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Home My Public Portal About9015 GARIBALDI AVE_Electrical__ APPLICATION FOR ELECTRIC PERMIT Dfa-pA li-D-{ DWISION OF BUILDING AND SAFETY Deparwant of Co>mtr En4ln— Co>mt7 of Los.Anovlas RUILDING WM.J. FOX COUNTY ENGINxm ADDR S C S"=D.GRIFFIN,BUP'T OF BUILDING _ FOO+R��AP�PLICC-ApNT TO FILL IN LOCALITY rianiw� Frr+ar� _ CROSS BIT. �EST �'� NUM19ER ItACH FEE LIGHT OUTLETS N R RECEPTACLEShlA1L f ADDR EBS , WALL SWITCH EB TOTAL.O 8 CITY NO. EL[C. RANGE& 25 ELECTRICIAN E [C. HEATtRO 25 At)DR EBB KW 6A TY TSL NO. PIXTUR 6 - LICENSE NO. NUMBER OF LIGHT-CIRCUITS ' 'DISTRICT NO. GROUP IZONE I *[ADY FOC IXIFtCTloll MOTORS NUMu[11 HORSEPOWER pjEE IInP=ON RECORD NrW mvD. HP ovxm IRO. FACH a Lxss .2e s .a0 2 a 1.00 D. IIS 1.00 is DO —2.1so 80 200 6.00 ' misr— NO. BIONS NO.TRANS. SIGNS' NO Pf WIRING 1.00 F I XTU R" IF 1.00T .. SU EMENTA - ;EO APPROVALS TOTAL FEE DATE INSPECTOR'S SIGNATURE 1 HEREBY ACRXOIVLEDGE THAI I HAVE RLAD THISN CONDUIT AND STATE THAT THE ABOVE Lf CORRECT A.6 AGRECOMPLY WITH ALL COUNTY ORDIXANCEt AND STATE LAWSG WIRINGELECTRICAL WIRING. I H[RFBY CEII'TIFY THAT 1 AY PROPERLY. REGIHTrrIXTlIREBLICEN>IED Al REQUIRED BY. LOS ANGELES COUNTY AF roWaRCALIFORNIA OR THAT 1 .THLEGAL YA QY DESCRIBED RESIDENTIAL P UTILITY CO.NOT FIYD SIGNATURE OF FdRl/1TTEE FINAL WILLIAM J. FOX, CoUNTY ENaIr4mm VA=Al2 2•7 5 `�O 6 7 o5,rm17 ' I nwuresGoi 10/719 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES + DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION G7 .�� LocAUTY I , FOR APPLICANT TO FILL IN NEAREST CROSS ST. OUTLETS OWNER OR FIRM NAME RECEPT.L MAIL ' LIGHT 16. TOTAL FIRST 20 0 26 80 ADDRESS SWITCH OVER 20 Ii 10 CITY TEL. NO. PLAN CHECK LIGHTING 1 TOTAL FIRST 20 (, APPLICANT I FIXTURES .10 OVER 20 ADDRESS RESIDENTIAL APPI,IANCES CITY TEL. NO. PERMIT RANGE DRYER_WTR. HTR. APPLICANT 0 C.1.61 STA. COOK DISP. F.A.U. ADDRESSVp3s {f SPACE HTR. AIR COND. CITY e TEL. NO. CLOTHES WASH. DISHWASH. � o of 3 CLASS. cJO FAN OTHER / 1.0 I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND {TATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTOR{, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCE{ AND {.TAT[ LAWS REGULATING IND. HSAT[RB, [TC. HP. KW. KVA. [L[CTR ICAL WIR INS. SIZE { TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY �iIGIS T[R[D AND/OR 0 - 1 1.00 LICENSED A{ R[QUIR[D BY LOS ANGELES COUNTY AND {TATE OF CALIFORNIA OR THAT I AM THE LEG OWNER OF THE ABOVE 1 - 10 3m DESCRIBEDRSSIDE P PERTY. 8 PERMITEE41 10 - SO 0.00 SIGNATURE 404'o" C:3 80 - 100 IODO DISTRICT NO. CES BY 100 - 800 IB.00 0- 08 x SIGN, GAS SIGN AND ONE CIRCUIT 0.00 APPROVALS DA SGV[CTOWS■HWATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.0 4SQ TEMP. POWER POLE SERVI CENOTOVER 600 VOLTS OR 200 AMP ( 3.00 illoor UNDERSLAB WORK SERVICEAVER600VOLTS OR200AMP 10.00 ROUGH CONDUIT TEMPSERVICE,POLE, hAPPURTENAfiCES &00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3m TOTAL FEE PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CR, M.O. CASH 52 1 6 2 & S[[ BACK OF APPLICATION FOR COMPLETE SCHEDULE DEC WORN h COMPENSATION cerci cafe of � I0/81 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self Insure, or a certificate of Workers'Compansatlon Insurance, COUNTY OF LOS ANGELES C` BUILDING AND SAFETY or a cclgrtlpfi'ed/c`o/py/theregf (Sec. 3800, Lab. C.) Poky tJ�D�$$Company t FOR Ai"ucwr TO RLL LN ADDRESS Certifled copy Is hereby fumlihed. New Residential Bldgs. 8 Pools EACH NO. FEE S❑ — t Certified copy Is filed with the county building Inspec- 1 b 2-Family, Sq. Ft. 3 LOCAL — tlon department. Multi-fomlly Sq. Ft. NEAREST Realdentlal Swimming Pools CROSSST0YVNER CO Date 3--�/`" ApplIcani FIRM NAME r CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: RecIght Sw._ �� 1 COMPENSATION INSUkANCE (This section need not be completed If the Wont Irrrolved by First 20 CITY Te the permit Is for one hundred dollars (;100)or less:) Total No Addltlondl I certify that In the performance of the work for which this RAN t APPLICANT permit Is Issued, I shall not employ any Person In any manner to as to become subject to the Workers Compensation Laws. Lighting Fixtures First 20 ADDRESS 14 Total No. Additional CITY T Date Applicant Fixed App llonces Not Over 1 HP PE MIT T NOTICE TO APPLICANT: If, after making this Certificate of ,pptT Exemption, you should become subject to the Workers' Range_ Heater—D.W.'— Compensation provisions of the Ldbor Code, you must forth- Oven — Dryer — W.M. ADDRESS with comply with such provisions or this permit shall be Top _ FAU —W.H. — deemed revoked. CITY Tel. No. 4 k1 LICENSED CONTRACTORS DECLARATION Hood _ Fan _Other_ CM2 I hereby affirm that I am licensed under provisions of Chapter 9 Dlsp. Room Air Cond. REG NUMBER3 Cla*> 4-4 (commencing.with Secratus Sec-Non 7000) of Division 3 of the Business Power Appa8 Lame Appliances DISTRICT NO. BY and Professions Code,and my license is In full force and affect. f� Size 8 Type HP, KW, KVA, or KVAR License Number '!14:L Z!J(' I Ic. Clans ,f y to 1 Incl. FINAL Over ver 1 to 10 Incl. DAA VALIDATION 0 Controctor��IL (l Data- .� l I Over 10 to 50 Incl.❑ FINAL rj I am exempt under Sec. Over 50 to 100 Inc. BY Y �i B.BP.C. for this reason Over 100 Z Services, Swbd., MCC &Ponelboards' Date: 0 -200 Amp. Under 600 V /J Signature -201 - 1000 Amp. Under 600 V Over 1000 Amp. or Over 600 V Y �- Exemption for Reg. Malnt. Elect. SINGLE FAMILY Temp. Power Pole 8 Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Addltlonal-Sign Branch Circuits Law for the following reason (Section 7031.5, Business and Professions Code): r2 0 2.G 8 A ❑ I, aprop",owner of the will do the work and the Mlac. Conduits 3 Conductor Intended Other See Complete Fee Schedule _ , $ o 0.-0 0 o 2 structure Is not Inters or offered for sale (Section ( p ) , 70.01, Business and Professions Code). 2 0 01 4'5 0 CONSTRUCTION LENDING AGENCY I hereby affirm that there Is p construction lending agency for 4yo o 1 4,50 the performance of the work for which this permit Is Issued PERMIT FEE (Sub-Total) (Sec. 3097, Clv. C_). 0 3 0 4-8 3 PLAN CHECKING FEE Lenders Name Q PERMIT ISSUING Fid= Lender's Address I certify that I hove read this application and state that the TOTAL FEE �r S above Information Is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the above-mentioned property for Inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ` 3 "1i_, 'SLgnature of Permittee Date WORKER S'COMP$NSATIONDECLARATI6N' ` CE-808G (2-80) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a ctrrdflcate of consent to self innlre, or ■ certificate of Workers'Com COUNTY OF L03 ANGELES 7-,C� BUILDING AND SAFETY Compensation Insurance,or , a certified copy thereof(Sec.3300,Lab.C.) Policy No. CoMpSn.y FOR APPLICANT TO FILL IN JOB ff - New Residential Bldgs.&Pools EA0Hi NO. FEE ADDRESS QCertified copy it hereby furnished. 1 &2-Famlly,Sq. Ft. ; S LOCALITY Certified co b filed with the count bulld Multi-fatally Sq. Ft. �_ 214f,:3 civ VS department.Py y lnspectlon RseLdential Swimminq Pools OWNSR OR 8T Q l`' // FIRM NAM i r' C Agte Applicant Outlets: Rec.LLightISwQ ADDR a ��`'"'''FFFFFF I rn AIL CER IFIC OM E SATIO TINS FROM E KERS' Total No. 3 Additional CITY �J Tel N -�' COMPENSATION INSURANCE PLAN H C CXIds section need not be completed if the, work intotved APPLIC T, G C by the permit h for ope hundred Lighting Fixtures First 8 adted tldlars ($100) or leu.) Additional ADDRE Total No. '�-- Ilic I certify that.in the perfo ante of the work for•whjch this Fixed Appllen Not Oyef 1 HP Q �- eI 06rmR'is 1aiued, I shall not mploy ny person y m or PERMIT c) so as to'b subject to he ken' tion RAnQe_ Heater_D.W. P ICANT C LU .I} ♦ Oven _ Dryer_W.M.T_ ADDREB� L Date Appli Top F A U _W.H. Hood Fan —Other—. CI TsnDp NOT E O APPLICANT; If, after making this Cord to of Dlsp. Room Air Cond� OR Eabmptlon, you should *become ■object t0 the orimra REO.NUMBE Cl Compensation-provisions of the-Labor Code, you must forth- Power Apparatus& Lerg6 App IIorx�a DISTRICT NO. ✓ P with comply with such provisions of this permit shall be doomed revoked- Size 8l Type HP,KW;KVA,or KVA f Y - r�1 J v Up to 1 incl- - T� Over 1 to 10 Incl.' DAT t LICENSED CONTRACTORS DECLARATIO9. zS— q Ova r'10 to 50 Incl. O �- VALIDATION I hereby ■fffrm th4t I am licensed under protlaions of Chapter Over 50 to 100 Inc. IFINAL f �J 9 (commencing with Section'7000)of Division 3 of the BWBY1- � Over 100 nes and Professions.Code, and my license U in Rill force and effect. Servlt&s 0-200 Amp.Under 800 V License Number• Lic.Class 201-1000 Amp.Under 600'V' v C-04tnctor_ . Date' Over 1000 Amp.or Ovar 800 V, HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtanancas I ga1 reba y pfftrm that I am exempt from the 0-31.5, Additional nch Circuit nal SI Sign with One Branch Branch Circults 4;6 8 5 A Licetue Law for the fpllowing town (Section 703I.5, Bua1- q ' Mess and Piofesions Code): M Isc.Condu Its&Conductors neo 0 0 02 ❑ I, s owner 9f the property, wig do the Work and the Other (See Cgmplete Fee Schgdule). — ' ' structure is not intended or offered, for sale (Section 2 0 0 o g 0 0 7044, Business.and Professions Code). ., CONSTRUCTION LENDING AQ);NCY .o o'o o 0 0 0 H I hereby affirm thst there Is a construction lending agency for the performance of the work for which this permit is PERMIT FEE' (Sub-Total) } d 0.409—Bi issued(Sec.3097,Civ.C.). �t Lender's Name PLAN CHECKING FEE (Ona-Fourth Permit Fee) Lenders Address PERMIT ISSUING F-EE I y that I ha" read,this application and state that the TOTAL FEE e lnformalion Is correct.I ap-ee to comply with all County rdinancgs and State laws rata Electrical wiring, sad d of hbrep§ uthorjse p C ty to enter upon vo-menti for p z SEE•REyERSE FOR EXPLANATORY LANGUAGE ``\\ Signs f ttea to d�EFW i°N°ECLARXFK)N 7BA883 10181 APPLICAnO-N FOR ELECTRICAL PERMIT I hereby`bf" that I hews a arttk t. of co,.t to sett lura m or a ceffkmae of Wbrkers' Con4xweatlon Insurance, or a owtNfed COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sec 3800.Lab.C.) poky No, (� // POR APPLICANT TO FG L N �12❑ .Ce ttfied copy b hereby funiahed. . New Residential Bdps_S Pools EACH Na FEE- ADORE _ ❑ cerwred copy Is f0ed wtth the county bukft hVeotion 1 S 2-Fwr2y,Sq.Ft. _ — 8 LOCALrry )'►'l C C 1'�`�'depertmant haftt-femly Sq-Ft. — S�s a-ioe9 9-r.' 0 Tri Date rt Reeldentlel Swimming Poole awrgf C'f�PAW CERTIFICATE OF EXEMPTION FROM 1NOf Cutlotx Rec Upht -y—3w. ': MAL C;WPENSIOTO.N I(SURQNCE (Tlrh.edtimneed not be covVWW.H the work�Mvohod by the FIroY 20,. CTTY permit,la for ore hundred dollsrs($100)or..W*&) Total Flo Addttlorral Td.N6. CHECK I ottfy that In the perforrnlArlce'bf the work 'for whbh thleerm pit PLPLANfWT er - )s,fesued, I shaD not ernpioy artY,pwa n In any nvuuler so as W beoorre aubl9ct to the Workom' Lighting FbchjrLe4 First 29 ADDRESS- 1 Total No. Additbr r C" TAI.hkx Data Fbumd NOTICE TO--APPLI ANT:. If, aflgr mekk-c this CerfiflOaia of '� °e rbf over 1 I IP � k6 D r>F Emdon,you should become sud}eo)o the Wbrkers'Cop—rdon•. Rarrpe—.Fleeter— DW r promeWore of the Labor ` you must kcd wtth con�pty with such Oven Dryer— W.M.— ADDRESS Z zANT g'O• QLL/rV G lt!!_L g �U M.'*—or this perrnft*hal ba dearrlrf revoke¢ Top FAU WR — C1TY �( 141,PA TeL No. 779" 3 LICEQT$ED Ca�{'fRAETORs Duca-ARP��f� Hood �. Fan ott,erT, f•perQby. .thaf I em faaneed under prRvtekxip of,Chapter 8Dh�A LQN9EaR (corrrnenchlp with Section 7000)b(DMdQn 3,of.ttie.Buehleee and Room Air Cord. REa NUN43E9 Z 9 7 Z a..� Prdeeslom Co*acrd myyUp Dcerrs�eJ is n frl force and d*)OOtt. Power Appanihb A Large Appa-- DCSTRYT Na Lbenee Nurr4W 4V/ 7/2 z Lb.Clens i' S>ze 8�YPe p to.1 f( or KwN V 1 trnOl. RNA4 Oy yT,Over t to 10 Ural. DATE -� Corrtrador,C a��C/�' bate 3 . `/ 91/7, T ser 10 to 6p Ind: - - ❑ .1 am axe.#under Sec Over 60 to 100 he B� 9,1 Q 8 R O.BP.C.for this reason Over'100 # o o o,o o `Z Deter Servbee,Swbd,.MCC 8"boards' , 1 19.1 800 0-.200 Amp.under BOO V „a 201- 1000 Amp.Under 1800 v 0 o 0T a 0 0 is Over 1000 Arnp.or Over 1900 v ❑ E.O.to,Rec.Mara.Elect o 0 4—8 8 StXkL-:FAMILY Ternp..Power PUB S Appurtenances HOW OWNER-BU L-MR DECLA ADON SW wRh-one Rwoh Chat I hereby aft. that I am exempt,from the Contradnrrs Lowm Law CYa�fte for the bl),h h maeorl(Sectbn 7031.6,Buehlees and Pro(esdone Code): I-y M%a;Condutta d Corrduolore LJ 4 ere owner of the property,w11 do the Work and the sLudiae' Other(See Complete Fee Schedule) — b not frrterded or oFwad'for sale (Section 7044, Buehrees aPoo.. _ and f5rofeeebns Code) CONSTRLCTiON LENDING AGENCY I hereby aflunt that aisle le a corwftjctlon lending agency for the . performance of the work for,whldr this perrm le feared(Seo.3087, PERMIT FE1: (Sut�-Tolal) CM.C.) PLAN CHIECKING FEE Larders Name PEFOAT k3l U FEE LercWa Address I oerttfy that I have read this application tad a� that the abowA TOS _ hfcmwtbn Is owect.I agTne'to,oNT0y %fth dl County ordherlcae. and State far,f. requhafina Eleahi* wfrina, and hereby aV&-tte of this County bb enter upon the ebowe-mentioned SEE REVERSE FOR EXPLANATORY LANGUAGE ' t of PtfmftbDo WORKERS'that CI hove a cerci DECLARATION 76AW DPW 3/87 APPLICATION FOR ELECTRICAL PERMIT O • I hereby affirm that I have a certificate of consent to self �� Insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS or a certified er /Sac- 3800, L Company POS AFPLW-kW TO RLL IN JOBj ADDRESS i oed copy Is hereby fumished.NZNew Residential Bldgs. 8 Pools EAC]H I NO. FE Certified copy Is filed with the county. building Inspec- 1 8 2-Family, Sq. Ft. — ; LOCALITY AL tion department. Multi-family Sq. Ft. NEAREST CROSSi Residential Swimming Pools OWNS � Date Applicant w R OR 62 FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec �—Ll9ht4Z1Z—Sw5R.— MAIL COMPENSATION INSURANCE First 20 (This section need not be completed If the work Involved by Total No. CITY Tel. No. the permllt Is for one hundred dollars (=100)or leu.) Additional CHECK 1 certify Ghat In the performance of the work for which this qpp IA- permit Is Issued, I shall not employ any Person In'any manner Lighting Flxtur First 20 ADDRESS to as to become subject to the Workers Compensation Laws. Additional Total No. CITY Tel. No. Data Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of RHeater—D.W. — APPLICATIONJA Exemption, you should become subjea ct to the Workers' — ,Compensation provisions of the Labor ode, you.must forth- Oven Dryer —W.M.— ADDRESS with comply with such provisions or this permit shall be Top FAU —W.H. — deemed revoked. Hood Fan Other— CfIY Tel. N LICENSED CONTRACTORS DECLARATION) LKENSE OR Dlsp. — Room Air Gond. R Class. I hereby affirm that I am Ilcerued under provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO. BY and Professiora Code,and my license Is In full force and effect. p Size 8 Type HP, KW, KVA,or KVAR Qa O U License Number Llc. Class Up To 1 Incl. FINAL g 11:Contractor to Over 1 to 10 Incl. DATE S 7- // VALIDATION O ❑ Over 10 to 50 Incl. F1 NAL I am exempt under Sec. Over 50 to 100 Inc. BY W B.BP.C, for this reason Over 100 d Z Services, Swbd., MCC 8 Panelboards Z Date: 0-200 Amp. Undef 600 V — — Signature 201 - 1000 Amp. Uncler 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Malnt. Elect. HOME OWN)SINGLE FA ILDECLARATION Temp. Power Pole 8 Appurtenances I hereby affirm that I am exempt from the Contractor's License Sign with One Branch Circuit A{GT.i Low for the following reason (Section 7031.5, Business and Additional Sign Branch Orcults T _ . Professions Code): ❑ 03 I, as owner of the property, will do the work and the M1sc. Conduits 8 Conductors 1 ITDFI structure Is not Intended or offered for sale(Section 70.", Other (See Complete Fee Schedule}_ pop. TOTAL +� - �� Buslneu and Professions Code). CONSTRUCTION LENDING AGENCY C' ELyr r'.yl I hereby affirm that there Is a construction lending agency for Ch� .Cu the performance of the work for which this permit Is Issued PERMIT FEE (Sub-Total) (Sec. 3097,Civ. C). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE 6015 1 AM 4) Lenders Address I certify that I have read this application and state that the TOTAL FEE above Information Is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the ab-ovaffentione.d property for Inspection/puuurposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date