HomeMy Public PortalAbout5508 RYLAND AVE_Electrical__ 7SAs59 DSS SA'9-SC APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFES - �� �
COUNTY OF LOS ANGELES /®
WILLIAM J. FOX, CHIEF ENGINEER
FOR IAPPLIDINTTO FILL IN DISTRICT NO. GROUP 1. ZONE PERMIT NO.
ELECTRICIAN'>l,'-(4 G' .�•'r/�--t; ! I qrI�" - 13
,/ r RECEIVED BY READY FOR. DATE ISSUED
ADDRESS y n .O �'/ N`�-'� '�i`{-r A /� �}r� FIRST INSPECTION n J
CITY '�¢Y "1� TEL NO. u i /( I A
f Y J
COUNTY LICENSE NO. EXPIRES BUILDING
BB
PERMIT FEES ADDRE / Q
NUMBER EACH FEE LOCALITY -lfY.. .0 J�I�C sL'I
LIGHT OUTLETS CNEAREST
ROSS ST. �� f
RECEPTACLES �.
WALL SWITCHES z OWNER
TOTAL OUTLETS 5c J-0 MAIL
ELEC. RANGES 85 ADDRESS
ELEC. HEATERS 26 CITY TEL. NO.
FIXTURES 5 PSAND
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
M15C. 11 F C-/N APPLICATION AND STATE THAT THE ABOVE IB CORRECT
NUMBER Or LIGHT CIRAITS AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBERHORSEPOWER ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEw MvD. HP 13VER INC. �H OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVF-
V2 m LESS M .25 13IONATLIRE Or �Fr��! ry�/L /
I/2 2 .50 PERMITTE
2 5 1.110 LINSPECTION RECORD
5 15 1.50
15 50 2.50
50 200 6.00
200 500 10.00 J
500 1000 15.00 . Y
OVER 1000 20.00
M.G. SET/FREQ. CHANGER-HP lz
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% of CRIo•)
MOVED MOTORS (75%1DF CRIO.)
M19C.
SIGNS
Nd NO.TRANS.
APPROVALS
NO. NO.LAMPS
FOR EACH PERMIT: DATL+7 IN9PEOTORI6 NAME
WIRING 101.130
CONDUIT s
FIXTURES $1.00 (c,� WIRING
i
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE UTILITY CO.NOTIFIED .1 f FINAL
••.75ASS5 OBS SA 11-50 APPLICATION FOR MMUT
DEPARTMENT OF BUILDING AND SAFETY � ��
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT. GROUP ZONE PERMIT NO.
ELECTRICIAN _ �-..t i Z L.A . oll 17 -6O y
JRECEIVED BY READY FOR DATE ISSUED
ADDRESS "_�f ` v Q.. 'n FIRST INSPECTION
CITY i v `�-C� TEL. NO.
COUNTY LICENSE NO. EXPIRES a d S . BUILDING SS- 6
PERMIT FEES / ADDRESS '
FEE v
NUMBER EACH LOCALITY �.
LIGHT OUTLETS NEAREST
CROSS ST.
RECEPTACLES
WALL SWITCHES OWNER
TOTAL OUTLETS .0— SC $ /0 MAIL
ELEC. RANGES P5 ADDRESS
ELEC. HEATERS 25 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 I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
FEE OF THE RESIDENTIAL PROPER DESCRIBED ABOVE.
NEW MVD. HP OVER INC. EACH
/ 'A a LESS $ 25 SIGNATURE
OF
PERM1E �� �-•'�
r 71/2 2 .50 B
2 5 1.00 INSPECTION RECORD
5 15 1.50
15 50 2.50
50 1 200 5 00
200 BOO 10.00 ,I
500 1000 15.00 Q
OVER 1000 20.00 (�
M. G. SET/FREQ. CHANGER-HP R'
WELDERS:AC-KVA - 0
• GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (75%OF ORIG.)
MOVED MOTORS (75%OFORIG.)
MISC.
SIGNS
NO. NO.TRANS. I I APPROVALS'
NO. NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
CONDUIT
WIRING $1.00
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE $ UTILITY CO. NOTIFIED
® /FINAL i �f Gr A/C?
V
COUNTY OF LOS ANGI3M APPLICATION FOR PERMIT
DEPARTMENT OF COUNTY ENGIIdEER ELECTRIC 1
DIVISION OF BUILDING & SAFETY
WILLIAM I. FOB, COUNTY BNGINM
i FOR ARPIACIdMTO FIL IN IX DISTRICT NO. ,GROUP ZONE PERMIT NO.
ELECTRICIAN 5 � r / J�G
ADDRESS' RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
CITY
A. TEL. NO. yy o '
COUNTY LICENSE NO. EXPIRES —..td BUILDING ��O R
PERMIT FEES ADDRESS V
FEE
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST /
RECEPTACLES ROSS ST
WALL SWITCHES OWNER
TOTAL OUTLETS
MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 '
TEL. NO.
FIXTURES S C
MISC. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
NUMBER OF LIGHT CIRCUITS APPLICATION AND STATE THAT THE ABOVE IS CORRECT
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 FEE ANGELES COUNTY L ENSE. OR I_AALTHE LEGAL OWNS
NEw Mvo. HP OVER I INC. EACH OF THE RESIDENTIAROPERTMESCR EDROVE.
I/a 8 L.EBB $ .25 SIGNATURE OF =
V2 2 .50 PERMITT
z s 1.00 INSPECTION RECORD
s is 1.50
is so 2.50
so 200 5.00
200 500 10.00 J
� a
Boo 1000 15.00 Z
OVER 1000 20.00 (�
M.G. SET/FRF.Q. CHANGER-HP - O
WELDERS: AC-KVA / ,G
GENERATORS-KW
TRANSFORMERS-KVA !Zoo
..,-1 /J
TEMP. MOTORS (75% OF OMG.) Y
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO. 140.TRANS. APPROVALS
NO. NO. LAMPS
FOR EACH PERMITS ss11 DATE INSPECTOR'S NAME
WIRING $1.00 H CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY 50 FIXTURES
///��� POWER
TOTAL FEE $ UTILITY CO. NOTIFIED
CCC���� FINAL
76A 688 DBB# 6A. MSH
WORKERS'COMPENSATIONDECLARATION ;CE-80613 (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
ace tiff d Mther ec.380 ;L0abFOR APPLICANT TO FILL IN JOB
mpany ADDRESSdTV •
New Residential Bldgs.&Pools EACH NO. FEE
Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. $ — $ LOCALITY
Certified copy is filed with the Multi-family Sq. Ft. — NEAREST
y buil inspection Residential Swimming Pools CROSS ST
partment OWNER OR 00
FIRM NAME
Dat Applice Outlets: Rec.^Light Sw.� 50 ADDRESS
First 20
CERTIFICATE OF EXEMPTION FROM WO S' Total No. Additional CITY Tel No. s
COMPENSATION INSURANCE ® a
PLAN CHECK
(This section need not be completed if the work involved APPLICANT V
by the-permit is -for one hundred dollars ($100).or less.) Lighting Fixtures First 20 ADDRESS.
Total No. Additional ccO
I certify that.in the performance of the work for which thisFixed Appliances Not Over 1 HP CITY Tel No. V
permit is issued, I shall not employ'any person in any manner PERMIT
so as to become subject to the Workers'Compensation Laws. Range_Heater D.W. _ APPLICANT OW.
• Oven _ Dryer_W.M._ ADDRESS Z
Date Applicant TOP _ FAU _W.H., .009
—
Hood _ Fan —Other— CITY ' • Tel No.
go V
• NOTICE TO APPLICANT: If, after making this Certificate of Disp. _Room Air Condom LICE O
Exemption, you should become subject to- the Workers' REG.NUMBER f!yt
® Class
Compensation provisions of the Labor Code,you must forth- Power Apparatus&Large Appliances DISTRICT NO. PROCES EY
with comply with such provisions or this permit shall be
deemed revoked. Size&Type HP,KW,KVA,or KVAR
Up to 1 Incl. FINAL O
® Over 1 to-10 Incl. DATE: { VALIDATION
LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl.
I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINALBY
FINAL9 (commencing with Section 7000)of Division 3 of the Busi- Over 100 � -
ness and Professions.Code, and my license is in full force and
effect. • / Services
License Numb e /® Lic.Cl... 0-200.Amp.Under 600 V'
' 201-1000 Amp.Under 600 V
Contractor AID Date Over 1000 Amp..or Over 600 V
HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances
I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit
License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits
nese and Professions Code):
Misc.Conduits&Conductors ` 1 3 1.0A
E] I, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— r, 0 0 0 u.o 2
structure is not intended or offered for sale (Section
7044,Business and Professions Code). 2 0 0 1 2 5 0
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency y
Q
for the performance of the work for which this permit is PERMIT FEE (Sub-Total) o o u e.-
issued(Sec.3097,Civ.C.). 09.
�, 2 _$ '
Lender's Name PLAN CHECKING FEE (One-Fourth Permit.Fee)
Lender's Address PERMIT ISSUING FEE
I certify that I have read this application and state that the TOTAL FEE t} ()
above information is correct.I agree to comply with all County
ordinances and State laws regulating Electrical wiring, and '
hereby auth 'ze represe tatives of this County to enter upon I
the abov do ed ' erty for i action purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE
Signature of ittee Date
f