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HomeMy Public PortalAbout5509 RYLAND AVE_Electrical__ CcLm :5A569 SDS,,c APPLICATION FOR ELECTRICAL PERMIT ,%.COUNTY QF LOS ANGELES APARTMENT OF COUNTY ENGINEERBUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER LOCALITY COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING NEAREST IL FOR APPLICANT TO FL IN CROSS ST. OUTS $LETS NO. EACH FEE —f!/�s� OWNER RECEPT. MAIL LIGHT TOTAL FIRST 20 .20 ADDRESS CITY24*1 TEL. N0S— SWITCH �� OVER 20 .10 PLAN CHECK I Z LIGHTING T AL FIRST 20 .20 APPLICANT OVER 20 ADDRESS FIXTURES .10 APPLIANCES CITY TEL. N0. PERMIT r� RANGE DRYER_WTR. HTR. APPLICANT J STA. COOK DISP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY TEL. NQS CLOTHES WASH. DISHWASH.—t— LICENSE N0. LLASS +� FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION . J AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 — 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM_T% LEGAL OWNER OFAND TEND TO 1 — 10 3.00 RESIDE IN, THE ABSIGNATURE O SCRIBEDoov I ROPERTY. >.10 — 50 5.00 OF PERMITTEE r 0 50 — 100 10.00 , DISTRICTN!0CLASS GROUP Z�N,[i � SED BY O 100 - 500 15.00 �r®� u SIGN, GASSIGN AND ONE CIRCUIT 3.00 NOTES: / / a TUBE, OR / 'VyN MARQUEE ADDITIONAL CIRCUITS 1.00 z SERVI CENOTOVER 600 VOLTS OR 200 AMP 2.00 APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CE OVER 600 VOLTS OR 200 AMP 5.00 TEMP.POWER POLE TEMP SERVICE,POLE,&APPURTENANCES 3.00 TEMP LIGHT OR RECEPT. SYSTEM 3.00 UNDERSLAB WORK ROUGH CONDIUT WIRING PERMIT FEE (SUB TOTAL) FIXTURES02 POWER AUTHORIZED f '? PLAN CHECK FEE (50% PERMIT FEE) UTILITY CO. NOTIFIED PERMIT ISSUING FEE 2.00 1-7 ,00 FINAL 2- SUPPLEMENTARY PERMIT ISSUING FEE 1.00 JOSEPH C. ROOHAN TOTAL FEE SUPERVISING ELECTRICAL ENGINEER. PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION 0vcKj M.O. CASH 0 5 1 8 27 2 D 8.00~ v SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76ASS3 D99 SA 3-50 APPLICATION FOR PERMIT DEPARTMENT OFNG AND SAFETY- - � �� �� COUNTY OFF LOS LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER jw r FOR APPLIDANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN i' ' �_ '; - r �� ` RECEIVED BY READY FOR D TE 1 RUED ADDRE88 / , 1v rf r �'*-+ i i i. /pr�l FIRST INSPECTION I CITY t!��~L� if" is • t f TEL NO. 4 `= Z COUNTY LICENSE NO. f EXPIRES BUILDING PERMIT FEES ADOREBS FEE NUMBER EACH LOCALITY 16 LIGHT OUTLETS NEAREST CROSS ST. -'�' • + �- °' .I RECEPTACLES A f i f WALL SWITCHES / OWNER TOTAL OUTLETS 4 Sc S ! LA MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 Li CITY TEL NO. FIXTURES l r 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. L" APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER O LIGHT CIRCUITS w �° 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 HORSEPOWER FEE ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER NEw Mvo. HP OVER INO. EACH OF THE REBIDENT�AL PROPERTY DESCRIBED ABOVE. T r I/Q a LE9B 8 .25 SIGNATURE OF I/z 2 .50 PERMITTEE. h r r �✓ ' 2 5 1.00 (ANSPECTION RECORD 5 15 7.50 15 50 2.50 50 200 5.00 200 500 10.00 Q 500 1000 15.00 Z OVER 1000 20.00 Q M.G. SET/FREQ. CHANGER-HP R' WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF CRIB-) MOVED MOTORS (75% of DRI9.) MISC. SIGNS NO. NO.TRANS. APPROVALS N0. NO.LAMPS FOR EACH PERMIT. DATE INSPECTORPS NAME WIRING 81.00 CONDUIT FIXTURES 81.00 _ WIRING SUPPLEMENTARY .50 FIXTURES r POWER TOTAL FEE UTILITY CO.NOTIFIED FINAL A<, �17 WORKERS'COMPENSATION DECLARATION 76A683 10/81 APPLICATION FOR ELECTRICAL PERMIT I here'affirm"that I have a certificate of consent to self insure, CE-806G or a certificate of Workers' Compensation Insurance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3800,Lab.C.) �• Policy No. Company FOR APPLICANT TO FILL IN JOP ADDRESS S�'© Kray �-✓ ❑ Certified copy is hereby furnished. New Residential Bldgs.&Pools EACH NO. FEE ❑ 1 &2-Family,Sq.Ft. $ — $ LOCALITY L�j 7 Certified copy is filed with the county building Inspection NEAREST ' LJ department. Multi-family Sq..Ft. CROSS ST tn/j fl) lr 1/C Date Applicant Residential Swimming Pools OWNER OR t FIRM NAME bMi hl CERTIFICATE OF EXEMPTION FROM WORKERS' O / 2 'Y MAIL ' Outlets:Roo—Light / COMPENSATION INSURANCE d 'ADDRESS d VE (This,section need not.be completed if the work involved by the First 20 permit is for one hundred dollars($100)or less.) Total No. Additional CITY '� .VE Tel.No. – PLAN .I cerfy that in the performance of the work for which this permit APPLICANT CHECK ti 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. 3 e , AVC— Additional �/� Additional Z ✓�1 Total No. CITY LF,{bU(, Tel.No. Date Applicant T T V` S K� Fixed Appliances Not Over 1 HP PERMIT NOTICE A PLICANT: If, after making this Certificate of APPLICANT 134 � r b,�-k Exemption,you should become subject to the Workers'Compensation Range_ Heater D.W. _ provi§ions 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 f q pU�'i( Tel.No. 3►o sa LICENSED CONTRACTORS DECLARATION Hood — Fan Other- 1 hereby affirm that I am licensed under provisions of Chapter 9Disp. — Room Air Cond. LICENSE OR (commencing with Section 7000)-of Division 3 of the Business and REG.NUMBER Class. 6 bY'b Professions Code,and my license is in full force and effect., Power Apparatus&Large Appliances DISTRICT NO. PR C SSED BY � Size&Type HP,KW,KVA,or KVAR License Number 6 Lin.Class C� Up to 1 Incl, ' FINAL Contr for• 0 ate / Over 1 to 10 Incl. DATE 7 l� _�j( VALIDATION Q � Over 10 to 50 Incl. FINAL LI I am exempt under Sec. `7� W H"�-� Over 50 to 100 Inc. BY ry W B.&P.C.•for this reason Over 100 t� Z -Services,Swbd.,MCC&Panelboards D e: E 0-200 Amp.Under 600 V e� Signature 201 - 1000 Amp.Under 600 V Jr Over 1000 Amp.or Over 600 V ry ° ❑. Exemption for Reg.•Maint.Elect. SINGLE FAMILY Temp.Power Pole&Appurtenances RCGTA HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit 1-hereby affirm that I am exempt from the Contractor's License Law for the following reason(Section 7031.5,Business and Professions 3301 37030 Code): additional Sign Branch Circuits '1 ITEMS ' Misc.Conduits&Conductors ❑ 1,as owner of the property,will do the work and the structure I Other(See Complete Fee Schedule) _ TOTAL 37.30 is not intended or offered for sale.(Section 7044, Business and Professions Code). POO. CHECK 37030 CONSTRUCTION LENDING AGENCY CHANGE 100 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued(Sec.3.097, . PERMIT FEE (Sub Total) Q Civ.C.). PLAN CHECKING FEE 0000-0001 9/21/95 Lender's Name 2407 1 AN 9106 PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the above TOTAL•FEE jnformation 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 purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Sign of Permitthe Date