HomeMy Public PortalAbout8736 GARIBALDI AVE_Electrical__ 76Aaa3-CEeO6 3--62
APPLICATION FOR ELECT"I�IC L PERMI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING /
BUILDING AND SAFETY DIVISION ADDRESS 6 / ►
JOHN A. LAMBIE, COUNTY ENGINEER ►
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGM07 LOCALITY F-
FOR APPLICANT TO PILL IN NEAREST
CROSS ST.
NO. EACH F[[ 1
III a OWNER GLl2/T
RECEIPT. MAIL
V ADDRESS Z L
LIGHT T TA FIRST 20 .20 V �
SWITCH OVER 20 ,10 CITY �- ,a ►�.� TEL.NO.y�-�"� a�-J31
PLAN CHECK
LIGHTING TO AL FIRST 20 ,20 APPLICANT
FIXTURES } OVER 20 ,10 ADDRESS
RANGE DRYER WTR. HTR. CITY TEL.NO.
STA. COOK DI'SP. F.A.U. CONTRACTOR
SPACE HTR. AIR CONS. ADDRESS
CLOTHES WASH._DISHWASH. CITY TEL.NO.
FAN OTHER 1,00 LICENSE NO. CLASS.
MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND. HEATERS ETC. HP. KW. KVA. AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY
SIZE h TY$E OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
[L[CTRICAL WIRING.
0 — 1 1.00 I HERESY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS RE OUI RED BY LOS AN BELE. COUNTY AND STAT[OF
1 — 10 3.00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN, THE ABOVE DESCRIBED RR921DEN+TIAL/PR0PER Y. /1
SIGNATURE
50 - 100 10D0 OF PERMITTEE
100 — b00 15DO DIlT11l�T NO. •ROUP ZON PRO [ D
SIGN,GAS [ADDITIONAL
N AND ONE CIRCUIT 3.00 /� 12
TUBE, OR Z
MARQUEE CIRCUITS 1.00 NOTES:
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00 `
TEMP SERVICE, POLE, &APPURT1OiA faM 3.00 APPROVALS DAT[ MSPSCTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
POWER AUTHORIZED
PUN CHECK FEE (50% PERMIT FEE)
PERMIT ISSUING FEE 2.00
UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN Cl"IECK VALIDATION CK. M.O. CASH PERMIT VALIDATION C M.O. CA1H
3 09 8 DEC 18 2 D .0 O N
S[[ BACK OF APPLICATION FDR COMPLf T[ F[[ ■CH[AUL[ �•���•�����
701A863-CKBOO 9-64 APPLICATION FOR ELECTRICAL PERMIT
r -
COUNTY OF LOS ANGELES
D-EPARTMEN=T OF COUNTY ENGINEER FA
h t •
BUILDING AND SAFETY DIVISION /c1
.JOHN A- LAMBIE. COUNTY ENGINEER
COLEMAN W. J[NKIN5, SUF'T. OF ISUILDIRS
RECEPT. TOTAL No EAUi
OUTLETS FIRST 20 S •
LIGHT �d •� `*a
AD6'L SWITCH. OVRl1 20 •1O LIGHTING TOTAL Fr 1AST 20 .*0 TEL NCL
FIXTU�2ES — ygR 2 .1d ELECTRICIAN
ov n 20
RA►lQt`M / Q-Q•4Rroti WTPL HTW& 1.00 �^' ADDRESS
°Alt•.Dom• .1 STA-COOK CITY T�NO.
DINtWgASH.l AUTO.-WA§H. S�TA�`
QACIr HTTAL 2_ MITA.APF.('A".X4) ,50 J LICENe[ NO. �0 �L (/
YOTORSI ovol NOT OYE11 Hr. DISTRICT O. JGTP Z CESSE BY
0 1 loo
1 s. 1.50. INSP ON RECORD
i e 1.00 0
e 15 1.60 Q
15 50 1.00
• O
50 100 5.00
a
SIGNS. NQ.TLAJWG Z
SIRVICS 0.600V•N¢1 ovQ lOOA 1.00
fiRVICi O.e00V-Ovot 100 A. l.00
SERVICE OVER 600V 5.00
Misc.
FIDULI•I'ISSUING FEE. 1.00
SUM-1-KMIN�ARY rERHIT ISSUFNG FEE 1.00
TOTAL FEE ax q
1 HE]*7Y AGOtOWLm¢I THAT I HAVE 1RAD THIS APPLICATION APPROYALA DATE,
AND STATE THAT THE; ABOVE 19 C�� AND ASRQ TO COMPLY CONDUIT
WITH ALL CQUNTY OIm IIN.ANCES AND STATE LAWS REGULATING
ELECTRICAL WWN41L WIRING
I
HEREBY .CE#TI FY THAT I AY PROF[IILY R[OISTRII[D AND/OR FI]iTU
LIGIQI[ED %i R[OUIR[D ■Y LO# ANO[Lll COUNTY AILD [TAT[ OF
CA 4I FO RN IA OR THAT I TH[ L[OAL ORI[R D I [MD TO
R[ll
TH. (.SOV! 1[[D R[IIDENTIAL R P T SOWER
SIGNATURE r ° UTILITY CO IFI
of PL"I
FINAL
intC.
i JOSE-PHROONAN
MO CASH SUIMTXN1SING
kLJECTRICAL F_fiOIN[ER
X507512 AUG 30 2 A 20.40- b