HomeMy Public PortalAbout9156 GARIBALDI AVE_Electrical__ ""' °` °°'R to,n APPLICATION FOR' ELECTRICAL PERMIT
COUNTY OF LOS ANGg{-ES
DEPARTMENT OF COUNTY ENGINEER tQ�R�
BUILDING AND DTVII ON ��++��
FOR LL IN LOCALITY
New Residential Bldgs.&P6ols EACH NO. FEE
1 3 2-Family,Sq. Ft. $ 5 $ OWNER R
Multi-fpmilySq. Ft. 02 — FIRM NAME
Residential Swimming Pools -00 rAA1L
lets.fjecLlght_Sw. CITY I No.
First 2O PLAN K
Total No. Addilio.nal .30 APPLI NT
ADDRESS
LightlN Fixtures First 20 .50 C11Y Tel.No.
Total No.
Additional •30 PERMIT
Fixed Appliances Not Over 1 HP ADDRESS
Range_Heater D.W.— cTyfArl 6 A13RII.Nq.
Oven—Dryer_W_M_ 10ENSE OR
Top —FAU W .— EG.NUMBER Class.
Hood—Fan4W0therI HEREBY AQQJOwLHKrf THAT I HAVE READ his APPLkATTON AND STATE
Disp. — Room Air Cond. 2.50 THAT THE ABOVE JS CORRECT AND ACS TO COMPLY WITH AL.COUNTY ORDrN-
AWES AND STATE LAWS REGLkATING BIC W-LL WIKNG.
Power Appgratos&Large Appl ioncm
Iy1 Sae b Type HP,KW, KVA,or KVAR I HEREBY CERTIFY THAI I AM PROPERLY
AS
,=ID
Up to 1 Ind- 250 THE RED LELBY L ANGOF.THfl E5ASOVE�����FORMIA Y. T I AM
Over I to 10 Ind. Ebb
Over 10 to 50 Ind. 12-50 PERMITTEE
Over 50 to 100 Inc. 25.00 SIGNATURE
Over 100 DI$TR1CT NO. E � Q J
Soryices 0 S
0-200 Amp.Under-600 V 1250 d1 APPROVALS DA7 I TU
201-TOOO Amp.Under 600 V 26.00
Over 1000 Amp.or Over 600 V 60.00 TEMP. POWER POLE
Temp.Power Pole b Appurtenances
TO 00 UNDERSLAB WORK
Sign with One Branch Cfrcuh 10.00 ROUGH CONDUIT
Additional$Iqn Branch Circuits 2.00 WIRJNG
JL
Misc Conduits b Conductors 10.00 FIXTURES
Other L,ee Complete Fee Shcedulel POWER AUTHORIZED Ay
UTILITY CO.NOTIFIW
FINAL
ERMIT FEE (Sub-Totgl) NOTES
PLAN CHECKING FEE (One-Fourth Permit Fret
PERMIT ISSUING FEE $7.00
TOTAL FEE
PLAN CFi=VAUDATION cIC nA0. CASH VApDAT10N cx Wo. GSH
.,,tea- - �' • . >,
Ce a.
as 7q � J
SEE BAC)(OF APPLICATION FOR COMPL KTK SCHEDULE -
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Das-ew a..ee APPLICATION FOR ELECTRIC PERMIT Z
DIVISION OF BUILDING AND SAFETY
of C--tT EnO— DU►LDING
commtr of 1.06 �� ADDREIJ•
WWI.J. FOXCOUNTY NGINtIR
CAJWATT D. GRIFFIN,SUPT OF BUILDING
LOCALITY C e I
FOR AAPTPLIGq►�IT TO FILL IN NawRaar
�'�$ CRO82 8T.
NUMBER EACH FEE
' OWNER �
FTOT7AL
TS _
IL
ADDRESS
E➢ / /
Turry B
tV TQ—NO.147Z
ELEC.RANGES 25 ELECTRICIAN
ELEC. HEATE M 25 ADDRESS .�
KW MA -, CITY TEL NO
F IXTU R E8 D LICENSE
NUMBER OF LIGHT CIRCUITS - DISTRICT NO. CROUP Z NE ■UDT FOR InfpKCTIOR
NUMBER OF RECEPTACLE CIRCUITS
MOTORS
INSPEMINumsue HORDEPOWER FEE
ON �BD
N[w mvD. HP Ov[R INC. XACH
•Lw .2D
2 .BO
2 S 1.00
B IE 1.50
i D 50 2.80 ;7IlTro
80 200 6.00
MI
NO.CIONS ' NO.TRANS.
SIGNS NO
ZAIX-
FOIR EACHE IT• _
WIRING $1.00
FIXTURES qf.00 =Ml Q
8UPP M AM
OVALS e L OVAIS 6ZU
TOTAL FEE R DATE Ills CTOR'S IQ ATURG
1 HEREBY ACIUIOWLEDGE THAT I HAVE READ THIS APPLI ION CONDUIT -
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COYPLY
WITH ALL COUNTY ORDIRANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING. i
I HEREBY CERTIFY THAT I AN PROPERLY REGISTERED AND/OR FIXTURLS
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR TltAT 1 AM THE LEGAL OWNEIL OF TH ABOVE POWHR
DESCRI15JED RESIDENTIAL PR PERTY.
8Ia UTILITY CO.NOTIRIHD
O FINAL AV
WILL MM J.FOX,CouNTY SNa1Nme VALIDAnON A.C.VEIT.CHI17 ELECT. INSSPSCTOR
Lt13 4 4 Un". Kc30 2 6.90
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