HomeMy Public PortalAbout8631 GARIBALDI AVE_Electrical__ APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER F773
BUILDING AND SAFETY DIVISION 96
k:TZ
JOHN A. LAMBIE, CoUNTY ENa1NEER
WII I IAM A.JEND>ai, Ow"T OF 1 UILSING ITY
ST
CROW ST. 61-4
RECKPT. TOTAL NO EI.[.'J1FEE
J14-
OUTLETS FIRST 20 •1.0 • OWNEfZ
LIGHT 1AWL 00 MAIL
■WITCH. 16 oV[R 2013 1 .10 3 1 O ADDEtEM
LIGHTING TOTAL F]ReT 20 1 .10 p` gd CITY aFIXTURES ADD10 ELECTRICIAN
RO //��RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRE" / +� M GARS.Xner. STA•COOK CITY O.
D012"ASH. ALrM-WASH. STATE .
!AC=1,17ML - STA.APP.(W H.P.M.AX.) .60 L 1 CENsa No.
MOTORSI ovER NOT OVER H.P. DI NO. O UP Z N P SSE BY
O 1 / 1.00
1 a 1.60 INSPECTION R ORD
a 6 2.00
6 16 1.60
16 60 3.00
60 100 6.00 8
NO.TRANA-
9101*0I N0.LAM" OC
O
Se3ltvICE 0-600V-Nor DvEt 200A f 1.00
dX3MCE 6-600V-0VER 100 A. Coo
SZRVICi OVER 600V 6.00 z
MI•C.
r1'Rl1IT ISSUING Fl[R 1.00
SUM"- MKNTAgY rKRMIT IMUING FQ 1.00
TOTAL FEE • 14 0
I FAY AOCNCr4r1lCDQt THAT I HAVE READ THIS APPLICATION DATE
tNarlDcTown IRON
AND STATE TI-AT.THE ASOVE IS C=—; AFM ASRIM TO COMPLY CONDUIT .
WITH ALL F?
CQUY ORDINANCES AFm STAT= LAWS REGULATING
KLECTRICAL WIRING. WIRING
I HEIR>QY CERTIFY THAT I AN PROPERLY REO I STE® AND/OR
LFC33MM AS REQUMED SY LOS ANG&L" COUNTY AND STATE OF FiXTU RtB f _
CALIFORNW I■^AI OWNER OF THE OR THAT 1 AM THE AJKM
DESCRESIM*K*tD4XrLAL PROPKK Y. rOWQ
S 1 GNATURi UTl LITY CO.
OF r[RM
FINAL
VALIDATION ARTHUR C. VIDT
MO CASH fUF*JtVISINa QL[CTRICJ►L EIiGlNiill.
C)
L> 0 3 3 3 7 Z APR 1 5 2 A 1 4.90-
clf
rvv�
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7""3-CEOW "2 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ou1LDINa
BUILDING AND SAFETY DIVISION F=LCW-kLrry
s
JOHN A, LAMBIE, CouNTY EHammm
WILLIAM A..JlENGK J,Sur•T OF EUIL.Ptna TO Fl" IN ^ (r
NcR rrttA RSfT
.
RICEPT. TOTAL MO
OUTLL-M FIRST 20 1 =0 10 0 OWNER
LIGHT MAIL
SWITCH. OVER 20 .10 ADDF2YM
LIGHTING TOTAL FIRST 20 .30 CITY Tom- Na
FIXTURES ADD'L 10
ovR 20 ELECTRICIAN
RANa[s CZO.DRRYnRr vmL Ern"L 1.00 ADDRWW
SARI.❑IW. SM COQR
CITY [7` Tti1 N0. 6,
,.
DMFWAS". AUTO.-WANH. STATE
SPAC=HTII. /TA.APP.(AN1.MAIL) ,50 LICENSE NO.
MOTORS, oym NOT OV[R Hs. DISTr NO. ZONE P Y
0 1 1 00
1 3 1.50 INSPECTION RECORD
3 5 Y o0
5 15 LEO
15 EO 3.00 y
6O 100 5.00
SIaN1� ND'NO.L. oc
*KRVICK 0.50OV-140T OYIC*3OOA 1.00
923MCIE 0.600V-Ovvx 300 A. LOO
SIRVICE OVKR SOOV 5.00 _
MI
r1g mrT mama FL[ ;.00
SUPPL IMINTAay MMM1T ISSU1Na FQ 1.00
TOTAL FQE
I HfXMY ACKP#OWLm¢ THAT I HAV[ RX&D THIS A"MUCATION DAT[
MRD S•TATR< THAT THI Anow in Co-. AND AARIMTO COW.LY CONDUIT
WTTH ALL -COUNTY ORRPINANCKS AND NTAT[ LAWS RIOULATINO
IOiCTRPCAL WMNa. W11tINa
1 H>ORENY CIKPMrY THAT 1 AN FROrVALY MWlV MW AND/OR I
LIC30RriO7 AS RrQUDTID rY Loa ANG69 ''S COUNTY AND rTAT[ OF FIXTU
CALIFORNIA OR THAT 1 AM THI I K-A! OWNLR OF TH[ ADOV[
DK9C31mm RXEMEW1AL P7POV13M. POWNR
81(RNATURi UTILITY cxx NOTIFIED
OP PPILRMrTTICIK
FINAL
oLIDATION ARTHUR C. VMT
Cx MO CA*H SUPK RWSINa KLK(;T'RICAL ENCUMM R
7 7 6 k2 -APR 1 2 A 3.4 0 L
7eAe"-CE80e 4-ee APPLICATION FOR ELECTRICAL PERMIT-
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILD
BUILDING AND SAFETY DIVISION ADD=
JOHN A. LAMBIE,.COUNTY ENGINEER /
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
NEAREST
FOR A JCANT TO FILL IN CROSS ST.
RECEPTACLES TOTAL No EACH
OUTLETSFIRST so •.20MAIL
OWNER
LIGHT
ADD'
SWITCH
OVER L .10 A RTI!
TOTAL
LIGHTING FIXTURES FIRST 20 .20 QTY TIL Na
FIXTURE/ ADD'L OVER IIO 10 CONTRACT
RANDS a.o.Derfl" WTR.HTRS. 1.00 A D D R"8 ('`�
DAJW DIST. ETA.COOK CITY T D
DISHHV/
WAI . AUTO.- ASH. STA
SPACE HTRS. ETA.APT.(4 H.T.MAX.) .eO -LICENSE NO.
MOTORS. ovER NOT OVER H.P. -DIET NO. G P "P BY
O 1 1.00 f?p
1 a 1.50 INSPECTION RECORD
I
a e 2.00
e iS 1.50
1e so 3.00 O
so 10o 5.00
V
SNO.LAKTRAS.
SIGNS. LAK
FS
s
stwieg e . OT OVER A 1.001
SERVICE 0-600V-Ovni 200 A. 2.00
SERVICE OVER 500V 5.00
OTHRR (SE[ cOMPLET[FEE sCHEoULE)
PERMIT ISSUING FIE II•,OO OU
SUPPLIMENTABY PERMIT ISSULNG FEE 1.00
TOTAL FEE *171
OArrgovALS DATE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDERSLAB WORK
AND STATE THAT THE ASOVE IE CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
i.
[tiCTLl.iX
L WIRING. WIRING
CERTIFY THAT 1 Aid PROPERLY REGl4-rZRED AND/opt FIXTU
s REQUIRED ■Y LOS AN G[L S COUNTY AND STATE OF
OR THAT 1 A TH[ LEGAL OWNER OF,AND INTYND TO POWER
AS RIS IDG 1 PROPERTY.
EUTILITY CO NOT1F7
FINAL
DATION JOSEPH C. ROOHAN
CK O CASH SI.IPERHISING ELEGT}I1CAL ENn1NEER
r 4 1 4 6�9 AW 15 2 A 4.00-
4
I
WORKERS'COMPENSATION DECLARATION76� tOieT APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a certificate of consent to self
Insure, or a certificate of Workers' Compensation•Insurance;, COUNTY OF LOS ANGELES BUILDING AND SAFETY
or a certified copy thereof (Sec. 3800, Lab. C) Insurance
PolICY Na164 71,55fr1;�%ny Co: of -the West PO It ArPILICA r TO nLL IN ADDRESS
31 E ' Garibaldi Ave.
Cerdtfled copy Is hereby fumished. New Residential Bldgs. 8 Pools EACH NO•
FEE— $ LOCALITY Map: 37 FZ
Certified copy is Had with the county building Inspec-. 1 8 2-Famlly, Sq. H. _ tEp1�5T t etc Ave.-
tion depart ent. Multi-family Sq. H.
Date Applicant, �CoVal Service Resldentlbl Swimming Pools w"�ROR Rose Wong
RM NAME
CERTIFICATE QF DVAPTION FROM WORKERS' Outlets:,Rec Light Sw._ L
COly1IIJSATION INSURANCE First 20 S{iTlte H8 above
(thls.soctlon need,not be complefe-d-If the work lrtvolwd by Total No- � AddlHonal C' Sm= Tel. No. 287-6748
�parmlt 19'f6r•bee hundred dollars($100)or less.) pLAti C}
F certify that Jrt the performance of the work for vv�fch this APRKANT . Royal Service Kenneth Yu
permit fftasued,l shall not employ any n In any manner
w•gs ip become subject to the Work Compensation Laws. Lighting Fixtures First 20 ADDRESS
1712 q AVP_
Total No. Additional CITY Tel. No.
Dote •� ficant� S� Gabriel 281-$848.
NOTICE TO i NT: If, after moklng his Certlflmte of Fixed Appliances Not-Over 1 HP PERMrr
Exemption, ou should become sub'(ecT to the Workers' Range. Heatef D.W. — +,Royal
Compensatlon provisions of the Labor Code,'you must'forth- Oven —Dryer —W.M.— ADDRESS. 6712 S. New-Ave.
with comply'with such provisions or this permit shall be Top FAU W.H. —
deemed revoked. Hood Fan CJTY San
Room Alr Coed. Tel. No. —
LICENSED CONTRACTORS DECLARATION — n . LIC89V OR '
I hereby affrrm that I am licensed under provislorls of Chapter 9 Dlsp_ — REG NUMBER 317766 Clap. Cr2fl& G-�Q
(4ommencing with Section 7000) of Dlvlslop 3 of the 9uslnessDISTRICT NO. BY
and Professions Coda,and my license is In full,force and effect. Power Apparatus 8K Large Appliances .
Size$Type HP, KW, KVA, or fCVAR'
License N4.mber,317766 I Ic. Class .0-10 FINAL - V
U to T Incl. T�
Contractor Kenneth XU- pate 6/30/84 to 10 Incl. DA 2 ��'� VALDATFON F
❑ Over 10 to 50 incl. FI U
I am exempt undef•Sx Over 50 to 100 Jnc. BY W
B.Bp.C- for this reason Over T00 Z
Date: Services, Swbd., MCC 8 Pafielboards —
0 -200'Amp. Under 600 V -
Signature 201 - 1000 Amp.-Undet 600 V
EJ Exemption
1000 Amp. or Over 600 V
Exemption far Reg. Malnt. Elect.
SINGLE FAMILY Temp. Power Pole 8Ciurtenances
HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit
7 56 6 p
I hereby affirm that I am exempt from the Contractor's License F o'
Low for the following reason (Section 7031.5;,Business and Additional-Sign Branch Circuits. ; o 0 0 0 2
Professions Code): 2 0 0 ) 7 5 0
n Misr- Conduits8 Conductors ,
U I, as ownef of the property, will do the work and the `
structure Is not Intended or offered for sale (Section Other (See Complete Fee Schedule)_ o ) 'r 5 0
7044,8uslness and Professlorls Code).
CONSTRUCTION LENDING AGENCY 21 3-83
I hereby affirm that there fs a construction lending.agency for
the performance of the work for which this permit Is issued PERMIT Fid (Sub-Total)
(Sec. 3097, Civ. C.).'
PLAN CHECKING kg "
Lender's Name
PERMIT ISSUING EtE`
Lpnde�'s Address
I certify that I have read this application and state that the TOTAL FEE
above Information Is correct. I agree to comply with all County
ordinances and State lows regulating Erectrlcal wiring, and
hereby uthorize.representatives of this County to enter upon
the a e mentioned property for Inspection
rposes• SEE REVERSE FOR EXPLANATORY LANGUAGE
Signatu a ermittee 6