HomeMy Public PortalAbout9517-19 GARIBALDI AVE_Electrical__ ,.A", Est 804"0'" APPLICATION FOR CLECTRICAL PERMIT
COUNTY 017 LOS ANGELES �pg
OEPARTMENT OF COUNTY ENQINUER ADD
F
BUILDING AND AF DIVISIO RE$S F
PO ILL I LOCALITY
New Res identlal Bldgs-&Pools SACH NO. FEE ,r
1 &2-Family,Sq.R. b .025 —.1
Multl-family Sq.Ft. .02 RRM NAME 4. l
Resldbntial Swimming Pools
' ��///�� x•00 MAIDL� C �d•�
Outlets: Ugh,,V_Sw.Zil CITY I Tel.Nb.,tg M6
�Q First 2p :50 H K
Total N6. Additional .30 L APPLICANT
ADDRES$
LQhting Fixtures First 20 60 / O 92& C[ry Tel.No. '
Total Nb. �
Additional .30 PERMIT
fixed Appliances Not Over 1 HP ADDRESS
Range_Heater—D.W. CITY AA, Tel.No.
Oven—Dryer—W. GENSE.
Top PAU Z'W_H.T �IEG.NUNIBE0 Class.
.HoodFon AM-Ofher— MREBY I'HAT I HAVE kW TERS TION AND STATE
Diso.
260 THE ABOVE IS OSRE0 AND AGCEE TO OO Y=`OOL?q Y ORDIN-
' Room Air Gond. THATANM AND STATE LAY6 K-Gk"TING ELECTRICAL WIRING.
Power Appgratus&Large Appliances
S zeT HP, KW,KVA,or KVAR I+iEREDY CERTIFY AM PRIJPfiG`L AND LIENS ED AS
101hc1. 6.00
PEWIZED BY lOS COUI•fTY AND Of OR PLAT I AM
Over 1 to
Up to 1 I 2.50 THE LEGAL OWNER OF ABOVE
— Over 10 tq-50 Incl. 1 260 PERMITTEE �C
Over 50 to 100 Inc 25,Q01 S
Over 100 40,00 P E
Serylces rpR 5
—1, 0-200 Amp.Under 600 V 12.60 1 J, APPROVALS I TURF
201-1 000Amp.Under 600 V 25.00
Over 100Q Amp.or Over 600 V 50.po TEMP. POWI<R POLE
UNDERSI.AB WORK
Temp. Power Pole&Appurtenances 10.00
Sign with One Branch Circa t 10. ROUGHCONDUIT
Additional Sign Branch Circuits 2 WIRING
Mi3c.Conduits&Conductors 10.00 FYXTURES
Other(See Complete Fee Schedule) POWER AUTHORIZED
UTI UTY CO.NOT-1 FI ED
FINAL r 7
PERMIT FEE (Sub-Total) NOTES
PLAN CHECKING FEE (One-Fourth Permit Fee)
PERMIT ISSUING-FEE $7,00
TOTAL FEE •�-
f%XN CHKK VALIDATION CK ratio. CA51-L PoAVT VALIDATIOk _CK M.O. CASH
a 3 0-7906-2 -776_u s �•
SEE BACK OF APPLICATION FORCOMPLE-M SCHEDULE! .-'-
TION
"f�BC°'" Rate oE nt to 20-001°DPW 61BB APPLICATION FOR ELECTRICAL PERMIT
I tfereby affirm that I have a certlflcate of consent to self insure, 7ME03
or a oerthlcate of Worker's Compensation Insurance, or a certified COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS BUILDING AND SAFETY DIV.
copy thereat(Sea.3600 Lab.C.)
Polcy No. Company FOR APPLICAW!"TO F111-1-N jWS I 1 L t A-Ve"
CertlTled copy Is hereby fumtathed. EACH �. � ADMM UOCALfTY ; G�
Now Residential Bkiga.8 Pools
- 1 S 2 famRy,Sq.Ft i r r = nn-
dapered Dopy b filed with the county txfVding trupection �E/l1 P L E✓ l,L^ D
depervrherrL Nuttl-t.rnfly$q.Ft — I (3 1-11
Date Appla" Heeldentlal 8wimnUrQ Pooh ASSE86CR
MAP BOOK( PAGE I I'Mca
CERTIFICATE OF DCEMPTION FROM WOFIKFRS' OurdeW Rec.—Light Sw. OWNS OR
COMPENSATION INSURANCERrat 2D FFIA NAME r N I> lo
(This section need not be oompletod tf the work Involved by the MA[
permit M for ons hundred dollars(1110%or less.) Total No, Additional ADDRE88
I certify that In the performance of the work for which this permit CITY
Is Issued, I shell not employ any person In any manner so as to PLAN
become subject to the Workers' ompensation Laws. Lightlng Fixtures Rrat 20 AAP?L)�
C
Totai No. Addttlon d
ADDRESS
Data Appfbutt 16 OR 20A 120V BRANCIi GRC11rTS
NOTICE TO APPLICANI'-. If, after making this Certificate of CITY Tel.No.
Exerrptlon,you should become subject to the Workers'Compensation 1 TO 10 INCLUSIVE EACH
provisions of the Labor Code, you must forthwith comply with such 11 TO 40 INCLU8fVE EACH A yorr � 0 R APIN t r SU 0 p
provisions or this permit shall be deemed revoked. 41 OR MORE BRANCH CUAWITS EACH
LICENSED _ qSl C 16 }LD I }
I hereby affirm that I em licensed under provisions of Chapter B 16 OR 20A„20BV TO 277V UGFIT INO EACH d
(commencing with Seatlon 7000) of Dtvlslon 3 of the Business andCtTY`r�ym Q TsLHo•
Profeeskxu Code,end my license le In full force and affect RESIDENTIAL APPUANCE8 lR TO 3HP LKA94M OR
V
P—Apparatus b Large Appliances. REG.NU�rI� a..a
License Number LIC.Gave Stze S Type HP,KW,KVA,or KVAR DteTwCT y0.
Up to 3 Ind: Jr C W
�� Data Over 3 to 10 Ind. F94ACorrtra.
Oyer 10 to 60 Ino /—rig 4 7 Z
❑ I em exempt under Sec. Over 60 to 100 Ind. v t (J VAIJDATFOfi
PDiAL
B.BP.C.for tw reason Over 100 av
Services,Bwbd.,MCC&Parrelboards
Dom' 0-200 Amp.Under 600 V
Signabure 201 -1000 Amp.Under 600 V
❑ Exemptlon for Reg.Malrrt.EiecL Oyer 1000 Amp.or Over 600 V
r r}
SINGLE FAMILY Temp.Power Pole 8 Appurterwrhoes i
HOME OWNER-BUILDER DEC1-ARATION
I hereby affirm that I am exempt from the Contractor's License Law with One CIrctrR ANT
for the following reason (Seotlon 7031.6, Business and Profe"iona Addttbrui Sign Branch Grcufts � 4.10
Code):
I, as ownererty
er of the prop ,will do the work and the etruaiure MISC.Corxkfte&Conduofora 1 ITERS
Is not Intended or offered for sale (Section 7044, Business Other(See Compfele Fee Schedule) TOTAL 44- 10
and Professions Code). , 4L 1.1�
CONSTRUCTION LENDING AGENCY CHECK t�
I hereby efflrm that there Is a construction lending agency for the .
�� {
performance of the work for which this permit Is Issued (Seo. 3007, PE Mrr FEE (Sub-Tota])
Ctv. C.)
PLAN CHECKING FEE 8/21/9.,Lenders Name
PERJArr ISSUING FEFZ X140 1 Ali 7:54
Lender's Address
I oerttfy that I have read this appllcatlon and state that the above TOTAL FEE Q
Information le correot. I agree to comply with ell County ordlnanoes
and State laws regulating Electrtoal wiring, and hereby authorize
representattves of this County to enter upon the above-mentloned
property for Inspoctlon p SEE REVERSE FOR EXPLANATORY LANOUAM
p( -a I—�fi2
COUNTY OF LQS A1QURLEa T124PLE CITY # 0508 EIECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RL 0508 1205020031
BUILDING AND SAFETY / LAND DEVELOPMENT - TEMPLE CITY CA 91780
PF[ : (626) 285-0488 EXT:
LROAL ID: FEES PASA B=INQ ADDREISS:
ON FILE
9519 (3ARIBAinI AV
FEE DESCRIPTION: QUANTITY: DON: AMOUNT: TETE CA 917801650
ASSES90R INFORMATION NUMBER: �' NEAREST CROSS 9TR.EE'T: TF3,= CITY .
5385-008-014 Al PER4IT ISSUANCE F'ER .. 27.80 TAC14A.S PAGE: 596 GRID: J2 LOCAI=: TEMPLE CITY, C
G1 OUTLL-rS-LGT,9Wf,RECP 10.00 OUT 20.00
TENANT: G2 L.TGFrl'IRG FIXTURES 5.00 LOT 10.00 ISSII® ON: PRDCF59ED BY: PLAN BY:
TOTAL F'E&9 57.80 05/02/12 SR
OWNER: TEL. NO: _
'E F119ALZY: CODE:
YEN, GILBERT
(626) 203-9554-
9519 GARIB LDI AV
TEMP 917801650 J&CRIPTION OF WORk
ADD 10 OUTLETS AND 5 LIGHT FIlTURFS
APPLICANT: TEL. 190:
CHAN, TERENCE (626) 379-4900-
560 W. MAIN STREET
SPECIAL COUIDITION9:
AlkDU4RRA CA 918-01
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
TANTPRT[ INC. (626) 379-4900-
560 W. MAIN STREET #0278 - LIC. NO TEMPORARY POWB{Z POLE
ALHANBRA, CA 91801 668443-B
UNDERGROUND CONDUIT
ARCTfITECT OR ENGINEER: TEL. NO: UFHR GROUND
LIC. NO:, RCDUGE CONDUIT
ROUGE WIRING
MAIN WATER LENS
PLASTIC YIN METAL YIN
-'iUtILITY COI[PANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: B80508