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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