HomeMy Public PortalAbout10222 NADINE ST_Electrical__ DEB SA 3 90 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC
COUNTY OF LOS ANGELES
WILLIAM J FOX, CNIEF ENGINEER
FOR APPLICANT TO FILL IN
DISTRICT NO GROUP ZONE PERMIT Na
ELECTRICIAN
RECEIVED BY READY FOR DATE ISSUED
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CITY EL Nqff7jI
COUNTY LICBNBC NO ^ EXPIRES BUILDING
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PERMIT FEE ADDR
NUMBER EACH F� LOCALITY
LIGHT OUTLETS Ap NEAREST
RECEPTACLES CROSS BT
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TOTAL OUTLETS BO MAIL
CLEC RANGES $B ADDRESS
_CLEC HEATERS as CITY TEL. NO
FIXTURES B I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING
MOTORS 1 CERTIFY THAT I P08BEBB THE ABOVE VALID LOB
NuMeea HORSEPOWER REC ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
New Mw HP OVER Iwo tAON OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
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200 500 1000
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TEMP MOTORS (75%or oRlo)
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SIGNS
NO NO TRANS. APPROVALS
NO NO LAMPS
FOR EACH PERMITS DATE INSPECTORWS NAME
WIRING 111100 CONDUIT
FIXTURES 81 Op WIRING
SUPPLEMENTARY 60 FXTURES
PWER
TOTAL FEE • �✓fr'CINAlL
UTILITYCO NOTIRIED
COUNTY OF LOS ANGELES I TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0011220005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
TR 15862 LT 27 10222 NADINE ST
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802727
ASSESSOR INFOR14ATION NUMBER NEAREST CROSS STREET DAINES
8586 026 016 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY
G1 OUTLETS LGT,SW RECP 108 00 OUT 157 80
G2 LIGHTING FIXTURES 40 00 LGT 66 00 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
HA FAU LESS 3HP 1 00 FAU 10 95 11/22/00 UT 05/22/01
H2 RES GRBG DISP LT 3HP 1 00 DIS 10 95
OWNER TEL NO H3 RES RANGE SHR LT 3HP 1 00 DIS 10 95 0
GONG JING (626) 665 5668 H4 RES RANGE HDS LT 3HP 1 00 H00 10 95
INAL BY
10221 NADINE ST H5 RES WASH MACH LT 3HP 1 00 WAS 10 95
TEMP 917803865 H7 RES EXHAUST FANS 2 00 EX 21 90 59C MION OF WORK —
JB AC UNITS +3 10HP 1 00 AC 19 65 ELECTRICAL FOR MASTER BEDROOM/BATH WITH WALK IN
LB 200 AMP PANELS MCC 1 00 PAN 38 85 CLOSET/2 NEW BEDROOMS ENTEND KITCHEN/NOOK FAMILY RM 1
APPLICANT TEL NO TOTAL FEES 386 70 EXISTING BEDROOM CONVERTED TO DINNING ROOM AND NEW 2 CAR
SAME AS OWNER
SPECIAL CO
S ,E
CONTRACTOR TEL NOS CO
SAME AS OWNER �� A SIGNATURE
LIC NO TEMPORARY POWER POLE
D
ARCHITECT OR ENGINEER TEL NO UFER GROUND
HAN FREEMAN (626) 796 5899
9051 VALLEY BLVD #104 LICNO' lil �,il waumrm-ffffu-rr-
ROSEMEAD CA 91770 C21976ROUGH WIRING
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UTILITY PANY NOTIFIED
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* ADDITIONAL DATA ON FILE
REPORT ID DPR265 ROUTE TO BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0011220005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 DUPLICATE
PHONE (626) 285 0488 EXT
LEGAL ID FEES PAID UILDI
TR 15862 LT 27 10222 NADINE ST
FEE DESCRIPTION QUANTITY I= AMOUNT TEMP CA 917802727
ASSESSOR INFOR14ATION NUMBER NEAREST CROSS STREET DAINES
8586 026 016
Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID 63 LOCALITY TEMPLE CITY
G1 OUTLETS LGT,SW RECP 108 00 OUT 157 80
TENANT G2 LIGHTING FIXTURES 40 00 LGT 66 00 ISSUE PLAN BY EXPIRES ON
HA FAU LESS 3HP 1 00 FAU 10 95 07/18/01 UT 01/14/02
H2 RES GRBG DISP LT 3HP 1 00 DIS 10 95
OWNER TEL NO ;V1 -Mff
GONG JING H3 RES DISHWASHR LT 3HP 1 00 DIS 10 95 FINAL DATE
GONG NADINE ST (626) 665 5668 H4 RES RANGE HDS LT 3HP 1 00 HOO 10 95 3/�U L
TEMP 917803865 H5 RES WASH MACH LT 3HP 1 00 WAS 10 95
H7 RES EXHAUST FANS 2 00 EX 21 90 UMURIPTIUN Of WORK
JB AC UNITS +3 10HP 1 00 AC 19 65 ELECTRICAL FOR MASTER BEDROOM/BATH WITH WALK IN
LB 200 AMP PANELS, MCC 1 00 PAN 38 85 CLOSET/2 NEW BEDROOMS, ENTEND KITCHEN/NOOK, FAMILY RM, 1
APPLICANT TEL NO TOTAL FEES 386 70 EXISTING BEDROOM CONVERTED TO DINNING ROOM AND NEW 2 CAR
GONG,JINGCONTRACTOR TEL NOAPPROVALS DATE INSP
S Pr�GELES COV
LLOYD SONAR CONSTRUCTION (909) 350 2724
P 0 BOD( 2095 LIC NO TEMPORARY POWER POLE
FONTANA, CA 92335 678641 B
UNDERGROUND
ARCHITECT OR ENGINEER TEL NOUFER GROUND
HAN FREEMAN (626) 796 5899�I
9051 VALLEY BLVD #104 LIC NO / ~11777117EMH CONDUIT
ROSEMEAD, CA 91770 C21976 L l \
ROUGH WIRING
14AIN WATER LINE' lim—�\ w
�c/U-00)L W 0�K S PLASTIC Y/N METAL Y/N
1p- UTILITY
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* ADDITIONAL DATA ON FILE
REPORT ID DPR265 ROUTE TO OS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1401160035
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
ILBGAL ID FEES PAID I BUILDING ADDRESS I
ITR 15862 LT 27 I I 10222 NADINE ST
I
I IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917802727 1
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET 1
18586 026 016 IP2 PC RES PV<10KW 153 90 I THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY CAI
1A1 PERMIT ISSUANCE FEE 27 80 I I
TAT IP3 INVRTR RES PV<10KW 27 90 ISSUED ON PROCESSED BY PLAN BY I
1 TOTAL FEES 209 60 102/05/14 SR I
(OWNER TEL NO I IFINAL-,PATEY CODE I
ICHOY CYRIL (626) 242 0220 i
110222 NADINE STREET 1
I
ITEMP 917803865 1 1 S IPTIO OF WORK 1
1 i [ROOF MOUNTED SOLAR 2 55 KW 10 MODULES AND 1 INVERTER 1
(APPLICANT TEL NO 1
IGUERRERO AMBROSE (213) 300 1659 1
I
I I
I I
113012 SATICOY ST (SPECIAL CONDITIONS 1
IN HOLLYWOOD CA 91605
I 1
ICONTRACTOR TEL NO 1 (APPROVALS DATE INSPECTOR SIGNATURE 1
IREC SOLAR INC (661) 645 2969 I
1 750184
13012 SATICOY STREET NO
[ ITEMPORARY POWER POLE I I I
1NORTH HOLLYWOOD CA 91605 1 (UNDERGROUND CONDUIT I I I
[ARCHITECT OR ENGINEER TEL NO IUFER GROUND
I I I
1 LIC NO I IROUGH CONDUIT 1 I I
1 1 1ROUGH WIRING I I
IMAIN WATER LINE I I I
IPLASTIC Y/N METAL Y/N I I I
1 1 (UTILITY COMPANY NOTIFIED64p(k 542
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I I 1 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
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I 1* ADDITIONAL DATA ON FILE I I I
1 1 I I I I
I I I I
1 1REPORT ID DPR265 ROUTE TO BS0508 1 I I I