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Home My Public Portal About8633 GARIBALDI AVE_Electrical__ 76A663-CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS I JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT, TOTAL NO. EACH FEE LIGHT >9 OUTLETS FIRST 20 �O $20 $ 00 OWNER Nlii ADD' MAIL L ADDRESS SWITCH. 151 �� OVER 20 �� .10 f 0 TOTALCITY TEL. NO. LIGHTING FIRST 20 .20 FIXTURES 4 ADD'L 10 ELECTRICIAN = S — > e OVER 20 - RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS 93 3 6, L Lr A+� GARB.DISP. STA.COOK 1 CITY r TEL. I DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA.APP.(+/i H.P.MAX.) �Lr .50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTRI NO. GR UP ZONE, PROCESSED BY y0 1 / 1.00 Q _ r_ 1 s 1.50 INSPECTION REC09D s s 2.00 8 15 2.50 is 50 8.00 } a 50 100 5.00 ' u SIGNS: NO.TRANS NO.LAMPS O F SERVICE 0.600V•NOT OVER 200A1.00 (�Q UUj CL SERVICE O.60OV-OVER 200 A. 2.00 N SERVICE OVER 600V 5.00 z I MISC. PERMIT ISSUING FEE 2.00 oZ. SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE $ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT ' WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING _ ELECTRICAL WIRING. WIRING 1 "� I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES f CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. POWER SIGNATURE / UTILITY CO.NOTIFIED OF PERMITTEE FINAL r',.:.. to . VALIDATION ARTHUR C. VEIT C JK MO CASH SUPERVISING ELECTRICAL ENGINEER J'(L,o 3 5 3 u AN '1 5 )-AA C woRXEA'S COMPENSATION DECLARATION 2D-0018 DPW f12-91> 76AM APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self Insure, or a certiflcate of Worker's Compens&don Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV. copy thereof(Sec.3800 lab.C.) _ Pdlcy No. Company FOR APPLFCANr TO RLL IM 000 ❑ ADOREBe Carthled copy Is hereby fumlehad. New ReskientW Bldgs.8 Pools NO. EACH FEE — i i LOCALITYF1led Certified copy to tiwith the county bulld7ng Inspection 1 8 2 Femffy,Sq.Ft _ NEAREST depertmenL Multi-femRy Sq.Ft. CFKM ST. 4-t— Date Appllant Reoidantlal SWITMing Pools ABgEBBpR ��77 11,1P BOOK PAGES n PARC. Y... CERTI FATE OF EXEMPTION FROM WORKERS' OutRoo. Ught A_Sw. I RRRIA OWNER E }CKEGl l COMPENSATION INSURANCE Flrat 20 � MAlL i (This section newel not be oompletid N the work Involved by the Tohl No. AddRbnel ADORE�8 3 permit to for one hundred dollars(0100)or Is".) ��// I certify that In the performance of the work for which this permit p cm N0 ��6 6 Is Issued, I shell not employ any person In any manner so as to D� / Q PLAN Ct ECK become suNect to the Workers' Compensation Laws. Lighting Flues FI rat APPIJCAIIT TotalfJo. Addttbnel ADDRESS ' Date Appllcent RESIDENTIAL APPLWNCE8 NOT OVER 3 HP. NOTICE TO APPLICANT: If, after making this Certificate of CITY TOL Na 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 Power APPS&Large APPIWrK;IM provisions or this permit shall be deemed revoked. LICENSED CONTRACTORS DECLARATION Soy&Type HP,KW,KVA,or KVAFI ADDRE88 I hereby affirm that I am licensed under provlslons of Chapter B Over 3 to 10 Ind. (commencing with Section 7000) of Division 3 of the Business and CITY Tr N0 Professions Code, and my license Is In full force and effect. Over 10 to 50 Ind. LKX24SE OR Clew. d Over 50 to 100 Ind. REO-NUMBER O Over 100 DSSTRICT NO. BY U License Number Llc.Claw �t P Services,Swtd.,MCC 8 Panelboerde v0 a: Contnatnr Date 0-300 Amp.Under 000 V FINAL DATE0 EJ I am exempt under Seo. 400-1000 Amp.Under 800 V - VALIDATION W Over 1000 Amp.or Over 000 V LU Fiiw d B.SP.C.for this reason BRANCH CIRCUIT FEES BY c Dater16F4 or 20A,120V,Lighting or ReceQt. Z 1 To 10 Branch Circuits / Sime 11 To 40 Branch Cfrcuib ❑ 41 Or More Branoh Coutts . Exemption for Reg.M&lnt.Eleot. 1C&20A,206V To 277V Br.Ckuft SINGLE FAMILY Temp.Power Pole S AppurtenarloeoA!ACCT 'a HOME OWNER-BUILDER DECLARIO ATN with One Branca,arcult A-C V.T I hereby aftlrm that I am exempt from the Contractor's License Law T1iS� 34.65 for the following reason (Section 7031.5, Business'and Professions Addtlond Sign Branch Cb-tufts Code): 1 ITEM 1, &a owner of the property,will do the work&nd the structure Mlsp.Conduits 0 C4nductor6 TOTAL 3 65 le not Intended or offered for sale (Sectlon 7044, Business Other(See Compote Fee 8chedub) fi and Profeeslons Code). , 4lfCK ,4.qm} CONSTRUCTION LENDING AGENCY M1,3G •IJ� I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is Issued (Sec. 3087, PERMIT FEE (Sub-Total) Civ. C.) PLAN CHEMNG FEE LRMr-'�"-1 b/ Z/911 Lender's Name PERMIT ISSUING FEE 0064 I AM 8'39 Lendeee Address I oertify that I neve read the appllcatfon and under penalty Of N0ury state TOTAL FEE that the above Information is correct. I &gree to oomply with all County ordloanoes and State laws regulsiing Electrioal wlring,and hereby aut)ortze of this County to enter upon the above-mertHoned prop" for 1 SEE REVERSE FOR EXPLANATORY LANGUAGE SNA I'ER3aTrE� DINE WORKERS'COMPENSATION DECLARATION, 7Wa3 ,ora, CE-8000APPLICATION FOR ELECTRICAL PERMIT {J I hereby allIrm.that t have a miff tate of conaennt to teff In-Te, J or certtflcate of Vkd<em' Compensation Inaurance, or a cerdfled COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec.3800,Lab.C.) PolioyjNo. Compeny FOR APPIJCANr TO FILL IN Jog 3-3 ❑ d&tfled Dopy le hereby turnkt d. New Reatdentlal Bldgs.8 Pools EACH NO. FEE S $ — $ l-oCAl--nY ❑ Cfled ertfcopy fa filed with the county building inapecdco 1 & 2-Famly,Sq.FL — NEAREST departrrernt Muft-famJy Sq Ft ORosa 3i. R Date ealdentlal Swtmmtng Poots OVrTER OR p r Fwn rum IY CERTIFr-ATE OF E)EMPTION FROM WORKERS' Outieta Roo—1-19M — Sw. MAL COMPENSATION INSURANCE ADDRESS (This eectlbn nand not be compNwork t1 the ork Imrove td by the First 20 permit b for one hundred dellen ($100)or baa.) Total No. Addidonai CITY Tel.No. PLAN Cl-EGK I owtfy that In the performance of the worts for which this permit ApPUCANT Is Issued, I shell not employ any person in any manner eo as to beoome sub)ect to the Vkrkers'Comporteatbn Laws, Lighting FLxtures First 20 ADDRESS Total No. Additional CITY Tel,No. Date Applicant Fbced Appllencee Not Over 1 HP ppir NOTICE TO APPLICANT: If, after meldng ti-da Cerdflcdte of Exempdon.You efrould become sgbOct to the Vkda$rs'Comp--tk- Range— Fleeter— D.W, _ APPLr'N provletorra of the Labor Code, you must iorthwtth compy with each Oven — Dryer — WA._ ADDRESS provlffione or thla permit ahall be deemed revolted Top — FAU _ W.H. — CITY Tel.No. LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other— I hereby pfFlrm that I am licensed under provision of Chapter 9 DbR p. — Room Air Cord. ��ER Casa (convnendrg with Se6bon 7000) of Dfvfsion.3 of the Buslnesa and Profession Code,and my Ifc6n9e Is In full force and effect Puwer Apr�S Large Appltanaea MPTICT NO. BY 15 Size Type HP,KW, W. KW4R 7rz �,� 1 Licerme Number L1c.Class Up to 1 Over 1 to Inof. !' VAUDK00N Conrtractor Data Over 10 to 50 Incl. FINAL BY I am exempt under Sea Over 60 to 100 Inc. BY BAP.C.for thb reason Over 100 Servlcee,Swbd.,MCC S Panelboerds r Date- 0-200 Amp.Under 600 V ' Slgrrature 201 - 1000 Amp.Under 600 V G( ~ Over 1000 Amp.or Over 600 V /J I]d Evemptbn for Reg.Maim Elect S4N()L-E FAMILY Temp.Power Pole 8 Appurterrancee 2 HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit u+ I hereby affirm that I am exempt from the Contractor's License Lsw Addttbn�l Sign Branch Circuits ACGT. JL ason for the following re (Secborl 703.1.6,Busineaa and Profeesiorm Code): 3307 20.40 I,es owner of the property,will do the work and the sfnuchue Miac.Candrffn a Conductors 1 ITERS not Interded or offered for sale (Seotlon 7044, Buelneas Other(��te Fee Sawdrde) — and Profaw o,m Code). pop- TOTAL 20 - 00 CONSTRUCTION LENDING AGENCY CASH 20.40 I hereby affirm that there la a =-mtructfon larding agency for the �� performance of the work for which bile permit Is Iaaued �.r (Seo.3097, PERMIT FEE (Sal-Totai) GMT- ■011 Ctv.C.). PLAN CHECKING FEE L.erderte Name 0000-0041 7/17/90 PERMIT ISSUING Lender's Address 1847 1 Ali 8:M, 1 oertNy that I heve reed this application and state that the above T014L FEE Information is correct.I agree to conpty with all County crdlnarrces and State t%e reg lattng EkArlcal wiring, and hereby authorize repreaentatNfts of thfe County to enter upon the above-mentioned VDparty for lnspecrion perp— SEE REVERSE FOR EXPLANATORY LANGUAGE - /