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Home My Public Portal About10229 NADINE ST_Electrical__ VISAGES Des sA B aB ® APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC 1 WILLIAM J FOX CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT O GRO P I ;Z7O PERMIT NO ELECTRICIAN RECEIV READY FOR ATB U ISSED ADDRESS FIRST INSPECTION CITY TEL NO (J COUNTY LICENSE NO EXPIRES BUILDING yy PERMIT ADDRESS i- NUMBER OUTLETS EACH FEE LOCALITY PL 1- LIGHTS SC ffi NEAREST ST OL r i� RECEPTACLES B O ar FIXTURES 8 OWNER Wl•■J/ L S WALL SWITCHES S MAIL e ELEC RANGES gs ADDRESS ELEC HEATERS 25 CITY:rem TEL NO MISC I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS NUMBER OF CIRCUITS INSTALLED �J APPLICATION AND STATE THAT THE ABOVE IS CORRECT LIGHTS RECEPTACLES F" AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES MOTORS AND STATE LAWS REGULATING-ELECTRICAL WIRING NUMBER HORSEPOWER1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS FEE ANGELES COUNTY LICENSE OR: 1 AM THE LEGAL OWNER NEW MVD HP OVfiR INC EACH OF THE RESIDENTIAL PROPEirrY DESCRIBED ABOVB. a LESS ffi 23 y 2 SO SIGNATURE OF s 1 00 PERMITTEE s 1s 1-so INSPECTION RECORD 1s no 2 SO so goo S 00 200 Boo 1000 s00 1000 is 00 J OVER 1000 20 00 z M G syr/FREQ CHANGER HP WELDERS AC KVA 0 GENERATORS KW TRANSFORMERS KVA TEMP MOTORS (75% of oRja MOVED MOTORS 75% of oRIG ) MISC SIGNS f TYPE NO TRANS TYPE NO LAMPS APPROVALS DATE INSPECTOR S NAME ROR EACH PER T WIRING $100 CONDUIT / FIXTURES $100 WIRING SUPPLEMENTARY S0 FIXTURES 00 000,POWER TOTAL FEE ffi UTILITY CO NOTIFIED FINAL 76A868C Ceaese 12,78 APPLICATION FOR ELECTRICAL PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN New Residential Bldgs &Pools EACH NO FEE ADDRESS 2A& gh�21e 1 &2 Finally Sq Ft $ — $ LOCALITY r1rAgle C Multifamily Sq Ft — NEAREST CROSS ST Ap Residential Swimming Pools OWNER OR V FIRM NAME r a ey ♦N Outlets Light Switch&Receptacle MAI L First 20 ADDRESS Additional CITY Tel No PLAN CHECK Lighting Fixtures APPLICANT First 20 ADDRESS Additional CITY Tel No PERMIT Fixed Appliances Not Over 1 HP APPLICANT Range_ Heater_ D W ADDRESS Oven — Dryer — W M Top — FAU — WH CITYLA!dz )WOW No Hood Fan LICENSE OR Disp A C REG NUMBER Class w 1 HEREBY ACKNOWLEDGE THAT 1 NAVE READ THIS APPLICATION Q AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY V Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING W Size&Type HP KW KVA or KVAR ELEarR CAL WIRING H U to 1 Incl Z Up HEREBY CERT FY THAT 1 AM PROPERLY REGISTERED AND/OR Over 1 to 10 inclLICENSED AS REOU RED BY LOS ANGELES COUNTY AND STATE OF CAL PORNIA OR THAT AM THE LEGAL OWNER OF THE ABOVE Over 10 to 50 Incl DESCRIBED RESSITI L PROPERTY Over 50 to 100 Incl PERMITEE Over 100 SIGNAT" bF -DISTRICT NO P D BY Services 0 200 Amp Under 600 V 201 1000 Amp Under 600 V APPROVALS DATE INSPECTOR S Over 1000 Amp or Over 600 V SIGNATURE TEMP POWER POLE Temp Power Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT (Other) WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (Sub Tots l) UTILITY CO NOTIFIED PLAN CHECKING FEE (One Fourth Permit Fee) A FINAL f "� PERMIT ISSUING FEE TOTAL FEE NOTES a /PLiD/C J O K C'r2 G.9��rr�i�F PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO ASH 8 9 9 r JUN $ 2 ® 9.0 0 Ai;b WORKERS COMPENSATION DECLARATION CES 6G (2 80) APPLICATION FOR ELECTRICAL PERMIT • I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING AND SAFETY insure or a certificate of Workers Compensation Insurance or ' a certified copy thereof(Sec 3800 Lab`Com) r�y SSP //Zr r/1 FOR APPLICANT TO FILL IN JOB Policy No; Company EACH NO FEE ADDRESS Q �e New Residential Bldgs &Pools ID Certified copy is hereby furnished 1&2 Family Scl Ft $ — $ LOCALITY (o/� Multifamily Scl Ft — N T Certified copy is Bled with the county building inspection Residential Swimming Pools CROOSS S ST 11 department ��// FIRM NAME Date Applicant Outlets Rec dught ( Sw I MAIL dr First 20 ADDRESS CERTIFICATE OF EXEMPTION FROM WORKERS O Total No �— Additional CITY e,.r � Tel No _663 � COMPENSATION INSURANCE PLAN CHECKd APPLICANT a (This section need not be completed if the work mvolved / dl U by the permit is for one hundred dollars ($100) or less) Lighting Fixtures First 20 ADDRESS Additional Total No � 1Z � Fixed Appliances Not Over 1 HP 0 Wo W _ I certify that in the performance of the work for which this FCITY fi �' Tel No —S6�p permit is issued I shall not employ any person in any manner PERMIT t so as to become subject to the Workers Compensation Laws Range_Heater.L D W APPLICANT a Oven _ Dryer_W M ' ADDRESS Z Z Date Z,/ 3/"J- Applicant Top _ FAU _W H — Hood — Fan _Other_ CITY Tel No NOTICE TO APPLICANT If after making this Certificate of Disp —Room Air Cond_ LICENSE OR Exemption you should become subject to the Workers REG NUMBS Cls Compensation provisions of the Labor Code you must forth Power Apparatus&Large Appliances DISTRICT NO OCES ED BY with comply with such provisions or this permit shall be Size&T e HP KW KVA or KVAR — �j D deemed revoked ✓ �-Up to 1 Incl p Over 1 to 10 Incl gTEL _ LICENSED CONTRACTORS DECLARATION a ►� VALIDATION Over 10 to 50 Incl aS I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc FINAL 9 (commencing with Section 7000)of Division 3 of the Busi Over 100 BY ness and Professions Code and my license is in full force and effect I Services ' 0 200 Amp Under 600 V License Number Lic Class 201 1000 Amp Under 600 V Contractor Date Over 1000 Amp or Over 600 V HOME OWNER BUILDER DECLARATION Temp Power Pole&Appurtenances I hereby affirm that I am exempt from the Contractors Sign with One Branch Circuit License Law for the following reason (Section 7031 5 Busi Additional Sign Branch Circuits ness and Professions Code) I as owner of the property will do the work and the Other Conduits&Conductors ® Oth structure is not intended or offered for sale (Section Oer(See Complete Fee Schedule)- 7044 Business and Professions Code) CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency 3 5 7 6 a for the performance of the work for which this permit is PERMIT FEE (Sub Total) issued(Sec 3097 Civ C) Lender s Name PLAN CHECKING FEE (One Fourth Permit Fee) # • • • • • 2 Lender s Address PERMIT ISSUING FEE 2 2530 , I certify that I have read this application and state that the TOTAL FEE e'e - 25 3 0 c=i J above information is correct I agree to comply with all County 1231 -80 ordinances and State laws regulating Electrical wiring and hereby authorize representatives of this County to enter upon the above mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE ®,r.,a_ �1..,,.,� �m /.2-3/-PV Signat a of Pergi Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9609300014 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE (818) 285 0488 EXT i LEGAL ID S PAID TR 15862 LT 17 10229 NADINE ST FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802728 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET BALDWIN 8586 027 017 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY HA FAU LESS 3HP 1 00 FAU 10 80 TENANI JB AC UNITS +3 10HP 1 00 AC 19 65 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON TOTAL FEES 58 20 09/30/96 TC 09/30/97 OWNER TEL AL DATE FINAL Y CODE 1022 HARVEY R [I,CAROLYN M (818) 444 5638 6€ Tl v! [� 10229 NADINE ST 11-9 TEMP 917802728 Abor WURK NEW HEATING AND A/C SYSTEM APPLICANT TEL NO DNB CONTRACTORS (818) 767 8074 SPECIAL CONDITIONS CONTRACTOR TEL NO �j �� J APPROVALS DATE --INSPECTOR SIGNATURE D N B CONTRACTORS (818) 767 8074 �j 11914 SNELLING ST LIC NOTEMPORARY POWER POLE SUN VALLEY CA 91352 B CIOC20UNDERG* `� ROUND CO lffiarr- ARCHITECT OR ENGINEER TEL NO UFER GROUND LIC NO 1 G CONDUIT GH WJRUMTER LINE PLASTIC Y/N METAL Y/N UTILITY COMPAWY-OrrM �i ra v � * ADDITIONAL DATA ON FILE REPORT ID DPR265 ROUTE TO BS0508 I 1