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Home My Public Portal About10249 NADINE ST_Electrical__ 009 SA f8 64 APPLICATION FOR ELECTRIC PERMIT ], DBS 8A DMSION OF BUt<. MG AND SAFETY Department of County Engineer County of Los Angeles BUILDING WM J FOX COUNTY ENGINEER ADDRESS CASSATT D GRIFFIN SUP T OF BUILDING FOR APPLICANT TO FILL IN LOCALITY PEBMT FEES NEAREST CROSS ST NUMBER EACH FEE LIGHT OUTLETS OWNER RECEPTACLES MAIL 0 q ADDRESS ?" WALL SWITCHES TOTAL OUTLETS S! S CITY TEL NO ELEC RANGES 25 ELECT CIAN 44 ELEC HEATERS 28 ADDRESS 42 KW EA CITY TEL NO FIXTURES $ LICENSE NO NUMBER OF LIGHT CIRCUITS DISTRICT NO ;GROUP ZONE I READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS MOTORS NUMBER HORSEPOWER FEE INSPECTION RECORD NEW MVD HP OVER INC EACH 1A2 8 LESS S 25 i 2 50 2 S too S 1s ISO 15 SO 250 SO 200 500 MISC NO SIGNS NO TRANS NO SIGNS NO LAMPS FOR EACH PERMIT WIRING 411 00 FIXTURES S1 o0 SUPPLEMENTARY SO (� APPROVALS TOTAL FEE S ' DATE INSPECTOR S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY SIGNATURE UTILITY CO NOTIFIED OF PERMITTEE FINAL MEIN WILLIAM J FOX COUNTY ENGINEER __ _ VJ=0 N By G i1t� 3 5EPIY 78A889 CE808 4 89 APPLICATION FOR ELE 'fl CTRICAC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY BUILDING AND SAFETY DIVISION ADDREBUILDING SS �OerL �"> D119'ea JOHN A LAMBIE COUNTY ENGINEER .}.� $ COLEMAN W JENKINS SUP T OF BUILDING LOCALITY / �w 01 NEAREST FOR P ICANT IN CROSS ST RECEPTACL TOTAL NO EACH FEE OUTLETS FIRST 20 2O OWNER LIGHT MAIL SWITCHADD L 10 ADDRESS OVER 20 01 TOTAL FIRST 20 20 CITY TEL No LIGHTING FIXTURES FIXTURES ADD L 10 CONTRACTO OVER 20 RANGES CLO DRYERS WTR HTRS 100 ADDRESSGI/� /0 GARB DISP STA COOK CITY TEL N / DISHWASH AUTO WASH STATE SPACE HTRS STA APP (/i H P MAX) BO LICENSE NO MOTORS OVER NOT OVER HP DISTBIC�N G P ED O 1 100 �Cff • 1 9 ISO INSPECTION RECORD s a 200 e1 s 250 1s so 300 ^ so 100 goo 8 m SIGNS$ NO TRANS NO LAMPS SERVICE O 600V NOT OVER 200A too y SERVICE O 600V OVER 200 A 200 Z SERVICE OVER SOOV Soo OTHER (SEE COMPLETE FEE SCHEDULE) PERMIT ISSUING FEB 2 00 BUPPLEMENTABY PERMIT ISSUING FEE 100 TOTAL FEE s APPROVALS DATE -INSIPlICTCH1141,810MATURE I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDERSLAB WORK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING WIRING 1 HEREBY CER THAT 1 AM PROPERLY GISTERED ANDVOR FIXTURES LICENSED Al R U ED BY LOS ANGELES NTY AND STATE OF CALIFORNIA OR N 1 A THE LEO AL W OF ND INTEND TO POWER RESIDE IN THE B VE CRIBED EB E IA OPERTY SIGNATURE UTILITY CO NOTIFIED OF PERMITmw FINAL OK LI O CA SU EP S ROOkAN LECMO CASH SUPERVISING ELECTRICAL ENGINEER LAL�O 1 4 6-, MAR 2 2 D 600- 4 1 1 `y'"'�R�fir,✓W''fl/ 7"663 Das SA 11 49 A PM `�'j N FOR PERMT DEPARTMENT OFNG AND SAFETY ELECTRIC i COUNTY OFF LOS LOS ANGELES WILLIAM J FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZO E PERMIT NO ELECTRICIAN RECEIVE READY FOR DATE ISSUED ADDRES8 l�..� FIRST INSPECTION / C• / CITY TEL.NO l 0 COUNTY LICEN E NO EXPIRES BUILDING PERM ADDRESS NUMBER OUTLETS EACH FEE LOCALITY LIGHT SrCROSS ST NEAREST RECEPTACLES s O l( FIXTURES I S OWNER r HOW WALL SWITCHES 9 MAIL EL= RANGES gB ADDRESS ELEC HEATERS 25 CITY TEL NO IGC 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS NUMBER of CIRCUITS IN LLED TOTA APPLICATION AND STATE THAT THE ABOVE IS CORRECT LIGHTS f= RECFPTACLIEB AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING NuMecRHORSEPOWER FEE I CERTIFY THAT I POSSESS THE ABOVE VALID LOB New Mw HP OVER INo 'Con" ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER Y2 A LeR9 S Zg OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE I s so SIGNATURE OF B s 100 PERMITTEE s Is ISO INSPECTION RECORD is so 250 so Boo goo 200 Boo 1000 Boo 1000 I S DO `, �A �� a OVER 1000 20 00 Z M B SET FRED CHANGER HP Q WELDERS AD KVA R� GENERATORS KW O TRANSFORMERS - KVA TEMP MOTORS (75of onto) MOVED MOTORS (75% of ORIS) M19C SIGNS TYPE NO TRANS. PE NO LAMPS APPROVALS FOR EACH PERMIT DATE INSPECTOR 9 NAME WIRING 91 00 CONDUIT FIXTURES mica WIRING r" SUPPLEMENTARY so FIXTURES POWER TOTAL FEE •G.L UTILITY CO NOTIFIED FINAL A WORKERS COMPENSATION DECLARATION 200019DPW 3/B7 APPLICATION FOR ELECTRICAL PERMIT O 1 hereby affirm that I have a certificate of consent to self a insure or a certificate of Workers Compensation Insurance COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS or a certified copy thereof(Sec 3800 Lab C) Pa4cy No Company FOR APPLICANT TO FILL IN JOB ADDRESS G/ Certified copy is hereby furnished New Residential Bldgs &Pools EACH NO FEE 3 Certified copy is filed with the county building mspec 1 &2 Family Sq Ft_9!,VZ) $ = $ 1 LOCALITY tion department Multifamily Sq FtNEAREST .{�� Residential Swimming Pools CROSS ST Y • Date Applicant OWNER OR Z7.- NAME –NAME d5 CERTIFICATE OF EXEMPTION FROM WORKERSOutlets Rec 1QSw C MAIL COMPENSATION INSURANCE Light r15 ADDRESS �0 thhis section need not be completed if the work involved b First 20 e permit is for one hundred dollars(=100)or less) 1r Total No Additional CITY r'�.Tel No 7 I certify that in the performance of the work for which this 5 APPLICANTPLAN 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 1-�A 1 �+t� Total No 10 Additional CITY Tel No Date �pplicant �� ! Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT If after making this Certificate of APPLICATION Exemption you should become subject to the Workers Range— Heater—D W — Compensation provisions of the Labor Code you must forth Oven — Dryer W M — ADDRESS with comply with such provisions or this permit shall be Top — FAU %7W H — deemed revoked Hood — Fan —Other— CITY Tel No LICENSED CONTRACTORS DECLARATION Disp — Room Air Cond — LICENSE OR I hereby affirm that I am licensed under provisions of Chapter 9 REG NUMBER Class (commencing with Section 7000)of Division 3 of the Business Power Apparatus&Large Appliances DISTRI�T�.1O ESSED Y and Professions Code and my license is in full force and effect 5 O a Size&Type HP KW KVA or KVAR Q License Number Lic Class Up to 1 Incl FINAL U Over 1 to 10 Incl DATE 4q )� VALIDATION a:Q Contractor Date 0 Over 10 to 50 Incl FINAL I am exempt under Sec Over 50 to 100 Inc BY W B&P C for this reason Over 100 a Date Services Swbd MCC&Ponelboards N 0 200 Amp Under 600 V Z Signature 201 1000 Amp Under 600 V Exemption for Reg Maint Elect Over 1000 Amp or Over 600 V SINGLE FAMILY Temp Power Pole&Appurtenances ry HOME OWNER BUILDER DECLARATION i Sign with One Branch Circuit Al(Y.i I hereby affirm that I am exempt from the Contractor s License Law for thpof6llowing reason (Section 7031 5 Business and Additional Sign Branch Circuits 3307 72.rt1 tofe!pefis Code) 1 IT EMS LM I as owner of the property will do the work and the Mist Conduits 8 Conductors structure is not intended or offered for sale(Section 7044 Other(See Complete Fee Schedule) , TOTAL 72.50 Business and Professions Code) CONSTRUCTION LENDING AGENCY tCK 72e50 I hereby affirm that there is a construction lending agency for c0a .0j the performance of the work for which this permit is issued PERMIT FEE (Sub Total) (Sec 3097 Civ C ) PLAN CHECKING FEE 010100-0001 12!2.2/89 Lender s Name ✓ PERMIT ISSUING FEE 7714 1 AM $•2�+ Lender s Address ` 1 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 by authorize representatives of this County to enter upon I e bove mentioned property fo inspection purposes t SEE REVERSE FOR EXPLANATORY LANGUAGE / 1'fa'tx -�/ S hat of ermittee Date ®s COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS EL 0508 9609100001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE (818) 285 0488 EXT LEGAL 10 FEES PAID BUILDING ADDRESS TR 15862 LT 14 10249 NADINE ST FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802728 ASSESSOR INFOR14ATION NUMBER NEAREST CROSS STREET 8586 027 014 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY G1 OUTLETS LGT SW RECP 5 00 OUT 9 75 TENANT TOTAL FEES 37 50 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 09/10/96 TC 09/10/97 OWNER TEL NO FINAL DATE FINAL CODE LI LIU (818) 442 2238 f��Z;.�� 1OW NADINE ST TEMP 917802728 DESCRIPTION OF WORK ELECTRICAL FOR PARTITION TO CREATE NEW BEDROOM APPLICANT TEL NO SAME AS OWNER SPECIAL CONDITIONS CONTRACTOR O// S DATE INSPECTOR SIGWATUR SAME AS OWNER LIC NO TEMPORARY'f/�' UNDERGROUND MUM- UFER GROUND LIC NO ROUGH CONDUIT ROUGH WIRING PUBLIC WORKS 14AIN WATER PLAI PLASTIC Y/N METAL Y/N Tmw n/1Ce REPORT 1D DPR265 ROUTE TO BS0508