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HomeMy Public PortalAbout5514 RYLAND AVE_Electrical__ t 76A563 ,129134A 3-513 - APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFET , DZ ;., ZLEC' 'TRIC „ •• ' -..COUNTY OF LOS ANGELES. � ' WILLIAM J. FOX,.CHIEF:ENGINEER'. FOR APPLIEAIAyT TO FILL.-IN DISTRICT O. GROUP ZONE PERMIT NI3." - F RICIAN f '1✓U ��ie/ x P E -Z ' / G /� /• RECEIVED BY FIRST INSPECTION Rr-ikby FOR !,ATE 1 RUED f. lyl' i" fi.LJ-7i �a�l TEL NO.'• LICENSE NO. f®.lA EXPIRES ,ADDRESSPERMIT FEES,• NUMBER EACH FEE LOCALITY I _.�l'L"� 7 LIGHT-OUTLETS �- NEAREST RECEPTACLES CROSS ST. :WALL SWITCHES 'OWNER TOTAL OUTLETS " 5c• N /,f� MAIL J - ADDRESS ELEC. RANGES 25 ELEC. HEATERS 25 CITY TEL NO. FIXTURES B � 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MIBC. - L�-t.0 �'4'APPLICATION AND STATE THAT THE ABOVE 18 CORRECT '. NUMBER O LIGHT CIRCUITS & AND AGREE'TO COMPLY WITH ALL COUNTY,CRDJ'NANCES NUMBER OF-RECEPTACLE CIRCUITS AND STATE LAWS'REGULATING ELECTRICAL WIRING. MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID-.LOB NUMBER HORSEPOWER FEE ANGELES COUNTY-LICENSE, OR 1 AM THE LEGAL OWNER NEw Mvo. HP AVER INC.' EACH OF THE REBIDENTIA PROPERTY DESCRIBED sABOVE. - V2 A LEsa S .25• " SIGNATURE OF / J V/z. •2 .5.0 PERMITTEE. 2 s• 1.613 WSPECTION-RECOAD 5 15 1.50. 15 •50 2.50 50 '200 5.G0 200 500 10.00 J.• 500 -1000 15.00 Z' . OVER 1000 20:00 (TJ M.G. SET/FREQ.- CHANBER-HP WELDERS"AC-KVA :O GENERATORS .- KW TRANSFORMERS - KVA TEMP. MOTORS (7S%'UF . MOVED M13TORS (75%'OF.ORIO.) MISC.' NO. 'NO.TRANB. ' APPROVALS NO. NO.LAMPS FOR EACH PERMIT:. DATE INBPEOTOR'S NAME WIRING' N1.13G CONDUIT FIXTURES IEf1.O0 WIRING .��� O^� Wr 2/ 3' rf SUPPLEMENTARY .50 FIXTURES POWER• TOTAL FEE UTILITY CO.NOTIFIED , FINAL v l COUNTY OF LOS ANGELES —' APPLICATION FOR PERMIT DEPARTMENT OF COUNTY ENGINEERELECTRIC�����' DIVISION OF BUILDING � SAFETY WII.LIAM 1. FOL COUNTY ENG2MM FOR APPLI ANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN "fin ADDRESS444fRECD ED READY FOR =-2 �nA of FIRST INSPECTIONCITY EL. NO v COUNTY LICENSE NO EXPIRES O BUILDING PERFEES c" ADDRES MIT ✓ '` FEE NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST RECEPTACLES �'—� 088 Com' WALL SWITCHES OWNER TOTAL OUTLETS SC $ MAIL ELEC. RANGES 2S ADDRESS ELEC. HEATERS 25 5 0 CITY TEL. NO. FIXTURES 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 CIRCUIT AND-STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEw MVD. HP ovER INC. EACH OF THE RESIDENTIAL PROPER XY DESCR IB ED ABOVE. y�a tEBB ' SIGNATURE OF L '� ya 2 .50 PERMITTEE • z s 1.00 �gp ON RECORD s IS 1.50 15 50 2.50 Q r/7 1 Ll1. e s0 200 5.00 200 Soo 10.00 -('• .J Soo 1000 IS.00 a OVER 1000 20.00 I 4'y Z { M.G. SET/FREQ. CHANGER-HP WELDERS. AC-KVA G r� U te(��,/wti�/_ I-�/ / K .-� O GENERATORS-KW TRANSFORMERS-KVA TEMP. MOTORS (75% of oma.) MOVED MOTORS (78% OF ORIG.) - J �d -e,C/1-1 MISC. ��� ♦�. �" Al SIGNS NO. NO.TRANS. �(J UAPPROVALS�;f':�-eee NO. NO. LAMPS FOR EACH PERMITt DATE INSPECTOR'S LAME WIRING $1.00 Q CONDUIT FIXTURES $1.00 WIRING SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE $ 31 � UTILITY CO. NOTIFI > r FINAL 76A 8B8 D881t BA. 4-5it - v k. O S COMPENSATION DECLARATION 20.0019 DPW(12.91) APPLICATION FOR ELECTRICAL PERMIT 76A663 llm Y� 9-A fJc. Mh have a certificate of consent to self Insure,ker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT.OFJPUBLIC WORKS BUILDING AND SAFETY DIV. Lab.C.) Policy NO. COmpany ` (I FOR APPLICANT TO FILL IN ADDRESS G 4LA ❑ Certified copy is hereby furnished. New Residential Bldgs.&Pools LNO. EACH FEE ,.y p-r $ LOCALITYe+ Certified copy is filed with the count bu' ng ins ction 1 &2-Family,Sq.Ft. NEAREST department. Multi-family Sq.Ft. CROSS ST. rResidential Swimming Pools ASSESSOR -y Date � Applies MAP BOOK ��/�� PAGEO�/ PARCEL90—p7e CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec. Light Z Sw. 7 ,�� RIM NAME r COMPENSATION INSURANCE First 20 (This section need not be completed If the work involved by the ADDRESS permit is for one hundred dollars($100)or less.) Total No. Additional I certify that in the performance of the work for which this permit CIT av Tel.No. is issued, I shall not employ any person in any manner so as to Lighting Fixtures First 20 PLAN C ECK become subject to the Workers'Compensation Laws. APPLICANT - Total No. � Additional � �. ADDRESS O .a�� 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. Y� provisions of the Labor Code, you must forthwith comply with such PERMIT p y P y Power Apparatus&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. (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. OMNI LICENSE OR r Over 50 to 100 Incl. REG.NUMBER ep Class a y. Over 100 DISTRICT NO. ` PR CASES D B U License Number Lic.Class �_ Services,Swbd.,MCC&Panelboards �1 it ContraC r ` ` Date �"' 0-399 Amp.Urider 600 V FINAL ^0 DATE . �/ ❑ I am exempt under Sec. 400-1000 Amp.Under 600 V Over 1000 Amp.or Over 600 V VALIDATION W FINAL B.&P.C.for this reason BRANCH CIRCUIT FEES BY �f U) Date: 15A,or 20A,120V,Lighting or Recept. �f Z_ 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits F-141 Or More Branch Circuits Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION T,X I hereby affirm that I am exempt from the Contractor's License Law Sign with One Branch Circuit -- b for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits .�i;,; =��•,UJ Code): r_1 �)E `� 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) T9 f AL 48 00 and Professions Code). - - • CHOCK TMJ�LjLI CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the "PNE performance of the work for which this permit is issued (Sec. 3097, PERMIT FEE (Sub-Total) �p Civ.C.) _ PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE 2162 x AM 9:220 =; 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 o ounty to enter upon the above-mentioned property for' MPE. SEE REVERSE FOR EXPLANATORY LANGUAGE SMA- a SIGNATUDATE 7 WORKER'S COMPENSATION DECLARATION 20-0019 DPW(12-91)76A663 APPLICATION FOR ELECTRICAL PERMIT LJ I hereby affirm that I have a certificate of consent to self insure, 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.) 23 Policy No6 —! Company FOR APPLICANT TO FILL IN JOB ADDRESS �J Certified copy is hereby furnished. New Residential Bldgs.&Pools NO. EACH FEE r�-� _ $ $ LOCALI IJ Certified copy is filed with the count i n ion 1 &2-Family,Sq.Ft. NEAREST department. Multi-family Sq.Ft. — CROSS ST. Date ' Applic Residential Swimming Pools MAP BOOK PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets:Rec._Light Sw. OWNER OR -- COMPENSATION INSURANCE RM NAME f���✓/QJ 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(8100)or less.) I certify that in the performance of the work for • h this permit CITY Tel.No. is Issued, I shall not employ any person in a man s to PLAN CHECK become subject to the Workers'Compens Lighting Fixtures First 20 APPLICANT - Total No. ditional 14 DDRESS4 Date Appli I I ALIA CES0 P. (� NOTICE TO APPLICANT: If, after making this CerA4 bate of CITY 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 PE MICTA� provisions or this permit shall be deemed revoked. Power Apparatus&Large Appliances _WPLILICENSED CONTRACTORS DECLARATION Size&Type HP,KW,KVA,or KVAR ADDRESS LKZ.0 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. Incl.Professions Code,and my license is in full force and effect. Over 10 to 50 IncLICENSE OR d Over 50 to 100 Incl. REG.NUMBER Class' ��/,;� r/ Over 100 DISTRICT NO. RO SSED.BY O License Number V Lie.Class �f V � /! Services,Swbd.,MCC&Panelboards Contractor. Date l.' — 0-399 Amp.Under 600 V DATE Q O ❑ 400-1000 Amp.Under 600 V / YV I am exempt under Sec. FINAL VALIDATION d Over 1000 Amp.or Over 600 V B.&P.C.for this reason BRANCH CIRCUIT FEES BY Z Date: 15A,or 20A,120V,Lighting or Recept. — 1 To 10 Branch ii Signature 11 To 40 Branch CCircuits sts F141 Or More Branch Circuits - Exemption for Reg.Maint.Elect. 15A,20A,208V To 277V Lighting Br.Circuits SINGLE FAMILY Temp.Power Pole&Appurtenances HOME OWNER-BUILDER DECLARATION ,'- I hereby affirm that I am exempt from the Contractor's License Law Sign with One Brarich Circuit !'="° rr- for the following reason (Section 7031.5, Business and Professions Additional Sign Branch Circuits L1 kV _ 5;,,! Code): I,as owner of the property,will do the work and the structure Misc.Conduits&Conductors IT011' is not Intended or offered for sale )( lete Fee Schedule Section 7044, Business Other(See Comp ® +-TAI _, and Professions Code): ! 1! L CHECK 3 ,55- CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the CAME .13113 performance of the work for which this permit.is,issued(Sec:3097, PERMIT FEE (Sub-Total) Civ.C.) PLAN CHECKING FEE 0000-i-010111 2f 1/5'4 f!4 Lender's Name PERMIT ISSUING FEE ,j�(d 37 ; 1 Pj i92 1 1 Lender's Address TOTAL FEE 3I I certify that I have read this application and under penalty of purjury state that the abovein 1 orrect. I agree to comply with all County ordinances and tate laws regul g.Electrical wiring,and hereby authorize represent ' s o is C my to Is pon the above-mentioned property fo ecti p SEE REVERSE FOR EXPLANATORY LANGUAGE Z— IGNATU E OF PERMITTEE' DATE ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1006150024 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: 1TR: 16957 IT: 107 5514 RYLAND AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802723 (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: DAINES 18586-017-003 1A1 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY, Cl I IHA FAU LESS 3HP 1.00 FAU 10.95 1 I ITENANT: JB AC UNITS +3-10HP 1.00 AC 19.65 (ISSUED ON: PROCESSED BY: PLAN BY: ILB 200 AMP PANELS, MCC 1.00 PAN 38.85 106/15/10 SR TOTAL FEES 97.20 1 I (OWNER: TEL. N0: I (FIN. TE FI BY: CODE: 1 IREUXEMA DAVID C;BARBARA I I ^ 1 5514 RYLAND AV V ITEMP 917802723 1 ID S P ION OF WORK 1 I 1 1200 AMP MAIN ELECT SERVICE UPGRADE/ 240 VOLT A/C CIRCUIT I I 1 1120 VOLT F.A.0 CIRCUIT I (APPLICANT: TEL. NO: I ICOLEMAN ELECTRIC (626) 665-9017- I I 15042 CALMVIEW AVE I ISPECIAL CONDITIONS: IBALDWIN PARK 91706 I I 1 I [CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE I 1COLEMAN 'ELECTRIC (626) 665-9017- 1 15042 CALMVIEW AVE LIC. NO 1 TEMPORARY POWER POLE 1 I BALDWIN PARK CA 91706 819050 C10 I I_. I I I [UNDERGROUND CONDUIT [ I [ARCHITECT OR ENGINEER: TEL. NO: 1 1UFER GROUND 1 LIC. NO: I IROUGH CONDUIT [ I (ROUGH WIRING I I I I I I I IMAIN WATER LINE I I I I I 1PLASTIC Y/N METAL Y/N [ I I I [ (UTILITY COMPANY NOTIFI I I 1 I I I I [ I I I I I I I I I I I I I I I I I I I I I I I 1 I I I 1 I I I I I I IREPORT ID: DPR265 ROUTE TO: BS0508 [ I I I I I I I I I