
COMPENSATION INSURANCE Outlets :Rec—Light—Sw.— ADDRESS (fi dldC-
(This section need not be completed if the work involved by the 1 First 20 CITY Tel.No.
permit is•for one hundred.dollars'($100)or less.) Total.No. Additional
PLANCHECK'
I certify.that in the:performance of the work for which this permit APPLICANT
is'issued, I shall not empty any person in any manner so as to
become.subject to the Workers'Compensation.Laws. Lighting Fixtures First 20 ADDRESS
Additional
Total No. CITY Tel.No.
Date Applicant Fixed Appliances Not Over 1 HP
NOTICE TO ,APPLICANT: If, after making this .Certificate of PERMIT
Exemption,you should become subject to the Workers'Compensation ; Range_ Heater D.W. APPLICANT
provisions of the Labor Code,you must forthwith comply with such Oven Dryer_ W..M.. ADDRESS '
provisions or this permit shall be deemed revoked.• Top FAU _ W.H. _ CITY Tel..No.
LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_
I hereby affirm that I am licensed under provisions of Chapter 9, 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: DISTRICT NO.. PR ED
Power Apparatus&Large Appliances
Size IS Type HP,KW,KVA,or KVAR Q
License Number A Lic.Class. ` Up to 1 Incl. V JE �
�+
Over 1 to 10 Incl. O•
Contractor Date ? VALIDATION
i Over 10 to 50 Incl. 1••..
V
❑ I am exempt under Sec. Over 50 to 100 Inc. W
B.&P.C.for this reason Over 100
Services,;Swbd.,MCC&Panelboards VV
.Date: 0-.200 Amp.Under 600 V era
Signature 201 = 1000 Amp,•Under 600 V
Over 1000 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 r
I.hereby affirm that I am exempt from the Contractor's License Law �+./'.
for the following reason(Section 7031.5,Business and Professions Additional.Sign Branch Circuits """" A441 04
Code): ,• 3307o
Misc.Conduit's&Conductors'
. 2250
I,as owner of the property,will do the work and the structure Other(See Complete Fee Schedule) 1 ITEMS
is not.intended or offered for sale (Section 7044, Business
and Professions Code). f 7OTAl. . 22.513 op
CONSTRUCTION LENDING AGENCY CHECK - 22o511
.,I hereby affirm that there is a construction lending agency for the i
performance of the work for which this permit is issued(Sec.3097., PERMIT FEE (Sub-Total) C p '00
Civ:C.).
PLAN CHECKING FEE
Lender's NameLendef's Add0010—ODO1. Q/ 689
i PERMIT ISSUING FEE '
ress
X13 1 AN 8-032
I certify that I have read'this application and state that the.above ��• TOTAL FEE
information is correct.I agree to comply with all County ordinances'I
and State laws regulating Electrical wiring, and hereby authorize
representatives of this.County to enter upon the above-m ntioned
prop?rky for inspection p pose . SEE REVERSE FOR EXPLANATORY LANGUAGE
Siodtffre of I effimittea D e'
WORKERS'COMPENSATION DECLARATION CE-8M 10/81 APPLICATION
iA TION F®® ELECTRICAL PER OT
I hereby affirm that I have a certificate of consent to self CE-8MG G B"a /'�6 s® L�
i. insure, or a certificate of Workers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY
or a certified copy thereof(Sec. 3800, Lob. C.)
Policy No. Company FOR APPLICANT TO FILL IN JOB 4
Certified copy is hereby furnished. New Residential Bldgs. &Pool EACH NO. FEE ADDRESS k�
❑ Certified copy is filed with the county building inspec- I &2-Family, Sq. Ft. $ _ $ LOCALITY
EST
tion department. Multi-family Sq. Ft. ROSS ST. ,
Date Applicant Residential Swimming Pools OWNER OR
FIRM NAME
CERTIFICATE OF EXEMPTION FROM WORKERS' MAIL
COMPENSATION INSURANCE Outlets: Rec Light Sw._ ADDRESS
tThis section need not be completed IF the work involved b I First 20
he permit is for one hundred dollars($100)or less.) y Ti tal No. Additional CITY Tel. No.
K
I certify that in the performance of the work for which this APPUCANT
permit is issued, I shall not employ any person in any manner J
so as to beco a subject to the ers'Compensat' Laws. Lighting.Fixtures First 20 ADDRESS
Nd 1k A Total No. Additional CITY Tel. No.
Date Applicant Fixed Appliances Not Over 1 HP PERMIT
NOTICE T APP (CANT: If, afte mki
ang t is Certificate of APPLICANT
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. — CITY Tel. No.
deemed revoked. Hood —Fan a-Other—
LICENSED CONTRACTORS DECLARATION LICENSE OR
I hereby off irm that I am licensed under provisions of Chapter 9 Disp. — Room Air Cond. REG.NUMBER Class.
(commencing with Section 7000)of Division 3 of the Business DISTRICT N PROCESSED BY
and Professions Code,and my license Win full force and effect. Power Apparatus 8 Large Appliances D6
Size&Type HP, KW, KVA, or KVAR' 7 O
License Number Lic. Class Up to l'Incl. FINAL
DATE
Over 1 to 10 Incl. VALIDATION
Contractor Dale Over 10 to 50 Incl. FINAL
❑ 1 am exempt under Sec. Over 50 to 100 Inc. BY
I�
BAP.C. for this reason Over 100
Date. Services,Swbd., MCC&Ponelboords
0 -200 Amp. Under 600 V
Signature 201 -1000 Amp. Under 600 V
❑ 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
Low for the following reason (Section 7031.5, Business and
Professions Code):
® as owner the property, will do the work and the M.sc: Conduits&Conductors
s C 9 R 4 A
structure is not
t intended or offered for sale (Section ' Other(See Complete Fee Schedule)_
7044, Business and Professions Code). 0.0 o 0 o 2
CONSTRUCTION LENDING AGENCY 1 4
I 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.).
PLANCHECKING FEE (' r C,L1' _4; ;i
Lender's Name PERMIT ISSUING FEE 09
Lender's Address
I certify that I have read this application and state that the TOTAL FEE
above information is corieet.'I agree to comply with.all County
ordinances and State jaws regulating Electrical wiring, and
hereby authorize representatives of this County to enter upon
the above-mentions roperty for inspection purp ses.
I SEE REVERSE FOR EXPLANATORY LANGUAGE
nature�oerrC�Ittee � ate
s t
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0709070010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEG ING ADDRESS:
ON FILE 5451 i FfiES PAID i BUILDI
(FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917802722
1
AV
!ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: DAINES 1
18586-024-013 IA1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 2.00 OUT 3.90 1 I
(TENANT: 102 LIGHTING FIXTURES 1.00 LGT 1.95 11SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
IH7 RES EXHAUST FANS 1.00 EX 10.95 109/07/07 SR 03/05/08 1
I 1 TOTAL FEES 44.55 1
10WNER: TEL. NO: IFINAL DATIV BY: CODE: 1
1HUANG, BONNIE (626) 298-2032- I I
15451 RYLAND AVENUE I
ITEMP 917807584 IDESCRIPTION OF WORK 1
1
I I IRELOCATE LIGHTING OUTLET AND FIXTURE 1
I I
(APPLICANT: TEL. NO: I I
ISAME AS OWNER - I ISPECIAL CONDITIONS: 1
I I I
1CONTRACTOR: TEL. NO: 1 I I
APPROVALS DATE INSPECTOR SIGNATURE
(SAME AS OWNER LIC. NO I ITEMPORARY POWER POLE I I I
1UNDERGROUND CONDUIT I I I
(ARCHITECT OR ENGINEER: TEL. NO: I 1UFER GROUND I I I
I I I
LIC. NO: I (ROUGH CONDUIT I I I
TROUGH WIRING J�r
IMAIN WATER LINE �l 1
(PLASTIC YIN METAL YIN
(UTILITY COMPANY NOTIFIEDI I I
I I I I I
1 I I I I I
I
I 1 I I I I
I 1 I I I I
1 I 1
I
I I I I I I
1 I I I I
1 I I
I I
1 1 I I I
I I I I I I
REPORT ID: DPR265 ROUTE TO: BS0508
I I I I I I