HomeMy Public PortalAbout9046 GARIBALDI AVE_Electrical__ 79"as.aXoog-8-197 APPLICATION FOR ELECTRIC PE:ZMITi
COMM OF 1.08 ANG!IL,ICENSE
DEPABMCM OF COUNTY BUILDING
BUELDING AND SAFETY DADDRESS
JOHN A.LAMBIE,CouNTY E
CAfSATT D. LMN,Mur'T or LOCALITY
FOR APPLICANT TO FNEARPEBMT EST
FmOWNED S
LIGHTS RlCpTACL"
MAIL
ADDRESS
TOTA OUTLET'S
KUr- KMGO. 1AT[l R[AT[[S, CITY
ELECTRICIAN
TITL-NO.
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MG DQTt, SARNA[[ DIS►O[[[S, ADDREHS J
•DTO *"KQ DIIQ*LIGHTING FIITDRIB CI G NO
IOTO RS STATE
4CENSE go,
HORSEPOWER
H.r: Ovne IHc --T POR il/P[CTIO■
a LX" .26
a XO INBPEC'ZZON BECOBD
Y — a 1.00
19 — 119 1.19d
119 150 2.190
190 — 200 19.Od
F f1ua. 1�5 S
Ir
r
>31GN� NO.TRAHI E
NO.LAM"
SERVICE 0-60OV 1.00
SERVICE OVER E00V 19.00
WIRING PERMIT 1.00 Alp
FLXT URE PERMIT 1.00
SUPPLEMENTARY PERMIT .501 1
I HEREOVAM
BY F EDGE THAT 1 HAVE READ THIS APPLICATION
$DATES INSPECTO 'S SIGNATU
AILD STATE THAT THE ABOYE IS CORRECT AND AGREE TO COMPLT CONDUIT
WITH ALL COURTT ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRIRG, WIRING
I HEREBT CERTIFT TEAT I AI PROPERLT REGISTERED AHD/OR 1r1XTUREB
LICENSED AS REQUIRED BY LOS ANGE COUuNTT AND STATE OF
CALIFORNIA 0R TRAT LE OWNER OF THE ABOYE Povi"
DESgRIBED MIDENT
SIG NATURE UTILITY CO.NOT I FI ED
OF an.
I NAL -
JOHId A.Lt.MBI U ) CASH ARTHUR C
LINTY!E=lH1 ro aAm BuPIlSVISINa liLigPRIWL EKauNXxx
� 9s48� TO 5 2 A 1.50 � a
el � r
DNA-HA tt-ae APPLICATION FOR ELECTRIC PERMIT 1
DIVISION OF BUII.DENG AND.SAFETY
C of Conray 1�hwr of Los Anaake ADDRI2
/
JOHN A.LAI,iBIS,CouNTY Z miNv3cR
C-kSS TT D. GRIFFIN Sur-r or WmLDIMa LOCALI Il• L
FOUR AAPPPL�Ct4NT TO FILL IN N�� s
NUMBER �'� OWNER
LIGHT 0LrrLJr'D NAIL
RECEPTACLES ADDREBB
WALL EWLTCHSA FQ' CITY NO
TOTAL O ISO 9 FI FCTR[CLAN V 7//"A/ L G
EL1LC RANGIES ADDREQD ogrGL
ELEG HEATERS Ye
KWIT
EA CY // TEL NO.6,'
mcruRCB D LJQ
CIBE NO.
MOTORS DISTRI NO. GROUP NE tueDT troa usnaTton
nUM�Q HOROMFiOW1iR FEL
raw taro. ttp Duro I Ino trwart ENM=ON RECORD
•t.ass .RD
2 .170
2 D 1.00 Q:tIA 'k
D US 1.50
117 DO 2.00 /
DO 200 17.00
11180.
NO.SIGNS NO.TRAM!.
NO BIONS NO LAMPS y
FOR RACH PERMIT
WIRING I.00
FDrMRE6 41.00
SUPPLEMENTARY DO APPHOVAtS
TOTAL FEE DATEIASPICTOR'f SJOILATURIE
I HEREBY ACXKOWLYDGE THAT I HAYrI READ THIS APPLICATION
AND STATY THAT THE ABOTI IS COQAECT AND AGYE= TO COMPLY CONDUIT7-0
WITH ALL COUATT ORDINANCES AND STATI LAWS RESUL.ATIES WIRING KT,
ELECTRICAL WIRING.
I HERIBY C7rMYT THAT I At FROPULTT RIGIMMM AND/Olt FIXTl1RIS / r
LICMI(D AS REOUrRXD LST LOS AAGILEG COUNTY AND /TATI OIr
CALIFORNIA 0R TAAT I AN TIM LiGAL OF THI AROYL POWIR
DESC21BED Rl&% OPERTT 1TFI
SIGNATURI LMLY CO.NOT] I
OF PIR'
RMTEIi `
FINAL
JOHN A.CAROLS.COUNTY RNizTNK= DA 1O CL VK-ff.Cmzr M=T.Dapmc TOR
mo
/far Okh'Y nV t Fa��✓9�E is ox C 11-7,j',7
7 6 5 8 mIR 2 9 2 �` 6.7 5 . n
lI-7z-fit d�c
WORKERS'COMPENSATIONDECLARATIONE- 08G (2$0)
CE-806G APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY
insure, or a certificate of Workers'Compensation Insurance,or
I cartifled copy thereof(Sec. 3800,Lab.C.)
FOR APPLICANT TO FILL IN JOB
Policy No. Company EACH NO. FEE ADDRESS_
New Residential Bldgs.&Pools
El Certified copy is hereby furnished. 1 &2-Famlly,Sq. Ft. i — IS LOCALITY
❑ Multi-family Sq. Ft.
Certified copy h filed with the county building inspection CRos8 ST Gk P O.
department. Residential Swimming Pools OWNER OR
FIRM NAME
Date Applicant Outlets: Rec Light ISw. MAILADDRESS
7irrt 20
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY Tem COt?Tel No.
COMPENSATION INSURANCE PLAN CHECK
APPLICANT
(Thh section need not be comppleted if the workhtvottrod Lighting Fixtured Fl20
by the permit is for one hundied dOIlars ($100) OI lasFirstAdditional ADDRESS tL
Total No 0
I certify'that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tsl No.
permit Is blued, I shall not employ any person in any mannerPERMIT i..)
to as to become aubjoct to the Workers' Compensation Laws. Range_ Heater_D.W. P ANT . ++ 1' W
Oven _ Dryer_W.M._ ADDRESS
Data Applicant Top _ FAU _W.H.
Hood _ Fan _Other_ CITY �m l` Tel No. 'P6--
NOTICE TO APPLICANT: If, after making this Certificate of Dlsp. _ Room Air Cond.— LICENSE OR
Exemption, you should become subject to the Workers' REQ,NUMBER Claiss
Compensation provisions of the Labor Code, you must forth- Power Apparatus'& Large AppllanoDn DISTRICT NO. P E D BY
Type t.
with comply with such provhions .or this permit shall be Size&Te HP,KW, KVA,or KVA11-11
deemed revoked. Up to 1 Incl.
FINAL
LICENSED CONTRACTORS DECLARATION Over 1 to 10 Incl. DATES �/} f VALIDATION
Over 10 to 60 Incl.
I hereby affirm that I am licensed under provisions of Chapter Over,50 to 100 Inc. FINAL
9 (commencing with Section 7000) of Dtvislon 3 of the BwF BY
Over 100 1!—
nets and Professions.Coda, and my license Is in full force and
effect. Services
License Number Lic.Clea 0-200 Amp. Under 600 V
201-1000 Amp. Under 600 V
Contractor Date Over 1000 Amp.or Over 600 V
HOMEOWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances
I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit
License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits
nand Professions Code):
Mlsc.'Condulta&Conductors :93 6 9 8 R
, as owner of the property, will do the work and the Other (See Complete Fee Schedule)—
rtructure is not Intended or offered for ale (Section ° 0 ° 2
7044, Business and Professions Code).
CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction lending agency 2 °.° �.1 50
forthe performance of the work for which this permit is PERMIT FEE (Sub-Total) 0 1
5
' Issued(Sec. 3097,Ctv.'C.). ,
Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee)
420 -82
Lender's Address PERMIT ISSUING FEE
I certify. that I have road this application and state that the TOTAL FEE
above information Is correct.I agree to comply with all County
ordnancas 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
signs tufe of permittee Date