HomeMy Public PortalAbout8853 GARIBALDI AVE_Electrical__ 78Ae&a�'%ee0e'9--b7 APPLICATION FOR ELECTRIC PERMIT
y I �(fQCNTY OF LOS ANGELES
EPARtMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS -5
JOHN A.LAMBIE, COUNTY ENGINEER
COLEMAN W. JaNKINE, SUKIUHT<HDRNT CIF BUILDING LOCALITY
NEAREST
120*n 43
FOR APPLICANT TO FILL IN CROSS ST.
RECEP OWNER
MAIL
LIGHTS TOTAL FIRST 20 D .20 r-'�3 ADDR
SWITCH OVER 20 .TO CITY TEL. NO_
LIGHTING �TOTAL FIRST 20 .20 Lr,uCONTRACTOR
FIXTURES OVER 20 .10 ADDRESS
RANGEVORYER�WTR.HTR.— CITY T�Ey NO. /
STA.COO K_D13P. F.A.U. LICENSE NO.
SPACE HTR AIR COND. IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
' / AND STATE THAT THE ABOVE It CORRECTIAND AGREE TO COMPLY
CLOTHES WASH. 1/DISHWASH� WIT H AIL COUNTY 0ROINA LACES AND STATE LAWS REGULATING
[LECTR ICAL WIRING.
IFAN-OTHER 1.00 1 HEREBY CERSIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REOU IRED ■Y LOS ANGELES COUNTY AND STAT[ OF
MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AMD INTEND TO
IND. HEATERS, ETC. HP. KW. KVA. RESIDE IN, THE ASOV[ DES CRISED REE IDENTIAL PROPERTY.
SIZE & TYPE OVER TO SIGNATURE
0 - 1 1.o0 OF PERMITTEE -
1 - 10 3.00 DISTR&e.j DISTRICTGr I Z P D B
10 - 60 5.00
50 - loo 10.00 NOTES; J '
100 - 600 15.OQ
SIGN,OAS 810N AND ONE CIRCUIT 3.00
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
-SUMICE HOT OVEIR 600 VOLTS OR 200 AMP 2.00
SERVICE OVER BOO VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, Q APPURTENANCES 3.00
APPROVALS DATE UUPECTOR'B BIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
ISSUING FEE 2.00 WIRING
FIXTURES
S-UPPLEMENTARY ISSUING FEE 1.0
POWER AUTHORIZED lot
PERMIT FEE UTILITY CO.NOTIFIED
PLAN CHECK FEE (60% PERMIT FEE) FINAL
TOTAL FEE JOSEPH C. ROOHAN•
SUPERVISING ELE AL ENGINEER
PLAN CHECK VALIDATION CK. M.Q. CASH PERMIT VALIDATION CK. M.O. CASH
2613 6�8 J2-6 fl 1 8.70~
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
�� �� 1
" " ' a " � ` " ' � ' " A P P L I C A T I O N F O R E L E C T R I C A L P E R M I T
C O U N T Y O F L O S A N Q I ! L E S
r D E P A R T M E N T O F E C O U N T Y E N O I N E E R E A A - & 1 ) B L b A F D I O N n u
P O R T O r d L I N 7 L O C A L I T Y " " ' ����L E �� C
N e w R e s i d e n t i a l B l d g s . & P o o l s E A C H N O . F E E
1 b - F v m l l y , S q . F t .
3 . 0 2 . 6 $ T ,
M u l t i f a m i l y S q . F t . F I R M N A M E ��6 E
R e ; t d e m i c I l S w i m m i n g P o o l s 2 5 . O G M A I L `
R D D R E S S 9 8 6
O v t l e f s ! R e , ' ! L g h t _ 3 _ S w . C I T Y T e l . N p .
F i t s t 2 0 . 5 0 r e . P L A N C H E C K
T o t a l N o . A d d i t i o n a l . 3 D A P P L I C A N T
A D D R E S S
b g h t i n g F i x t u t e s F i r s t 2 O . 6 0 C I T Y T e l . N o .
T o t a l f N o .
A d d l t i o n o l . 3 0 P E R M I T
I C A N T
F i x e d A p p l i a n c e s N o t O v e r 1 H P A D D R E S S c
R a n g e _ H e c i t B r _ q . W . C I T Y T e l . N o .
O v e n D r y e r _ W . M L I C E N S R
T o p F A U _ r W . H . _ R E G . - N U M B E R C I a n .
H o o d - F a n , - O t h e r I H E R B Y A C K N O W L F b G J H A T I H A V E R E A b T H M A P R I C J A T O N A N D S T A T E
E ��O B O V E
D i s p . R o o m A i r C o n d . 2 T H A T T H E A t S C O U f C T A N D A G R f # T O C O M P L Y W I T H A L L C O U N T Y b R D I N -
' . t J C B A N D S T A T E L A W S R E G k 1 A T 1 N G E L E C F C O W I R I N G .
w e ( A p p a r a t u s & 4 a r g e A p p l i a n c e s
S i z e & T y p e H P , K W , K V A , o r K V A R I H E R B Y C E R T I F Y T H A T I A M N T S O P E R L Y R E G ��A N D / O R J C E k W A S
R E Q U I R E ) B Y L O S M ��( �� 8 C O U N T Y A N D S T A T E Q F C A I 1 F O R t 4 r ' A O R T H A T I A M
U p t 0 1 I n d . 2 T H E L E G & J . O W N E R O F T H E A B O V E D E i C Y I B E D R S I D E N T I A L P R O e E U Y .
O v e r 1 t o 1 0 R i d . 5 . Q O
O v e r 1 6 t o 5 0 I n d . 1 2 - b O P E R K T T E E
O v e r 5 0 t o 1 0 0 I n c 2 6 . 0 0 � z O G N A T U R E
T O v e r 1 0 0 4 0 - 0 0 k R O U G H
N O . E D B Y
S e r v i c e s ' 5 " 0 0 . 5
0 - 2 0 0 A m p . U n d e r 6 0 0 V 1 2 ` P P R O V A L S D A T E , S I C , N , 4 ? O U R S
2 Q 1 - 1 0 0 0 A m p . U n d e r 6 0 0 V 2 5 . 0 0
O v e r 1 0 0 0 A f n p . o r O v e r 6 0 0 V . 0 0 W E R P O L E
A & W O R K
T e m p . P o w e r P o l e b A p p u r t e n a n c e s 1 0 . 0 0
S i g n w i t h O n e B r a n c h C l r t u R 1 " �� O N D U I T
A d d f f i b n a l S b n . B r a r x h C i r c u i t s 2 0 0 W I R I N G
M i s c . C o n d u l t s S C o n d u c t o r s 1 O . Q O F I X T U R E S
O t h e r ( S e e C o m p l e t e F e e S c h e d u l e ) P O W E R A U T H b R I Z E D
U T I L I T Y C O . N O T I H E D A 4 3 I l i
F I N A L
P E R M I T F E E ( S u b - T o t o l ) N O T E $
P L A N C H E C K I N G F E E ( O n e - F o u r t h P e r m i t P e e )
P E R M I T I S S U I N G F E E $ 7 . 0 0
T O T A L F E E
R A N G i l ( V A L I D A T I O N C K N l O . C A S H P M M I T V A U D A T I O N 0 C M O . C A S H
2 5 2 C V 2 1 2 1 3 . 5 0 g g
S E E B A C K O F A P P L I C A T I O N F O R G b M P L E F W 4 S C H E p U L ! D ! .
c .