HomeMy Public PortalAbout9237 GARIBALDI AVE_Electrical__ i
7{A4{7C_ -USS 11/7. APPLICATION FOR ELECTRICAL PERMIT
BUILDING AND SAFETY DIVISION
FOR ArPLICANT TO FILL IN JOB ,,
FResidentialBldgs.&PoolsEACH NO. FEE ADDRESSSq. Ft. $ — $ LOCALITYq. Ft — NEAREST
wimming Pools CROSS ST.
OWNER OR
FIRM NAME
Outlets: Light,Switch&Receptacle MAI L
Flat 20 ADDRESS
Addltibnel CITY Tel. No.
PLAN CHECK
Llghting Fixtures APPLICANT
First 20 ADDRESS
Additlonel
CITY TSI. No.
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT lik d Ce
Range Heater D.W. r
ADDRESS
Oven Dryer W.M- S�3
Top FAU W.H. CITY r Tel. No. /^
Hood Fan LICENOR
REO. NSUMBER p Clea C� O
Disp. A.C.
1 H<Rt1Y ACMNOWLKD*i THAT 1 HAV■ "SAD THIS APPLICATION 0
I ,,arg,g AND ■TAT■ THAT THI AISOV< 1■ CORRKCT AND AORt■ TO COMPLY 8
Power Apparatus& Le Appliances WITH ALL COUNTY ORDIHANCS■ AND ■TATL LAW• RIOULATINO LLI
Size&Type HP,KW,KVA,or KVAR ■LLCTRICAL WIRING. N
Up to 1 Incl. Z
lL.. 1 HiwtSY C■RTIPM THAT 1 AY PROPSR LY wtsl/TtwtD AND/OR
Over 1 to 10 Incl. UC<N■LD AS RKQUIRKD BY LOS A OLLKs COUNTY AND STATK Or
CALIFO—N OR THAT 1 TH OA OWNS R Or TH< ANOVK
Over 10 to 50 Incl. DLSCRIXKD RLSIDKN OPKR
Over 50 to T00 Incl. PHFtMIT¢[
ve
Or 100 SIGNATURE
I TRI T NO. PR E D BY
Services
0-200 Amp. Under 600 V
201 -1U00 Amp. Under 600 V APPROVALS DA E INSPff7rUR
Over 1000 Amp.or Over 600 V SIGNATURE
TEMP. POWER POLE
Temp. Power Polp&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit
Addltlonal Sign Branch Circuits ROUGH.CONDUIT
(Other) WIRING -Z2--7
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub-Total) UTI LITY CO.NOTIFIED I
�f
PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL
PERMIT ISSUING FEE
NOTES
TOTAL FEE
3 8 '
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONCK. M.O. CASH
723FF 17 2 D 13.8 0
t '
�.A•saa�,a•_o APPLICATION FOR 'ELECTRIC PERMIT
->n
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FUD'
SUIT-DING AND SAFETY DIVISION GAribaldi
JOHN A,LAMBIE,CouKTr ENaINwe
CASSATT o.aFUMN,Sur-r OF ru1I.DINa em le Cit
FOR APPLICANT TO FILL IN akPE MIT FEES1T t Y Num\iR xACH FQ eakarLIG-MNa FIXTURES 8 .10 .80 NO
n.^ RAM= al o DRYOM ELECTRIC 'Son
M A T I R H K A T[R• , .00 ADDIIH86 1�l�T !t l7 and e A
M KC.XFAC=lr[W . DL5"AlF�I
6ARaA01 Dl.ro•a.l AUTO~ 1 025 CITYCSo San Qabri el Tl!L..N(At 0- 00
wAsHas rtA.coomma umrro 25 STATE
ICENSE NO
MOTORSi ova JH6. H.P. 0.
yZONE � RIADY►O I11NRRc-n.�t
2 .50
f I
ON mr-om
2 — D 1.00
5 — 15 1.50
in— 50 2.50 6
50— 200 5.00
SIGNS. No.TP-"S.
No.L-mr•
AlZC
81KRVICE 0-500V ] too •Qo p
SERVICE OVKK GOOV 5.00
Mi¢c
WIRING PEMMM 1.00 •
FIXTURE PXIKTT 110
allPPLSHEl,CPARY PEMMrV 50 �-
TOTAL.FEE r 7 A APPHOVAIS yA ;gyp
I HEREBT ACKIIOTI..®GE TRAT I RAVE READ THIS APPUEjffiOR DATF, INSPECTOR'S SIGNATURE
AND STATIC THAT TILE ABOVE I6 CORRECT AND AGREE TO COIPLT COhrDUIT
WITH ALL COUNTT ORDINANCES AND STATE LAWS IIEGULATIIG
ELECIMICAL WMNC WIRING - f
I HEREBTC�tiiFT TEAT I AN PROFIRLT REGISYMM W/0!
LICENSED AS R$QUIU L03 ANGELES COUNTY AND STATE OF 1'LXNR1 S
D25MBED SI THAT TFt� 13 OF THY ABOVE ��
D�iSCIID[iD 1tESIDE11TiA P�t \J>J
EIGNATURS LMLITY CO.NOTIFIED
OF PERM
�11'ION u R C. ELscTIe1
aA,ta1 urfavulNQ �wL.gr,�ys�* -
[G2 7 7 31 -JM14 2- A 7.45 2