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HomeMy Public PortalAbout10200 NADINE ST_Electrical__ T&AG" D=°A 11-" APPLICATION FOR PERMIT DEPARTMENT OFNG AND SAFETY ELECTRi C i COUNTY OFF LOS LOS ANGELES WILLIAM J FOX• CHIEF ENGINEER FOR t79CANT TO FILL og DISTRICTGROUP I ZONE PERMIT MO ELECTRICIAN ?p RECEIVE DY DATE ISSUED ADDRESS Rt INSPEF CTION CITY v AL.NO /5'X/1 7 COU LICENSE NO EXPIRES BBUILDIN UILDING lop • PERMIT FIr NUMBER OUTLETS EACH FEE LOCALI • LISHT BC NEAREST CROSS ST RECEPTACLES S • !� O FIXTURES s OWNER WALL SWITCHES 6 MAIL CLIM RANGES 26 ADDRESS ELEC HEATERS BS CITM TEL No 1 HEREBY Armowi,,cCeTHAT 1 HAVE READ THIN NUMBER OF CIRCUITS INET EDS Tom. APPLICATION AND STATE THAT THE ABOVE iB CORRECT LIGHTS / RE E LES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING Nuueem HORSEPOWER PEE I CERTIFY THAT I POSBEBB THE ABOVE VALID LOB New MVC HP OVER INC am" ANGELES COUNTY LICENSE• OR 1 AM THE LEGAL OWNER Va e Less 6 gs OF THE RESIDENTIAL P PERTY DESCRIBED ABOVE 9 so SIGNATURE OP B B 1 00 PERMITTE s 15 lea INSPECTION RECORD is so 250 so ROD 600 SOO Soo law Soo 1000 1500 J OVER 1000 Roca Z ma BET/PREQ CHANGER NP WELDERS AC KVA Q' GENERATORS - KW O TRANSFORMERS - KVA TEMP MOTORS (76 or calm) MOVED MOTORS (7s or ORIS) mine SIGNS TYPES No.TRANS. o MPs APPROVALS FOR EACH PERMITS DATE INSPECTOR'S NAME WIRING Nice CONDUIT FIXTYREB 100 WIRING SUPPLEMENTARY_ So XIXTURCS x 00 POWER TOTAL FEE • UTILITY 00 NOTIFIED 1/ FINAL TEMPLE CITY 76A669-CE806 6.62 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 01 O P . JOHN A LAMBIE COUNTY ENGINEER /� f WILLIAM A JENSEN SUP T OF BUILDING LOCALITY NEAREST n� FO APPLI N O FIL IN CROSS ST -Aal&7eps8 RECEPT TOTAL NO EACH Phi OUTLETS FIRST 20 S 20 S OWNER DLJ NO a I? Me LIGHT //yy MAIL AlSWITCH /(/ ADD L ADDRESS /1910 O /ret 1ne Z OVER 20 10 TBTAL CITY �/ZJ Ie �"f TEL NO T 132-2 LIGHTING FIRST 20 20 FIXTURES ADD LNtO ELECTRICIA OV R 2O RANGES CLO DRYERS WYE HTRS tool ADDRESS OARS DISP STA COOK CITY TEL NO DISHWASH AUTO WASH STATE SPACE HTRS STA APP (%H P MAX) s0 LICENSE NO MOTORGs ovum NOT OVER H P DISTCT O GROUP Z E P CESSED BY o t too D 1 s 1150 INSPECTION RECORD s s 200 8 is ago is so s oo BO too Soo V Blame$ NO TRANS OC NO LAMPS SERVICE O 600V NOT OVER 200A 100 a 01 IL SERVICE O 600V OVER 200 A 200 ! H SERVICE OVER 600V S o0 Z MISC PERMIT ISSUING FEE 200 p� SUPPLEMENTABY PERMIT ISSUING FEE too TOTAL FEE 6 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI TION ALS DATE IN S•GNATURE AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING WIRING I HERESY CERTIFY THAT I AN PROPERLY RESISTXIS(D AND/OR LICENSED AB REQUIRED BY LOS ANGELES COUNTY AND STATE OR FIXTURES CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTI PROPERTY POWER SIGNATURE UTILITY CO NOTIFIED OF IbERMITTEE FINAL If VALIDATION ARTHUR C VEIT Cit MO (A63/ SUPERVISING ELECTRICAL ENGINEER LQ 6 3 1 4 WAR 6 2 D 4.60- 4 f � ZL GLf$L/ � 78ASOPC�EStfB 8/61 APPLICATION FOR ELEC RICAL PERMIT , COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER fADDRESS LDING BUILDING AND SAFETY DIVISION JOHN A LAMBIE COUNTY ENGINEER WILLIAM A JENSEN SUP T OP BUILDING ALITYRESTP O FIL IN SS ST RECEPT j TOTAL NO EACH FEE OUTLETS FIRST 20 a 20 a OWNER L 18X7 MAILelf SWITCH ADD L ADDRESS OYER 20 10 TOTAL CITY TEL NO LIGHTING FIRST 20 SO dip- FIXTURES ADD L to ELECTRICIAN c OV R 20 RANGES CLO DRYERS! WTR MTRS 100 ADDRESS GARB DISP STA COOK CITY TEL NO DISHWASH AUTO WASH STATE SPACE HTRS VIA APP (yi X P MAX) s0 LICENSE NO MOTORS' ovER NOT OVER NP DISTIPCT NO. G P NE P ESSED BY O f f DD }� s 1 so INSPECTION RECORD S s S oo a Is ago Ou IS so Soo r- S--&L so 100 500 WAS PONg B s✓ At SIGNS: NO TRANS � P No LAN" !N VD SERVICE O 600V NOT OVER SODA f 0o SERVICE O SOOV DYKE 200 A S 0o SERVICE OVER 600V goo MISC PERMIT ISSUING PER 200 SUPPLEMENTASY PERMIT ISSUING FEE 100 O TOTAL FEE i I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE 1 SIGMATUEX AND STATE THAT THE ABDYE I!CORRECT AND AGREE TO COMPLY C6NDU1T WITH ALL COUNTY ORDINANCE! AND !TATE LAWS REGULATING ELECrwCAL WIRING WIRING I HER®Y CEIRIPY THAT 1 AN PROPERLY REGISTER%b AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE ORWAISED MIUDENTIAL PROPBRTY POWER SIGNATURE TILITY CO OF NOTIFIED PERMITTE FINAL LIDATION ARTHUR C VEIT MO CASH SUPERVISING ELECTRICAL ENGINEER Lilo 7 lb 3 8 APR 14 2 D 460- d WORKER S COMPENSATION DECLARATION 20.0019 DPW(12 91) APPLICATION FOR ELECTRICAL PERMIT I hereby affirm that 1 have,certificate of consent to self Kure 78A883 or a certificate of Worker s Compensation Insurance*ot a certified COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV copy thereof(Sec 3800 Lab C) Policy NO Company FOR APPLICANT TO FILL IN CRESS IO,too Q 1n� Candied copy is hereby furnished New Residential Bldgs &Pools NO EACH FEE Family Sq Ft — $ $ LOCALITY El �Certified is filed with the county bud1&2 ding inspection — NEAREST ^,./�-Y L department Mufti family Sq Ft CROgS ST 9 ly�i'� -� Date Applicant Residential Swimming Pools ASSESSOR MAP BOOK806 PAOEO/�b PARCEL O/Z CERTIFICATE OF EXEMPTION FROM WORKERS Z�J OWNER O �O COMPENSATION INSURANCE Outlets Roe Light_-T-Sw FIRM NAME p CL. M ���QQ (This section need not be completed the work Involved by the MAIL Total No I1Z��- First 20 Additional ADDRESS permit is for one hundred dollars($100)or less) 1 certify that in the performance of the work for which this permit C!!!:2ft4b6 Tell r is issued I shall not employ any person in any manner so as toPLAN CHECK become subject to the Workers Compensation Laws Lighting Fixtures First 20 �� b APPLICANT di lladj3l Total No Additional Date Applicn' ADDRESS Wnp a NOTICE TO APPLICANT If after making thio of RESIDENTIAL APPLIANCES NOT OVER 3 HP to of C Tel N.44&-8313 Exemption you should become subject tp the Workers Compensation OTHER APPLIANCES NOT OVER 3 HP provisions of the Labor Code you must forthwith comply with such Power Apparatus&Large Appliances �� 4 PAEPPMC NT provisions or this permit shall be deemed revoked LICENSED CONTRACTORS DECLARATION Size=Over KVA or KVAR ADDRESS p 0 e I hereby affirm that I am licensed under provisions of Chapter 8 3 to 10 Incl �� (commencing with Section 7000)of Division 3 of the Business and CITE' Tel No Professions Code and my license is in full force and effect Over 10 to 501nc1 LICENSE ORI I } Over 50 to 100 Incl REG NUMBER 0 70 3 Chm j5 d Over 100 DISTRICT NO P ED BY O License Number Lic Class O U Services Swbd MCC&Panelboards cc Contractor Date 0 399 Amp Under 800 V D95 ATE O0 ❑ I am exempt under Sec 400 1000 Amp oder 800 V ' W Over 1000 Amp or Over 600 V Over S&P C for this reason BRANCH CIRCUIT FEES NAL B co Z Date ISA or 20A 1�pY'rghting or Recept I/ 1 To 10 Branch Circuits Signature 11 To 40 Branch Circuits uits ❑ Exemption for Reg Maint Elect 16A 20A 20 VV To 277V LLiightin Br Circuanch its SINGLE FAMILY Temp Power Pole&Appurtenances11�� 3 HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit a3 X71 20 1 hereby affirm that 1 am exempt from the Contractor s License Law for the following reason(Section 7031 5 Business and Professions Additional Sign Branch Circuits Code) 1 ITEMS as owner of the property will do the work and the structure Misc Conduits&Conductors TUTAL 27E®20 is not intended or offered for sale(Section 7044 Business Other(See Complete Fee Schedule) , { �� i� and Professions Code) AM CONSTRUCTION LENDING AGENCY CHANE ,�I 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 Totaq J�� l p Civ C) �O`IV' PLAN CHECKING FEE 000D-0001 12/27/93 Lender s Name PERMIT ISSUING FEE 3119 1 AM 9'0' Lender s Address I certify that I have read this application and under penalty of puqury state TOTAL FEE y0 that the above information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring and hereby authorize twee of this County to enter upon the above-mentioned property for I i n p ose . SEE REVERSE FOR EXPLANATORY LANGUAGE NATURE OF PERM DAVE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1404020012 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285 0488 EXT LEGAL IDI FEES PAID BUILDING ADDRESS TR 15862 IT 23 10200 NADINE ST IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802727 I ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET DAINES 8586 026-012 Al PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY CAI ,F1 120V 15/20A BR CKTS 1 00 BR 17 30 I ITT TOTAL FEES 45 10 ISSUED ON PROCESSED BY PLAN BY 104/02/14 SR `OWNER TEL NO IFINAL JaTE FnJAL BY CODE 1 ILIN YINGXING (626) 872 3338- 1 110200 NADINE ST Iby-ol�k I (TEMP 917802727 I 1D CRI I OF WORK I I lil I1 (INSTALLING 50 A BREAKER AND A 240V OUTLET APPLICANT TEL NO - I SAME AS OWNER (SPECIAL CONDITIONS I I— I ICONTRACTOR TEL NO i (APPROVALS DATE INSPECTOR SIGNATURE ISAME AS OWNER - I LIC NO I (TEMPORARY POWER POLE I I I IUNDERGROUND CONDUIT 1 (ARCHITECT OR ENGINEER TEL NO l I i IUFER GROUND LIC NO 1 ROUGH CONDUIT I I I IROUGH WIRING 0 I I IMAIN WATER LINE I PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED I 1 i I I I I I t I I I I I I I I I I I I I REPORT ID DPR265 ROUTE TO BS0508