HomeMy Public PortalAbout9935 GARIBALDI AVE_Electrical__ 76A661-d 80*. 9,67 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING }�
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER /_
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY C/_ 7-,r64 L/
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. �.
NO. EACH FEE _ -
7 $ $ OWNER
RECEPTf
MAIL
LIGHT TrOTrAL FIRST 20 ` .20 G� ADDRESS
SWITCH OVER 20 .10 CITY TEL. NO.
LIGHTING 1 TOTAL FIRST 20 J� .20 J �� CONTRACTOR ,
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FIXTURES I OVER 20 .10 ADDRESS f s el o
RANGE_DRYER—WTR.HTR.,y— CITY "/, C-: ; TEL. NO. f& J
STA.COOK_OISP.�F.A.U.-X LICENSE NO, a
SPACE HTR. AIR COND. I HEREBY AC NOW EDGE HAT'I HAVE READ THIS APPLICATION
.y.� r AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
`l ` ef`R WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
CLOTHES WASH.-XDISHWASH.�
1) ✓ ELECTRICAL WIRING.
FAN-OTHER 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
IND. HEATERS, ETC. HP. KW. KVA. RESIDE IN, THE ABOVE DESCRIBED RESI E TIAL P OPERTY.
SIZE & TYPE OVER TO SIGNATURE / r`
0 - 1 1.00 OF PERMITTE -
O
1 - 10 3.00 DISTRICT NQ_ GRO P ZONE PE SSED V
10 - 505.00 ` _
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50 - 100 10.00 NOTES: ri
W
100 - 500 15.00
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SIGN,GAS SIGN AND ONE CIRCUIT 3.00
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
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
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
ISSUING FEE 2.00 WIRING
FIXTURES
I� SUPPLEMENTARY ISSUING FEE 1.00 POWER AUTHORIZED
PERMIT FEE UTILITY CO.NOTIFIED Ct?
PLAN CHECK FEE (50% PERMIT FEE) FINALTOTAL FEE �- j
JOSEPH C. ROOHAN
SUPERVISING ELECT_ICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONCK. M.O. CASH
3 1 0 6 FES 1 2 D 1 9.50- o
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ,
COUNTY OF LOS ANGELES TEMPLE CITY 0 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 OQ12070011
BUILDING AND SAFETY / LAND DEVELOPMaT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: F=XID BUILD
TR: 32644 LT: 7 9935 GARIBALDI AV
FEE DESCRIPTION: QUANTITY: UOM: AM"T: TEMP CA 917801716
NEAREST CROSS STREET: RAL DWIN
5385-024-048 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY
HA FAU LESS 3HP 1.00 FAL 10.95
JB AC UMTS +3-10HP 1.00 AC 19.65 .
TOTAL FEES 58.35 12/07/00 UT 06/06/01 .
OWNER: TEL. NO: VINAL UAlt F I VY: CODE:
ANDREWS GEORGE;BETTY TRS ANDREWS TR (818) 285-6963-
9935 GARIBALDI AV
TEMP 917801716 OF WORK f
ELECTRICAL FOR HVAC
#PLICANT: TEL. NO:
JORDAN AIR (626) 285-6963-
129 S. HACIENDA SPECIAL CONDITIONS:
GLENDORA, CA
CONTRACTOR: TEL. NO: S PNGELES CO
APPROVALS DATE INSP
JORDANAIR (626) 963-3313-
129 S. HACIENDA BLVD LIC. NO TEMPORARY P06PER POLE
GLENDORA, CA 91741 560429C20B
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LIC. NO 111111
VUrg-UTER LINEIULIPRUC
W0luo----RKS PLASTIC Y/N METAL Y/N
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* ADDITIONAL DATA ON FILE
REPORT ID: DPR265 ROUTE TO: BS0508