HomeMy Public PortalAbout8607 GARIBALDI AVE_Electrical__ APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANG KI W
DErARTMKNT OF COUNTY QNGSINLISR HU IL )ING
BUILDINGS AND ZAFR-rY DIVISION ADDRESS
JOHN A.LA ISM COUNTY Kmclll�
WILLIAM A.JI NSKI. QUP'T OF BUILDIMO LOCALITY
FOR APPLICANT TO FILL IN N>'wR
y PERMIT FEES OWNER
1 T t Y
KUMaVtj X`CHFQ YAII,
O ; s ADDRInG
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UGI.ITING FIXTURES 10
KLJML CA.NGM OLO. DRYERS ELECTRICIAN
W A T K R H 9 A T I[R■ .150 ADDRE8S
GiG_STAG HTRS. MSHWAEHEM CI'[y TIM-NO.
C OARSAOX DISTOf1MS AUTO- STATS
LJCENIM NO.
wwsHSly STA.GooraMo ttMlTn .IID
MOTORBs ovu IMG. Hp DISTRI NO. CROUP E PR ESSED BY
O — Ifa Z .IID
�. — II eo INSPECTION RECORD
II D 1.00
15 — 115 1.150 u
nc
to — 150 II.DO
50 — 200 15.00
! B•IQN9t NO TRANS.
NO. LAYP6
SERVICH 0-600V 1.00
ELrRVICH OVER 600V 15.00
YIsr—
WIRING PERMIT 1.00
FIXTURE PITMIT 5.00
SUPPLY-MENTARY PERMIT bo
TOTAL FEE s
1 H>atlmY AClUIOWLIm Ot THAT I IiAVS RIAD THIS APPLICATIOM APPROVAL6 BATS IN6P[aTOR'S DIONATLIRI
AMD /TAT[THAT THt ADOV= I6 CORRIOT AND AORIM TO COMPLY CONDUIT
WITH ALL COUNTY ORDIHAMCt6 AND ZTATL LAWS Rsou LAn Mo
IatGTRIaAL WIRING. WIRING r
1 HE"My CIDIn FY THAT 1 An PRO�LY RtOI6TMIM AND/OR
LLC 048m AS REQUIRID SY LOS ANO[L" COUNTY AND STAY[ OF FIXTURED
CAUFORMIA OR THAT 1 AY TH[ Ll.... OWNKR OR THR ADOY=
D[SGRISm RAMIDQfTIAL POWSR
81GNATURE LmLJTY CO. NOTIFIED
OF PERMI
VALDAP ARTHUR C.VEIT.
SUPERVISING E-xcTRICAL ENommm
cX Yo
-- UI02801 � FEB �0 2 A 4. 30 �
78AB"-CE006 9-67 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER 7NEAREST
a
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER J
COLISMAN W. JQNKINS, SUPSRINTIENDKHT OF BUIL.DINO Q
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT._
OWNER
MAIL
LIGHT TOT L FIRST 20 .20 ADDRESS
SWITCH OVER 20 .10 CITY TEL. NO.
LIGHTING �TOTAL FIRST 20 .2b CONTRACTOR
FIXTURES OVER 20 .10 ADDRESS
RANGERYER—WT R.HTR.— CITY TEL. NO.
STA.COOKISP. F.A.U•— LICENSE NO.
SPACE HTR. AIR GOND. IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
CLOTHES WASH DISHW SH._
WITH ALL COUNTY ORDINANCES AND STATE LAWS R-FSULATING
[LEC TRICAL WIRING.
FANOTHER 1.00 IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/O11
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
IND. HEATERS, ETC. HP. KW. KVA. REST DE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
SIZE & TYPE OVER TO SIGNATURE
0 - 1 1.00 f
EE
1 - 10 s.00 NO. G UP E PR ED B (j
10 - 50 5.00
50 - 100 10.00
100 - SOO 16.0
C ,
SIGN,GAS SIGN AND ONE CIRCUIT 9.00
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEl.P SERVICE, POLE, h APPURTENANCES 5.00
APPROVALS DATE DUPECTOR S SIGNATUIIE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
ISSUING FEE 2.00 WIRING
FIXTURES
SUPPLEMENTARY ISSUING FEE 1.0
POWER AUTHORIZED
PERMIT FEE UTILITYCO.NOTIFIE
PLAN CHECK FEE (50% PERMIT FEE) FINAL —15-1-
TOTAL FEE JOSE H C. ROOHAN
SUPERVISING ELECT AL ENGINEER
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. CASH
3 3 8% MAR 1 9 L> h $.20~ 4
1SEE BACK OF APPLICATION FOR COMPLETE FEZ SCH EIHI LE