HomeMy Public PortalAbout9240 GARIBALDI AVE_Electrical__ 7EA663-CE808 10/72
Ap LEC IL PERMIT �.
PLICATIO F O T
COUNTY OF LOS ANGELES
DHpARTPAENT OF COUNTY ENGINEER92 IBALDI AVENUE
BUILDING AND SAFETY DIVISION
LOCALITY TEMPLE CITY
,
NEARESTQRK
POR APPLICANT TO FILL IN
CROS
ST.
OUTLETS No, F OWN SME M,I`'$AEL .
RECEPT._ EMAIL 43 d. SO, TRACY LANE
ADDRESS
IGKT! 4 TOTARI RST 20 2y -
C I TY
SWITCH- / OVER 20 AO
FIRST 20 2D APPPLICANTN CHECK .
-
LIGHTING �
FXT{JRES TOTAL
OVER 20 I AUpRESS
I .10
RESIDENTIAL AfFLUNCES CITY TEL. NO.
PERMIT MICIMEL KEENAN
RANGE +i
flRY� N(TR. HTR, _ APPLICANT +• �
STA. COQK OISP+____jF.A.U. ADDRESS 431 -SO. TRACY LANE
SPACE RTR._A-IR GOND.__ CITY 'ORANGE 639-3930
CLOTHES WASH. OISHWASH. REGCE?1S�EMOg� CLASS.
FAN OTHER too I HEREBY ACIIWQW'LFDQF T-HAT I HAVE READ THIS AFPLTCATION
ARD STATF, THAT THE ABQVZ7 IS CORRECT AND A/REE TO COMPLY
MOTORS; TRANSFORMS l RATIN/ WITH XLL COUNTY ORDINANCES AND STATF LAWS REGULATING
IND. HEATERS ETC. HP. KW. KVA. I ELECTRICAL WIRJN/. '
AqE k T1��E OYER TO
I HEAF,EY CERTIFY THAT I AM PROPERLY RLkI/TEgED AND/OR
O — 1 ' 1Qp LICENSED AJ! RFQUIRCD BY LOS ANfELFS COUNTY AND STATE OF
CALIFORNIA 6R THAT I AM THE LESAL OWNER OI THE ABOVE
— 10 3.60 DESCRI."Ix. RESLDENTIAL P PERTY.
PERMFT�E
• 10 - 50 -x00 SI GNATQRE OC
Sol- 100, 1OJb DISTR-ICT N0. SS-ED HY
100 --500 1800 4 s
T
SIQti, GAS SLGt-I AND ONE CIRCUIT S00 APPROVAL+ DATE 1/MATIJIlt
TUEIE, OR
MARQUEE ADDITIONAL CIRCUITS 1JX7 TEMP. POWER POLE
SFRVICENOTOVER,¢DOVOLTSOR200AMP 3.00 UNDERSLAftWORK.,
SERVICEOVE3800VOLT3'OR20OAMP 10.00 ROUGH CONDUIT .
TE'MPSERVICE,POLE,8;APPU-RTE7ANCES-' 5.OQ WIRING
TEMP LIGHT OA RECEPY. SYSTEM 3.00 FIXTURES •�
POWER AUTHORIZED
UTILITY CO,NOTIFIED
FINAL i1
4J�27
PERMIT FLE (SUB TOTAL) NOTES:
PLAN CHECK PEE
PERNtrT-ISSUING FEE 9.06 O
TOTAL FES
PLAN CHECK VALI1PATION CK. M.O. CASH PERMIT VALIDATION CK. M.o, CASH .
6P-KU 17 2 0 3.5 0
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
w rl
76A"' CK "R t°'" APPLICATION FOR ELECTRICAL PERMIT
COUNtY OF LOS ANGELES
.' DEPARTMENT OF COUNTY ENGINEER }�Qp�g
BUILDIN D ETY DIVISION ADDRESS r G C
R A" ANT T ILL IN LOCALITY G
New Residential Bldgs.&Pools EACH NO. =FEE 7EAR ST Sed
1 &2-Fom IIy,Sq. Ft. $ .025 — $
WN R ff 1
Multi-family Sq. Ft. .02 — FIRM NAME Gly rp* fs/4 OV
Residential Sw ming Pools 25.00 MAIL
DDRESS
Outlets: Light_ISw. / S CITY Tel. No.
First 70 `� b PLAN K
Total No. Additional •30 APPLICANT
r ADDRESS
Lighting Fixtures First 20 .6 CITY Tel. No.
Total No.
Additional •30 PERMIT ♦r/�
t
Fixed Appliances NoT Over 1 HP ADDRESS r
Range—Heater—D.W. CITY Tel. No. 3 r3
Oven —Dryer_W.M_ ICENSE OR
Top —FAU —W.H.— �EG.NUMBER Class. C,'
Hood-Fan -Other I HEREBY AO(N YAUD E THAT I HAVE READ THIS APPLICATION AND STATE
Disp. — Room Air Cond. 60 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITHAU COUNTY ORDIN
ANCES AND STATE LAWS REGIAATING ELECTRICAL WIRING.
Power Apparatus&Large Appliances
Sim&Type HP, KW, KVA,or KVAR I HERBY CE3iTIFY THAT I PROPERLY REGISTHiID AND/OR LICENSED AS
REOURED BY LOS ANGES AND STATE OF CAUFORTRA OR THAT I AM
Up to 1 Ind. 260 EL
THE L OWNER Of DESCRLD ED RES!
Over 1 to 10 Ind. 5.00 S
Over 10 to 50 Ind. 12-50 PRANTTEE pC
Over 50 to 100 Inc. 25.00 SIGNATURE
Over 100 40.00 DISTRICT NO. PD BY
.7 2
SerykesX �5 [{� 5
0-200 Amp.Under 600 V 1260 07 Q APPROVALS DATE 151GPNATOURE
201-1000 Amp.Under 600 V 25.00
Over 1000 Amp.or Over 600 V 60.00 TEMP. POWER POLE
UNDERSLAB WORK
Temp. Power Pole&Appurtenances
10.00
Sign with One Branch Circuit 10.00 ROUGH CONDUIT
-7
Additbnol Slgn Branco Circuits 200 WIRING
Misc.Conduits&Conductors 10.00 FIXTURES
Other(See Complete Fee Schedule) POWER AUTHORIZED
UTILITY CO.NOTIFIED
FINAL �Z
PERMIT FEE (Sub-Total) NOTES
PLAN CHECKING FEE (One-Fourth Permit Feel yy
PERMIT ISSUING FEE $7.00 / QDri
TOTAL FEE 7'V
MAN CHECK VAUDATFON CK NLO. CASH PBIMR VALIDATl I>N Cx )1A0. GSH
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
COUNTY OF LOB ANGELILS Tiouna CITY t 0508 lMX'- TCAL PRRWIT
DIPARTKXXT OF PUBLIC WORKS 9701 LAB TUNAS IL 0508 0601190024
BUILDING AMID S"WrY / LAND DmVELOP ZXT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXTi
IADGAL IDYuuB PAID BUILDING ADDRYBB: ..
TR: 6561 LT. 361 9240 GARIBALDI AV 1•
FEE DXSCRIPTIONi QUANTITY. DOiMi AMIOUNT. TEMP C1 917801627 _ .� ':J-j
ASSESSOR INFORMATION NUMMBXR- NEAREST CgOAB-�HTRErT: - TL 4I'R'7
5385-005-028 AS PERMIT ISSUANCE FEE 27.75 THObB PAats 596 DRID_ : J2 LOCALITY C C
SL YAU LESS 3HP 1.00 11U 10.95 -
TEEIET, TB AC UNITS +3-10HP 1.0.0 AC 19.65 ISSUED ONs PYOCESSID BY: PLAN BYI EXPIRES ON1
TOTAL Yuma 58.35 01/19/06 JX 07/18/06
OWNER: TEL. 10� _j.',_.,•- l I ...} 1 1]]fAL DATE FINAL CODut
PASII'iR WILL ZAN R;Sffi3T,YE A (626) 285-4357-
9240 GAkIBkLDI AV i 4
TIMMP 917801627 -. `r DESCRIPTION 01 ROR.X �
SLEC7rRICAL FOR HVT•C SYSTmK
i
APPLICAETi TEL. NO:
CONNOR A/C HTG (626) 286-3157-
4931 RNCINITA AVE SPECIAL CONDITIOWS:
TEMPLE CITY 0 91760
CONTRACTORS TEL. 390: APPROVALS DATE INSPUCTOR BIQEaTURY
CONNOR AIR CONDITIONIIG (626) 286-3157-
4931 RNCIEITA AVE LIC. NO - TEMMPbRARY POWER POLE
TZKPLm CITY, CA 91780 403735 C2O
- - UEDZR=ODm CONDUIT
ARCHITECT OR IN6IN M i TEL. NO. UTKR GROUND
LIC. E0: R.000H CONDUIT
ROUGE RIY17G
MXTW WATER LINE
PL18?IC Y/I METAL Y/N
UTILITY COMPANY NOTIFIED
RSPORT ID. DPR365 ROUTE TO: B90508