The URL can be used to link to this page

Home My Public Portal About5558 RYLAND AVE_Electrical__ DBSa DeS-s.sa a.ss APPLICATION FOR ELECTRIC PERM-IT 1. • DIVISION OF BUILDING AND SAFETY . Department of County Engineer County of Los Angeles AIDDREISS WM.J.FOX, COUNTY ENGINEER CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY / / �J ✓1 FOR APPLICANT TO FILL IN- NEAREST f� PERMIT FEES CROSS ST. NUBER EACH FEE /1 J� OWNS I/✓lL��l�✓/ /.U. C 1-d 41 LIGHT OUTLETS AL RECEPTACLES A ADDRESS S.) I ✓1�✓Y`?C G.f� WALL SWITCHES JJ J� !+ TOTAL OUTLETS 5¢ $ CITY �.U.yZ�Ci' TEL.NO./ O-Gs��-1 ELEC.RANGES 25 ELECTRIC419A N _ELEC.HEATERS 25 ADDRESSSSS-g 'y!/ y I KW EA CITY J TEL.NO.IrO U S FIXTURES 5 dV LICENSE NO. NUMBER OF LIGHT CIRCUITS - DISTRICT NO. I GROUP I ZO ADY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS MOTORS r NUMBER HORSEPOWER FEE IIN�SPECTION RE ORD NEW MVD. HP OVER INC. EACH Yz Sc LESS $ 25n7/2 2 .50ir 2 5 1.00 5 15 1.50 ':56 50 15 50 2.50 •v ':56 I 50 '200 5.00 v' G-C ��,. M ISC. NO.SIGNS NO.TRANS. NO.SIGNS NO.LAMPS FOR EACH PERMIT: WIRING 51.00 0 FIXTURES 31.00 Ora- SUPPLEMENTARY .50APPROVALS - TOTAL FEE • S - DATE INSPECTOR'S SIGNATURE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APFFLICATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/ORFIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT F AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENT RROPER Y. �� SIGNATURE � �///.1�yJ/��Q/��// UTILITY CO.NOTIFIED OF PERMITTEE ✓� --Y-w ' -e t tto /• FINAL A o`56 ��Y". a-..i-., WILLIAM J.FOX,COUNTY ENGINEER VALIDATION �• A.C.VEIT,CHIEF ELECT.INSPECTOR (QI.�:e GC:1/Z}r .1��0 6 5 1 3 S .AUG 11 2 22 5 P . 1 , 76A663 DBS SA 3-50 `' APPLICATION FOR PERMIT' DEPARTMENT OF BUILDING AND SAFEP COUNTY OF LOS ANGELES -/1 EL�CTREC i WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO .FILL IN DISTRICTT O. GROUP ZONE PERMIT NO. may-_ Iqa- ELECTRICIA9N� Air/tom/+��1�� RECEIVED. BY READY. FOR TB 88UED ADDRESS .I E� v/ 1 FIRST INSPECTION i /� CITY p TEL NO. G' x Y COUNTY LICENSE NO. / A OX EXPIRES. —/ ADDREIN 0l f'!/ SLG+ i .+ PERMIT FEES NUMBER EACH FEE LOCALITY r-, L MA �j `.[s��!-i LIGHT OUTLETS f NEAREST f RECEPTACLES f CROSS ST. ✓r��.'E_� / ��J'�D Qi WALL SWITCHES / OWNER -I f _,.F/.ddr A TOTAL OUTLETS y p SO 1 MAIL + ELEC. RANGES 255 ADDRESS EL ED. HEATERS /1 25 CITY TEL: NO. FIXTURES B ` 1 'HEREBY ACKNOWLEDGE THAT i .HAVE READ THIS MISC. 'APPLICATION AND.BTATE THAT THE ABOVE 18 CORRECT NUMBER OF LIGHT CIRCUITS ND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS, AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB NUMBER HORSEPOWER " ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER FEE OF THE RESIDENTIAL PROPERTYXGESCRIBED ABOVE. NEW MVD. HP OVER INC. EACH & .LESS 8 .25 SIGNATURE Oe __�! ,¢ i itA ✓� 'I�'..2•! ��:i�s I/p 2 .5O PERMITTE �- !i' L'1 a B 1.00 INSPECTION RECORD 5 15 1.50 15 5O 2.50 50 200. 5.00 200 500 10.00 J BOO 1000 15.00 Z OVER 1000 20.00 0 M.G. SET/FREq: CHANGER-HP WELDERS:AC-KVA O GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS .(75% OF CRIB.) MOVED MOTORS (75% OF ORIG.) MISC. SIONS No. No.TRANa. APPROVALS NO. NO.LAMPS FOR EACH PERMIT: DATE INSPECT.OR98 NAME WIRING 81.00 CONDUIT /: 1/ •� �--9) • FIXTURES • 81.00 y ,g WIRING / s �' _ Y y7/0 ff� SUPPLEMENTARY .50 v FIXTURES V. f POWER �^ TOTAL FEE 8cj—1/- UTILITY DO..NOTIFIED FINAL WORKERS'COMPENSATION DECLARATION f 76A663 10/81 o eq'�affirm that I have a certificate of consent to ge�f CE-eo6G �APPLICATIO.N .F.OR 'E:,'ECTRICA.L PERMIT `fin' sure, or a certificate of Workers'Compensation.Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY ca a certified copy thereof(Sec. 0800, Lab. C.) i Policy No. Company I FOR APPLICANT TO FILL IN JOB ADDRESS � � 9yLAa/ M . Certified copy is hereby furnished. ` New Residential Bldgs. &Pools EACH. NO. FEE ADDRESS 1 &2-Family, S Ft. 'CI 4� CA q V7J4® Certified copy is filed with the county building inspec- y q• $ $ LOCALITY Y&MPLO' •' tion department. Multi-family Sq. Ft. NEAREST ST. Date' Applicant : Residential Swimming Pools OWNER OR /� i Q i FIRM NAME CIRC-& ASilAsiZ CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Li ht Sw._ s MAIL p COMPENSATION INSURANCE g ADDRESS . �5SH RRL Aidt> de, his section need not be completed If the work involved by First 20 ,� ,tA R p 11 Tofal No. Additional CITY (�(�� L) Tel. No. 'TSI–�R�-V the permit Is for one hundred dollars(;100)or less.) PLAN CHECK I certify that in the performance of the work for which this 1 APPLICANT .permit is issued, I shall not employ any person in any.manner so as.to'become subject to the Workers'Compe tion Laws: Lighting Fixtures First 20 ADDRESS Total No. Additional CITY Tel. No. Date 5 pplica fixed Appliances.Not Over 1 HP PERMIT NOTICE O APPLICANT: If, afte an g t Certificate of APPLICANT 2e� A&�J�PJ Exemption, you should becom su ct the Wo*ersr Range_ Heater_D.W. — i Compensation provisions of the Labor.Code, you must forth Oven —Dryer —W.M.— 1 ADDRESS 55 S,2 QY L kID ok4e, with comply with such provisions or this permit shall be Top — FAU —W.H. — .i_ deemed revoked. -CITY",IE NN1 PjL:E L Hood Fan Other_ IT`f Tel. IVa. `iT� il-oLl _ — I LICENSED CONTRACTORS DECLARATION LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 Disp. _ Room Air Cond. REG. NUMBER Class. (commencing with Section 7000).•of Division 3;of the Businessii DISTRICT NO. PROCESSED Y and Professions Code,and my license is in full force and effect Power Apparatus&Large Appliances �' " Size&Type HP, KW, KVA, or KVAR' ✓t O License Number Lic. Class FINAL 11.11Up to 1 Incl. Contractor Date j', 09 Over 1 to 10 Incl. DATE — 6'a VALIDATION 9Over 10 to 50 Incl. FINA UI am exempt under Sec. Over 50 to 100 Inc. BY In f� B.&P.C. for this reason Over 100 Services,Swbd..,MCC&Ponelboards Date: 0 -200 Amp. Under 600 V �Q Signature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V R 2 7 9.3 A Exemption for Reg. Maint. Elect, �^ SINGLE FAMILY Temp. Power Pole&Appurtenances J!Zo -# o o 0 o o 2 HOME-OWNER-BUILDER DECLARATION Sign with One Branch Circuit ) - 2550 I hereby affirm that I am exempt from-the Contractor's License additional Sign Branch Circuits Law for the following reason (Section 7031.5, Business andl 0 0 0 2 rj Jr Q fJ Professions Code): NA I,.as owner of thero ert , will do the work and the Mise. Conduits&Conductors P P y Other See Complete Fee Schedule)- 7044, chedule a26-85 structure is not intended or offered for sale (Section ( p ) f 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performanceof the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). _ r PLAN CHECKING FEE l Lender's Name � PERMIT ISSUING FEE / Lender's Address I certify that I have read this application and state that the TOTAL FEE m ' / above information is correct. I agree to comply with all County ,f ordinances and State laws regulating Electrical wiring, and ti hereby authorize representatives of this County to enter upon the above-menti d pro erty for inspection purp ses. SEE REVERSE FOR EXPLANATORY LANGUAGE i i natuof rmittee Dat 1 SS8 DB -SA ::� APPLICATION FOR ELECTRIC PERMIT � 1 DBSDMION OF BUILDING AND-SAFETY _ DBp rtinept of County County Of LOS AIIg01CEngin®e :BUILDIN.G r f� n- WM.J.FOX.COUNTY ENGINEER :ADDRESS.�j /CYLANO CASSATT D.GRIFFIN.SUP'T.OF BUILDING ;LOCALITY LIE• L' ' FOR APPLICANT TO:FILL IN NEAREsr. ` PERMIT' FEES CROSSST. I60d/IE. Y L.oa.i NUMBER EACH, FEE � OWNER ii w L-L/' CCL O V O LIGHT OUTLETS ,�•- p p g - RECEPTACLES MAIL'ADDRESS /l`� WALL SWITCHES 7 a r TOTAL OUTLETS _ 5¢ $ CITY %�A . LF TEL.NO.'FD: ELEC.RANGES 26 ELECTRICIAN _ELEC. HEATERS 25 ADDRESS J KW EA CITY` TEL.NO: FIXTURES 5 dS LICENSE NO. NUMBER OF LIGHT CIRCUITS - `DISTRICT NO. GROUP ZONE READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS MOTORS Z NUMBER HORSEPOWER 'FEE_ �. INSPECTION .RECORD �. NEW MVD. HP OVER INC. ,. EACH O %&L ESS 'S .25. 1/2 2, .50 2 5 1.00' ,I - 5 15 1.50 - 1.5 50 2.50 :50 200 5.00 " MISC. t NO.SIGNS NO.TRANS:. NO.SIGNS NO.LAMPS. FOR EACH"PERM IT:. WIRING $1.00 FIXTURES .SUPPLEMENTARY .50 -'� _ APPROVALS - TOTAL FEE $ v. DATE INSPECTOR'S SIGNATURE. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AFOPLICA14UN CONDUIT AND:STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH "ALL 'COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR. FIXTURES LICENSED AS. REQUIRED BY LOS. ANGELES'COIINTY AND 'STATE OF CALIFORNIA OR THAT I 'AM .THE LEGAL OWNER OF THE ,ABOVE POINTER DESCRIBED RESIDEN ERTY: a. UT,ILIYY CO:NOTIFIED: SIGNATURE y OF PERMITTEE_. 0 FINAL. /.{�i�J•t tlt , WILLIAM J.FOX.COUNTY ENGINEER VAIMATION A.C.VEIT.CHIEF'ELECT:INSPECTOR 61-4 2.60 ; , • .•G5 ,