HomeMy Public PortalAbout9018 GARIBALDI AVE_Electrical__ 711A7-CES ° 0`7&LICATION FOR ELECTRICAL PERh
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ,OAD�
BUILDING AND SAFETY DIVISION
Av
LOCALITY - F
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS FEE
OWNER FIRM AME ✓ �G
S w
RECEPT._ MAIL
DDRE33
LIGHT TOTAL F{RST 20
25 CITY TEL. NO.
SWITCH OVER 20 .10
PLAN CHECK
LIGHTING TOTAL FIRST 20 20 APPLICANT
FIXTURES I .10
OVER 20 ADDRESS
SI NTIAL APPLIANCES CITY TEL. NO.
PE�1 IT
RANGEREDRYIR_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. C1 TyTEL. NO ISYL
CLOTHES WASH. DISHWASH. �Mgg1 JgL/�iT. CLASS�fd
III FAN OTHER - 1AQ W I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND [TAT[ THAT THE ABOVE IE CORRECT AND AGR[[ TO COMPLY
MOTOR! TRAXGFO R/A[R• RATING WITH ALL COUNTY ORDIKAMCKS AND [.TAT[ LAW[ REGULATING
IND, HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE i TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
O - 1 1D0 LICK"KD AS REQUIRED BY LOG ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AIA THE LEGAL OWNER OF THE ABOVE
1 - 10 DESCRIBED RESIDENTIAL PROPERTY. o
PERMITEE n 8
10 - 50 BAO SIGNATURE ` .�t CD
SO - 100 10A0 DISTRICT NO. ROC ED BY
100 - 500 1500 CvZ7
SIGN, GAS SIGN AND ONE CIRCUIT 6A0 APPROVALS DAT[ NV SIUUTUm
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICENOTOVER600VOLTS OR200AMP DAO UNDERSL.AB WORK
BERVICEOVER 600VOLTS OR20OAMP 10 ROUGH CONDUIT
TEMPSERVICE,POLE, &APPURTENANCES d00 WIRING
TEMP LIGHT OR RECEIPT. SYSTEM 3,00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED az
FINAL
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE SAO 3 -odo
TOTAL FEE iQ0
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION C M.O. CASH
3 2 4 673 3 SO 8 2 D 7,0 0 4
r1 Al
S[[ SACK OF APPLICATION FOR COMPLKTK SCHEDULE
76A663-CE80j 1.0-62 . , APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING /7
BUILDING AND SAFETY DIVISION ADDRESS (i '
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY
NEAREST a
FOR APPLICANT TO FILL IN CROSS Sr.
RECEPT. TOTAL NO. EACH FEE
OUTLET FIRST 20 $20 $ o OWNER
LIGHT MAIL
SWITCH. ADO'L ADDRESS
OVER 20 •10 / n
LIGHTING
I
TOL FIRST 20 .20 CITY `/4 TEL. NO R A'A
FIXTURES ADD'L 41b e�
OVER 20 .10 ELECTRICIAN / vA..
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK
CITY TEL.NO a
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(yp H.P.MAX.) .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICTG��Lo P ESSED B
OUP ZONE Y
O 1 1.00 i 1"
t s 1.50 INSPECTION RECORD
s 8 2.00 f G F 'c:' c sf�Y✓` a
8 15 2.50 O
V
is so 8.00
50 too 5.00
SIGNS: NO.TRANS. /
NO.LAMPS A c0 f N
Z
SERVICE 0.600V-NoT OVER 200A 1.00
SERVICE 0-60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC. ?
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE tNSPECTOR'3 SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT "
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING /
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT i AM THE LEGAL OWN OF THE ABOVE -
DESCRIBED RESIDENTIAL P r ERTY. POWER
SIGNATURE ✓, e�Jww UTILITY CO.NOTIFIED
OF PERMITTEE
FINAL a &: •�sf`S,f;`.,,i,_.Q`
VALIDATIOCASH ARTHUR C. VEIT
CK
SUPERVISING ELECTRICAL ENGINEER
MO