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Home My Public Portal About9906 GARIBALDI AVE_Electrical__ 76A663 DBS 5A 3-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC I WILLIAM J. FOX, CHIEF ENGINEER FOP, APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT N.O. ELECTRICIAN44 RECEIVED BY READY FOR DATE ISRUED ADDRESS �- ,/� FIRST INSPECTION CITY TEL. NO. COUNTY LICENSE NO. EXPIRES -ADDRESS , PERMIT FEES NUMBER(EACH FEE LOCALITY �I . LIGHT OUTLETS NEAREST RECEPTACLES CROSS ST. WALL SWITCHES OWNER 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 I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NEW MVD. HP OVER INC• EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. r 6 LESS $ .25 SIGNATURE OF I/2 2 .50 PERMITTEE — 2 5 1.00 INSPECTION RECORD 5 15 1.50 is 50 2.50 50 200 5.00 —C 200 500 10.00 .J 500 1 000 1A.00 Q _Z OVER 1000 20.00 O M.G. SET/FREQ. CHANGER-HP Q' WELDERS: AC-KVA O _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 FIXTURES $1.00 WIRING SUPPLEMENTARY .50 FIXTURES POWER TOTAL FEE $ / L UTILITY CO. NOTIFIED Irl FINALQ�i� �1 76A663 DBS 5A 11-50 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 �' 1JA "G-u�"-^'° ! RECEIVED BY READY FOR DATE ISSUED ADDRESS -" �j (:. i� L� - FIRST INSPECTION CITY TEL. NO. COUNTY LICENSE NO. EXPIRES BUILDING ! ' ADDRESS PERMIT FEES FEE !".�'.'�► NUMBER EACH LOCALITY LIGHT OUTLETS �t:i NEAREST -J "�. RECEPTACLES .' CROSS ST. WALL SWITCHES OWNER TOTAL OUTLETS 5cl$ MAIL ELEC. RANGES 25 ADDRESS ELEC. HEATERS 25 CITY TEL. NO. FIXTURES g 1 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 I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER NUMBER HORS iPOW ER FEE NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. 1/2&LESS $ .25 SIGNATURE OF 1/2 2 50 PERMITTEE 2 5 1.00 INSPECTION RECORD 5 15 1.50 15 50 2.50 50 200 5.00 200 Soo 10.00 J 500 1000 15.00 Q Z OVER 1000 20.00 M. G. SET/FREQ. CHANGER-HP � WELDERS: AC-KVA GENERATORS-KW TRANSFORMERS-KVA TEMP. MOTORS (75%oFORIG.) N MOVED MOTORS (75%of ORIG.) I , O MISC. SIGNS No. No. TRANS. APPROVALS NO. NO. LAMPS DATE INSPECTOR'S NAME FOR EACH PERMIT: CONDUIT WIRING $1.00 I (1 - FIXTURES $1.00 WIRING SUPPLEMENTARY 50 FIXTURES r POWER TOTAL FEE $ UTILITY CO. NOTIFIED Z FINAL 2 WORKER S'COMPENSATTON DECLtiRATIONa / CE-80eG`(2-80)r�, APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that I have ■ certificate of consent to self COUNTY OF LOS ANGELES /> BUILDING AND SAFETY insure, or a certificate of Workers'Compensation Insurance,or C_ a certified copy thereof(Sec. 3800,Lab.C.) FOR APPLICANT TO FILL IN JOB Policy No. CempaAy EACH NO. FEE ADDRESS I Net- 0 Certified copy if hereby furnlshed. 1 &2-Famlly,Sq. Ft.T_ — LOCALITY NEAREST Certlfled co is filed with the countybulldtn ins Multi-family Sq. Ft. department. g inspection Residential Swimming Pools CROSS 8T POR 6 as Date Applicant 1f I AME O C�Q Outlets: Recl�Light Sw.� Sd VL [/ MAIL --Tirst 20 ADDRESS CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. 3� Additional so CITY ' Tel No.a �5 COMPENSATION INSURANCE PLAN CHECK 4 UU (I'hL section need not be compL3ted if the wort tnvoh+ed APPLICANT (� by the permit Is for one hundred dollen ($100) or les.) Lighting Fixtures rr FAId20 ADDRESS � Total No.I( O ditional I certify that in the performance of the work for which this CITY Tel No. 0 permit Is Issued, I'shall not employ any person In any manner Fixed Appliances Not Over 1 HP PERMIT LL �o es to become subject to the W kers' Comp tton Ranee_ Heater_D.W. _ APPLICANT ��l� 4 Oven _ Dryer_W.M._ ADDRESS Z . JI?ate/ 7 0 APPBc Top _ FAU _W.H. Hood _ Fan _OtherT CITY To[ No. NOTICE TO APPLICANT: I , after making thla CertlBcate of Dlsp. _ Room Alr Cond o"� R Exemption, you should become subject to the Workers' 77�� REG.NUMBER Cls" CompensatIon.provialons of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROCE48ED By with comply with such provisions or this permit shall be Size&Type HP,KW, KVA,or KVA O (/ deemed revoked. Q Up to 1 Incl. Over 1 to 10 Incl. Fit AL DATE LICE13SED CONTRACTORS DECLARATION Over 10 to 50 Incl. VALIDATION I herebyaffirm that I am licensed under p FINAL provisions of Cha ter Over 60 to 100 Inc. BY 9 (commencing with Section 7000) of Dtvision 3 of the Busl- Over 100 neu and Profeasions.Code, and my license is in full force and effect. Services rQ 0-200 Amp. Under 800 V License Number Llc.Class 201-1000 Amp. Under 800 V 1 Contractor Data Over 1000 Amp.or Over 800 V HOME OWNERAILDER DECLARATION Temp.Power Pole&Appurtenances I hereby affirm that I ■m exempt from the Contractor's Sign with One Branch Circuit License Law for the following reason (Section 7031.5, Bust- Additional Sign Branch Clrcults Hess and Profeuions Code): i Misc.Conduits&Conductors I, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— 21 23,9A structure is not intended or offered for sale (Section # 0 0 0 0 0 2 7044,Business and Professions Code). CONSTRUCTION LENDING AOENCY 1 hereby affirm that there Is ■ construction lending'agency •2 0 0 4 0 5 0 for the performance of the work for which this permit is PERMIT FEE (Sub-Total) issued(Sec. 3097,Civ.C.). 'o o a 4 0 5 0 Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) 9, 1 8,—a Lender's Address PERMIT ISSUING FEE I certify that I have reed this application and state that the TOTAL FEE �Q above information is correct.I agree to comply with all County ordinances and State laws regulating Electrical wiring, and hereby authorize representatives of this County,to enter upon the ab ve-mentioned operty for ectlon�Jpurrp`oses. / SEE'REVERSE FOR EXPLANATORY LANGUAGE or— f ignature of Permittee Date