Loading...
HomeMy Public PortalAbout9803 GARIBALDI AVE_Electrical__ 76A663-CE,r,6 4=68 APPLICATION FOR ELECTRI �LP MIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER rA =ES QUILDING AND SAFETY DIVISION P J A A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY A T NEAREST //�� FOR APPLICANT TO FILL IN CROSS ST. (� NO. EACH FEE RECEPT._ MAIL $ $ OWNER LIGHT TOTAL FIRST 20 .20 ADDRESS 0 Q SWITCH OVER 20 .10 CITY' 4,j TEL. NO. g(p �Q PLAN CHECK LIGHTING �TOTAL FIRST 20 .20 APPLICANTFIXTURES OVER 20 .10 ADDRESS RANGE—DRYERWTR.HTR.— CITY TEL. NO. STA.COOK_DISP. F.A.U.— CONTRACTOR SPACE HTR. AIR COND. ADDRESS CLOTHES WASH._DISHWASH._ CITY TEL. NO. FAN—OTHER 1.00 LICENSE IJO. CLASS. MOTORS,TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 0 - i 1.00 ELECTRICAL WIRING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 - 10 3.00 LICENSED AS RED IRED BY LOS ANGELES COUNTY AND STATE OF JTEMP. LIFORNIAOR THAT IAM THE LEGAL OWNER OF, AND INTEND TO 10 - 50 5.00 SIDE IN, THE ABOVE DESCRIP.ED RESIDENTIAL PROPERTY. 50 - 100 10.00 NATURE `,7 -PERMITTEE 100 - Soo 15.0oSZ$JCT NO. GF�IJUP ZONE PR C ED pTUBE, OR SIGN.GAS SIGN AND ONE CIRCUIT 3.00 VWMARQUEE ADDITIONAL CIRCUITS 1.00 OTES:SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE POWER POLE JR NDERSLAB WORK OUGH CONDUIT IRING PERMIT FEE (SUB TOTAL) , IXTURES ;✓:• ,+^ :.%%'F i'" PLAN CHECK FEE (50% PERMIT FEE) R AUTHORIZED PERMIT ISSUING FEE 2.00 TILITYCO.NOTIFIEDSUPPLEMENTARY PERMIT ISSUING FEE 1.00 INALTOTAL FEE JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK M.O. CASH/ AS=R 3 C o 3.0 0 EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE I,p& PT. of -kjn. l?E.-g7i0N.S ­1� Clt�-J '$c LF IN 5 76A669-CE60612/75 APPLICATION FOR ELECTRICAL PERMIT ` COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB L BUILDING AND SAFETY DIVISION ADDRESS a -- FOR APPLI&ANT TO FILL IN LOCALITY � 2 G � New Residential Bldgs& Pools EACH NO. FEE NEAREST 1 & 2-Family,Sq. Ft. $ .025 — $ CROSS ST. F� C 74� Multi-family S Ft. ,02 — OWNER OR f q FIRM NAME `"N Residential Swimming Pools 20.00 MAIL C ADDRESS 6� S� Outlets: Light, Switch & Receptacle CITY 1 M_ J �� Tel.No. First 20 •50 PLAN CHECK Additional .30 APPLICANT ADDRESS Lighting Fixtures First 20 .50 CITY Tel.No. Additional 30 APPLICANT Fixed Appliances Not Over 1 HP ADDRESS \� Range_HeaterD.W.� CITY'(` tC�— Tel.�NnG JCl/tf�/© Oven_Dryer—W.M._ LICENSE OR 1 Top _ FAU _W.H._ REG.NUMBER S Class. Hood Fan I MEHE61' ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION Disp._A.C. ___ �" AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING Power Apparatus& Large Appliances ELECTRICAL WIRING. Size & Type HP, KW, KVA, or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF Up t0 1 Incl. 2.00 CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE C. Over 1 t0 10 Incl. 5.00 DESCRIrED RESIDENTIAL PROPERTY. O Over 10 t0 50 Incl. 10.00PERMITSIGNATURE (C j('''' V ^'� \` :` t\`-'•`'� y Over 50 to 100 Incl. 20.00 � Over 100 30.00 DISTRICT NO. X P ES BY Services W 0- 200 Amp. Under 600 V 12.50 INSPECTOR'S IlL 201-1000 Amp. Under 600 V 25.00 APPROVALS DA SIGNATURE Vf Over 1000 Amp. or Over 600 V 50.00 ]TEMP.POWER POLE ZZ Temp. Power Pole& Appurtenances 10.00 UN DERSLAB WORK Sign with One Branch Circuit 10.00 ROUGH CONDUIT Additional Sign Branch Circuits 2.00 WIRING (Other) FIXTURES POWER AUTHORIZED UTILITY CO.NOTIFIED FINAL PERMIT FEE (Sub-Total) NOTES L �� --f z ft PLAN CHECKING FEE (One-Fourth Permit Feel PERMIT ISSUING FEE TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDAT K M.O. CASH / J ,tz 9 9 gt.APR 28 • s.0 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE f el L t 76A663-CEWMNTt TPLICATION FOR EL CTRICAL P RMIT LOS ANGELES DECOUNTY ENGINEERBUILDING BUILDING AND SAFETY DIVISION ADDRESSY76 _ JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY 4. NEAREST _/ FOR APPLICANT TO FILL IN CROSS ST. (/flu 9..LT RECEPTACLE TOTAL NO. EACH FEE LIGHT 1S OUTLETS RST 20 $.20 $ OWNER r MAIL i SWITCH OVER ADDRES VER 20 .10 - TOTAL FIRST 20 ,20 CITY ,E L. NO LIGHTING 1 FIXTURES FIXTURES J( ADD'L 10 CONTRACTO OVER 20 RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS GARB.DISP. STA.COOK CITY TEL.NO. DISHWASH. AUTO.-WASH. STATE SPACE HTRS. STA.APP.(1/2 H.P.MAX.) ,50 LICENSE NO. MOTORS: OVER NOT OVER H.P. DIST CI. GIROUP NE ESSED Y O 1 1.00 e T 1 3 1.50 INSPECTION RECORD 3 8 2.00 8 15 2.50 15 50 3.00 0 U 50 100 5.00 ,- 0//Z NO.TRANS SIGNS. NO.LAMPS _.. :e,. ,f W SERVICE 0.60OV-NOT OVER 200A 1.00 j a SERVICE 0.60OV-OVER 200 A. _ 2.00 Z SERVICE OVERV 600 5.00 OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE 5 APPROVALS DATE INSPECTOR'S SIGNATURE LEBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT L COUNTY ORDINANCES AND STATE LAWS REGULATING CAL WIRING. WIRINGEBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURESD AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF NIA ORT 1 AM THE LEGAL OWNER OF,AND INTEND TO POWER IN,THEA E DESCRIURE11 UTILITY CO.NOTIFIEDMITT FINAL 7�LIDATION JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER CK/ MO CASH L"7339-10 row15 2 D 3,00N IL COUNTY OF LOS ANGELES APPLICATION FOR PERMIT DEPARTMENT OF COUNTY ENGINEER ELECTRIC 1 DIVISION OF BUILDING & SAFETY WMMAM J. FOX, COUNTY ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN ADDRESS RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION , CITY ALIJAMBla TE O 4-5214 COUNTY LICENSE NO. EXPIR a ADDRESS PERMIT FEES NUMBER EACH FEE LOCALITY �T- LIGHT OUTLETS NEAREST RECEPTACLES CROSS ST. IWALL SWITCHES OWNER TOTAL OUTLETS Sc $ � MAIL ELEC. RANGES 25 DDRESS ELEC. HEATERS 25 / FIXTURES 5 W �' CITY TEL. NO. MISC. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS 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 I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE,/Og._ $ L GAL OWNER NEW MVD. HE OVER INC. EACH OF THE RESIDENTIAL PROP ERT RIB BOVE. LZt y b' Vz a LESS $ .25 CCC... - `� 'SIGNATURE OF /.-'�' I/z 2 .50 PERMITTE 2 s 1.00 INSPECTION RECORD s 1s 1.50 15 50 2.50 50 200 5.00 200 Soo 10.00 500 1 1000 15.00 Q Z OVER 1000 20.00 M.G. SET/FREQ. CHANGER-HP O WELDERS: AC-KVA GENERATORS -KW TRANSFORMERS-KVA TEMP. MOTORS (75% of ORIG.) MOVED MOTORS (75% OF ORIG.) MISC. SIGNS NO. NO. TRANS. APPROVALS NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: WIRING $1.00 CONDUIT �y�1 i FIXTURES $i.00 b'(:f WIRING SUPPLEMENTARY .50IXTURES POWER TOTAL FEE $ 6q ~ UTILITY CO. NOTIFIED FINAL 76A 668 OBS# 5A. 4-64. I � WORKER S'COMPENSATION DECLARATION 76A6&3 (2$0) CE$ APPLICATION FOR ELECTRICAL PERMIT ~ I her4by affirm that I have a certificate of consent to Pelf COUNTY OF LOS ANGELES BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec. 3800,Lab.C.) FOR APPLICANT TO FILL IN JOB Policy No. Company EACH NO. FEE ADDRESS ❑ New Residential Bldgs.&Pools Certified copy is hereby furnished. 1 &2-Femlly,Sq. Ft. $ Is LOCALITY Certified copy Is filed with the county building inspection' Multi-fiunlly Sq. Ft. CROSS a �/ b department. Residential Swlmminq Pools OWNER OR FIRM NAE C� M Dates Applicant Outlets: RecifughtSw O MAIL Int ADDRESS CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. Additional CITY _ Tal No 1 COMPENSATION INSURANCE ��" r 1}' � PLAN CHECK a L S (This section need not be completed if the work htvatved Lighting Fixtures First 20 APPLICANT v by the permit is for one hundred doillm ($100) or Ler•) ADDRESS Total No. Additional U I certify that.in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel No. permit Is Issued, I shall not employ any person in any manner PERMIT W so as to become subject to the Workers' Compensation LAWS. Range_Heeter D.W. _ P NT 4 Oven Dryer_W.M. ADDRESS Z xIhte� Appllcaq Top _ FAU _W.H. \ ' Hood _ Fen _Other_ CITY Tel No. NOTICE TO APPLICANT: If, after making this Certificate of Disp. _ Room Air Cond� LICENSE OR Exemption, you should become subject to the Workers' REQ. N MBER Class Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PRZ:Z�K_ with comply with such provisions or this permit shall be deemed revoked. Size&Type HP,KW, KVA,or KVA Up to 1 Incl. Over 1 to 10 Incl. DATE FIFTAL -p LICENSED CONTRACTORS DECLARATION l Z 2 Ll Z VALIDATION Over 10 to 60 Incl. I hereby affirm that I am Licensed under provisions of Chapter Over 60 to 100 Inc. BY � 9 (commencing with Section 7000) of Division 3 of the Bust- Over 160 y^^—+-+--► nan and Professions-Code, aid my license to in full force and effect. Services 0-200 Amp. Under 600 V License Number Ltc.Class 201-1 OOO Amp.Under 600 V Contractor Data Over f000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp. Power Pole&Appurtenances I hereby affirm that I sm exempt nSign with One Branch Circuitom the Contractor's Additional Sign Branch Circuits License Law for the following reason (Section 7031.5, Busl- 0 5 6 0 A nets and Professions Code): Mlsc.Conduits&Conductors I, as owner of the property, will do the work and the Other (Sae Complete Fee Schedule)— e e o o e 2 structure V not Intended or offered for We (Section Jr 0 7044, Business and Professions Code). 2 0 0 2 CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency o 0 0 2 3 5 0 2i for the performance of the work for which this permit Is PERMIT FEE (Sub-Total) Issued (Sec. 3097,Ctv.C.). f+ 0,729-81 Lender's Nurse PLAN CHECKING FSE (One Fourth Permit �ee) !� Lender's Address PERMIT ISSUING FEE I certify that I have read this application and state that the TOTAL FEE above Information Is correct.I agree to comply with ail County ordinances and State laws regulating Electrical Wiring, and hereby authorize representatives of this County to enter upon the above-mentioned prope for inspection purposes. SEE'REVERSE FOR EXPLANATORY LANGUAGE Sd= /� tura of ee Date I