HomeMy Public PortalAbout8751 GARIBALDI AVE_Electrical__ 7G" APPLICATION FOR ELECTRIC PERMIT
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MPARrUMM OF COUNTY ENGIr EER BUILDING
BIIII.DDiC': AND SAFETY DMSION ADDRESS
JOHN A.LAMBIE,COUNTY ENGINMM
CAflATT D.GRIFFIN,Qt7T OF tul[71N
LOCALI Y
FOR APPLICANT TO FILL NEARESTPEEWT FEESuaxrs rA,,,M OWN RKS
u HAI LADDRESSTOTAL OUTIErs
CLOTHI1 D .150
ELECTRICIAN
XU6 ? RIATll AT'T. C00[-
nt• D
ADTo •AJI[ll D .!D O ADDRESS L L E
LIGHTIRO FRTURES .10 CITY TSL NO
MOTORS STATE /
ICEN NO
HORSEPOWER
Hl., crilm RNC- DIS Q. [IADT/O[DIIJ•[CTIO[
a uue .215 's-
II o
15 t.00 INSPECTION BECOBD
1s'
15 �- 113 1.150 O
115 — 150 1.150 VAIVdcffl FLOOR
150 !00 '5.001
alwig KO.TRAMS N N
NO.LA "6 C C N
sERvtcs 0-a o0v 1.00 G ,F y vrr
SERVICE OVIZR 6Oov 15.00
WIRING PERMIT 1.00
FUCTURE PID3HIT 1.00
SUPM"ENI-ARY PUMIT .150 APPHOVAI3
TOTAL FEE f OS
1 AEREBT ACRIIOWLEDGE TRAT I HAVE READ THIS APPUCATIOM DAT[ INSPECTOR'S 1110KATURE
ARD STATE TRAT THE ABOVE 13 CORRECT AND AGREE TO COOPLT CONDUIT
Wl,H ALL COURTT ORDINANCES AND STATE LAMS BEGULATIxG
ELECTRICAL AIRING. WIRING O- r
I HEREBY CERTIFT THAT I AS PROFERLT REGISTERED ARD/OR FIJCTURES
LICENSED AS REQUIRED BT LOS ANGELES OUNTT AND STATE OF
CALIFORNIA OR THAT 1 AN THE LEGAL OF THE ABOVE FOVy1KR
DESCRIBED RESIDKKnA1,
SIG NATURE O UTI L ITY Co.NOTI FI ED
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;OHN A,�AMBIE, Y AITON swRTHUR C.VE T
l uxrY GI"Xm to Mo CASH
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LACO 3 4 2 8 OCT 1 7 2 1 0.05.
TeAepE-cErtoe 11-71 V APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING "75-1L
BUILDING AND SAFETY DIVISION ADDRESS
LOCALITY
NEAREST
FOR APPLICAP}T TO PILL IN CROSS 3T.
OUTLETS NO, EACH I FRI! OWNER Zd
RECEPT.L MAIL 6 X5
LIGHT TOTAL
FIRST 20 ADDRE83
CITY EL. NO
SWITCH OVER 20 .10 �O PLN CHECK
LIGHTING 1 FIRST 20
TOTAL APPLICANT
FIXTURES .f0
J}
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYERWTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY TEL. N0.
CLOTHES WASH. DISHWASH. LICENSE NO. CLASS.
FAN OTHER 1.00 I HEREBY ACKNOWLEDGE THAT I HAV[ READ THIS APPLICATION
AMD STATETHAT THE ABOVE IS CORRECT AND AGR[[ TO COMPLY
MOTORS, TRANSFORMER[ RATING WITH ALL COUKTY 0RDIMALACES AND STAT[ LAWS REGULATING
IND. HEATERS, ETC. HP. KW. RVA. ELECTRICAL WIRINI.
SIZE S TYPE OVER TO
IH[R[eY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/Olt
0 _ 1 IAO LICENSED AS REOU IRED BY LOS ANGELES COUNTY AND STAT[ OF
CALIFORMIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 — 10 5A0 RESIDE IX, THI AS [ DESCRI RESIDENTIAL "OPE TY. Q
V
SIGNATURE
10 - 30 0.00 OF PERMS 01
50 100 1000
DISTRICT MO. 0.ASS ZOME � [SS[D By
100 - 500. 15.00 Z ! N
SIGN, GAS SIGN AND ONE CIRCUIT 0.00 NOTES: Z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVI CE NOT OVER 600 VOLTS OR 200 AMP 3m
APPROVALS DAT[ �[CIDW SNSMTURK
8ERVICEOVER600VOLT90R200AMP 10
rEMP.POWER POLE
TEMP SERVICE,POLE, h APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM E.00
ROUGH CONDIUT
WIRING
FIXTURES
PERMIT FEE (SUB TOTAL) POWER AUTHORIZED
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE 5A0
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION C /cAm )
9 2 3 1 R1 WT 2 0 9.4 5,-
211 BACK OF APPLICATION FOR COMPLETE SCHEDULE
1
APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN JOB Q
ADDRESS _S L fah" /
'/dE'tial Bldgs.&Pools EACH NO FEE '�
42-Fanily,Sq. Ft. $ 025 — $ LOCALITY
Mu... amily Sq. Ft. .02 — NEAREST q
Residential Swimming Pools 25.00 CROSS SL Z• �y�MM
`� FNER
IR OR L-r
Outlets: Rec Light_�st 2 T / MAIL p - ��
First 20 .50 b ADDRESS +�
Total No. Additional
.30 CITY : t `}� -/�/L` _ el'No.
PLAN CHECK
APPLICANT
Lighting Fixtures First 20 .50 ADDRESS
Additional .30
Total No.� CITY Tel. No.
Fixed Appliances Not Over 1 HP PERMIT
Range—Heater—D.W. —
APPLICANT
Oven_Dryer_W.M. ADDRESS
Top _FAU _W.H._ CITY Tel. No.
Hood_Fan —Other— LICENSE OR
Dlsp.—Room Air Cond. 2.50 REG.NUMBER Class.
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA-
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
Size&Type HP, KW,KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING ELECTRICAL WIRING.
p 2.50
U to l Incl. 16
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR C
Over 1 to 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
Over 10 to 50 Incl. 12.50 CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE 990
Over 50 to 100 Inc.
25.00 DESCRIBED RESIDEN AL PROPERTY. 0
Over 100 40.00 PERM
NAITEE
SIG TU
N
Services DISTRICT NO. PROCESSED BY Z
0 200 Amp.Under 600 V 12.50
201-1000 Amp. Under 600 V
25.00
Over 1000 Amp.or Over 600 V 50.00 Z
O
Temp.Power Pole&Appurtenances 10.00 Q
Sign with One Branch Circuit 10.00 c
Additional Sign Branch Circuits 2.00 INSPECTION >
INFORMATION
Misc.Conduits&Conductors 10.00 ON REVERSE z ;1 2 9 a 7 R
Other(See Complete Fee Schedule) SIDE u
Z # ooea •2
Q
J
6
2 @ o27.00
PERMIT FEE (Sub-Total) 27006
Z'
PLAN CHECKING FEE (One-Fourth Permit Fee) O
0301 -79
PERMIT ISSUING FEE $7.00 7 o
J
TOTAL FEE �2_ >
INSPECTION INALE ode
W
date: �