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HomeMy Public PortalAbout5505 RYLAND AVE_Electrical__ 7GA663 D86 SA 3-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES �� 7MECTRIC' I WILLIAM J. FOX, CHIEF ENGINEER C FORPPLIOANr,TO FILL IN DISTRICT O. GROUP ZONE PERMIT NO. ELECTRICIAN �1/1✓L�✓ ,L'.%J+�. RE C LVED BY READY FOR Cj E I ED ADDRESS aI d11474h ) .• FIRST INSPECTION CITY TEL NO. COUNTY LICENSE NO. 6 EXPIRES BUILDINGZ52- 4-6 � _ PERMIT .FEES ADDRESS , -- r� �t c NUMBER EACH .FEE LOCALITY LIGHT OUTLETS NEAREST / RECEPTACLES CROSS ST. WALL SWITCHES OWNER TOTAL OUTLETS 5D IB aL () MAIL ELEC. RANGES 85 ADDREEB ELEC. HEATERS 25 CITY TEL. NO. FIXTURES 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. 11�� 12 1- APPLICATION AND STATE THAT THE ABOVE IS CORRECT • NUMBER LIGHT CIR08ITS 3 AND AGREE TO COMPLY WITH ALL. COUNTY 'ORDJNANCES NUMBER OF RECEPTACLE CIRCUITS AND'STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, DRQ 1 AM THE. LEGO AL OWNER HER MVD. HP OVER INC. EACH OF THE RESIDEN,TQkL PROPERTY DESCRIBEDABOVE. s' YX 6 LE89 E .25 SIGNATURE OF , .+ e. '/2 2, .50 PERMITTEL l _. s: 1'�'-fir r A` / 2 5 l.aD G' NSPECTION RECORD 5 75 1.50 15 50 2.50 5o ZOO 5.00 200. Sao 10.00 J BOB luau 15.00 Z OVER 1000 20.00. 0 M.Q. SET/FREQ. CHANGER-HP Q' WELDERS•AC-KVA .O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% or ORID.) MOVED MOTORS (75% OF ummJ MISC. SIGNS NO. NO.TRANS. NO. NO.LAMPS APPROVALS FOR EACH PERMIT: //DATE INBPECTORFS NAME WIRING $1.00 CONDUIT FIXTURES. $7.00 ?) WIRING. 4- ¢it ff,%r rr SUPPLEMENTARY .50 FIXTURES - r POWER TOTAL FEE S UTILITY CO.NOTIFIED FINAL �li y ! y 76A663-CE8061-68 APPLICATION FOR ELECTRICA ,PERMIT COUNTY OF LOS ANGELES DEBPARTMENT OF COUNTY UILDIN.G AND SAFETY DIVISION ADDRESS 5505 Ryland` JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY Temple City FOR APPLICANT TO FILL IN NEAREST CROSS ST. Daiens NO. EACH FEE $ $ OWNER High REC.EPT._ MAIL 5505 LIGHT RY TOTAL FIRST 20 .20 ADDRESS land SWITCH_ OVER 20 .10 CITY Temple City TEL. NO. X4.8-3070 PLAN CHECK LIGHTING TOTAL FIRST 20 .20 APPLICANT FIXTURES OVER 20 .10 ADDRESS RANGE—DRYER—WTR.HTR.— CITY TEL. NO. STA.COOK_DISP.—F.A.U._ CONT.RACTORWarr 4leCtriC SPACE HTR.-AIR COND. ADDRESS 15737'.O1d-Valley lvd CLOTHES WASH._DISHWASH.- CITQity Of IndUStry 0.333-5918 FAN-OTHER 1.00 LICENSE 1,10.250-843 CLASS.0-10 MOTORS,TRANSFORMERS RATING INb. HEATERS, ETC. HP. KW'. KVA. I HEREi iCK LEDGE THAT I HAVE READ THIS APPLICATION SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT'AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 - 1 1.00 I HEREBY .CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 - 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND: STATE OF �, CALIFORNIA OR THAT I A THE LEGAL OWNER OF, AND INTEND TO 10 - SO 5.00 RESIDE IN, THE ABO DESCRI D RESIDENTIAL PROPERTY. Q SIGNATURE u 50 - 100 10.00 OF PERM TEE ad 100 - Soo 15.00 DI$?ICT G ZONE E P OC SE o SIGN GAS TUBE, OR SIGN AND ONE CIRCUIT 3.00 D. MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES Z SERVICE NOT OVER 600 VOLTS OR 200 AMP 1 2.00 2 00 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00: APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT PERMIT FEE (SUB TOTAL) WIRING PLAN CHECK FEE (50% PERMIT FEE) FIXTURES 4 04a POWER AUTHORIZED PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED 44gif AD -=4-aloe ia i6 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 ]FINAL TOTAL FEE 00 JOSEPH C. ROOHAN SUPERVISING ELEC CAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK M.O. CASH - Lin 5 4 7 3- JUL 15 2 0 4..0 0- EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE / . 78A663-cE6081'-68 APPLICATION FOR ELECTRICAL.. PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS SCJ J7 JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, $UPERINTENDENT OF BUILDING LOCALITY .Q. oalc NEAREST FOR APPLICANT TO FILL IN CROSS ST. NO. EAC FEE RECEPT. $ $ OWNER MAIL LIGHT TOTAL FI.RST 20 .20 ADORES im SWITCH OVER 20 ..10. CITY TEL. NO. PLAN CHECK LIGHTING TOTAL FIRST 20 .20 �® APPLICANT FIXTURES OVER 20 .10 ADDRESS RANGE_DRYER—WTR.HTR.— CITY TEL. NO. I STA.COOK_DISP.-/—F.A.U._ CONTRACTOR ). SPACE HTR. AIR COND. ADDRESS Q / I✓ ,CLOTHES WASH._DISHWASH.-L- d b' v TEL. NO. FAN OTHER 1.00 LICENSE NO. ��^� CLASS.ga:-mjeb MOTORS,TRANSFORMERS RATING IND. HEATERS, ETC. HP.'KW. KVA. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL 'COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 - 1 1.00 I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR 1 - 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 10' - 50 5.00 RESIDE N, THE ABOVE. D CRIBED RESIDENTIAL PROPERTY. Q SIGNATURE V 50 - 100 10.00 OF PERMIT ad 100 - 500 15.00 DISTgRI T NO. GWUP P O NE CESSED BY SIGNGAS TUBE, OR Is SIGN AND ONE CIRCUIT 3.00 Lu MAROUEE ADDITIONAL CIRCUITS 1.00 NOTES: Z SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 ... SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT PERMIT FEE (SUB TOTAL) WIRING FIXTURES PLAN CHECK FEE (50% PERMIT FEE) ti POWER AUTHORIZED � PERMIT ISSUING FEE' 2.00 UTILITYCO.NOTIFIED / ' SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL TOTAL FEE JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. CASH LkO5 2 2 VE X26 2 D 9.,2.0- co :E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 76A663-CE80610/72 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER =FSSoT jV, w� ,4:BUILDING AND SAFETY DIVISIONTY B( �^p7/ T ��++ FOR APPLICANT TO FILL IN CROSS ST. yes OUTLETS NO. EACH FEE OWNER ORt, RECEPT.� $ $ FIRM NAME CiAC.� eS n MAIL LIGHT TOTAL .25 FIRST 20 ADDRESS �� 'V, 61� k9) AS-` SWITCH_ OVER 20 10 CITY TEL. NO.'1flJ��j!°���. PLAN CHECK LIGHTINGTOTAL FIRST 20 .25 APPLICANT FIXTURES OVER 20 .10 ADDRESS � _ RESIDENTIAL APPLIANCES CITY TEL.. NO. PERMIT n RANGE DRYER_WTR. HTR. APPLICANT % � k ttbC STA. COOK DISP. F.A.U. ADDRESS JORTCbAbIAA 1 t SPACE HTR. - AIR COND. CITY TEL. NO. CLOTHES WASH. 01SHWASH. LICENSE GENNUM9ERk_qsc ` CLASS. jib FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ANDSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITN ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTR-ICAL WIRING. SIZE & TYPE OVER TO ' I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/Op 0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES C NTY AND STATE OF CALIFORNIA OR THAI I AM THE LEG L O ER OF THE ABOVE 1 - 10 3.00 DESCRIBED RESIDEN L: PROPERT O PERMIT EE 1 C.2 10 - 50 5.00 SIGNATU n; O 50 - 100 10.00 I-° DISTRICT tJO. PRO SSED BY W 100 - 500 15.00 7" /4 _ y _ I� _Z SIGN, GAS =Sr ONE CIRCUIT 5.01) APPROVALS DATE INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICENOTOVER 600 VOLTS OR 200AMP 3.00 UNDERSLAB WORK SERVICEOVER 600 VOLTS OR 200 AMP n 10.00 ROUGH CONDUIT TEMP SERVICE,POLE,&APPURTENANCES- 5.00 WIRING '�� TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 TOTAL FEE PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION ('QK: M.O. cae SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 7 3' 911r'JUN 1.2 2 0 7. WORKER'S COMPENSATION DECLARATION 20.0019 DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self insure, 76A683 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 JOB ADDRESS J�O UT� Certified co Is hereby furnished. NO. EACH FEE ADDRESS copy y New Residential Bldgs.&Pools _ $ $ � r� ! ❑ Certified copy is filed with the county building inspection 1&2-Family,Sq.Ft. t�Ci department. Multi-family Sq.Ft. CROSS ST. ' �s s Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._Light Sw. FIRM NAME ..j Aij Q COMPENSATION INSURANCE First 20 MAIL i (This section need not be completed the work involved by the Total NoAdditional ADDRESS 7',' )r f/1')fc f/SL E- permit is for one hundred dollars($1000 .)or leas.) I certify that in the performance of the work for which this permit CITY PLL d4 Tel.No.0d—� 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 RESIDENTIAL APPLIANCES NOT OVER 3 HP. 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 APPLICANT provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances 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, (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. Over 10 to 50 Incl. >_LICENSE Cleas. Over 50 to 100 Incl. REG.NUMBB ER d Over 100 DISTRICT NO. P O SSED BY V License Number Lic.Class Services,Swbd.,MCC&Panelboards � a: 0-399 Amp.Under 600 V FINAL 0 Contractor Date DATE ❑ 400-1000 Amp.Under 600 V /,f� Z Z, 3 VALIDATION V I am exempt under Sec. lL Over 1000 Amp.or Over 600 V FINAL .B.&P.C.for this reason BRANCH CIRCUIT FEES BY Date: ilk t5A,or 20A,120V,Lighting or Recept. y� OSignature Z 1 To 10 Branch Circuits /i t To 40 Branch Circuits ❑ 41 Or More Branch Circuits _ Exemption for Reg.Maint.Elect. 15A,20A,2D8V To 277V Lighting Br.Circuits 1 SINGLE FAMILY Temp.Power Pole&Appurtenances �p},,+��' HOME OWNER-BUILDER DECLARATION '•`-''r• °F I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit _ 1 ti i� t_I for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits U-12", -r Code): I I I T Et u ❑ I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors is not Intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) TOT AL .42-90 and Professions Code). ® CHECK CONSTRUCTION LENDING AGENCY CHANGE130 "= 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 IL) ) —J 1 i 10/22,19"S Lender's Name lc, y L PERMIT ISSUING FEE �. L.zo 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 re ulating Electrical wiring,and hereby authorize representatives of.this C nt to enter upon the above- entioned property ! inspe 'on purposes SEE REVERSE FOR EXPLANATORY LANGUAGE 2 sJ SIGNATURE OF PERMITTEE DAT I .. WORKER'S COMPENSATION DECLARATION 20.0019 DPW(72-97) APPLICATION FOR ELECTRICAL PERMIT •I hereby affirm that I have a certificate of consent to self insure, 76A663 nr a certificate ol"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 JOB �If � /• 1 1IIS . Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE ADDRESS �l1LOCALITY ❑ $ $Ft S -Family, q. . _ Certified copy is filed with the county building inspection 1 &2 NEAREST department. Multi-family Sq.Ft. CROSS ST. Date Applicant Residential Swimming Pools ASSESSOR p PAGE (� PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec. Light S4Y. + OWN NAME COMPENSATION INSURANCE ,(Pb First 20 MAIL (This section need not be completed If the work Involved by the Total No. Additional ADDRESS 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 ariy person in any manner so as to PLAN CHECK become subject to the Workers`Compensation Laws. Lighting Fixtures . First 20 D APPLICANT ( % Total No. Additional ADDRESS Date tiApplicant RESIDENTIAL APPLIANCES NOT OVER 3 HP. NOTICE T A PLICANT: 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 PERMIT y� P Y P Y LICANT � J/' provisions or this permit shall be deemed revoked:' Power Apparatus&Large Appliances LICENSED CONTRACTORS DECLARATION Size&Type HP KW,KV AR AR p ADDRESS? FfOILLEO Sr I hereby affirm that I am licensed under provisions of Chapter 9 Over 3 t 1 ncl. �a (commencing with Section 7000)of Division 3 of the Business and CITY �� (� Tel.No. Over 10 to 50 Incl. ? Professions Code,and my license is in full force and effect. LICENSE OR / r?G V ��� 11 Over 50 to 100 Incl. REG.NUMBER C, ! Class. J ! —r Over 100 DISTRICT NO. P 0 SSED BY U License Number �� � tl Lic.Class G.� o� -Services,Swbd.,MCC&Panelboards �v O Contractor Data V �� 0-399 Amp.Under 600 V DATE F— ❑ I am exempt under Sec. 400-1000 Amp.Under 600 V ��/� �g - W Over 1000 Amp.or Over 600 V VALIDATION. FINAL al B.&P.C.for this reason BY BRANCH CIRCUIT FEES L1(�y,;z Date: 15A,or 20A, OV,Lighting or Recept. 1 To 10 Branch Circuits Signature . 11 To 40 Branch Circuits 1 ITEMS ❑ 41 Or More Branch Circuits :+ - - ,—_ Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits I fi� a o.a_s SINGLE FAMILY Temp.Power Pole&Appurtenances trAECK 77.55 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Law C11 ,I )j for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits Code): ❑ 1,as owner of the property,will do the work and the structure Misc.Conduits&Conductors rrl( i)_y(s;.n•, is not intended or offered for sale(Section 7044, Business Other(See Complete Fee Schedule) LI_ � �1 � + and Professions Code). +i: i AM 11:ti 1 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.) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE 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 this County to enter upon the above-mentioned property for inspection pur res. SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF PeWTTEE DA.