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Home My Public Portal About10203 NADINE ST_Electrical__ r6A6d9)CEIOV%62 APPLICATION FOR ELICTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 2lip de JOHN A LAMBIE COUNTY ENGINEERC WILLIAM A JENSEN SUP T OF BUILDING LOCALITY i-- NEAREST FOR AP I O FILL IN CROSS ST rde A RECEPT TOTAL NO ZACH PEE OUTLETS FIRST 20 [fO#20 • OWNER S¢Y t LIGHT SWITCH g ADD L t0 D ADDIiEgo Q O t OVER 20 TOTAL D CITY / I Cl� TEL NO LIGHTING 1 FIRST 20 20 FIXTURES 1 ADD L 1O ELECTRICIAN -a E h%A. ee OV8R 20 RANGES CLO DRYERS WTR HTRS too ADDRESS Q .S A7ee, OARS DISP STA COOK CITY nk. TEL NO oz-^ d0 O DISHWASH AUTO WASH STATE ACE HTRS BTA APP (%N P MAIL) / s0 LICENSE NO MOTORS. OVER NOT OVER H P DISTRI21 G P Z NE P ED B o t t 00 t s t so INSPECTION RECORD S 8 200 / 140257-1 _l e s is 250 e -A0 'Ti G 18 SO 300 8 SO too goo SIGNB� NO TRANS NO LAMPS U) SERVICE O 800V NOT OVER 200A 100 - ,/�t^' r Z SERVICE O 800V OVER 200 A 200 J' SERVICE OVER e00V S 00 MISC PERMIT ISSUING FEE 200 SUPPLEMEMTABII PERMIT ISSUING FEE too TOTAL FEE # LffBY ACKNOWLEDGK THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S BI NATURE TE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT L COUNTY ORDINANCES AND STATE LAWS REGULATINGCAL WIRING WIRING RBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/ORD AB REGYIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES O�trNIA OR THAT 1 AM THB LEGAL OWNER P THE ABOVEED RESI IAL PROPERTY POWER URE UTILITY CO NOTIFIEMITT FINAL �Y�►LI A HUR C EE1T CK/,) MOO CAS CASH SUPERVISING ELECTRICAL ENGINEER X 8 1 5 9% DEC j 0 2 D 6.3 0go - V"663 oss sA s.. ® APPLICATION FOR PERBUT DEPARTMENT OF SUQ.DIIdG AND,-SAFETY ELECTRIC 1 COUNTY OF LOS ANGELES WILLIAM J FOX CHIEF ENGINEER FOR pp DISTRICT TO FIL IN DISTRICT NO GROUP ZONE PH MIT NO ELECTRICIAN O (J/'Z R V READY FOR DATE ISSUED ADDRESS ' FIRST N ECTI CITY TEL NoJT�;ilm COUNTY LICENSE NO EXPIRES BUILDING PElWT FEW FEE ADDRESS v NUMBER OUTLETS EACH LOCALITY LIGHTS Sc NEARS CROSS 8T ti RECEPTACLES S FIXTURES s OWNER WALL SWITCHES S MAIL ELEC RANGES 28 ADDRESS ELEC HEATERS YS CITY TEL. NO LSC 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIP NUMBER OF' CIRCUITS INSTALLED APPLICATION AND STATE THAT THE ABOVE 18 CORRECT LIGHTS RECEPTACLES Y AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING NYMEER HORSEPOWERI CERTIFY THAT 1 POSSESS, THE ABOVE VAD LOS FEB LI NEW MVD HP ovaR INc EACHANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROP IT DESCRIBED ABOVE. a Lase S 28 va 2 SO SIGNATURE OF 2 8 100 PERMITTE B is I so IN ECTIONSECORD 18 SO Y SO SO 200 S 00 200 800 10 00 800 1000 to 00 t OVER 1000 20 001 Z MG SET/FREQ CHANGER HP 3 ' WELDERS AC KVA It0 GENERATORS KW TRANSFORMERS KVA TEMP MOTORS (79% of oma MOVED MOTORS (75% op,ORIS ) MISc SIGNS ' TYPEI NO TRANS TYPE NO LAMPS APPROVALS DATE INSPECTOR 8 NAME FOR EACH PERMIT WIRING 100 O CONDUIT FIXTURES100 WIRING a SUPPLEMENTARY so FIXTURES POWERIf TOTAL FEE • UTILITY CC NOTIFIED Y 5 FINAL Y affirm that COMPENSATION DECLARATION CE& 10/81 APPLICATION FOR ELECTRICAL PERMIT � I herleby affirm that I have a certificate of consent to self �t1o6G insure or a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy thereof(Sec 3800 Lob C) �/'� �^ A Policy No f42�5.L�;?Company rl'�/ �/6io FOR APPLICANT TO FILL IN JOB }❑./ Certified copy is hereby furnished New Residential Bldgs 8 Pools EACH NO FEE ADDRESS ICI Certified copy is filed with the county buiZ:iml Y 54 — LOCALITY 1 &2 Family Ft $ — $ EJ77 LLr tion department Multi family Sq Ft NEAREST j6eResidential Swimming Pools CROSS ST Date Applicant % OWNER OR C FIRM NAME v CERTIFICATE OF EXEMPTION FROM WORKERS Outlets Recd-Light Sw_ MAIL COMPENSATION INSURANCE First 20 ADDRESS ti Z (This section need not be completed if the work involved by Total No Additional CITY Tel No the permit is for one hundred dollars($100)or less) 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 Total No Additional CITY Tel No Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If after making this Certificate of APPLICANT �rj jje Exemption you should become subject to the Workers Range— Heater_D W Compensation provisions of the Labor Code you must forth Oven L Dryer —W M — ADDRESS ga ?- with comply with such provisions or this permit shall be Top — FAU —WH — deemed revoked Hood Fan —Other— CITY ZV1AA4 Tel No LICENSED CONTRACTORS DECLARATION LICENSE OR n I hereby affirm that I am licensed under provisions of Chapter 9 Disp — Room Air Cond L REG NUMBER Class 4.�-1� (commencing with Section 7000)of Division 3 of the Business DISTRICT NO P D BY Power Apparatus 8 Large Appliances and Professions Code and my license is in full force and effect �":Q Q t d Size&Type HP KW KVA or KVAR �/ ' 0 License Numbe �� Li Classes- Up to 1 Incl FINAL V Contractor ate //" �- Over 1 to 10 Incl DATE VALIDATION 0 ❑ Over 10 to 50 Incl FINA I am exempt under Sec Over 50 to 100 Inc BY d i B&P C for this reason Over 100 40 —Dat r Ie SerJpe MCC 8 Panelboards ► Of C /-giiP Under 600 V Signature 201 1000 Amp Under 600 V ❑ Over 1000 Amp or Over 600 V Exemption for Reg Maint Elect SINGLE FAMILY Temp Power Pole&Appurtenances HOME OWNER BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor s License Additional Sign Branch Circuits Law for the following reason (Section 7031 5 Business and Professions Code) ' ❑ I as owner of the property will do the work and the Misc ondyrts&Conductors structure is not intended or offered for sale (Section Other ee Complete Fee Schedule)_ �585�7A► 7044 Business and Professions Code) # • • • • s 2 CONSTRUCTION LENDING AGENCY ( 004700 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) (Sec 3097 Civ C ) I • 90470053 Lender s Name PLAN CHECKING FEE 1 104-86 PERMIT ISSUING FEE Lender s Address I certify that I have read this application and state that the TOTAL FEE above information is correct I agree to comply with all County ordinances and State laws regulating Electrical wiring and hereby authorizer resentatwes of this County to enter upon the above e d property for action purposes SEE REVERSE FOR EXPLANATORY LANGUAGE 49 rl.-ture'of Permittee Date COUNTY OF LAS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0710310016 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285 0488 EXT ILEGAL ID I FEES PAID I BUILDING ADDRESS ITR 15862 IT 22 I 1 10203 NADINE ST I IFEE DESCRIPTION QIIANTITY UOM AMOUNT TEMP CA 917802728 (ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET 18586 027 022 1A1 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY I IG1 OUTLETS LGT SW RECP 1 00 OUT 1 95 1 I ITENANT 1G2 LIGHTING FIXTURES 2 00 LOT 3 90 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON TOTAL FEES 33 60 10/31/07 SR 04/28/08 1OWNER TEL NO ' IFINAL DATEBY CODE 1 IJACOBS RAYMOND D NANCY L (626) 575 0728 I I ��PI I 10203 NADINE ST ITEMP 917802728 1 (DESCRIPTION OF WORK I i I 1BATHROOM REMODEL (1) GFI AND (2) LIGHT FIXTURES 1 (APPLICANT TEL NO 1 I 1 IMORAD (818) 519 7706 112348 MAGNOLIA BL 1 ISPECIAL CONDITIONS 1 IVALLEY VILLAGE 91607 1 I 1 (CONTRACTOR TEL NO 1 1APPROVALS DATE INSPECTOR SIGNATURE 1 (AMERICAN HOME IMPROVEMENT INC (818) 348 7020 1 1 1 120335 VENTURA BLVD STE 422 LIC NO ( ITEMPORARY POWER POLE I I 1 IWOODLAND HILLS CA 91364 835537B * 1 I I I I 1 I (UNDERGROUND CONDUIT I I i I II I I (ARCHITECT OR ENGINEER TEL NO 1 IUFER GROUND I I I 1 LIC NO I (ROUGH CONDUIT I I 1 i ,ROUGH WIRING I I 1 1 I IMAIN WATER LINE I ( 1 1 I IPLASTIC YIN METAL YIN I I I 1 1 (UTILITY COMPANY NOTIFIEDI 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 I I I i I I I I I I I I 1 I I I I I I I1 I 1 I I I I 1 I I I '+ ADDITIONAL DATA ON FILE I IREPORT ID DPR265 ROUTE TO BS0508 I I I 1 I I I I I I