HomeMy Public PortalAbout9513 GARIBALDI AVE_Electrical__ 7eAee3A-cEeoeA 4/72 APPLICATI N OR ELEC RICAL PERMIT
! COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
` BUILDING AND SAFETY DIVISION ADDRESS
LOCALITY C
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. D
OUTLETS NO, EACH I FE
OWNER e.
RECEPT5'-- s s MAIL
LIGHT _ TOTAL
FIRST 20 O ADDRESS
CITY TEL. N0.
SWITCH OVER 20
PLAN CHECK
LIGHTINGFIRST 20 �U d APPLICANT
TOTAL ADDRESS
FIXTURES ja I OVER 20
RESIDENTIAL APPLIANCES CITY ` TEL. NO.
PERMIT
RANGE DRYERWTR. HTR._ APPLICANT
STA. COOK DISP.—L—F.A.U. ADDRESS
SPACE HTR, AIR COND. CITY TEL. N0.
CLOTHES WASH. DISHWASH. LICENSE NO. CLASS.
FAN OTHER AAS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AMD [TATE THAT THE ABOVE le CORRECT AND AQP[[ TO COMPLY O
MOTORS, TRANSFORMERS RATIN• WITH ALL COUNTY ORDINANCES AND STAT[ LAWS REGULATING
IND. HEAT"B, ETC. HP. KW. KVA. ELACTR ICAL WIRING.
SIZE 6 TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
O - 1 LICr Na ED AS REpU IR[D BY LOS ANGELES COUNTY AND STAT[ OF
CALIFORNIA OR THAT I AM THE LEGAL OW N[R OF, AND INTEND TO
1 - 10 RKAIDE IN, THE A VE DEB CRIpED RESIDE MTI ROPE
10 - 50 SIGNATURE
OF PERMITTEE
50 - 100
DIBTRICTNO. �CLASS ZONE CE D BY
100 - 500 • 08
SIGN, GASSIGN AND ONE CIRCUIT NOTES:
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS
SERVICENOTOVER 600 VOLTS OR 200 AMP
APPROVALS DATE UtSIPECTOWS SIGNATUiGE
SERVICEOVER 60O VOLTS OR 200 AMP
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL -77
PERMIT ISSUING FEE
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PER T VALIDATION O. CASH
2 .9 3;� 22 1 .79 0 A98
APPLICATION FORrECE6iIkL PERMIT
COUNTY OF Los ANGELES
DEPARTMENT QF COUNTY ENGINEER J013D ADDRESS I Y
N A D Y D V
rILL IN
LOCAs ITY
Now Residentlel Bldgs✓4 Pools SACH NO. FEE NEAREST
ST. V Ls
1 0 2-Fomilly,Sq. Ft T .025 —
o -
Multi-family Sq. Ft •02 — FIRM NAME
Residential SwimmIN Pool. 20.00 L
ADDRESS 9,P.3 Gard to Id j
Outlet: I fight,Swttch & H«xptecl• CITY
First 20 -50PLAN CHECK
Additional •30 APPLICANT
ADDRESS
Lighting Fixture[
Flrrt 20, .50 CITY TgI.,No.
Acld"�[ -30 PERMIT
Fixed Appliance/ Nqt Over 1 HP • ADDRESSo
Range,_HMt°r D.W.T 1'
CITY (".'Ji I.No.
04+6rL_-Dryer_W.M._ ICENSE OR '7"
Top _ F, V, H. —�_�l y EG.NUMBER Cla:f.
Hood_ Fer1
-T" I HEREBY ACKNOWL[D a[ THAT I HAVE' READ THIS APPLICATION
prap_A.C. 2 AND (TATE THAT THE AeOV[ If CORRECT AND AaR[[ T¢COMPLY
1 WITH ALL VUNTY ORDINANCE/ AND JITATF LAWS REaULATINa-
Power &S La Lk lances [ CTRICAL Y(IRINa.
Size&T HP,TCW,KVA, Or VAR I HEREBY CREQUIR THAT J AM PROP[R4Y MaIf TER[D AYE/OR
Type K tICS Na[D A, REQUIRED BY-LOS Alia[L[l COUNTY AND STAVE OF
- Up t0 1 Incl. 2.00 CALIFORNIA OR THA1 I AIA THE Lia AIT OWNER OF THE ABOVE
Over Ito 10 1nci. 5.60 DESCRWED RNWIDE SIAL PROPERTY.
Ovar 10 to 5Q End_ 10.00 tDISTRICT
Over BO to 100 bid. 20.00
Over 100 30•� Q. OCESSEp BY
Servkm W
0- 200 Amp:Under 800 V 12-50 INSPECTOR'S �
201-1000 Amp. Ondar 800 V 25.00 VALS DATE SIGNATURE
Over 1000 Amp. Or Over 800 V .00 R POL_E �.
UNDERSLAB WORK
Tamp. Power Pol°h Appurterwvms 10.00
Sign With Ohe Branch Clryult 1 ROUGH CONDUIT
Addlti ones Sign B ra6ch GKau lts WIRING
(Other) -
F I XTU R ES
POWER AUTHORIZED
UTU-rY CO.NOTLFIED
FINAL-
PERMIT
INALPERMIT FEE (SubTotal) TES
PLAN CHECKING FEE (One-Fourth Pvrmrt Fee)
PERMIT ISSUING FEE :8.00
TOTAL FEF +O
PLAN CHECK VALIDATION CK. M.d. CA>#1I PERMIT VALIDATION CK Mb. CASH
5 3 .4 MA 31-
■t[ MACK Or'APPLICATION FOR COMPLtTK SCH[DL1Lt