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
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IREPORT ID: DPR265 ROUTE TO: BS0508 [ I I I
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