HomeMy Public PortalAbout9243 GARIBALDI AVE_Electrical__ APPLICATION R ELECTR AL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO PILL IN ��RES$ A r`
New Residential Bldgs.&Pools EACH FEE L
1 &2-Family,Sq.Ft. S .025 S LOCALITY tmOzy
Multi-famlly Sq. Ft. .02 —
NEAREST
Residential Swlmrhlnq Pools 25.00 ST Q S
wol
Outlets,Re ' Light . Sw.�. IL C
First W .50 -ADDRESS
Total-No. Additional .30 CIITTY T- L4F Tel.No.24?_-ZA-03-6
p
` PPNICAN7K
Lighting Fixtures First 20 •50 ADDRESS
Total No. Addltionol
CITY Tel.No.
Fixed Appliances Not Over 1 HP
A PLICANT - T�1
Range_Heater_D.W. _
Oven_Dryer_W.M ADDRESS
Top —FAU — W.H._ GTY T.I. No.y�f��
Tiood_Fan —Other LICENSE R
Dksp._Room Alr Cond. 2.50 REG.NUMBER Gass.���
I HEREBY ACKNOWLEDGETHAT I HG.
AVE READ THIS APPLI -
Power Apparatus&Large Appl lonces TKNI AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
Size&T HP, KW, KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAMS
REGULATING ELECTRICAL WIRING.
Up to 1 Incl. 2.50
I HEREBY C�RTIFY•THAT I AMPROPERLY RfGISTERfD AND/OR
Over 1 to 10 Incl. 5'0-0 L}CENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
Over 10 to 50 Incl. 12.50 CALIFORNIA
DBJHAT PRM THEY LEGAL OWNER OF THE ABOVE O
Over Soto 100 Inc 25.00 DESCRIBED
Over 100 40.00 PERMIT EE
S GNATURE
Sarvkm DISTRICT NO. D BY
0-200 Amp.Under 600 V 12.50
201-1000 Amp. Under 600 V 25.DO
Over 1000 Amp.or Over 600 V 50.00
Temp. Power Pole&•Appurtenances 10.0.0
Sign w}th One branch Circuit 10.00
Additional Slgn Branch Clrcults 2.00 INSPECTION
lo.00 INFORMATION
Misr-Conduits&Conductors ON REVERSE
Other Isee Complete Fee Schoodule) SIDE 10461 A
#.000oo2
PfiRM1T FEE ISub-Total) '
2oo15i50
PLAN CHKKING FEE Ione-Fourth Permit Fee) oo015506
Feel O
PERMIT ISSUING FEE 57.00 =� 09.25-78
TOTAL FEE >
INSPECTION FINALED
date.
TeAee3-cEe0e110-es APPLICATIO FOR ELECTRICAL ?EMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER eu1LD1NG 't $AL�
BUILDINd AND SAFETY DIVISION ADDRII" //
JOHN A. LAMBIE, COUNTY ENOINEIER /1
WILLIAM A.JEN0EN, Sur-r or NuILDINa LOCALITY
N EA R[ST
V01i APPQCANT TOM" IN CItOp ST. .
la4ar. TOTAL No. /�L
LIGHT OUTLETS FIRST 20 -Fj �f $SO + t&QUCENeff
NER %'. fJ'
LQ
7 ADD' RESS 4Y a
SNIT[H.3D � OV[R X10 i't .10 2
LIGHTING 1 TOTAL FIn•t 20 .20 � el/ TM- NO.
.FIXTURES Jf o AD
to + CTRICIAN Wirt E/�e -Ir//C CO /
IIAN•MB CL.O.DRYI" WTa.HTIM- 1.00 RE" 1516 16Q !G 0.0 T AVe .
aids DIS. rrw coon 11 -folkT� NO. L L 70275
DIS}IMASH. ,' AERO.-MASH. TE 77� .
29TA.Arr.(u Hr.MAX.) .e0 3 NO.
•
MOTdR8, ovice NOT OVKR Hr. DI CT Q ESSED B
o t 1.00 (�
7 Lix I
I a 1.eo INSPECTION RECORD
a e 9.00
H to 2-60
15 e0 3.00
e0 100 3.00
SIGNS, NO.TRANS.
N0.LAMPS
SERVICE O-eOOV-NOT ovoe YOGA 1.00 A
010WICE O-e00V-OVoe 100 A. 9.00
QMRVICH ovtlm 6001V 5.00
MIG[.
rERMIT ISSUING FEZ 1.00 -Q.,00
SUPPLEMZNTARY PERMIT ISSUING FMR 1.00
TOTAL FEE �/
I "I"Y 11C"OWL113Qs THAT I HAVs READ THIS lLJCATION APPROVAL@DATE
AND STAT[ THAT THE MOVE 10 CORIRCT AND AQPMZ TO COMPLY CONDUIT
WITH ALL CQUN Y QRDINANCtS AND STATS LAWS Rs4ULATING
ZUECTRICAL V"RIN4 WIRING
f 1 HAY CERTIFY THAT I AMM rWOAILY IMOISTMRD AND/OR
LICM44MDAS REQUIPMD BY LOG AHQLrB COUNTY AND •TATs Or FIXTURE
CALIFOIWu H
OR THAT I AM THE LSaAL OV►►tICR OF THS ADOVX
DSSCAISED FRSrUIDMAL PRO`3rrY. POWER
OF NATURE 5 `4C, "�C • UTILITY CO NOTIFI
FINAL
IDATION ARTHUk C. vmT
MO CASH 8UP[RVISING ERICA
LZCTL LNGINXXR
CK.
99834 MPI 0 2 0 19.40., 4
APPLICATION FOR ELECTRICAL PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN JOB �j //
New Residential Bldg&& Pools EACH NO. FEE ADDRESS �7 —/ hQl
1 &2 Finally Sq. Ft. $ — $ LOCALITY �1
Multi-famlly Sq. Ft NEAREST
Residential Swimming Pools CROSS!
OWNER
ROSSSOWNER OR �n
FIRM NAME 4 A
Outlets: Light, Switch&Receptacle MAI L
First 20 ADDRESS
GAAYke- A'S
Addltibnal CITY Tel. No.
PLAN CHECK
Ughting Fixtures APPLICANT
First 20 ADDRESS
Additional
CITY TSI. No.
PERMIT
Fixed Appliances Not-Over 1 HP APPLICANT ,/ G
Range Heater R
D.W. ADDESS /r
Oven Dryer W.M
Top FAU W.H. CITY ATAC,5,1 11 T.I.No.
Hood Fen LICENSE OR 3
Disp. A C REG. NUMBER Z CI do
/iH 5 0=
I HIRI.Y ACKNOWLIOOI THAT 1 HAVI RSAD THIS A—LICATION Q
AND ■TAT■ THAT THI A.OV. If CORR.CT AND AOR.. TO COY►LY
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANC.■ AND ■TAT■ LAWS R.OULATINO y
Size&Type HIP,, KW, KVA,or KVAR .L.CTRI AL w1e1No. CL.
Up to 1 Incl, - 1 HIRI.Y CIRTIFY THAT I AY FRO"RLY R.OI.TIRID AND/OR
Over 1 to 10 Incl. LIC.N..D A. RIO UIR ID ■Y L.. ANO.L.■ COUNTY AND /TAT. OF
�y'Ve �(� CALIFORNIA OR THAT AN THI L.OAL OWNIR Or THI A.OVI
_,Over 10 to W Incl. D./CRI..D RIIIDINTI IR OII RTY.
Over 50 to 100 Incl. PSRMITEE
Over 100 SIGNATURE
I TRICT NO. ROCE D BY
ServICEO %
0-200 Amp. Under 600 V 57
201 - 1000 Amp. Under 600 V APPROVALS DATE
SIG TUBE
Over 1000 Amp.or Over 600 V
TEMP. POWER POLE
Temp. Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circult
Additional Sign Branch Circuits ROUGH CONDUIT
(Other) WIRING — ��
FIXTURES IO
POWER AUTHORIZED
PERMIT FEE (Sub-Total) ;4F
TILITY CO.NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Fee) INALPERMIT ISSUING FEE
OTES
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. • M.O.
639 . 18 2D 12.90i5�