HomeMy Public PortalAbout9241 GARIBALDI AVE_Electrical__ OOUNTY OF Las ANGELES AFPUCA►TION FOR PERMIT
Deparbri°ni of F B ELECTRIC 1
DIVISION OF BIIII..DING Ec SAFETY
WILUA■ 1 FOX, O&arly E■/1■
FOR APPLICANT TO FILL IN DIWTRICT NO. GROUP ZONE PERMIT N�
ELECTRICIAN U1 S
II iffy =
Y RCAY FOR DATIB�LLED
ADDRE!'� FIRST INv[OTION 4
OtTY TIL NO. I / / _ � �
DOu LICVNm d IRIS BUILDIHM qa 3
PERMIT FEES ADDR£a. /
HUMBKR TACH pr KE LCCL&LIT1f a-
LIOHT OLr L[TN HCARQT
RIO[PTAOL.CS OROS!ST.
WALL INWITOHIS OWNER
TOTAL OLITLrrw 60 MAIL
[LCC. RANII[S 25 ADDRCSS
[Li O. HKATERS 25 CITY 71 F*, TIL NO.
FIXTURES S
1 H[RISY AOKNOVfUMMK THAT I HAV[ RIAD THI■
MI■ AFPLIOATIOM AND STATIC THAT TH[ ASOV[ 10 OORR[DT
HUMB[R OF LIGHT CIRCUITS AND ADR= TD COMPLY WITH ALL COUNTY ORDINANCES
HUME[R OF REC[PTAOLI CIRCUITS AND ]STATE LAWS RIOULATIHO KLKOTRIOAL WIRINS.
MOTORS 1 CIRTIFY THAT I POiCNS THE ASUVI VALID LDS
Numw" HORNEPOW[R FIE ANOrt ES OOUNTY UCINSI. OR 1 AM THC L.IIRAL DWNER
Nnv Mw. HP Ovn1 Imm KAGH OF THE RDIDENTI PROPERTY DOCRIR[D/ASOVL
A tya .IIa ■IONATURE OF
Vil II 6O P1tRM 1
II s 1.130 INSPE
6 16 1.60
16 60 4.50
s0 II010 6.00
4.00 151313 1 O.DO J
BOC 10013 16.00 Z
OVER 1® 40.00 2
M.D. NlrTjIrRKQ. 13HAN[7[R-Hr It
WILDERSt AD-KVA O
I)EN[RATORS - KW
TRANSFORMIRS - KVA
TIMP. MCTORS (76 of anim.
MOV[ OTOR■ (76 13R ORI■
I
131ON8
N0. HO.TRAHI
APPROVALS
FDR [ACR F[RMITt DATT IN6PEOTUR'N HAM[
WB 1,00 Q Q
CONDUIT
IRIN
FIXTURES 1,pD WIRING
DUPP-W[ .6 F D(TU PUM
POWIR
TOTAL F[E o / �s-- UTILITY 00.MOTIFI[D
FINAL - -5 7' Z
7usaa OAR#ar. JI-52
WOFiihe I CO►�4PENr A—' 0( oohs rd to ' � � 10'81 APPLICATION FOR ELECTRICAL. PERMIT
- .I hefeby emrm that I r�'A ceritfloete d consent to self-Ensure, -
or a csrtljgate o! Compensation Insivanoe, or a oerWflod COUNTY OF LOS ANGELES BUILDING A14D SAFETY
Dopy thereat(Sec 3800,L eb e)
Pot oy'w: r FOR APPucAHT.To Ptu.r+ ADOF�88
Certified copy b New Reeldentlel Bfdpa 8 Pods EACH NO! FEE LOQ
Certtned ie sled'•with the county txAdfnp trepeoiSon 1 &2-FemRy,Sq.Ft
: — s c
T� NEAREST a,/c-
depar-trner t.- r ftt temlfy s4 Ft aRlDs8 sT.
Date App car{' Reabentw SWtrvrrlrrp Poole' OVAER OR
FFW NAME
CE77CATE QF' 8�+4�KK�,�RJSIWsrL' � MAL
�Q1
YOUEMER:Er Light 8W.—
(17rfs sedtlon need not be borrrpleted M.the ivbtk,ttvdfved-by 20' Cf Y Tel.No.
ry the Total No.� Addltiorrpl ,
•.pemdt is for one hundred dollars(i 100p or iQss_)•
I.oertliy that-in the peffiormr.xa d•the work.-for which this P;rn PLHECK
j
it,Jeeired, I shell not employ any.person:ln.arry manner eo, ae to
beoe sub to the Wix4yers', Lew§- LJpt?t1nG Fl
ornret 20'. I- ADDRESS
pAdditlons]
/6. J 1 Taal fVb Cfil Tel.No.
Date
NOTICE 'T(3 APPLJC4K: ff, After' 'ma";!b-As Cert�ica6e of- Fbced ApptlanGee Over 1 HP PE y i
APPUCANT c*
Exa ption,you ehbuld become ab)ect.to the Work"'G4mp4matbn �— Heete� '61W. � 1/
-.prpvke"of-.the W bor Code, ypu must kxthwtth oorn0y wlth such Ogen Dryer W m- _ ADDRESS . Z d
prdvbiorre--r,lune pprrntt well b-Ddeerned revoked Tb¢ FAU• WJ-L
LICENSED CONTR,ZM1JSDECI.AW1T}ON'.• Hood Fan Other_ CITY a �ov(t - Tel No
I hereby allIrm ttiet I am under..'provWooe CtrapMr'9 Dip Room Atr Conde LrcENaE OR ate. `
(conrnenotrrp with Seodon 70 d DlvWon 3 of the duet>a.a end REG.TJtRBER Z
Rdeealons Code,and hry,Rk*anseerie in ffd force end dteo_ -Power Apparahre-d Largo APplferroee Dt9TRtC7 Na PROCESSED BY
`r ` Lb Cleve �-/a Stze,d type HP,KW,K or Kl94R Fl
uoone� __ Up'b 1 Ind. }Q-
Qyer 1 to 10 Ind. �� uel ineTl[»a - C7
Over 10 to 60 Ind FINAL - -
❑ I rir,omrpt_under Seo. Over 60 to 100 Inc. BY W
RAP,(',for this reason Over 100 (n
_ - SwAom Swbd,WGC& Panel , - ?
DOECO-20-Q An-p.Under 800 V
2oi ; idoo Amp t,Jrder so0 v'
- Ower 1000 Amp-or Over 800 V
❑` Exemption for Rep.Mahn:Etat _
.SINGLE FAMILY Tamp-Pp, r Pole;S Appurtnnerroee 2
HOME OWNER-WLDER DECLARCI N Sign with Che Orw&CtrouttAG ANT.
I hereby efiYm that I em exempt from the Contractors Lloenee Law
far the folbwlnp reason(Sedbm 7031 Z. Budnam and Profes�onc Additiorrel Slpn Brerph Caroafts -
Code): 3307 136.$4
❑ 1,as owner of the prop",w11-do the work and the structure M]ec Conduttn s C«dtbbora ' 1 ITEnS
Is not trlefded or offered for gale (section 7044, Bustneee _' gtt,er:(See Conpiete Fee Sol- le) _ TOTAL- - 136-.80 .
and Protessl r>a Code). C#Eq4 136.$0
CONSTRUCTION LENDING AGP4CY
I berebr affirm thpt th6m b a oorobuotion lending agenoy'for the
performance o#,tho work for whlch d*penmlf,fg lsoued(Sea 3097, RERMIr FEE (Sub-Total)
Ctv.a)•
PLAN CH> C}aN0 FEE 0000-MOI 4/16/
Lenders Name -_- � J�► r��ry��•y�
PERMIT WUNG,.FEE �+ V J LV 1 AM 9:28
Leaders Address
i owdfy that I have reed this apphoebon and.slate that the above TOTAL FEE _
hformW-la correct. I eprIbe,t? oornoly with all County orqnanoea
and State laws rgpdafinp Ebobioel whiny, and hereby .aWtortre
repreeonta Yes d this County to eater upon the'abo%e-mentioned
Irrepeation SEE REVERSE FOR EXPLANATORY LANQUA13E
sipre lttee Date