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Home My Public Portal About9244 GARIBALDI AVE_Electrical__74.1 63-,CES.06 rt-7I APPLIC TI FOR ELE TRICAL PERMIT LJ C6UNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING ADDRESS Z yy 6 C d/ BUILDING AND SAFETY DIVISION uTY �mREST FOR APPLICANT TO FILL IN S ST, OUTLETS NO, EACH FEE -7 3 s s OWNER RECEPT. MAIL FIRST 20 ,y� ADDRESS Z 6 L. LIGHT TOTA "v CITY TEL NO. �= SWITCH OVER 20 .f0 y PLAN HECK LIGHTING 1 TOT FIRST 20 5- 2 C APPLICANT IFIXTURES OVER 20 .10 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE DRYEA_WTR. HTR._ APPLICANT ^-� -e- STA. COOK DISP. F.A.U. ADDRESS ,g/,s e- At" - SPACE HTR. / _A[R GOND./ CITY A& 06TEL. N0.3 a5?-6'c06 CLOTHES WASH. DISHWASH. /7 LICENSE NO. 6 6 ��3 CLA83.�-1J FAN OTHER - 1.00 71 I HERESY ACKXOWL[DS[ THAT I HAVE READ THIS APPLICATION I� C/ AND STATE THAT THE ABOVE 12 CORRECT AND AIR[[ TO COMPLY MOTORS TMXS FORM[R1 MTING WITH ALL COUNTY ORDINANCES AND STAT[ LAWS REGULATING IND. HEATERS, ETC. HP. KW. EVA. ELECTRICAL WIRING. SIZE k TYPE OVER TO I HERESY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR O - 1 1pp LICEKSEDAS R8QUIRED SY LOS ANGELES COUNTY AND STAT[ OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 1 - 10 8A0 RESIDE IN, THE ABOVE DKSCRI15ED "SIDEKTIAL PROPERTY. O V SIGNATURE 10 - 50 600 OF PERMITTEE O so— 100 1000 DISTRICT NO. ■/ PROLE [D S 100 - Boo 16A0 n- i Log SIGN, GAS SIGN AND ONE CIRCUIT 6.00 NOTES: Z TUBE, OR MARQUEE ADDITIONAL CIRCUITS IAO 3ERVICENOTOVER600VOLTS OR200AMP a.QD a� APPROVALS DAT[ 1101FIEC'TOWS SIGNATURE SERVICE OVER BOO VOLTS OR 200 AMP 10 TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 6.00 TEMP LIGHT OR RECEPT. SYSTEM 3.00 UNDEASLAB WORK ROUGH CONDIUT WIRING (j Q FIXTURES i POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED ' PLAN CHECK FEE +7 d T FINAL - • r3 ` PERMIT ISSUING FEE 3.001 V TOTAL FEE / PLAN CHECK VALIDATION CR. M.0. CASH E MM14 VALIDATION CK. M.O. CASH ,,t, f { ;T_ 3 4 7 3�3 4f 2 D 1 4 .6 5 Q SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE W°t`EFI;SNom'"°"°E `"T'°" � '°'B1 APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a ate of oornerrt b esti Yr>a<ue, or a certificate d VAxi s' Cornpeneation Ineruance, or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thereof(Sea 3600,1-ab.a) Polloy No Company FOR APKKANT TD Flt IN 109 r1 1 ❑ C.,tf d y ie Y furttbhed. EACH NO. F7 E ADDRESS (�( n New Reaidentlal Bldg".d Poole 1 8 2-FemQy,S4 Ft $ - r S LOCALITY r Cerlffted Dopy is filed.with the courrty buildingthspection _ NEAREST Multi-femlty Sq.Ft DktB Residential SvvimmlW Pools CERTIFIOATE OF EXEMPTION FROM WORKERS' Outlets:Reo— Lit yw MAL r CAMPENSATION INS13RANGE ADDRESS 9 Mile section need not be completed 9 U»work Irrvd by the Feet 20 peantt'le for one hundred doLlara($100)or less.) Total No,-J— Addttbriel CTT1 c Tel No�� PLAN I oertffy that In the perforrnenoe d the work for whiah thke permR APPLICANT is Isared, I aha➢ not employ any person In arty manner so as to beoorrhe eub)ect to t#ie'Vlbrlcera' Lawp IJgtrtlnp Fbchrree First 20 ADDRESS r Total No. CITY Tel Na Ftmd AppWr bm Not Over 1 HA PEFMT NOTICE TO APPLICANT: If, atter maldng Chia CertfyloaLa of Emmptlon,you ahaidbecornb a*.lot to the Workers'Cgmpeneefbn fie— Heater— QW — APPLICANT provbbrm of the Labor Code, you.muet forthwkh comoy with such Ogen _ Dryer_ WM_ ADDRESS provbbrm or this permit shell be deemed revoked. Top. — FAU _ WJ-L _ CTTYTel.Na LIC LASED CONiRAMRS DECI-AFIKl O Hood — Fan — Other_ UCENSE OR I hereby affirm that I am 6oeneed under orwbiorhe of Chapter 8 Dlep. _ Room Air Cond, FEG.NReE cisw (oommerrcng with 8ecdw 7000) of DMaJon 3.d thR Business and Proleealone Code,and my Ikorna b In full fmoe and effectPower Apparatus A Large Apdbr co T dcT LA0`./ L- Slze&Type HP,KW,KW�or KNAR r 8 Lioerme Number Lk--Casa Up to 1 Incl RNAL Over 1 to 10 Ind. NAILIDATION ODATE Contractor Dice ver 10 b 60 Ind. ❑ I am e.rpt under Sea r Over 60 to 100 tib. BY _ Over 10o BAP.C.for thio reasonV! Services,Swbd,MCC d Par"boards Date: 0-200 Amp.Under 000 V SV-b— y 201 - 1000 Amp.Lkder 600 V Over 1000 Amp.or Over 600 V' r ❑ Ezemptbn for Rep.Malnt.Elect. SINGLE FAMILY Temp.Power Pole 8 Appurterww)ee HOME OWNER-BUILDER DECLARATION Signwfth One Branch Circuit � 13.90 I heret7y affirm that I am axerr>pt from the Contractor's L-loen"e Law A&Hor sl Sign Branch Grafts 1 ITEMS for the kAowfng realm(Section 7031.6,Bu 1rosa and Code): TOTAL 13.90 Mica Condutin d Conduotore I,as owner of the property,will do the work and the atnroture Other(See Cornple6a Fee Soh dule) CASH 13.90 . Is not Intended or offered for sale (Section 7044, Byafness Ik and Profeaabrm Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a oonst action lending agency for the ��y�_�yy� perbrmiance d the work for which&J13 permit b hared(Sea 3097, PERMIT FEE (SutJ-Total) LRJIJV-LrLIV 1 5/14/90 art c.). ' PLAN CHECKING FEE 0659 1 A�111:00 LJ "Nems 3 a NO FEE' PERMIT ISSUING FEE . . Acidnam Icertify fb I a dud I have reed this appation and eta te that theabove TO-GkL FEE 3 � 000D-"1 x/14/90 Information is occect. I agree to comply with all County ordinances and State law" reguL&&Q Electrical wlrtng, and hereby autfbrtre ' 7 AM11:01 repreaerdetivee of this Cormty to enter the above-mentioned her In on p"rpOa°e SEE REVERSE FOR EXPLANATORY LANGUAGE _ NO FEE Sionalure Date 0�0-{10101 5/14/90 1711"1 '] A,w 4 4.A4 WQRKES COMPENSATION DECLARATION 76A663 10,81 APPLICATION FOR ELECTRICAL PERMIT -1 hereby at ffirm Kat I have a certificate of consent to self Insure, or a certificate of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C.) LI Policy No. Company FO APPtX NT TO 19LL FN Polr Certffied copy Is hereby furnish New Residential Bldgs. 8 Pools EACH NO. ❑ 1 8 2-Famll Ft. s — f LOCALfTY Certif��Appllcant the county building Inspec- Y. Sq. tlon dMulti-family Sq. Ft. — CROSS Residential Swimming Pools Date OWNERN R ' CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec� Ight Sw.� FIRM IJ �b ` 1 � COMPENSATION INSURANCE Flrtt 2f1 7 ` (This section need not be completed If tha work Involved by Total No Additional C r Tel. No. the permh Is for one hundred dollars (;100)or leas.) I certify that In the performance of the work for which this PL's'N CHECK permit Is Issued, I shall not employ any person In any manner APPLICANT so as to become subjed to the Workers'Compensation Lighting Fixtures First 20 S ADDRESS Total No. - Additional Date ` /JF� pllcant Cfll' Tel. No. C NOTICE TO APPLICANT: If, after making this certlflcaFixed Appliances Not Over 1 HP te of gppLkw So Ydm rS Exemption, you should become subject to the Workers' Range_ Heater_D.W. — Compensatlon provisions of the Labor Code, you must forth- Oven _ Dryer _ W.M._ ADDRESS 42. with comply with such provlslons or this permit shall be Top FAU —W.H. — deemed revoked. Hood Fan _Other— CITY Tel. No. LICENSED CONTRACTORS DECLARATION _ OR I hereby affirm that I am licensed under provisions of Chapter 9 Dls p' Room Air Cond. �� U�REG. NUMBER Class (commencing with Sectlon 7000) of Division 3 of the Business Power Apparatus 8 Large Appliances DISTRICT NO. 7�7� and Professlons Code,and my license Is In full force and effect. �y Q Size 8 Type HP, KW, KVA, or kVAR License Number I Ic. C1 Up to 1 Incl. FINAL L Over 1 to 10 Incl. DATE VAUDATION U, Contractor Date Over 10 to 50 Incl. FINAL ❑ 1 am exempt and C. Over 50t 100 Int. BY a B.BP.0 for s racmonOvor 100 Date: Z Services, Swbd., MCC 8 Panelboards ► 0 -200 Amp. Under 600 V gnatura 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Malnt. Elect. SINGLE FAMILY Temp. Power Pole 8 Appurtenances HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License Additional Sign Branch Circuits for the following reason (Sedlon 7031.5, Business and' Prof Ions Code): 1, as owner of the o Misc. Conduits 8 Conductors prop", will ec the work and the Other See Complete Fee Schedule)— 1100 structure Is not Intended or offered for sale (Section ( p �5 9 7 8.A 7041, Buslness and Professions Code). CONSTRUCTION LENDING AGENCY # 9 0 0 0 0 2 1 hereby affirm that there Is a construction lending agency for J 0 0�1 9,75 the performance of the work for which this permit PERMIT FEE (Sub Total) 0 0 0 (Sec. 3097, CIS. C.). 1 9 7 5 iu PLAN CHECKING FEE 5b 1 1..1 9 8 6 Lenders Name �D PERMIT ISSUING FEE Lender's I that I have read this application and state that the TOTAL FEE e Information Is correct. I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon tis ve-mentioned property or Inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date t WORKERS'COMPENSATION DECLARATION 76A66-3 10/811 1 her APPLICATION FOR ELECTRICAL PERMIT pb�'afflr+9 � I have a certificate of consent to self Insure, or a cart ca of Workers' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified j/copy thereof(Sec. 3800, Lob. C.) Policy n+o._ Company FOR AIKLICAM TO FILL IN Certified copy Is hereby furnished. New Residential Bldgs. 8 Pools EACH NO. FEE _ 1 8 2-Famll f — f LOCALITY Certified copy Is filed with the county building I - Y. S9• �• t�ST J tion rt nt Multi-family Sq. Ft. Residential Swimming Pools ST. Date Applicant OWNER OR '-FIRM NAME lv CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets.Rec LlghT Sw._ L w J COMPENSATION INSURANCE Flnt 20 AWRM /Yr (This section need not be completed if tf»work Imrohred by Total No Additional CITY Tel. N theermh pb for one hundred dollars (;100)or lets.) 1 certify that In the performance of the work for which this PLAN CHECK permit Is Issued, I shall not employ any person In any manner APPU CANT so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 ADDRESS Data Total No. Additional CITY Tel. No. - Applicant NOTICE TO APPLICANT: If, after making this Certificate of Flied Appliances Not Over 1 HP PERNTAPPLICANT Exemption, you should become subject to the Workers' Range_ Heater_D.W. Compensotlon provisions of the tabor Code, you must forth- Chen _ Dryer W.M. ADDRESS with comply with such provisions or this permit shall be Top _ FAU W.H. 1579-7-7 — deemed revoked. Hood T Fan _Other— CI c�J el. N -- LICENSED CONTRACTORS DECLARATION LKS� i� � hereby affirm that I am licensed under provIaIana of Chapter Disp. _ Room Alr Cond. -� RJ=G NS JMBER CI lnr_ J (commencing with Section 7000) of Dlvlslon 3 of the Business Power Apparatus 8 Large Appliances DISTRICT BY apeffect.d Professlons Code,and my license Is In full force and eect. o Q�/ Size 8 Type HP, KW, KVA, or KVAR' License N�umb,4 P56 Llc. Class Up to 1 Incl. FINAL Co/ c-tr�ac�T d'J' `�- pte Oyer 1 to 10 Incl. DAA AT10N ❑ Over 10 to 50 Incl. FINAL _ 1 am exempt under Sec. Over 50 to 100 Inc. BY p B.BP.C. for this reason Over 100 Z Date: Services, Swbd., MCC 8 Panelboards 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. under 600 V ❑ Over 1000 Amp.or Over 600 V Exemption for Reg. Malnt. Elect. SINGLE FAMILY Temp. Power Pole 8 Appurtenances ;2 0 8.1'2 A HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit # o o io o o 2 I hereby affirm that I am exempt from the Contractor's Ucense Additional Sign Branch Circuits Law for the following reason (Section 7031.5, Business and • o211, 00 Profeulons Code): ❑ I, as owner of the o will do this work and the Mlsc. Conduits d Conductors - Perto, Other See Complete Fee Schedule)— , 0 0 62 �` T5 structure Is not Intended or offered for sate (Section ( P ) 7044, Business and Professions Code). � 0,0-5 8 8 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is Issued PERMIT FEE (Sub-Total) (Sec. 3097, Civ. C.). PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE ILI Lender':Address I certify that I have read this application and state that the TOTAL FEE o2lp� above Information Is correct. I agree to comply wlth all County ordinances and State laws regulating Electrical 'wiring, and hereby authorize representatives of this County to enter upon the above-mentioned pro rty for Inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Perm tree Date