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Home My Public Portal About9711 GARIBALDI AVE_Electrical__ 7GA663 DBS SA ,f-5o APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ELECTRIC 1 COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN RECEIVED BY READY FOR DATE ISSUED ADDRE FIRST INSPECTION .. CITY TEL. NO. COU O. EXPIRES BUILDING PERMIT FES ADDRESS FEE NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST CROSS ST. RECEPTACLES WALL SWITCHES D OWNER ,a. TOTAL OUTLETS Sc $ MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL. NO. FIXTURES 5 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPEaTY DESCRIBED BOV 1/2 &LESS I $ .25 Ij SIGNPATUR OF ERM so 2 5 1.00 INSPECTION RE 5 15 1.50 15 50 2.50--- 50 .5050 200 5.00 200 500 10.00 J Ell 500 1000 15.00 Q Z OVER 1000 20.00 M. G. SET/FREQ. CHANGER-HP WELDERS: AC-KVA 0 GENERATORS-KW TRANSFORMERS-KVA TEMP. MOTORS (75%OF ORIG.) MOVED MOTORS (75%OF CAM.) MISC. SIGNS NO. NO. TRANS. APPROVALS NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: WIRINGI CONDUIT $1.00 FIXTURES $1.00 WIRING SUPPLEMENTARY .50 I FIXTURES POWER TOTAL FEE $ UTILITY CO. NOTIFIED FINAL 76A663-CES06-11-31APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS CA SATOHNT D. GRIFFIIN, Supyt ofg neer Building LOCALITY NEAREST FOR APPLICANT TO FILL IN cRoss sr. WCR !? PERM FEES /f� ) �/ ITEM NUMBER EACH FEE OWNER MAILQ 1 1N '(iL�' OUTLETS: S S / ADORES C !l� (7 ' L LIGHTS RECEPT. SW. .10 LIGH TURES .10 CITY (_. L C c/! TEL.NO. /� ELEC.RANG CLO.DRYERS ELECTRICIAN ( ✓ ��,J Er WATER HEATERS .50 ADDRESS ELEC.SPACE HTRS. DISHWASHERS GARBAGE DISPOSERS AUTO.- CITY TEL.NO. WASHERS STA.COOKING UNITS .25 STATE LICENSE NO. MOTORS: OVER INC. H.P. _ O — I/2 .25 DISTRICT GR /VNE READY FOR INSPECTION I/2 — 2 .50 2 - 5 1.00 INSPECTION RECORD �p 5 _ 15 1.50 15 — 50 2.50 I - 50— 200 5.00 SIGNS: NO.TRANS. ^ , NO.LAMPS SERVICE 0.600V 1.00 SERVICE OVER 600V 5.00 / J MISC. WIRING PERMIT 1.00 JAND/OR J- t : / J r FIXTURE PERMIT 1.00 -I' '- -/ ! ,- t1 �r_j0 ' SUPPLEMENTARY PERMIT .50 TOTAL FEE g ?r r /APPROVALS-.– 1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLDATE , INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO ONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REG ELECTRICAL WIRING. IRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND SIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THEOWER DESCRIBED RESIDENTIAL R P RTY. //_SIGNATURE / lY l �. TILITY CO.NOTIFIED _Z TOF PERMITTE ' � , INAL 112 VALID ARTHUR C.VEIT. SUPERVISING ELECTRICAL ENGINEER CK MO CASH A4695N SEP11 2 A 2.60 �' Q QOUKTY OF LOS ANGELES APPLICATION FOR PESMTt D@partMW31 of County EnonewELECTRIC 1 DIVISION OF BUILDING & SAFAFETY WILLIAM L FOX. aunty Eudauw FOR APPLICANT TO FILL IN DISTRI GF! Z Q PERMIT NO. It fiLCT fiRICIAN 113 413 2- R[C[IREADY FOR m ADDR[BS FIRmT INJECTION CITY TEL NO. 00 IR[6 ■UILDINS .PE31BUT ADD Rif! Fu NUMSIER CA13H LOCALITY LIGHT Outi-c 7 NEAREST R[C[PTAOROMLES D WALL 3WIT13H0 OWNER TOTAL 0uTL[T7 BD MAIL [LIED. RANGES 28 ADDREM [LSO. HEATERS 98 CITY TEL Na FIXTURO ■ 1 HERESY ACKNCWL.IDO[ THAT 1 HAVE READ THIN APPUCIATION AND STATE THAT THE ASDV[ IN CORR[OT NUMBER OF LIGHT OIROUITIN AND AGRQ TC COMPLY WITH ALL COUNTY ORDINANOIEA NUMMER OF REOEPTACLK CIROUP77 AND MTATE LAWS RLOULATINO R.ICTRIOAL WIRING, MOTORS I CERTIFY THAT I FCSS THE MOVIE VALID LAA NUMt11 HORB[POWER Fill ANG[LXB COUNTY LIO[NSE. OR 1 AM THE MAL OWNER NEW Mw. Hr Dvcw INC. [Aare OF THE RLIENP IDTI RD DESCRIBED A AL w 6 L .9 ■I O NATL RI O F ya a .60 P[RJr s s 1.00 INSPECTION RE f is 1.60 16 no 9.613 60 900 s.00 200 Boo 1D.DO J 6O0 1000 16.00 Z OVER IOfI] 90.DO Q M.O. ■R FR CHANGER-HP WillD[RSIAD-KVA O O[N[RATORE - KW TRANSFORMERS TEMP. MOTO (76 OF owls• MOVED M F J. MIB N9 No. NO.TRANS. N o. APPROVALS FDR H F[RMITI DATI INSPECTOR'S NAM[ WIRING 11111.00 CONDUIT FIXTURES 411.00 WIRING ` RUPPLEMEKTARY 1513 F I XTu Rif POWER TOTAL FEE: • � LIrILITY OC.NOTIFIED f /V��.• �==-•-r/�' FINAL V'• t . 7&A"M DM#BA a-aa WORKERS'COMPENSATION DECLARATION � Io/el APPLICATION FOR ELECTRICAL PERMIT I hereby aff .m feat.{,have a tertlflcate of consent to self Insure, ti a Eeriiy the of (Sec. s' Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof (Sec. 3800, Lab. C.) Policy No. Company POR APPUCAM TO RU IN JOB Certified copy Is hereby fumished. Egal NO. Fg ADDRESS New Resldenttal Bldgs. 8 Pools Certifled copy Is flled with the county bullding Inspec- 1 8 2-Family, Sq. Ft. _ — f LOCALITY tion department. Multi-family Sq. Ft. — C O� Residential Swimming Pools ' Date Applicant OWt.ER OR FIRM NAME /C/C d' CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets: Rec Light 'Sw._ MAIL COMPENSATION INSURANCE MPESS (This sedfon need not be completedm If the work Iohred by FIrYt 20 , the permM Is for one hundred dollars ($100)or lea.) Total No Additional CITY Tel. No.�87_S3 I certify that In the performance of the work for which this NAN CHECK permit Is Issued, I shall not employ any person In any manner APPt KANT to as to become ubjecl to the Worker Compensation Laws. Lighting Fixtures First 20 ADDRESS Additional Total No. Cil el. No. Date Ilcant Fixed Appliances Not Over 1 HP FERh�T NOTICE TO APPLICANT: If, after making this Certlfl a of APPLICANT Exemption, you should become subject to the Worker' Range_ Heater—D.W. Compensation provisions of the Labor Code, you must forth- Oven — Dryer — W.M.— ADDS with comply with.such provisions or this'permit shall be Top _ FAU —W.H: deemed revoked. CITY Tel. No. LICENSED CONTRACTORS DECLARAPC>N Hood _ Fan _Other_— Room Alr Cond. LKS hereby affirm that I am licensed under provblons of Chapter 9 Dlsp. _ OR REG. NUMBER Claes. (commencing with Section 7000) of Division 3 of the Business power Apparatus 8 Large Appliances DISTRICT NO. Y and Professions Code,and my license Is In full force and effect. /� Size 8 Type HP, KW, KVA, or KVAR' � C!0 / / License Number I Ic. Claes Up to 1 Incl. FINAL Over 1 to TO Incl. DATE 4 VALI TFOM ContractorDateDate Over 10 to 50 Incl. U FI I am exempt under Sec. Over 50 to 100 Inc. 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. cr Over 600 V Exemption for Rep. Malnt. Elect. SINGLE FAMILY Temp. Power Pole 8 Appurtehbntes HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit / I hereby affirm that I am exempt from the Contrqctor's License Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits Professions Code): INOW I, as owner of thepr operty, will do the work and the Mlsc.Other Conduits 8 Conductors See Complete Fee Schedule)- .3 b LI .1 A structure Is not Intended or offered for sdie (Section ( P. ) , 7041, Business and Professions Code). ► # 0 0 0 a 0 2 CONSTRUCTION LENDING AGENCY 1 0 0 2 5 5 0 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) 0 0 0 2 5 5 O 9 (Sec. 3097, Civ. C,). PLAN CHECKING FEE 1 2 11 —85 Lender's Name PERMIT ISSUING FEE Lender's Address I certify that I have read this application and state that the TOTAL FEE S ; above Information Is correct. I agree to comply with all County ` ordinances and State lows regulating Electrltal wiring, and hereby authorize representatives of this County to enter upon the abovementloned property f Ion purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature o Permlttee6crte f - •. y • .. f-7-T--- - COUNTY OF LOS- ANGELES TEMPLE CITY tECTTRIC111_ f0kh DEP�RRTMIENT OF PLBLIC WORKS 9071 LAS TUfAS 08 47090r0034 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA ----'� PRONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID E§3: ON FILE 1;F sGAR( IAV FEE DESCRIPTION: QUANTITY: LION: AMOUNT: ' .- A40 NtAREST.' --STgEET: GOLT WEST 5385-020-017 Al PERMIT ISSUANCE FEE 27.75 TFbtn-:PAGE4-597 GRID: A2 LOCAI,ITY: TEMPLE CITY G1 OUTLETS-LGT,SW RECD 65.00 OUT 99.75. G2 LIGHTING FIKTUkES 13.00 LGT 25.35 ISSUED PROCESSED BY: PLAN BY: ExPTWE9-W-- LA 100 AMP PANELS, MCC 1.00 PAN 38.85 09/05/97 . VT D9/05/98 . OWNER: TEL. NO: TOTAL FEES 191.70 FINAL DATE FI COPE: 9711GARIBALDI;AV CHU RCILIA Y (ODO) 000-0000- T EMP 917801740 DESCRIPTION`! ELECTRICAL FOR NEW ADDITION AND NEW ELECT. SERVICE UPGRADE APPLICANT: TEL' NO: P N P ELECTRICAL CO. (818) 280-9112- SPECIkL CONDITIONS: LE CONTRACTOR: TEL. NO: ALS SIGNATURE P N P ELECTRICAL CO. (818) 280-9112- 1s DATE INSPECTOR 416 N NICHOLSON AVE B LIC. NOTEMPORARY POWER POLE MONTEREY PARK CA 91754 514007 C10 l rid ;,`� s � ARCHITECT OR ENGINEER: TEL. NO- LIC. N0: FU Nom' pp . n g--- 'I�A� + a ~aa PLASTIC Y/N METAL Y/N ` .4T _r REPORT ID: DPR265 ROUTE TO: RS0508