HomeMy Public PortalAbout9951 GARIBALDI AVE_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
DEPARTMENT OF COUNTY ENGINEER ELECTRIC 1
DIVISION OF BUILDING 6: SAFETY
WILLIAM 1. FOX, COUNTY ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN "'�. c.•- ' � ..rte R— , � � Z ` I
ADDRESS �^ i A f i. RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION _
"° -,f f. I F• TEL. NO.
CITY
COUNTY LICENSE �0. ` EXPIRES - 4' BUILDIN 1
PERMIT FEES , ADDRESS Y iet
..
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS T �
WALL SWITCHES 'A qOWNER
TOTAL OUTLETS 5c $ MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25
CITY TEL. NO.
FIXTURES 5
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC.
NUMBER OF LIGHT CIRCUITS APPLICATION AND STATE THAT THE ABOVE IS CORRECT
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, OR 1 AM THE LEGAL OWNER
NEW MvD. HP OVER INc. EAOH OF THE RESIDENTIAL PROPERTY C?ESCRIBED ABOVE.
_ yz a L6B8 $ .25 SIGNATURE OF
I/2 2 .50 PERMITTEE
2 5 1.00 INSPECTION RECORD
` 5 15 1.50
15 50 2.50
50 200 5.00
200 500 10.00 J
500 1000 15.00 Q
Z
OVER 1000 20.00
M.G. SET/FREQ. CHANGER-HP R
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
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 CONDUIT
1't- -t d
FIXTURES $1.00 C ' WIRING
SUPPLEMENTARY .50 FIXTURES -2-
POWER POWER
TOTAL FEE $ LL V UTILITY CO, NOTIFIED + 11f1tLf
/
FINAL
70A 063 DBS# 5A. 4-51
76A6A3-CE80d X62 APPLICATION FOR ELE-CTRI L PERM
COUNTY OF LOS ANGELES
DEPARTMENT"OF COUNTY ENdINEER un-DINa t ti
BUILDING AND SAFETY DIVISION ADDRIQI
JOHN A. LAMBIE, CouNTY ENCAINIXR
WILLIAM A..MENS , Dul-,T OF SuILDINq 11 � L LOCALITY
INIEKREST '
FOR APPUg&NT I FILL IN CRO"ST.
R[CErT. 2^ TOTAL • EACH
uu 1. s FIRST 20 4.20 • OWNER
LIGHT MAIL I ��77 .
SWITCH. ADD'L .fO ADD"EM V
ov[R 20 r,
TOTAL CITY TIL NO.
LIGHTING FyRsT 20 "Lo
FIXTURESy ADD'L ov H 20 10 ELECTRICIAN
RAMQis CLOD DRyll" NT'R.HTFA. 1.00App c
RA14.DUMP. STA-COOK
DIMHWASH. AUTO.-WAtI. - •TATE
SFACK H mw ETA.APP.(%H.P.MAX.) .50 LICINOR NO.
MOTORs. ovu HOT Ovve Ha. p{/cT���rT) G ZO E P D
O 1 1.00 </ .. t/
1 s 1.150 INSPECTION RECORD
15 a 2.00
6 115 =.150
115 150 a.po
150 100 15.00
1"GN23 NO.TRAHs-
MCI_LAMM
SWtVICI O.000V-NOT OVKR 200A 1.00
smvlcz o-eOOV Ovoe 200 A 2.00 N
60WICt ovtn aOM 15.00 Z
Mlfc.
FERMTT IMUING Ftt 2.00
WUTrL.ilItNTA$Y FQLMIT I8SU1Na Fti 1.00
TOTAL FSB �
I H1L1+QY AOOi wLmQs THAT I HAv[ RSAD THI■ AITLicAnoH ArPrWYMA DATE
AMD STAT4 THAT TIM AIAO'1R 19 0OMtKCT AHD Ad MM TO COMELY C70MDUIT
WITH ALL CN
COUNTY ORDINACRU AND SQ
TATS LAWS R[ ULATIMO
n.ccne}GL WDUH0. WIRING
1 HXRZWY CERTIFY THAT 1 AM PTAWW LY RKt ISTRAMD AHD/OR
L.iczpcbm As mmuumo SY Lot AMCIILts couN-rY AND 1TATZ OF FIxTu
GLlFORM UC OR T AM OWHDI OF THI
D[1CRlsm rOWt7R
sI tI1M�
LMLrryco,mQTMXp
OF
Fl HAL
0CK (DATION wRTH C. VErr
MO C m fUFillVl/lNd E NCTRICAL EMQINIQR
LAC03 18 7 "30 2' D 3.6 0-
1
I
I
"'°RKE]R$°°'"PE"UT'°"DECLARATION70AaW H1H 89/80APPLICATION FOR ELECTRICAL PERMIT
I I he(eby affirm that I have a certMoate of consent to to self Insure,
of a certificate of Worker's Compensation Insurance, or a oertlned COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV.
oopy thenal(Sec.3800 Lab.C.)
IPoFkyy IVIJcompany POR APPI IC WT TO PILL M JOB
Certtfled oopy Is Aeby ftwnishad• New Reeldenflol Mgt.h Pools EACH NO. 'FEE L
❑ Certified oopy Is f11ed wtth the-county bulkkQ W pectlon 1 S 2-Family,8q.Ft ; _ ; t
dap-bnerrt. Wile roma Sq.Ff- CR08a ST.
Dete Appdi-d Realdentlal Swtrrrntr�g Pooh A88®B0R
MAP BOOKPARE PAF1Cg
CEf1mcATE OF ExEmp-FON mom WoPKE s' Outlets Reo�Ugiht NAPE
COMPENSATION INSURANCE F{ 20 u.■
(fhla section meed not be oompleted H the work Involved by the Totem s ADORE68
permit Is for one hundred dollars(8100)or kma.)
I certify that In the performance of the work for which this permit CITY g z TOL
Is Issued, I shell not employ any person In any manner so as to
become subleot to the Workers'CpmpemmUon Laws. Lig"fires Fkut 20 O / k-A K *!
Total No.. Addrdonel
ADDRESS
Date APpIIcan-t 16 OR MA,120Y BRANCH CIRCUITS
NOTICE TO APPLICANT: If, after making this Certllloate of CITY Tei.No.
Exemption, you should become subjw to the Workers'Compensation 1 TO 10 WCLUSWE EACH PEWT
provisions of the Labor Code, you must forthwith comply with such 11 TO 40 WCLUSiVE EACH APPUCANT
provision cr this permit shall be deemed revoked. 41 OR MORE BRANCH CIRCUITS EACH
I her afflrmmthaat IloNSED CONTRACTORS
eneedOunndder provisions of Chapter 9 16 OR MA,208V TO 27N LIGHTINO EACH ON �� d
(commencing with Section 7000) of Division 3 of the Buslna" and Grr1' T'i No. 8
Professlona Code,and my Bashes Is In full force and effect. RESIDENTIAL APPLWiCE8 UP TO 3HP LIC848E OR
Pa+ar Apparatus&L� aanAB
APPa REa NUER O
Lkbnee Number Lic.Close Stze 8 Type HP,KW,KVA,or KVAR Dt8TR1CT No. HY
Up to 3 Ind. LL
Over 3 to 10 Ind 11
Data DATE z
Over 10 to 60 Ine _y 2
DCL
I am exempt under Seo. Over 50 to 100 Ind. `l v. rn.TK)N Z
El dr
B.tSP.C.for this reason Over 100 gT
Swvfcos Swbd_,MCC 6 Panelboarde
Date: 0-200 Amp.Under 6x00 V
Signature 201 -1000 Amp.Under 000 V
Over 1000 Amp.or Over 000 V
❑ Exemption for Rep.Malnt-Elect. f
SINGLE FAMILY
Temp,Power Pole 8 ApQutenanoee T a
ROME OWNER43UILDER DECLARATION gam,with one Branch Ctraun :�t
I hereby arm that I am exempt from the Contractor's Lloense Lew ��5 ,E
for the following reason (Sectlon 7031.5, Business and Professions Addlrional Sign Branoh Ckcutts iV? J't.
tee): i ITEM,
❑ I,as owner of the property,will do the work end the etrucWra Mbo.ConduCs 8 Canducfnra C
Is not Intended or offered for sale (8ectibn 7044, Business Other(See Complete Fee Schedule) , TML 34 - 9
_s
and Professions Code). �,rri�rr 74.
CONSTRUCTION LENDWG AGENCY r, .TA]
I hereby affirm that there In a construction lending agency for the `W4E x
performance of the work for which this permit Is Issued (Seo. 3097, PERMIT FEE (Sub-TotEo
CH.G.}
PLAN CHECMNG FEE T—�t ll `r1 1y1
LerWers Name
PF-Wrf ISSUING FEE all �JK• f A •1b
Lenders Address 9
I certNy that I have read this application and state that the above TOTAL FEE
Information Is oorrect. I agree to comply with all County ordlnancee
and State Tawe regulating Electrlcal wiring, and hereby authorize
repreaentattvee of this County to enter upon the above-mentlon
Property Ins SEE REVERSE FOR EXPLANATORY LANGUAGE
of