HomeMy Public PortalAbout8811 GARIBALDI AVE_Electrical__ f
°"-°°°°° ,-°° APPLICATION FOR ELECT IC PERMIT If
t COUNTY OF' LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING ANq SAFETY DIVISION AD RESS '
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. ,JENKIN$, $UPKIGINTKNDKNT OR BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OWNER
RECEPT.
MAIL �
LIGHT TOTAL FIRST 20 .20 ADfl�-R-�ESSS
SWI
TCH OVER 20 .10 CITY i EL. M.O.
PLAN CHEC
LIGHTING �T FIR$T 20 .20 APPLICANT
FIXTURES OVER 20 .10 ADDRESS
RANGE—DRYER—WTR.HTR.— CITY TEL. NO.
STA.COOK_DISP.—F.A.U.— CONTRACTOR
SPACE HTR AIR GOND. ADDRESS
CLOTHES WASH._DISHWASH— CITY TEL. NO.
FANOTHER 1 LICENSE NO. CLASS.
MOTORS,TRANSFORMER B RATING
IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE TYPE OVER TO AND STAT[ THAT THE ABOVE 1[ CORRECT AND ASREE TO COMPLY
WITH ALL COUNTY ORDI NANC[S AND STATE LAWS RESULATINS
ELECTRICAL WIRINS. .
0 - 1 1D
,.) I HEREBY CERTIFY THAT I AM PROPERLY R[GIBTERED AND/OR
(,.[! 1 - 10.. 9.00 LIC EN°ED AS RHOU IR
[D 6Y LOB ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM TH[ LEGAL OWNER OF, AND INTEND TO
10 - SO 1 5.00 RESIDE IN, THE A"V[ DESC14IMED RESIDENTIAL PROPERTY. O
SIGNATURE U
50 - 100 10.00 OF PERMITTEE
GC
100 - 800 115.00 O
DIST T GRO Z E PR ESS BY
SIGN,OAS SIGN AND ONE CIRCUIT 9,00
TUBE, OR _ O_
NOTES:�
MARQUEE ADDITIONAL CIRCUITS .1.00 2
SERVICE NOT OVER 500 VOLTS OR 200 AfvP 2.00 _
SERVJCE OVER 500 VOLTS OR 200 AMP 6.00
TEMP SERVICE, POLE, Q APPURTEW,NC.ES 9.00 APPROVALS DATE WSPECTOR'S SIGNATURE
r
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES t
PLAN CHECK FEE (Sq% PER FEE)
POWER AUTHORIZED
PERMIT ISSUING FEE 2,00 a UTILITY CO.NOTIFIED
SURPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL rx
TOTAL FEE JOSEPH C, ROOHAN
SUPERVISING EL EC AL ENGINEER
PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION cK. M.O. CASH
LC04-482� WR30 2 D 1 -2LOma' �
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
I
,aA _I&MIAPPLICATION F'OR ELECTRIC PERMIT 1
covrrr Og we
MAMM of COu�n MMS 1
W=MG AND BArEff$n¢�vlaMON O
CE�dT!n ;of 7�GiQ LCAL]TY .
N Ed.R!!ST
FOR APPCAIII��OfILL IN
1 X YYAR Ira OWNER
0Lio s ..AIL �
uarrn Isar. rw.
LIGHTING FI=RHA a0 ciry TM–NO
QM RANon a o.Dartos - ELECTRICIAN
wATSR HSAr • DO
n VC SPAC31 HTFM DL91-WASIDUM ADDRESS
awaaAOR DLZF0Uat6 Atrrbr CITY TM-NO.
WAWHEM srA.COOIUNG U D STATE
C8N
NOTORSt Ov101 INC. H.P.
0— va 215 IGROU tuwDY rw INsrcanotr
'A — Z .150 !r fi�
2'— ,e 1.00 RC PF.GTION HEWED
15 — 10 1.150
115 — DO IL150
so— ZOO 15.00
SIGNBt NO.T ANA. .
NO.LAMP/ -
SERVICE 0�800V
BERVICE OVHR COOP !.00
M I15C.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.0b
SUPPLEMENTARY PETtMIT .150'
TOTAL FEE s APPROVALS
I HEREBT ACKNOWLEDGE THAT I HAUL READ TRIS APPLICA ON DATE INS![ ['t 11G11ATUR[
AND STATE THAT THE ABOVE IS COrNCT p AGQEE TO COMPLT CONDUIT
KiTfl ALL COUNTY OQDINAItCES AIID. QTATE LAWS REGULATING
ELECTRICAL MIRING. WIRING
1 MMM CERT]FT THAT I Al FROPERLT REGISTERED AND/OR
LICENSED AS REQUIRED sr LOS A1401LES CpUKTT AAD STATE OR FIXTUREB 1
CALIFORNIA OR THAT 1 AY THIi LIGAL OWNER OF THE ABOV$ POWER y
DESCRIBED REBID OP
SIGNATURE UTILITY CO.NOTIFIED
OF PERM
FINA4y
ATION sUPINVUMM aXanUCAL
OX YO. CAWH
4 2 9 6 N A1192.8 2 A x.74
1.
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DEPARTMENT OF'BUYLDING,AND $A�'STZ .� 2� Y;A 'PLICATION:FOR PER�IIT;
�.,,
COUNTY OF "' :<:,,. � •� .1,r"i*jR�Tf?�
L03:ANGELEB'. , ,•I= :. .,.:L ;.',:I�x. i 't i-,� .r.�llij l.. NWm
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NATURE F"INSTALLATI �ti�:, DISTRICT No:. GR UP N6 ERMIT 0i,,:, r
wlhrNo r7rmmrs srRvlci
RANO[, '-k[Ci1V[D Illy, hI<ADY FOR
H[ATLR For+r[le i rN[FCCRON DAT[/ytaU`t
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APPLICANT FILL IN. 19 AVII.Y1OUTLINED VORTION,ONLY, ':
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r NUM1[R OF OUTLrrw ON CIRC'UI'T/ I:kms; S;:', --ADDRM'}ra.4.'rr.r 1++.{`. .�'4 ;:�•.r,'r:I .
LOCATION 11Y Ftwus
'c LIGHT O MUGS ._FTX •T7[C.' '''3rS•.-,;aj;�•Ii'.��.�y
- UTLLTR -. iW �, rtuT. t�.-A7t TH[� � � .
FOSSLOSOR OF r
Y CIRCUIT C D F O y ANOn r.i ''CQQTIFICA TH[ A LO[1
{,�, LIVINU ROOM � , yyrr ^�1 ',•'. ;:_��; :, -•
•1. .,...;�.."4".
T.. DINING ROOM — A1fOY[1 TN[tiOAL'c4wr'LOF THE FR rtiny
■ATH .Y�o7rRt11
CORRECIRONS
HALL NO. •i
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COLKTY OF LOS ANGELES' TEMPLE CITY 0308 ELECIRICAL PERMIT- .
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL D5Q8,9W 10023
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID -BUILDINGADDRESS:
TR: 5904 LT: 15 LIN: .002 8811 OA lBALI)I AV
FEE DESCRIPTION: QUANTITY: UOM: AM"T: -TEMP'-CA-917801514
ASSESSOR INFDMTION NUMBER: NEAREST CROSS STREET: MUSCATEL
5386-010-054 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY
F1 12OV, 15/20A BR CKTS 1.00 BR 17.25
F2 208277V LGT BR CKT 1.00 BR 27.30 .
G1 OUTLETS-LGT,SW RECD 16.00 OUT 31.20 05/11/99 UT 11/07/99
G2 LIGHTING FIXTUES 3.00 LGT 5.85
OWNER: TEL. NO: H2 RES GRBG DISP LT 3HP 1.00 DIS 10.80 FINAL DATE JI CODE:
BRUCE-JEFF (626) 285-5542- H3 RES DISHWASHR LT 3HP 1.00 DIS 10.80
8811 WIBALDI AVE. H4 RES RANGE HDS LT 3HP 1.00 HOD 10.80
TEMPLE CITY, CA TOTAL FEES 141.75 DESCRIP11EM OF WORK
ELECTRI-CAL FOR KITCHEN REMODEL
APPL I CANT: TEL. NO:
DENNIS-WILLIAM HETHERINGTON (323) 255-4030-
1432 INDIANA AVE. SPECIAL CONDITIONS:
SO. PASADENA, CA .
PN ELES C
DENNIS WILLIAM HETHERINGTON (213) 255-4030-
1432 INDIANA AVENUE LIC. NO TEMPORARY POWER PULE
W. PASADENA, CA 90130 300443
ARCHITECT OR ENGINEER: TEL--. NO: uraFoauffr_
LIC. NO WFUTER LIKE
111111ROW9 CONDUIT
ROUGH WIRING
MIL�� W(3 IF-11a{�\ PLASTIC YIN METAL Y/N
'S)
UTILITY CDWU7-Wff=
Service �,at
REPORT ID: DPR265 ROUTE TO: BS0508