HomeMy Public PortalAbout10130 NADINE ST_Electrical__ r n
76"63 CE aoo'e/791 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN ADDRESS a/�� z !
New Residential Bldgs &Pools EACH NO FEE
1 &2 Family Sq Ft T_ $ 025 — $ LOCALITY "
Multifamily Scl Ft 02 NEAREST-
ResidentialROSS
Swimming Pools 2500 WNER OR
FIRM NAME
Outlets Rec L1ght_.;;P_- Sw MAIL
First 20 50 ADDRESS
Total No Additional 30 CITY L! Tel No
PLAN CHECK
APPLICANT
fighting Fixtures First 20 50 ADDRESS
�. Additional 30
Total No CITY Tel No
Fixed Appliances Not Over 1 HP PERMIT
Range_Heater_D W APPLICANT
Oven_Dryer_W M_ ADDRESS
Top —FAU —W H CITY Tel No
Hood_Fan —Other LICENSE OR
Disp —Room Air Cond 250 REG NUMBER Class
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
Size&Type HP KW KVA or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
2 50 REGULATING ELECTRICAL WIRING
Up to 1 Incl I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl 500 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
Over 10 to 50 Incl 1250 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL P P
Over 50 to 100 Inc
2500 ERTY
Over 100 4000 PERMITEE
SIGNATURE
Services DISTRICT NO P CESSE Y ..
0 200 Amp Under 600 V 1250
201 1000 Amp Under 600 V 2500 i U
Over 1000 Amp or Over 600 V 5000 Z
O
Temp Power Pole&Appurtenances 1000 < *587 1 A
Sign with One Branch Circuit
1000
Additional Sign Branch Circuits 200 INSPECTION # • •r• 0 • 2
Misc Conduits&Conductors 1000 INFORMATION 2 • a 1 2 5 0
ON REVERSE Z
Other(See Complete Fee Schedule) SIDE W • • e 1 2500
Z
0801 -79
PERMIT FEE (Sub Total)
PLAN CHECKING FEE (One Fourth Permit Feel O
PERMIT ISSUING FEE $700 ? o
TOTAL FEE >
INSPECTIO7,; y FI ALED
/ - W
date � B
DS85A i1 68 APPLICATION FOR ELECTRIC PERMIT 1
DB8 BA
DIVISION OF BUUDUgG AND SA= g
DeposbReal of Co111nW Engineer ABUILDINGDDRESS 7 ,pAp
COnni4 of Los Angeles Gr
JOHN A LA BIE COUNTY ENGINEER
CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST 1
pEDW FM CROSS ST �
NUMBER OWNER
I LIGHT OUTLETS
MAIL
RECEPTACLES ADDRESS
WALL SWITCHES FEE, CITY TEL NO
TOTAL OUTLETS 0 of 8 ELECTRICIAN
ELEC RANGES 28 _
ADDRESS O
ELEC HEATERS 25
CITY TEL N94
KIN EA STATE
FIXTURES 8 LICENSE NO
MOTORS FEB DISTRICT—NO I GROUP I ZONE
NE I BEADY FOR INSPECTION
NUMBER HORSEPOWER '
NEW MVD HP OVER INC EACH
16&LBBB s 25
INSPECTION RECOBD
]� 2 so
2 s loo
s 18 - too -
1 f
is sO 250
so 200 S 00
M ISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING 0100 O
FIXTURES $100 O O
L
MENTARY s0 APPROVALSTOTAL FEE : DATE INSPECTOR S SIGNATURE
EBY ACKNOWLEDGE THAT I HAVE READ THIS AP ICA ION
ATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY CONDUIT
LL COUNTY ORDINANCES AND STATE LAWS REGULATINGWIRING
ICAL WIRINGEBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
ED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
RNIA OR THAT I AN THE LEGAL OWNER OF THE ABOVE POWER
ED RESIDENTIAL URE UTILITY CO NOTIFIEDRMITTEE RINAL —
JOHN A LAMBIE COUNTY ENGINEER VAMAMOR, ARTHUR C VEIT CHIMP ELacr INePecroR
CK MO CA9N
f ,2262A X13 2 7.45 0
LOUNTY OF LOS ANGELES TEMPLE CITY / # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9803190020
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE (818) 285 0488 EXT
LEGAL 10 FEES PAID BUILDING ADDRESS
TR 22438 LT 8 10130 NADINE ST
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802725
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET DAINES
8586 025 009 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID 83 LOCALITY TEMPLE CITY
LB 200 AMP PANELS MCC 1 00 PAN 38 85
TENANT TOTAL FEES 66 60 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
03/19/98 UT 03/19/99
OWNER TEr-NO CODE
RARDIN ROBERT C MELINDA L (818) 575 0079 FINAL N
AL
10130 NADINE ST NvFi
TEMP 917802725
NEW 200 AMP SERVICE UPGRADE 1p
APPLICANT TEL NO
ARCADIA ELECTRIC (626) 383 8044
SPECIAL CONDITIONS
GELES Co
CONTRACTOR TEL ARCADIA ELECTRIC (818) 446 5756 AP INSPECTOR SIGNATURE
1225 HOLLY AVE LIC NO TEMPORARY POWER POLE
ARCADIA CA 91006 325086 CIO
IUNDERGROUND CONDUIT
ARCHITECT OR ENGINEER TEL NO UFER GROUNDI
LIC NO 1111111ROUGA CONDUIT
ROUGH WIRING
MAIN�?
r - -
INE
U C LL�C Wr O S PLASTICTY/NL METAL Y/N
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REPORT ID DPR265 ROUTE TO 850508