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Home My Public Portal About9814 GARIBALDI AVE_Electrical__ 76A663 DSS SA 3-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC 1 WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ELECTRICIAN RECEIVED BY READY FOR DATE )ISSUED ADDRESS ,--,' FIRST INSPECTION CITY -A. TEL. NO. COUNTY LICENSE NO. f. EXPIRES — BUILDING f A--REBS PERMIT FEES FEE ,r NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST y /, CROSS ST. C!! RECEPTACLESit WALL SWITCHES OWNER TOTAL OUTLETS f. SC $_� MAIL �1 � ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL. NO. FIXTURES 5 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS MI5C. 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 HORSEPOWERFEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER NEW 1 HP OVER INC. EACH OF THE RESIDENTIA PROPERTY DESCRIBED ABOVE. I/ 6 LESS $ .25 SIGNATURE EE f 1/2 2 .50 PERMITTEE _. 2 5 1.00 INSPECTION RECORD 5 15 1.50 is 50 2.50 50 21313 5.00 2013 5130 10.00 Q 500 1000 15.00 Z OVER 1000 20.00 p M.G. SET/FREQ. CHANGER-HP Q' O WELDERS:AC-KVA GENERATORS - KW TRANSFORMERS - KVA TEMP. MOTORS (75% OF ORIG•) MOVED MOTORS (75% OF ORIa.) M ISC. SIGNS NO. NO.TRANS. APPROVALS NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: WIRING $1.013 CONDUIT ' - !i FIXTURES $1.00 WIRING� �+� - SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE $ �- UTILITY CO. NOTIFIED ' FINAL DBS SA 2SM SETS 2-47 APPLICATION F€'3R. PERwr DEi'AIITMENT OF BUILDING AND SAFETY ELECTRIC COUNTY OF LOS ANGELES WM. J. FOX CHIEF ENGINEER a NAME DISTRICT NO. GROUP ZONE PERMIT NO. V ADDRESS m CITY TEL.NO. RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION .� COUNTY N CEP.T.NO. EXPIRES APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB DESCRIPTION OF WORK ADDRESS NUMBER OF OUTLETS ON CIRCUITS LOCALITY LOCATION BY ROOMS NEAREST LIGHT OUTLETS JSW. PLUGS FlI[T CROSS ST. CIRCUIT A B C D E F G H it NAME Z MAIL 3 ADDRESS O CITY TEL.NO. IAM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGW-W COUNTY CERTIFICATE OF QUALIFICATION.. ELECTRICIAN. ' i AM THE 1'=.EGiAL OWNER OF THE PROPERTY DESCRIBED ABOVE OWNER. CORRECTIONS -J, — a Z U 0 TOTAL NO. OF OUTLETS ` $ APPROVALS NO. OF FIXTURES $ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ POWER PERMIT FEE _$ UTILITY CO.NOTIFIED ` TOTAL FEE 6 FINAL t 7 aA163= APPLICATION FOR ELECTRICAL PERMI OUNTY OF LOS ANGELES RTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS Y JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY [NEAREST FOR APPLICANT TO FILL IN CROSS ST. t P RECEPT.� TOTAL NO. EACH FEE OUTLETS FIRST 20 h q $.20 $ O OWNER LIGHT /� /�V MAIL '7 ADD'L ADDRESS SWITCH.�Z- OVER 2O .1O a Q TOTAL )p CITY TEL. NO. LIGHTING FIRST 201 /G' .20 2 FIXTURES /J ADD'L 10 ELECTRICIAN I O V R 2 0 RANGES CLO.DRYERS -TR.HTRS. 1.00 D ADDRESS GARB.DISP, STA.COOK `l `J CITY �Z�ij?ia/ TEL. NO. DISHWASH J AUTO.-WASH. STATE SPACE HTRS. STA.APP.(1/=H.P.MAX.) .50 D LICENSE NO. MOTORS: OVER NOT OVER H.P. DISTRICT O. GROUP ZONE PROCESSED BY O 1 1.00 1 3 1.50 INSPECTION RECORD 3 S 2.00 S 15 2.50 - d O 15 50 3.00 J_ 50 100 5.00 0 SIGNS: NO.TRANS y U NO.LAMPS a i r H SERVICE O.600V-Nor OVER 200A 1.00 r- SERVICE 0.60OV-OVER 200 A. 2.00 - SERVICE OVER 600V 5.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTA13Y PERMIT ISSUING FEE 1.00 TOTAL FEE 8 1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT I AM THE LEG OWNER OF THE ABOVE DESCRIBED RESIDENTIA PRO Y. POWER SIGNATURE �� UTILITY CO.NOTIFIED OF PERMITTEE FINAL /�A•�ALIDATION ARTHUR C. VEIT (CIS. MO CASH SUPERVISING ELECTRICAL ENGINEER WORKERS'COMPENSATIONDECLARATION CE-876A663 (2-80) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES � U DING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec. 3800,Lab. C.) ��f! v ZZ FOR APPLICANT TO FILL IN SOB Policy No. Company EACH NO. FEE ADDRESS ❑ New Residential Bldgs.&Pools _ Certified copy is hereby furnished. `' 1 &2-Family,Sq. Ft. $ — $ LOCALITY Multi-family Sq. Ft. NEAREST Certified copy is filed with the county building inspection CROSSST department. Residential Swimming Pools OWNER OR FIRM NAME 4 Date Outlets: MAILutlets: Rec._Light_Sw. �• � First 20 ADDRESS r CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE Total No. Additional CITY /ff L Tel No.� >_PLAN CHECK d APPLICANT (This section need not be completed if the work involved O by the permit is for one hundred dollars ($100) or less.) Lighting Fixtures First 20 ADDRESS U Total No. Additional cc I certify that in the performance of the work for which this CITY Tel No. O Fixed Appliances Not Over 1 HP permit is issued, I shall not emplo y person in any manner PERMIT so as to become subject to the ers' Compen laws. Range_ Heater_D.W. APPLICANT _s /T—",— Oven "Oven _ Dryer_W.M._ ADDRESCn SC Dat/_/ yff pplicant Top _ FAU _W.H. r Z Hood _ Fan _Other_ CITY I Tel NOTICE TO APPLICANT: If, after making this Certificate of Disp. _ Room Air Cond._ LIC EOR Exemption, you should become subject to the Workers' REG.NUMBER 1- Class Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PR ED BY with comply with such provisions or this permit shall be Size& ype HP, KW, KVA or KVAR /�1 fid deemed revoked. ��j !J Up to 1 Incl Over 1 to 10 Inc . �tJ FINAL LICENSED CONTRACTORS DECLARATION Over 10 to 50 Incl. DATE VALIDATION I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. FINAL 9 (commencing with Section 7000) of Division 3 of the Busi- Over 100 BY ness and Professions Code, and my license is in full force and effect. Services License Numb e Lic.Class/ 1�6� 0-200 Amp. Under 600 V � �� 0 j� y�0 201-1000 Amp.Under 600 V Contractor E'U` L G Date �,,4 Over 1000 Amp.or Over 600 V HOME OWNER-BUILDER DECLARATION Temp. Power Pole&Appurtenances I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits ness and Professions Code): Misc.Conduits&Conductors El I, as owner of the property, will do the work and the Other (See Complete Fee Schedule)— 7J 1 4 A structure is not intended or offered for sale (Section 7044, Business and Professions Code). # 2 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency 2 4,50 for the performance of the work for which this permit is PERMIT FEE (Sub-Total) issued (Sec. 3097,Civ.C.). • 5 o U Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) Lender's Address 1.2.4 -8 0 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 all County ordinance and State laws r ulating Electrical wiring, and hereb orize repr sent of is County to enter upon the e-mentio ro r specti purposes. j SEE REVERSE FOR EXPLANATORY LANGUAGE C Z Signature of er "ittee Date COUNTY OF IAN ANGELES TE1wLE CITY $ 0508 ELECTRICAL PER?,= DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0711070013 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 265-0488 ETT: LEGAL ID: FEES PAID BUIIDING ADDRESS: TR: 6561 LT: 88 BL: .001 9814 GARIBALDI AV FEE DESCRIPTION: QUAN=: UOM: AMOUNT: TEMP CA 917801712 ASSESSOR INP0PJQ TION NUMBER: NEAREST CROSS STREET: GOLDEN WEST •- 5385-027-029 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: Al LACJu=: TEMPLE CITY, C LB 200 AMP PANEI9, MCC 1.00 PAN 38.85 TENANT: TOTAL FEES 66.60 ISSUED ON: PROCESSED BY: PLAN BY: EZPIRE9 ON: 11/07/07 SR 05/05/08 OWNER.: TEL. 190: FTBAL CODE: INRIE, SNARLY (323) 574-6400- C ✓ 9814 GARIBALDI AV TE!{P 917801712 DI!.9CRIPTION OF WORK REPLACE EZLSTING 200 NSP PANEL SSITI-I NEW 200 AMP PANEL APPLICANT: TEL. NO: PICANZO ELECTRIC (626) 643-1440- 9080 ARCADIA AVE. SPECIAL CONDITIONS: SAN GABRIIICA 91775 CONTRACTOR: TEL. NO: \ - - APPROVALS DATE INSPECTOR SIGNATURE PICANZO ELECTRIC (626) 643-1440- 9080 ARCADIA AVENUE LSC. NO TEIdPORARY POWER POLE SAN GAB=, CA 91775 873965 C10 UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER. GROUTED r LIC. NO: ROUGH CONDUVT ROUGH WIlZZBG MA-TN WATER LSNE PLASTIC Y/N METAL Y/N UT`I= COMPANY ??OTI= REPORT ID: DPP-26S RD= TO: BS0508