HomeMy Public PortalAbout9163 GARIBALDI AVE_Electrical__ ,.,,. _„ ,APPLICATION. FOR ELECTRIC PERMIT -
1: .
COVI~Tr OF LOS ANGMMM
MAHTbM OF WUNTY ENGDCM- CAD
NG
BUIEDING AND SAFETY DWISION 1p�(�, .....1:CAN&=A �F!!I,eccp t at DaIIiQ ITY 7FOR APPLICAM'TO FILL IN ST.. .
� FEES
ITEM
UMMER XACH ME OWNERule - -
6 s MAII-
CIrT. . 10. ADDRE88
TURES 10 CITY TE
C' .DRYnu ELECTRIC
H[AT[ • .So ADDRE88
usa et•AC=rrtiu I Dm-,wArxuu
41 GAAJRAGK DISFOGI+s AtrroCITY TEL.N9
WAKHKRZ ETA.Coo,vxu UNITS .Y6 STATE
LICENSE NO.
MOTORBi OvIR IHC. H^
O — Ys Y6, wJ<wnr FOR lmsrxq'rtoN
50
s — a t.00 INSPECTION HECOHD
15 — is 1.60
16 — 60 2,60 -
150— 200 M00
H10NSt
NO.T1RAH■. i
HO.LA'1Y
L
SERVICE 0-60OV 1.00
sEhvtCB ovuR e0ov15.00
N 18C.
WIRING PERMrT 1.00
FUCTURH PERMIT 1.00
suppLEHBNTARY PERM IT .150
TOTAL FEE s APPROVALS
I �&BT ACKM LEDGE THAT 1 HAVE TA APP DA INSPECTOR'S EIGIIATURE
AND dTATB TEAT THE ABOVE ID f COQAECT A!(Q AaItBE COIPLT CONDUIT –r—
WITH ALL COUNTT ORDIIIMCHs AND ETATE LAWS REGULATING
ELECTRICAL WIRING. /1� U WIRING
CALIFORNIAAS REQUIRED
HT LOS THI IJSEGAL 0 COUNTY
WrLR OF THE A„ABOVE PIXTUREB
DESCRIBED RESIDEIITIAL PROPERTY. POWER
81011/7 i[1RE UTILITY CO.NOTIFIED
OF rB7431 FI lj r
VAL.IDATIu C ,1crR,
QK Yo /�r}i�) UP<RVI�ING CAL ENOINSIDi.
M3832-A Awl . 2 A 435 �
_WOW]E3'sve a N9ATTON at oxo d to � ,D,a, APPLICATION. FOR ELECTRICAL PERMIT
- � h«'�Y efftm that I have a certtfloam d oonaent m ✓left fflarre, � .
or a certtfbefte of Warfrars' Campeneat n Irrauranrce, of A onrtffled COUNTY OF LOS ANGELES BUILDINQ AND SAFETY
copy thereof(sea 3800,Lab.C.)
Pofby Nawry' POR APPtJCWT TO FILL a ` -4 in
p .. qj
C lfled oopy hws.by fun t • New Raeidential Bbus.a Pools EACH I FEE
$ LOGAU
1 4 2-Fs",sq ft $ TY �.
tefttited copy Is rtred vvfth the oourtty bubdlhp tr+epecUon � � NEAREST
ClopetrgInt sc�Ft CR068 9T.' YrL
ReeldenU 3wkmmhrg Poor. DR : '
tt FFM W.W
CEMIRGATE-OF E)bAPDON FROM WORKERS' + Outsets Rao—u9m — sw.—
_C9MPEN9AMN INSURANOE - ADDRESS
Tal.Na
(Tl*section rmw root be completed tf tho Work tryoNed by tiw Ftrat 20
psrmtt is for one hUhdred doffs re(;100) or less.) Tbtal Na ,�orLW CrTY
PLAN CFECK
I owtffy,t gd-in the pwbrmenob-d the Wpric for which thrs perm ft ,APPLJK --• . -
b.teased I &hell not'empivy any P.— Irv" Marr✓&✓ so-nm to
beoome mb)eat to the Wbrkero1 Cahperrshrion Law& Llgh�Fbturae , FW 26. ADORES8
�� f',`•'•' Total No. Add}Lionel-. CrTY Tel.No.
DateA0ANAw-p es Nbt Over 1 HP C
NOT1Cfi .70. APPLK',ANf: tf maldng ttr44 Certifloate d AAPLK.utf 0C
Dryer
,.�mptbn,you to the Wbrlaen'Cromper>satlon R-w—.Heater_ 0.W. r
;Prra W— of,tha Labor Code,yw.mast forth%th com*-with aro✓, Ov%n — W.M._ ,ADDRESS IV.r rL
1 $ V 5
pr0vleip+ie or U*RerrM„gtxf➢be'deervd.revolted Top _ FAU _ -WA _.
LICENSED•GO WMLkC QRg 4 E.GL A A nON• Hood Fen T Otter_ /�• (� Td. y S�-
I herby e}ftrm that I'm Eoenged,order,pfvvtdorm,d ChaPtat 8 . •Dom.. Room Air Gond' LICBt$E PR,.' .3 t� p
(oorrurrsrdng with Secdon 700Q) of Division 3 d the Budrxws and REG.NLW43ER 1 i♦t - Y �`
Prdeeabrm Code,and my Ir wee to in fuiLforce end effect• -Fb sw ApParabm a Large Applbu o o T"a PHOCE t3I
p stte a Typo HP,KW,KA or KV,R
LJoer»A Number [ L}c,Cts&& _ . .. Up to'1.1 nct FINAL
oraE
Dale Over 10 m 60 Oa R
E1 , I axerrlpt under.tiSeo Over 60 to 100.tr+c BY, - IrUUF
hAP�C.for tie meson Dvbr 100 N
Servl5ee Svvbd,MCC a Penelbperr 0-200 Z
Anrp.Under 600 V Q -_
' � r 201 - 1000 Amp Under 660-V -
❑ Exenption for Raft rr+a>nL ESL Oyw 1000 Amp.or ora✓609 Y, 1;@ 12 1,5A ,
0 00 O 0 2
SINGLE FAMLY Ting.Power Pole A AppurtenerGee
E 0 `
HOME 04Vt�R-Blf➢.•DER D CLAA,4TION glen wrfth Dire Branch Ctnoytt I o 25-5
I her6by affirm that I an'exempt from the Corrhpct a L3oarpe Law +
for theforlowtrp reason(Section 7031.6, Biretrreaa ar+d Profeealorn sign Branch CLrnrtte._ o n 04
'D'2 S 5 Q
1-1.2 9�8-8
❑ .I 44 owner d the property,w91-do the work and the structure Mfso Condffta a Corductore
b rid Utteoded or offered for aale (Section 7044, antrwws Ott— (°'e�)C-r?E�qta Fee soneddo) ,
and Pr6feeetone Code).
CaNS8 UCTION LENDNG AGENCY -
I heregy affirm the# &era Is a oonsb-uotbr+lending agerrc.�y for the
performanoe of the work for vvtrroh thb permtt b feared(Sea 3067, PERMTT FEE - (Sub-Total) ,
Ctv.C.)'. '
PLAN CHECKING FEE `
Lender&Name- .
PERW I&SUING FEE -
Lerder's Addreee
I certify thatI have read fib aWbeton and state ttwd the above TOTU_
hfonnabon b correcL I agree to corrpfy with al County ordinance&
and State few% regriatfnp nectrb wlr r and Nwgby authortze _
repreoentatfvee d ihM Canty to enter rpon the above-merrtbned
property for I Punpoeee. -SEE REVERSE FOR EXPLANATORY LANGUAQE -
d PerrrrRtee Dam .