HomeMy Public PortalAbout9239 GARIBALDI AVE_Electrical__ I6AA3--E806 5-62 APPLICATION FOR ELECTRI � RMITt
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRSS j
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALEITY 'L'
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT, TOTAL NO. EACH FEE
LIGHT C OUTLETS FIRST 2O ,Z $.20 $ Q� OWNER
Ct MAIL
` ADo'L I �1`j� ADDRESS
SWITCH. ` �' OVER 2OQ .10
CITY NO.
LIGHTING TOTAL/ FIRST 20 fEj .20 C�'igab
FIXTURES / D ADD'L
OVFR 2.0 10 ELECTRICIAN `
_
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS '-a"-'�
GARB.DISP. STA.COOK
CITY TEL. N0. ^ X
DISHWASH. AUTO.-WASH. STATE /
SPACE HTRS. STA.APP.(yz H.P.MAX. -50 3, Da LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTt�F3IGT GRO.IJP Z NE P Y
O 1 1.00 _6/ 7
I 3 1.50 INSPECTION RECORD
3 8 2.00
}
8 15 2.50 0
15 50 3.00 V
50 100 5.00 IY
O
H
SIGNS: NO.TRANS (J
NO.LAMPS - Cj
CL
SERVICE 0.60OV-Nor OVER 200A 1.00 / Q H
Z
SERVICE 0.60OV-OVER 200 A. 2.00 -
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00 `�1 c
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 p
TOTAL FEE $ /
IHEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL WNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. , POWER
SIGNATURE % - UTILITY CO.NOTIFIED
OF PERMITTEE Y_
FINAL
LIDATION ARTH R C. VEIT
CK" MO CASH SUPE E ISING ELECTRICAL ENGINEER
L.-Lo 5 5 8 3 w OCT 16 2 D 14.00-
Q
Lu/
i
76A663-CE8 5-62 A APPLICATIOIVt, OR ELECT CAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. �G TOTAL NO. I EACH FEE
OUTLETS FIRST 20 $2O $ OWNER
LIGHT MAIL
ADD'L .f0 ADDRESS
SWITCH. OVER 20
. .
LIGHTING TOTAL 1 F1RST20 CITY TwL.20 NO �
FIXTURES1( DADR L. 10 ELECTRICIAN
20 1
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS 1
GARB.DISP. STA.COOK CITY L.NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.('/,H.P.MAX.) .5O LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT GAr I ZqNrE P r
O 1 1.00
1 8 1.50 INSP CTION RECORD
s 8 2.00
4
_ r
8 15 2.50 r.
O
15 50 8.00 U
SO 100 5.00 O
F-
EIGNS: NO.TRANS W
NO .LAMPS
CL
In
SERVICE 0.60OV-NOT OVER 200A 1.00 Z
SERVICE 0-600V-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE 8
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S 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 HEREBYCERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES CO TY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL NER OF THE ABOVE
DESCRIBED RESIDENT OPE RTY. POWER /
4
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEES..
FINAL
V IDATION A C. VEIT
MO CASH SUPER ISING ELECTRICAL ENGINEER
CK
rr
L -" 4 6 0 6:r SEP 26 2 D 3.40