HomeMy Public PortalAbout9013 GARIBALDI AVE_Electrical__ I 76A663{Ke06 12-66
APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
i DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRE!! /
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPfRINrKNDUNT OF BUILDING LOCALITY L�
N 1A R EDT
FOkAP�LI CROSS QT. P Ld4
RECEPT. 111 TOTAL
I NO.
LIGHT OUTLETS I RUT 20 FEE
OWNER
F .io
JMAIL {-7
SWITCHADD'L 10 ADDR9MG
OVER 20 Cy C
TOTAL FIRST 20 .20 CITY P Ta NO.w2
LIGHTING 1 FIXTURES /.
FIXTURES I ADD'L ,1O CONTRA OR r //
OVER 20 6.
RANGE! DwYERS vrm Err". 1.00
CARD.DLW. STA.COOK
DISHWASH. AUTO.-WASH. DTATE
SPACE H71. STA. APDL. .e0 LICENSE NO.
MOTORS. ovu NOT OVER Hs. DISS ZI NO. GZC E ROC ED BY
0 1 1.00 .Sn�E '
1 a 1.e0 INSPECTION RECORD O
a e 2.00
nc
S 1D 1.60 O
1e so 3.00 zi
e0 100 6.00 D.
H
Z
SIGNS, NO.TRANS NO.LAiPS
ORRVICB 0.600V-NOT OVER 200A 1.00
SERV ICY 0.600V-0vnt 100 A. 2.00
fIERVICE OVER 600V 6.00
OTHER (SEI COMPLETE FEE SCHEDULE)
PQRMIT ISSUING F" 1.00 B�
SUPPLFMXNTARY PERMIT IMUMG FIE 1.00 DAT= L
TOTAL FEE 3 d
I HERESY ACKNOWLEDGE THAT 1 HAV[READ THIS APPLICATION UNDGRGLAB WORK
AND STATZ THAT THE ABOVE 12 CORRECT AND ASRKX TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1 HERHT CERTIFY THAT I AM PROP"LY REGISTERED AND/OR FlXTURI{
LICENSED AS REQUIRED BY LOANGELES S ANELS COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL WNER AND 1 D TO POW"
RESIDE IN,THE ABOVE D 1 PRO
OF
UTILITY CO.NOTIF7
OF FERMITTE _
FINAL.
VALIDAT JOSEPH C. ROOHAN
CK MO CA!H SUPRIMSING lKLECTRICAL EMGIlIQR
L.A[,o
2 5 3 9 ,ACJ 6 2 D 3.0 0 '7'
J
76.663 DBS SA ,I-.. APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN X98 9'�'
ADDRESS Z/ RECEIVED BY READY FOR DATE ISSUED
/Q d FIRST INSPECTION
CITY O =TEL. NO. JCC 0
COUNTY LICENSE NO. EXPIRES BUILDING
�I �'7
PERMIT FEES
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS CLCROSS ST. O /�
RECEPTACLES
WALL SWITCHES OWNER CIr
TOTAL OUTLETS 5C $ MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES 5
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS J AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
���� ANGELES COUNTY LICENSE, OR 1 ES THE LEGAL OWNER
NUMBER HORSEPOWER FEE
NEW MVD. HP OVER INC.
Each OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
'/2 a LESS $ .25 SIGNATURE OF
'/2 2 .50 PERMITTEE
2 5 1.00 INSPEct46N RECORD
5 15 1.50
15 50 2.50
50 200 5.00
200 Soo 10.00 i '''7' J
/� Q
500 1000 15.00 /..-��y/t �� �✓� 11 J;_. Z
OVER 1000 20.00
M. G. SET/FREQ. CHANGER-HP
WELDERS: AC-KVA � v
GENERATORS-KW �� _
TRANSFORMERS-KVA
TEMP. MOTORS (75%OF ORIG.)
MOVED MOTORS (75%OF ORIG.) I -
MISC.
SIGNS
NO. NO. TRANS. I APPROVALS
NO. NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT: -
CONDUIT
WIRING $1.00
WIRING
FIXTURES $1.00 OCA
SUPPLEMENTARY .50
FIXTURES
POWER
TOTAL FEE $ !� .! UTILITY CO. NOTIFIED 1 a n C
/ r
OF FINAL