HomeMy Public PortalAbout10124 NADINE ST_Electrical__ J _
78A689 CEB08 1171 APPLICATI N FOJ^ ECTRICAL PERMIT
~ „COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS NO EACHI FEE
OWNER
RECEPT $ $ MAIL
LIGHT TOTAL 25
FIRST 20 ADDRESS
Q 0�
OVER 20 Q CITY TEL NO
SWITCH--Ll �� f0 PLA HECK
LIGHTING1 f0
TOTAL FIRST 20 2, APPLICA
FIXTURES NT
1( OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY L NO
PERMIT
RANGE DRYER_WTR HTR APPLICANT
STA COOK DISP F A U ADDRESS
SPACE HTR AIR COND CITY TEL NOPV 6
CLOTHES WASH DISHWASH / LIC SE NO CLASS
FAN_,/-OTHER 100 Q 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS TRANSFORM ERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS ETC HP KW KVA ELECTRICAL WIRING
SIZE 8 TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR
0 _ I .2100 d LICENSED A8 REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO 0
- 1O 900 RESIDE IN TXE A OVE DESCRIBED RE81DE TIAL 0 ERTY 0
10 - 50 800 SIGNATURE `
OF PERMITTEE 0
50 - 100 1000 �j
D18TRICTNOC 88 ZONE O 8ED BY W
100 — 500 1800 t h
SIGN GAS SIGN AND ONE CIRCUIT 500 NOTES ?
TUBE OR
MARQUEE ADDITIONAL CIRCUITS tool I
SERVICENOTOVER 600 VOLTS OR 200AMP 908
SERVI CEOVER 600 VOLTS OR 200 AMP 1000 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP POWER POLE
TEMP SERVICE POLE &APPURTENANCES 500
TEMP LIGHT OR RECEPT SYSTEM 900 UNDERSLAB WORK
ROUGH CONDIUT
WIRING
FIXTURES
PERMIT FEE (SUB TOTAL) POWER AUTHORIZED
PLAN CHECK FEE UTILITY CO NOTIFIED
J�or
PERMIT ISSUING FEE 900 Sao FINAL f 3
TOTAL FEE I
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION 0 0 CASH
LAN 107173 Mtr11 2 1720~
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
o -
7A88' � APPLICATION FOR ELECTRIC PERMIT 1
DB8 SA I1 Bgg�
AZION OF BUMDMG AND SAFETY
IF Depmwims6O1 of C.OnIItt EII$III86! BUILDING
County O f 1.06 Angel" ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY
FORpSAPPLICANT FTO FILL IN NEAREST
c too ST
NUMBER OWNERwe ,
l LIGHT OUTLETS MAIL
RECEPTACLES ADDRESS
WALL SWITCHES FEE CITY TEL NO
TOTAL OUTLETS D at ELECTRICIAN jBj:m=-ffff- 400
ELEC RANGES 28 ADDRESS
ELEC HEATERS 28
CITY TEL N -
KW EA STATE-
FIXTURES
TATE FIXTURES g LICENSE NO
MOTORS DISTRICT NO 1GROUP1_j �$EADT FOR INSPECTION
NUMBER HORSEPOWER FES %I v
NEW MVD HP OVER INC EACH
>�&LESS $ 2s 00 II�TSP=ON RECORD
2 SO
2 B 100
B 1B ISO
IS 80 250
SO 200 goo
MISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING $100 Iva
FIXTURES $1 00
LELECTRICAL
MENTARY SO ANFROVAM
TOTAL FEE f DATE INSPECTOR S SIGNATURE
EBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
LL COUNTY ORDINANCES AND STATE LAWS REGULATING
ICAL WIRING WIRING
EBY CERTIFY THAT I AM PROPERLY REGISTERED AHD/OR FIXTURES
ED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFRNIA OR THAT I A T E LEGAL OWNER OF THE ABOVE POWER
ED RESIDENTIAL UREUTILITY CO NOTIFIEDRMITTEE FINAL f
JOHN A LAMBIE COUNTY ENGINEER VALID ARTHUR C VEIT CHIEF ELECT INSPECTOR
CK MO CABN
6 1 7 6tw"- PAR 19 2 795 O
a?
Z WORKERS COMPENSATION DECLARATION ,D,a, APPLICATION FOR ELECTRICAL PERMIT
I !�reby afk�rm that I have a cerllfibate of consent to self insure CZ�806 BoeG
a certificate of Workers Compensation Insurance or a certified COUNTY OF LOS ANGELES BUILDING AND SAFETY
copy thereof(Sec 3800 Lab C)
Policy No Company FOR APPLICANT TO FILL IN JOB
❑ Certified copy is hereby furnished New Residential Bldgs &Pools EACH NO FEE ADDRESS
❑ Certified copy is filed with the county building inspection 1 &2 Family Sq Ft 2- $ — $ LOCALITY
department Multi family Sq Ft — NEAREST
CROSS 3T
Date Applicant Residential Swimming Pools OWNER ORFIRM NAME e. S
CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec�Light�Sw Z MAIL
COMPENSATION INSURANCE ADDRESS f A.
(This section need not be completed if the work Involved by the First 20
Total No Additional CITY Tel No
permit is for one hundred dollars($100)or less) PLAN CHECK
I certify that in the performance of the work for which this permit AppV�T
is issued I shall not employ any pe so as to59C
QA r�s
become su act the Workers Com n s Lighting Fixtures First 20 ADDRESS
Total No Additional CITY Tel No
Date Applican
NOTICE TO APPLICANT If after makingFixed Appliances Not Over 1 HP this Certificate of PERMIT
Exemption you should become subject to the Workers Compensation Range_ Heater DW APPLICANT llll
provisions of the Labor Code you must forthwith comply with such Oven _ Dryer_ W M,� ADDRESS
provisions or this permit shall be deemed revoked Top — FAU _ WH CITY Tel No
LICENSED CONTRACTORS DECLARATION Hood — Fan _ Other_
I hereby affirm that I am licensed under provisions of Chapter 9 Disp — Room Air Cond RN Clens
(commencing with Section 7000)of Division 3 of the Business and REEGGNUMBER
Professions Code and my license is in full force and effect DISTRICT NO SSE BY
Power Apparatus&Large Apphances �j
Size&Type HP KW KVA or KVAR ✓i
License Number Lic Class Up to 1 Incl FINAL
Contractor Date Over 1 to 10 Incl DATE VALIDATION d'
Over 10 to 50 Incl FINAL
❑ I am exempt under Sec Over 50 to 100 Inc BY laA
B&PC for this reason Over 100
Services Swbd MCC&Panelboards //�� /1 I
Date 0 200 Amp Under 600 V , �..I^► �/ l
Signature 201 1000 Amp Under 600 V
❑ Exemption for Reg Maint Elect Over 1000 Amp or Over 600 V
SINGLE FAMILY Temp Power Pole&Appurtenances 2;J
HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit �►/+T
I hereby affirm that I am exempt from the Contractors License Law Additional Sign Branch Circuits AMT-
;
for the following reason(Section 70315 Business and Professions
Crl
37 20•n
. as owner of the property will do the work and the structure Misc Conduits&Conductors 1 ims
is not intended or offered for sale (Section 7044 Business Other(See Complete Fee Schedule) _ a L�
and Professions Code) , W�. �0�y�
CONSTRUCTION LENDING AGENCY OEM •7+
1 hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued(Sac 3097 PERMIT FEE (Sub Total) •00
Civ C)
PLAN CHECKING FEE
Lenders Name1 8/72/84
PERMITISSUING FEE C�rrt��
Lender s Address �J202 1 AN 81*11
I certify that I have read this application and state that the above TOTAL FEE on
information is correct I agree to comply with all County ordinances
a
la Electrical wiring and hereby authorize
unty to enter upon the above mentioned
in urposes SEE REVERSE FOR EXPLANATORY LANGUAGE
�7
Signature of Permittee Date
WORKERS COMPENSATION DECLARATION Z00019DPW 3/87 APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a certificate of consent to self
!sure or a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS
o or aWN "
copy thereof(Sec 380Q Lab C)
PolicCompany&,0&Z,64_ FOR APPLICANT TO FILL IN JOB
❑Certified copy is hereby furnished F New Residential Bldgs &Pools EACH NO FEE ADDRESS & /.2 /,
19
Certified copy is filed with the county building inspec 1 &2 Family Sq Ft $ — $ LOCALITY
EAREST
tiun department Multi family Sq Ft GROSS ST
Tto `/ 0 Apphcant19 41A/SwORy,? Residential Swimming Pools OWNER OR - 1 filf AleFIRM NAME '�•
CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Rec Light Sw_ MAIL
COMPENSATION INSURANCE First ADDRESS TA)F.-
(This section need not be completed If the work Involved by CITY Tel No
the permit Is for one hundred dollars($100)or less) Total No Additional C, O
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
so as to become subject to the Workers Compensation Laws Lighting Fixtures First 20 ADDRESS
Additional
Date Applicant Total No CITY Tel No
NOTICE TO APPLICANT If after making this Certificate of Fixed Appliances Not Over 1 HP PERMIT n
Exemption you should become subject to the Workers Range— Heater—D W — APPLICATION (/j Gni
Compensation provisions of the Labor Code you must forth Oven — Dryer —W M — ADDRESS e `
with comply with such provisions or this permit shall be Top — FAU —W H —
deemed revoked Hood — Fan —Other— CITY Tel No
LICENSED CONTRACTORS DECLARATION Disp — Room Air Cond LICENSE ORiel
I hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBER O
(commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRICT NO SS D B >_
and Professions Code and my license is in full force and effect a.�-1 Size&Type HP KW KVA or KVAR i O
License Number �0.3 7LIc Clas L �id 8 Up to 1 Incl FINAL U
kftp Over 1 to 10 Incl DATE VALIDATION
Contractor D Date �30-%/ 0
❑ Over 10 to 50 Incl
FINAL U
I am exempt under Sec Over 50 to 100 Inc BY
B&P C for this reason Over 100 \�)
/// N
Date Services Swbd MCC&Ponelboards �I ^ & Z
0 200 Amp Under 600 V
Signature 201 1000 Amp Under 600V
❑
Exemption for Reg MaOver 1000 Amp or Over 600 V pl
Malt Elect
SINGLE FAMILY Temp Power Pole&Appurtenances
HOME OWNER BUILDER DECLARATION 2
I hereby affirm that I am exempt from the Contractor s License Sign with One Branch Circuit ACCT.8
Law for the following reason (Section 7031 5 Business and Additional Sign Branch Circuits ( v
Professions Code) 337 20•%
❑ I as owner of the property will do the work and the Misc Conduits&Conductors 1 ITM
structure is not intended or offered for sale(Section 7044 Other(See Complete Fee Schedule)—
Business and Professions Code) , TOTAL 20.50
CONSTRUCTION LENDING AGENCY OEM 20.50
1 hereby affirm that there is a construction lending agency for
the performance of the work for which this permit is issued PERMIT FEE (Sub Total) • •OD
(Sec 3097 Civ C )
PLAN CHECKING FEE
Lender s Name U -OW1 VJ121$9
PERMIT ISSUING FEE
Lender s Address (3!:
7475 1 PM 3:5'14
TOTAL FEE
1 certify that I have read this application and state that the '2o,
above information is correct I agree to comply with all County
ordinances and State jaws regulating Electrical wiring and
hereby authorize representatives of this County to enter upon
the above mentionedpr ty for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE
oNaSi azure of Permittee Date es
ivo& A,.? ;Wc-
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0107190001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
TR 22438 LT 9 10124 NADINE ST
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802725
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET DAINES
8586 025 010 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID 83 LOCALITY TEMPLE CITY
G1 OUTLETS LGT,SW RECP 7 00 OUT 13 65
TENANT G2 LIGHTING FIXTURES 2 00 LGT 3 90
H5 RES WASH MACH LT 3HP 1 00 WAS 10 95 07/26/01 UT 01/22/02
JB AC UNITS +3 10HP 1 00 AC 19 65
OWNER TEL NO TOTAL FEES 75 90 CODE
PARKS DANIEL E,COLLEEN (626) 575 3068
10124 NADINE ST "1 V
TEMP 917802725
ON-OF WORK-
FINALIZE EXPIRED PERMIT #520 & #7475
APPLICANT TEL NO
TORKIAN CONSTRUCTION INC (310) 478 0666
11805 MISSISSIPI AVE
LOS ANGELES 90025
CONTRACTO TEL NO GELES co
APPROVALS DATE INSPECTOR SIGNATURr—
TORKIAN CONSTRUCTION INC (310) 478 0666
11805 MISSISSIPI LIC NO TEMPORARY POWER POLE
LOS ANGELES 550877 A8B UNDERGROUND
CONDUIT
ARCHITECT OR ENGINEER TEL mo uFmrzwoamy-
LIC NO �I111111
L - ,
IRING
ffp L C 0 PLASTIC Y/N METAL Y/N
16 0
,
O 0
SL-ry
REPORT ID DPR265 ROUTE TO BS0508