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Home My Public Portal About10118 NADINE ST_Electrical__ COUNTY OF-SANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0809240005 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT ILEGAL ID I FEES PAID I BUILDING ADDRESS I ITR 22438 IT 11 I 1 10118 NADINE ST I I IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917802725 1 (ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET DAINES 18586-025-012 1A1 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY Cl LLB 200 AMP PANELS MCC 1 00 PAN 38 85 TENANT I TOTAL FEES 66 60 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 1 109/24/08 SR 03/23/09 1 (OWNER TEL NO I IFINAL DATE FINAL 8 CODE 1 I 1BUTRUM, BRYAN (626) 442-4171- 1 I I 110118 NADINE ST 1 I ITEMP 917802725 113ESCRIPTION OF WORK 1 I I (UPGRADE SERVICE PANEL TO 200 AMP 1 (APPLICANT TEL NO I I I (ACCURATE ELECTRICAL SERVICES (626) 484-0996- 1 11647 E PALM DR 1 ISPECIAL CONDITIONS I ICOVINA, CA 91724 1 I I ICONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE I (ACCURATE ELECTRICAL SERVICES (626) 484-0996- 1 1 I 11647 E PALM DR LIC NO 1 ITEMPORARY POWER POLE I I I 1COVINA CA 91724 860517 C10 I I 1 1UNDERGROUND CONDUIT 1 1 1 (ARCHITECT OR ENGINEER TEL NO 1 IUFER GROUND I 1 LIC NO I IROUGH CONDUIT I I I 1ROUGH WIRING I I I I I I IMAIN WATER LINE I I I 1PLASTIC Y/N METAL Y/N 1 1 1 I (UTILITY COMPANY NOTIFIED -,,mopkoI I I I I I I I I I I I I I i I I I I I I I I I I I IREPORT ID DPR265 ROUTE TO BS0508 I I I I I I . // 7 DOS SA 11 ae APPLICATION FOR ELECTRIC PERMIT DMSION OF BUII.D= AND SAFh'PY DSlparinamt of County Engimer BUILDING ca114� Of zos Aa�B ADDRESS JOHN A LA BIE.COUNTY ENGINEER CASSATT D GRIFFIN.SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST PERM FEE$ CROSS ST NUMBER I OWNER LIGHT OUTLETS MAIL RECEPTACLES ADDRESS WALL SWITCHES FE CITY TEL NO TOTAL OUTLETS B sTRICIAN ELEC RANGES 2S 0004AA911 go 10 NIL- ADDRESS O ELEC HEATERS 28 CITY TEL N STATE FIXTURES B LICENSE NO D MOTORS DISTRICT NO I GROUP I ZONE I READY FOR INSPECTION NUMBER HORSEPOWER FEJ A � NEW MVD HP OVER INC EACH e LESS !i X.P. II�i3PECTION RECORD 14 2 so 2 S I00 S IS Igo 18 SO 250 So 200 Boo MISC �► NO SIGNS NO TRANS NO SIGNS NO LAMPS FOR EACH PERMIT WIRING si 00 FIXTURES SI o0 SUPPLEMENTARY SO AMOVALS TOTAL FEE S DATE INSPECTOR S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING If •' ELECTRICAL WIRING I HEREBY CERTIFY THAT I AN PROPERLY REGISTERED AND/OR FIXTURES 1- LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AN THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIA OP RTY SIGNATURE UTILITY CO NOTIFIED OF P1:RMITTEE FINAL �A JOHN A LAMBIE.COUNTY ENGINEER VAMATM ARTHUR C.VEIT.CHIEF ELECT.INSPECTOR CK NO (CAW LAW 4115 M-14 2 8.85 WORKERS COMPENSATION DECLARATION 720 6AM3 DPW 3/97 APPLICATION FOR ELECTRICAL PERMIT O I hereby affirm thbt f have a certificate of Ebnsen4 td self insure or a certificate of Workers CBmpbOsadon Insurance COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS or a certified copyathereof(Sec 3800'Lab C ). Policy No Company FOR APPLICANT TO FILL IN JOB /O//� 1:1 Certified copy is hereby furnished New Residential Bldgs &Pools EACH NO FEE ADDRESS /f ❑Certified copy is filed with the county building inspec- 1 &2-Family Sq Ft $ — $ LOCALITY PGC tion department Multifamily Sq Ft — NEAREST T Residential Swimming Pools OWNER OR Dote Applicant c� �� FIRM NAME CERTIFICATE OF EXEMPTION FROM WORKERS' Outlets RecJ flight-±i- /L MAIL � ADDRESS / �Sw Y COMPENSATION INSURANCE � 1 t/fI2� (This section need not be completed if the work Involved by ZC� First the permit Is for one hundred dollars($100)or less) Total No Additional CITY Tel No onal D S LE PLAN CHECK I certify that in the performance of the work for which this APPLICANT permit is issued, I shall not employ any person in any manner Lighting Fixtures First 20 ADDRESS so as to become subject to the W pen trC� g g Additional Dote �_Z-9� A li Total No CITY Tel No pp Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If after making this Certificate of APPLICATION Exemption you should become subject to the Workers Range— Heater—DW Compensation provisions of the Labor Code, you must forth Oven — Dryer —W M — ADDRESS�� with comply with such provisions or this permit shall be Top — FAU —W H deemed revoked CITY Tel No y�SZO Hood — Fan —Other LICENSED CONTRACTORS DECLARATION LICENSE OR /� Disp _ Room Air Cond — REG NUMBER �� Q Class 61 I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT N PRPeMED BY >- and Professions Code and my license is in full force and effect Q , O Size 8 Type HP KW, KVA or KVAR01 License w+be � ? S Iic Class GIS Up to 1 Incl FINALle U �Z G�� Over 1 to 10 Incl DATE 0 VALIDATION 0 Contr c Date Over 10 to 50 Incl U FINAL KI am exempt under Sec Over 50 To 100 Inc BY LU B&P C for this reason Over 100 d Services Swbd MCC&Ponelboards Z Date Z 0 200 Amp Under 600 V X Signature 201 - 1000 Amp Under 600 V ❑ Exemption for Reg Maint Elect O,.er 1000 Amp or Over 600 V SINGLE FAMILY Temp Power Pole&Appurtenances 2 HOME OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor s License Sign with One Branch Circuit ACCT.* Law for the following reason (Section 7031 5 Business and Additional Sign Branch Circuits Professions Code) X07 52.00 ❑ I as owner of the property will do the work and the Misc Conduits&Conductors 1 ITEMS structure is not intended or offered for sale(Section 7044 Other(See Complete Fee Scheduled , TOTAL 52.1130 Business and Professions Code) CONSTRUCTION LENDING AGENCY CHECK 52.00 1 hereby affirm that there is a construction lending agency for GHAla .00 the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec 3097, Civ C ) PLAN CHECKING FEE Lynn Lender s Name 1/ 2/% PERMIT ISSUING FEE �` Lender s Address 7921 1 IM 9007 1 certify that I have read this application and state that the TOTAL FEE above information is correct I agree to comply with all County or dinances and State laws regulating Electrical wiring and � or'ze represent es of this County to enter upon ntio d per tion purposes SEE REVERSE FOR EXPLANATORY LANGUAGE �Z` ICJ Signature of P Date ®s 20 0019 WOthat I have a certificate DECLARATION 76ASS3 DPW(12 91) APPLICAT16M FOR f-LECTRICAL PERMIT I hereby affirm that I have a certlfrc^^^^ggggate of consent to self Insure 78A883 or a certificate of Worker s Compe t n Insurance or a certified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV copy thereof(Sec 3800 Iib C) Policy NO Company FOR APPLICANT TO FILL IN JOB /S✓C NCertified copy Is hereby furnished NO EACH FEE ADDRESS 'O It A NA W ew Residential Bldgs &Pools $ $_ LOCALITY L e- r4u ❑ Certified copy is filed with the county building Inspection 1&2 Family Sq Ft department Multifamily Sq Ft ` t\ ' CROSS ST Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK I PAGE PARCEL CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec —Light Sw OWN NAME COMPENSATION INSURANCEFIRM (This section need not be completed If the work Involved by the First 20 MAIL Total No Additional ADDRESS .147 permit Is for one hundred dollars($100)or less) I certify that In the performance of the work for which this permit CI Tel No Is Issued I shall not employ any person In any manner so as to PLAN CHECK become subject to the Workegubject n Lighting Fixtures First 20 APPLICANTAr Total No Additional �L- —,93 A ADDRESS Date PRESIDENTIAL APPLIANCES NOT OVER 3 HP NOTICE TO APPLICANT Is Certificate of CITY Tel No Exemption you should becomWorkers Compensation OTHER APPLIANCES NOT OVER 3 HP �e provisions of the Labor Code you must forthwith comply with such power Apparatus&Large Appliances PERMIT , E'et+ . G provisions or this permit shall be deemed revoked LICENSED CONTRACTORS DECLARATION Size&Type HP KW KVA or KVAR ADDRESS I?C 'C3 p Q 1 hereby affirm that I am licensed under provisions of Chapter 9 Over 3 to 10 Incl (commencing with Section 7000)of Division 3 of the Business and CITYTel No 30�� Professions Code and my license Is In full force and effect Over 10 to 50 Incl } /y Over 50 to 100 Incl REG NUMBER & Class C~� a License Number LIc Class C- J V 99 S�, Over 100 DISTRICT NO PR ESSED BY 0 V QQ Services Swbd MCC&Panelboards —pop /Z� "7� 0 399 Amp Under 600 V FINAL 0 Contractor Date DATE/ 3a �� 400 1000 Amp Under 600V I, I am exempt under Sec Over 1000 Amp or Over 600 V FINAL VALIDATION W B&P C for this reason BRANCH CIRCUIT FEES BY C0 Date 16A or 20A 120V Lighting or Recept Z 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits El41 Or More Branch Circuits z Exemption for Reg Malnt Elect 15A 20A 208V To 277V Lighting Br Circuits SINGLE FAMILY Temp Power Pole&Appurtenances HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit .,r -+T C I hereby affirm that I am exempt from the Contractors License Law 1,,, for the following reason (Section 7031 5 Business and Professions Additional Sign Branch Circuits Code) ❑ I as owner of the property will do the work and the structure Mlsc Conduits&Conductors ; ^-��g Is not Intended or offered for sale(Section 7044 Business Other(See Complete Fee Schedule) , OTAL r' 8 and Professions Code) CKC K }V.is CONSTRUCTION LENDING AGENCY CHANGE .113I l I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is Issued(Sec 3097 PERMIT FEE (Sub Total) Civ C) PLAN CHECKING FEE IF - 3001 oli' Lender s Name 2223 1 AM C;10 PERMIT ISSUING FEE ` Lender s Address I certify that I have read this application and under penalty of puqury state TOTAL FEE / that the above Information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring and hereby authorize repro s of this C yi to upon the above mentioned property nape n p e SEE REVERSE FOR EXPLANATORY LANGUAGE i2-r+-93 N RE OF PERMITi DATE