HomeMy Public PortalAbout8721 GARIBALDI AVE_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Dof County Engineer ELECTRIC 1
DIVISIONSION OFF BUILDING & SAFETY
WILLIAM J. FOX, County Enylneer
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN
�^ RECEIVED BY READY FOR DATE ISSUED
ADDRESS - FIRST INSPECTION
CITY TEL. NO.
COUNTY LICENSE NO. EXPIRES BUILDING
PERMIT FEES ADDRESS
FEE L .
NUMBER EACH LOCALITY_�(�y�-
LIGHT OUTLETS y"r. NEAREST
CROSS ST.
RECEPTACLES
WALL SWITCHES __OWNER
TOTAL OUTLETS _ 5C III _
MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25
CITY TEL. NO. -
FIXTURES .� `� 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
I/2 a LESS $ .25 7.
SIGNATURE 42A 2.4
_ 1/y 2 .50--- PERMITTEE EF _
2 s 1.00 INSPECTION RECORD
5 is 1.50
_ 15 50 2.50
50 200 5.00
200 BOO 10.00 J
500 10013 15.00 Q
z
OVER 1000 20.00
M.G. SET/FREQ. CHANGER-HP
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75%n OF ORIG.)
MOVED MOTORS (75%. OF ORIo.)
MISC.
SIGNS
NO. NO.TRANS. APPROVALS
NO. NO. LAMPS
FOR EACH PERMITS DATE INSPECTOR'S NAME
WIRING $1.00 - /' CONDUIT
FIXTURES $1.00 WIRING _
SUPPLEMENTARY ,50 FIXTURES
POWER
TOTAL FEE $ Z UTILITY CO.NOTIFIED -
�� FINAL
76A663 Dee#5A 2-53
7aAee3•C>aoq.,7.86 APPLICATION FOR ELECTRIC PERMIT 1
BUUJMG AND SAFETY DIVISION
Depmrtment of County EnghLo-kr t BUILDING
County of Los Angel" LU"LD
F �
JOHN A. LAMBIE. COUNTY ENGINrrR
CAtlATT D. GRIFFIN;•UP'T QF1 BUILDING LOCALITY
FOR APPLICANT TO FILL IN . NFAR a.Err'
CROBA SIT'.
PERMIY IM
NUMBER OWNE=R >•
LIGHT OUTLETS DDREBb +
RECEPTACLES
WALSWITCHES FE CITY TSL. NO
L E
WAT
TOTAL OUTLETS. ef 155 ELECTRICIAN
ELEC. RANGES 215 ADDRESS
ELEC. HEATERS 28 CITY T NO.
KW KA, STATE t
PIXURB LICKN"NO.
MOTORS 01 STAT NO. I Gr Z.9NE I X ADT FOR IRIrECTION
nUY�fJI HORSEPOWER F .E
n[w rw: HP ovnR Ina, rAOH
a LIJi - AL5 IHSP=ON REWBD
2 .150
2 E -1.00
D 115 1.150
In DO 2.Dd
150 200 15,00
M16C.
NO. SIGNS NO.TRANS. _ _ •
NO S1GINS NO. LAM S
FOR EACH PERMIT:
WI)UNG PERMIT1.00
FLXTURE PERMIT 11.00 '
SUPPLEMENTARY .150 APP.BOVALS
TO L DATE INSPECTORS SIGRATURE
I H9REBY ACRNOI[LEDGE THAT 1 HAVE READ THIS AppricAnolt CONDUIT
AND STATS THAT THE ABOVE 15 CORRECT AND AGRBCE TO CO.IPLY
WITH AIL (OUKZY ORDINANCES AND STATE LAWS REGULATING V10RING i
ELECTRICAL WIRING.
I HEREBY CERTFFY THAT 1 AM PROPERLY REBISTYRQD AND/OR P LXTUFUM G
LICENSED AS RECIXTEID BY LOS AIIGELH6 COUATT AND STA OF POVVXR
CALIFORNIA OR THAT 1 Al THE LEGAL OWNER OF THE OVE
DESCRIBED REBID AII. PROP TI
ULITY CO.NOTIFIED
SIGNATURI! 1
OF PERMITTEE FINAL '
`, .ARTHUR C. 4T.
UNrtY NGIN \ VA r UFERVISING LiaTRICAL SNGQmAn
' [tea 6 1 4 `fav/`�28 2. 225to
'%° ' '�'°" DECLARATION 76A663 °P""J87 APPLICATION FOR ELECTRICAL PERMIT O
f hereby affirm that I have a certificate of consent to self CE�py
Insure, of a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS
'or a ceklfled co thereof (Sec. 3800, L b. C )
I No 122 Company Safe Fu+�d FOt1 APPU CANT TO RLL a JOB ` r
Certified copy is hereby furnished. New Residential Bldgs. 8 Pools EACH NO. FEE ADDRESS
❑Certified copy Is filed with the county building Inspec- 1 8 2-Family, S9. Ft.13.n_ $ $ LOCALITY
tlon department Multi-family Sq. Ft. NEAREST
CROSS ST. A i/on
Resldential Swimming Pools
Date Applicant RM NAW
CERTIFICATE OF EXEMPTION FROM WO RS' e2L q a hW1 87:21
COMPENSATION INSURANCE Outlets: R LJ ht Sw. r� ADDRESSEnt 20 /
(This soctlon need not be completed H the work Invohred by Total No Additional CITY Tel. No.
the permit Is for ono hundred dollars (;100)or loss.) PIAN
I certlfy that In the performance of the work for which this APPLJCANf
permit Is Issued, I shall not employ any person In any manner Lighting Fixtures Flrsl 20 ADDRESS
to as to become subject to the Workers'Compensation Laws.
Addltional
Total No. CITY Tel. No
Date Applicant Fixed Appliances Not Over 1 HP /
NOTICE TO APPLICANT: If, after making this Certificate of / CATION cock
-xemption, you should become subject to the Workers' Range Heater D.W.
Compensation provisions of the Labor Code, you must forth- Oven Dryer W.M.— ADDRESS
with comply with such provisions or this permit shall be Top FAU MeW.H. —
deemed revoked. Hood V Fan —Other— CITY ' Tel. No. 413
'l� s
LICENSED CONTRACTORS DECLARATION 1p
Dlap. Room &y LKBJSE OR Air Cond. �i NU S ClaasL I Q
I hereby affirm that I arm licensed under provisions of Chapter 9
(commencing with Section 7000)of Division 3 of the Business Power Apparatus A Large Appliances DISTRICT NO. BY
and Professions Code,and my license Is in full force and effect. CL
Size 8 Type HP, KW, KVA, or KVAR / r 0
License Number Llc. Class C )O Up to 1 Incl. / F] C�
21 f2Over 1 to 10lncl. D°� VAUDATION Q
Contracts DYCo � Date —2 Over 10 to so Incl. FINAL ~
❑ I am exempt under Sec. Over 50 to 100 Inc. BY W
B.BP.C, for this reason Over 100 0..
Services, Swbd_, MCC 8 Panelboards / O , z
Date: Z
0-200 Amp. Under 600 V ✓
Signature 201 - 1000 Amp. Under 600 V
❑ Over 1000 Amp. or Over 600 V
Exemption for Reg. Malnt. Elect.
SINGLE FAMILY Temp. Power Pole 8 AppuaT
rtennces •r� '
HOME OWNER-BUILDER DECLARATION _
I hereby arm that I am exempt from the Contractor's Ucense Sign with One Branch Circuit
affirm
Law for the following reason (Section 7031.5, Buslness and Additional Sign Branch Circuits 331D7 2f
professions
Professions Code): 71]T� z 1 u r�
❑ 1, as owner of the property, will do the work and theK Conduits 8 Conductors 3
s
structure Is not Intended or offered for sale(Section 7044, Other (See Complete Fee Schedule)_ CL ECX 207.n
Buslness.and Professions Code).
CONSTRUCTION LENDING AGENCY CHAWiE
-�
I hereby affirm that there Is a construcflon lending agency for
the performance of the work for which this permit Is IssuedPERMIT FEE (Sub-Total)
(Sec. 3097, Civ. C.). vs` 2f71fQ2
PLAN CHECK IWG FEE
Lender's Name Am q'
PERMrr ISSUING FEE
Lender's Address
I certify that I have read this application and state that the I TOTAL FEE
above Information Is correct. I agree to comply with all County
ordinances and State laws regulating Electrical wiring, and
hereby authorize representatives of this County to enter upon
the above-mentioned property for Inspection purposes.
fEE REVERSE PPR EXPLANATORY LANGUAGE
,,ty,, 2_2 - 92
g r of Permittee Date
ION
-Mm that I'8 have
a ce&A cato DECLARATION �,o DPW(12-91) APPLICATION FOR ELECTRICAL PERMIT
I hereby efflrm that I have n certificate of consent to sell Insure, 7t1A66:i
or a oardflcate of Worker's Compensation Insuranoe, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV.
copy theheo (Sec.3800 Lab.C.)
�cy No. 13�l `"F Compnrry 9Tf►'7 f � POR APPUCA!(r TO F9LL a JOB -
CvNfled oopy Is hereby furnkhad. New Reeldentlal Bkips.8 Pooh NO. EACH FEE
— $ 3 LOCALTY
Cerifflad copy Is sled with the county Inspectbn Ft NEARM
MBltVsmlryl 8q .Ft — .
Dere Applberrt Reskiential Swimming Poole %SSEggpR
WAP BOOK PAGE PARCa
CERTIFICATE OF EXEMPTION FROM W Oubetc Rec. Ligha - Sw. _ r ✓t P. C '7"-rl D 0,
COMPENSATION INSURANCE
First 20 WAJL -
(fhl,a section need not be oompleted If th*work Involved by the Tohl � ADt7f1E8& �Q L
permtt Is for one hundred dollars($100)or less.) Cp
I oertlfy that In the performanos of the work for Which'thle permit Cn-1 r p e'ND- -�
Is Issued, I shall not employ any person In any manner so as to PLAN qE�
become subject to the Worker' Compensatlon Laws. Lighting Fbduree Rrat 20 APPtJcwT
Total No. .3 Addhkxial
ADDRESS
Dade APPD-rrt RESIDENTIAL APPLW�CES NOT OVER 3 H.P.NOTICE TO APPLICANT: If, after making this Certlfloate of CITY Tel.No.
Exemption,you should beoome subject to the Workers' Compensatlon OTHER APPLIANCES NOT OVER 3 HP.
provisions of the Labor Code, you must forthwith comply with such PoMrr APParatrb&Urge App4iances 27 PLIGAIrT
provieloris or this permit shall be deemed revoked.
. UCFNSEb CONTRACTORS DECLARATION Size S Type HP,KW,KVA,or KVAR ADDRESS
I hereby affirm that I am Iloensed under provisions of Chapter 9 Over 3 to 10 Ind.
(oommenoing with Sectlon 7000) of Division 3 of the Buelness and CITY Z-
Profeesbns Code,and my license Is In full force and effect. Over 10 to 60 Ind. LICF7t8E >-
a.
y/ T Over to 100 Ind. gEO-HtAABEA O
Ucenee Number .Sar ! Y U.Claae Over 100 Ot8TR1CT r+0. / By
QServices,Swbd.,MCC S Penelbonrde �../'LO CC
Corttraotor Va-s•TM-,rri a -a Dew Ef^/y ' [ ,- 0-399 Amp.Under 800 V F O
El
400-1000 Amp.Under 800 V VALDAMN V
I am exempt under Bec. LLI
Over 1000 Amp.or Over 600 V
B.hP.C.for this reason BRANCH CIRCUIT FEES BY
Data. //'/y 16A,or 20A, 12OV,Lighting or RecspC Z z
1 To 10 Brenoh Clroutts
Signature 11 To 40 Branch CkcLLb
41 Or Moro Branch Ckm }
❑ Exemption for Reg. t Elect. 16A,20A,20 VV To 277V Br.Ctrarb
SINGLE FAMILY Temp.Power Pole&Appurtenances ACCT.T
HOME OWNER-BUILDER DECLARATION Sign with One Branoh Clroun -^ 4.6.31
1 hereby afFlrm that I am exempt from the Contractor's Lloense Law
for the foil owing reason (Soctlon 7031.6, Business and Professlons Addtlor"Sign Branch Clrcutts 1 ITEMS
Code):
❑ I,as owner of the property,will do the work and the structure Mlso.Condutta 8 Conductors TOTAL 46 -35
Is not Intended or offered for sale (Seotlon 7044, Business Other(See Complete Fee Schedule) , CHECK
46.35�35
and Professions Code). LC .00
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construotlon lending agency for the
performance of the work for which this permit Is Issued (Seo. 3097, PERMff FEE (Sub-Total) �yyy�_ry�� 6/14/75/�1c
CN.C.) IJ000-LM11 6/14 7.1
PLAN CHECKING FEE W79 1 AM11:26
Leaders Name
PERMIT ISSUING FEE
Lendars Address f{
I certify that I have reed th}s eppRcatIm and under penalty of purjury state TOTAL FEE
ttut the above Information Is correct. I agfee to comply with all County
ordnancee and State Laws regulating Electrical wiring,and hereby authortra
represerttativee of thia Coumy'to enter upon the above-mantioned property
for I Pis- SEE REVERSE FOR EXPLANATORY LANGUAGE
81(i"Til£OF DATE