HomeMy Public PortalAbout8727 GARIBALDI AVE_Electrical__ -M►15e3-CE86i ft-62 APPLICATION FOR ELECTRICAL PERMIT
BOUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ��NN C3INEER ou1LDING
BWILDING AND SAFETY DIVISION ADDR 3NM /;
JOHN A. LAMBIE, Cour1T•r EHaINnm
WILLIAM A.JEJSEN,"-r OF,IsuiLDINa LOCALITY
NXAPJCST
0 IN cROGS ST.
R[CIEPT• TOTAL MO
OUTLETS FIRST 20 x.10 � OWNER
LIGHT MAIL
ADD'L ADDaE=
SWITCH. QI
OVER 20 .10
LIGHTING l TOTAL FIRST 20 >LO Cm Td N0.
FIXTUftE3 Jr oY D%R J0 10 ELECTRICIAN
RANGIM cs.O.Duron wrle-Frrles. 1.00 ADDRIM
GAR&Dul*. STA.coos[
CIN 140.
DuSKWASH. AUTO.-WASH. STATE
LICI NSE NO.
YTAGI FiTRa•. STA.APP.I%Fir.i1/1I.4 .150
YOTC)", °Yoe NOT Ovoe A.P. D STRt NO. a P N P pr Y
O 1 1.00
INSPECTIONTZ ECORD
s T e 1.00
e
la L5024 1
95w et
119 150 2.00
150 100 15.00
nGrul No.T=Axs pc
NO.LAlas O
SERVICE 0.600V-NOTaveae 100A 1.00
rroxvlca 0-e00v-0vlat 1100 A. :oo
a
SamVICI OVtae 600V 15.00 —
MIsC.
rwtmrr IMUING F¢ 1.00
•UrPL[YpdTAaY PKRMrr IMUtNG MM 1.00
TOTAL FEE
ALM
1 F1flOY AL 0Kr*L=XM THAT 1 HAY[ PWAD •!YI■ TiON DA
�D STATL THAT Ttm Amovz is DoT Alm Adler TO co
Y CONDOR
WITH,ALL COUNTY OIIDIHAMCL AND STAT[ LAWS Mdr7
oJ<eTOCAL vnpnmc. WIRING
I HAY cKwnpY THAT I AY �RIY IAmwrot�tJ� Alr IeIQU Dem SY Los Alun[ COUNTY AlmSTAT[ FIXTURZS Af 1131
f.Al..l!<OlM U\ O■ THAT 1 AM OATiIJ1 OF
14"LDQITMIL
TU
Ri 4 UTILITY NOT1F1
•f
O>r=
F I NAL
ftiLIDATION ARTHUR Q VETT
MO CA<H SUPKRVIIING EL.[CTItICAL ENGINtlPl
L 3 0 6 9 to DEC 3 2 A4-50-
q
I
1 T �
7OAee3-CEe0e 1¢;* APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
•DEPARTMENT OF COUNTY ENGINEERIAIDDPE"
BUILDING
BUILDING AND SAFETY DIVISION ADDRE"
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JRKSIEN, SUr'T OF WJILDINCI LOCALITY
NEA RENT
CROSS 0T.
Rscar. TOTAL NO
OUTLETS FIRST 20 S.201*
IID * OWNER
LIGHT MAIL r -
SWITCH. ov[n•"LO .10 ADDREM EL pry`
TOTAL CITY TNO.
.2
LIGHTING FIRST 20 0
FIXTURES ADD'L ELECTRICIAN
ovcn 20 .10
F"Gan CLO.Dmimm wTR.HTVM i.o0
SARS.DISP. STA.COOK
CITY TE3-No.
DiSHpASH. AUTP.-WASH. STATE
SIPACK M77M STA.AFr.(JA H.F.MAX.) Aso LICENeQ No.
YOTOPM' °`/Q Nor°imR H.P. DISTRICT NO. G N P E D BY
0 1 1.00
1 a 1.00 INSPECTION RECORD
a e s.00 fS ya �-
po.
s In 2.50 O
15 so 3= vV
00100 0.00
SIO.NS. HO.TRANS.
NO.LAX"
GKIWICE 0-500V-NoT ovct 200A 1.00
SERVICE 0-80OV-CWM 200 A. 2.00
SE3TVIC8 OVER 600V 0.00
M 1 SC-
PERMIT ISSUING FKK 2.p0 IDT 00
OUPPI3Y�iTARY P[RMIT ISSUING F[i 1.00
TOTAL FEE Is I
1 HS.1m1Y ACXNOIKLmOS THAT 1 HAV[ RSAD THIS APFUCATION DATS I
AND STAT[ THAT THX ASOVS IS CORR=CT AMM AORSI TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCa AND STAT[ LAWS RZOULAT7N0
RSCTRICAL VMUHa WIRING
I HLtIQY CSRTIFY THAT I AM PRONMILY RS:OISTSRm AND/OR
UC3LKDM AS FWQUMM BY LOS AHOtLtS COUNTY AND STAT= OF FLTU
XRES
CALIFDRMLA OR THAT 1 All THI LKSAL OMlmt OF THX ASOVK
OSfCN11� R!S rROr7]['IY. POWERVA
s
SIGNATURE UTIL Nanl!"KD \
P[RM
OF rT
F I NAL jag
LIDATICNJ ARTHUR C. VMT
CK YO CATH SUPERVISING ELECTRICAL EIIGIN[[R
L�iJo 6 4 6 4 FEB 1 0 2 A 3,00—
7eAeea-cEe0e t-1 L. APPLICATION FOR ELECTICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER 7DDRESS
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPIRINTKNDKNT Of BUIL�INO FOR APPLICANT TO FILL IN
RECEPT._ $ OWNERMAIL -
LIGHT TOTAL FIRST 20 .20 ADDRESS
SWITCH OVER 20 .10 CITY TEL. NO.
PLAN CHECK
LIGHTING �TOTAL FIRST 20 .20 APPLICANTFIXTURE3 OVER 20 .10 ADDRESS
RANGEDRYERWTR.HTR.— CITY TEL. NO.
3TA.QOOK DISP. F.A.U._ CONTRACTOR
SPACE HTR-. AIR CONED DDRESS
CLOTHES WASHF. DISHWASH.— CITY EL. NO.
FAN�OTHER 1.00 LICENSE NO. CLASS.
MOTORS,TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE TYPE OVER TO AND 1TATE T HAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATi NG
ELECTRICAL WIRING.
0 - 1 1.00
ti a I HEREBY CERTIFY THAT I AM PROPERLY REGIBTrRED AND/OR
1 - 10 3.00 V LICEKSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I'AM THE LFOLAL OWNER OF, AND INTEND TO
10 - EO 6.00 .REaIDE IN, T VS DESCRIREO RESIDENTIAL PROPERTY. O
SIGNATURE
EO – 100 10.DO OF PERMITT f at
100 — 500 15.00 bIS CT GROUP Z D 0
81 GN,GAB gIGN AND ONE CIRCUIT 3.00 s
TUBE, OR
D.
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: - Z
SERVICE NOT OVER'&0 VOLTS OR 200 AMP 2.00 45 4 Amuwo I&
,
SERVICE OVER 600 VOLTS OR 200 AMP 6.00
TEMP SERVICI=, POLE, &APPURTEHANC£3 3.00 APPROVALS DATE INSPECTOR'S SI6NAT URE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE)
POWER AUTHORIZED
PERMIT ISSUING FEE 2.00
UTILITY Cd.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FES 1.00 FINAL
TOTAL FEE JOSEPH t. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION CK. M.O. CASH.
6 1 8 7,2 WG29 2 D .7:0Q
3E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
T T T .
VyCWP'GOWPE t '°N DE 'ON 78.45M 10/81 APPLICATION FOR ELECTRICAL PERMIT
t that I ft.,a cert#l oleerrt aba of c« to esti hm",
of e� tft�te of narkere compensation Insurwx , or a certtned COUNTY OF LOS ANGELES BUILDING AND SAFETY
oopy thereof(Sea 3800,Lab.C.)
Pdk3y Na r >y
FOR To F 24J
OB NQ FEE-. ADDRESS 2 ul
❑ Cfiedertioopy is hereby fumketled New Rea3dentiel Bidga&Pude L.00AUTY
.❑ Certified copy Is fled with the ow* bulding h WecSon 1 8 2-Femtty,Sq Ft — NEAREST
depertrierrt Muftl-famlly S4 Ft CROSS ST.
Date a ReeldNTM SwhvrnnpIPools owrER OR
�+ �t NAW
CERTTIC" NN FROM WORKEF otttfas Fi
eec._!0— Lora—Z.Sw.
COMIPE-N
FIW 20
(Thio maction rm d not be compwed if,&a work Yrvotvad by the Total No, AddRonal " A PJ TeL No.
penniR b for-one hundred dptlars 4$100) or;"&) -
PLFW CHECK
F-certify thQY In the perfomwnce of.the worK for whbh th}a permit APPUCANr
fa issued,I shall not wOcry arty pweon In arty manner so as to
beoome sub}eot to the Workers`Corrperrearion Lade. �. L.iphtlrrg Fbrhree Fkat 20• ADDRESS•
Tbtal No , Crry r
NOTICE TO APPLKLWT: ff, after rniOng thla Certificate of Fixed AppEauroee Not Over 1 a IP PST
ExernpOD(r you shoal beoorne subYxA to the Wbrkmro Cort>permatlon FbajW— . D.W. —
prwWbne d the Labor Code,you must.fort?ryrtth oompty with such Oven _ Dryer_ WJGt.— ADDRESS
provWons or this permit sh6 be deemed rey*ad Top — FAU W#1--
LICENSED CDWMACTOFIS DEC1AR)MONJO hpFan Other CITY Tel.No.
I.here'by arnn that I am keneed udder.prcviaorm of Chartgr p 8 D ^ OR
(oorr>rneoofnp with Seaton 7000)of Dlvlaloo 3 of the Bel
unaea and krp — Room Air Gond. REO - . . Ckra
professions Code,'.arid n- n
y Scene Is In ftrl force and effect Power Appy S Gmpe AWflanoee DISTRO T W0. PROCF_39EO
8tze d'Type HP,KW,K)P of"R
Lbense Number ,O l✓5'fl Lb.'Ciasa Up to i Ind. - FINAL,
Oyer I'to TO IraL DATE
oorT�� Date Over 10 to 60 hcL
FRJAL - -
❑. '1 am exempt utder Sear Over 50.to 100 Ino BY
BARC.for thks reason —T— Over 10b W
Se"Icem Swbd,MEC a•Panetboerda
�'x Poo-
0- 200 Amp.Under 600 V' o o•0 0 0
9lure2ure 201 - tflDQ Amp.Under eco V I o;°'1'Q 5,Q
Over 1000 Amp,of over 660 V o 1 q 5.
❑ E6aerrrpton for Reg.Make-Elect o,o: p
11,06-87
SINGLE FAMILY Temp,F>o%v4r Pole d Appraterrarroes
HO#AE OWNER-BUILDER DEGL RATIONJ S g� C}
I hereby afflrtn that I am exempt from the Contrectces I-banee Law '
rtA
for the fdbwtnG reason(Seodon 7031.6, Business and prufeesorm !Addh.,W Sign-& nch Cirarfta
Code):
{��p( as owner d thpro
e perty,win dq the work and the Misc Condrrfla 8 Corrdrx3tore
1 I$ not Intended or offered for sale (Section 7044, ��Esse Complete Fee Schedule) y ^
and Prdeesbns Code). ,
CONSTRUCTION LEND24G AGENCY
I hereby afftrm that there to a oonatpxbon lerding Vpncy for the
perfommrxm of the wprk for wNch this permit is Issued(Seo.3087, PERMIT FEE (-W-Total)
Ctv.C.).
PLAN•CHEUUNG FEE
Lender's 74ame O
PEW[T.ISSUIfJO FEE
L.efder'e Address
I omttfy that I havo read thio appfloailon and state that the above TO-W,FEE
krfomiatlon is ocrreoL I agree to eonpfy with al County ordhTanoee
and State hews reguiating EleQbical wirtrp, end hareby aubxxtze
representatives of t#s County,to enter upon the above-nentor d
pfOpary for Irmpeation poems SEE REVERSE FOR EXPLANATORY LaNGUAQE
97
', Signature of Pernitbae Date