HomeMy Public PortalAbout9943 NADINE ST_Electrical__ 76ASS3 DB9 SA 9-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC 1
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEr ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN J READY/
ADDRESS REOEI BY FIRST INSPECTION DATE ISBUiD
CITY TEL NO.1�S L q x 7
COUNTY LICENSE NO. C7 �.. EXPIRES BUIL:0 ✓ G.i
PERbUT FEES
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS ST.
WALL SWITCHES I ' OWNE rGe
TOTAL OUTLETS So 111 2- 40 MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 Z CITY TEL NO.
FIXTURES S 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDJNANCES
NUMBER Or RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
Numsim HORSEPOWERANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
FEE
Ncw Mw., HP OVER IWC- .MOr THE RESIDENTIAL PROPS DES RIBED ABOVE.
�Vit 8 Lsea 111 .25 SIGNATURE O
I 8 .SO PERMITTEQ [ 'f
s S. 1.00 INSPECTION RECORD
B is 1.50
its SO 2.80
SO 200 5.00
200 SOD 10.00 J
S00 1000 18.00 Z
OVER 1000 20.00 0
M.G. srT/rRM CNANGER-HP
-Z WELDERS:AD-KVA
GENERATORS - KW
TRANBFORMERS - KVA
TEMP. MOTORS (76 or DRIB.)
MOVED MOTORS (75or ORio.)
M ISC.
BIONS
NO. N O.TRANS.
APPROVALS
NO. NO.LAMPS
rOR EACH PERMIT: DATE INSPEOTOR'S NAME
WIRING 51.00 QD CONDUIT
FIXTURES $1.00 00 WIRING
SUPPLEMENTARY ,SO FIXTURES
POWER
TOTAL FEE �� UTILITY CO.NOTIFIED ['
FINAL
COUNTY OF ToOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1101310018
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID
I BUILDING ADDRESS: I
ON FILE I I 9943 NADINE ST 1
1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917802623 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: CAMBURY
18588-018-010 IA1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 25.00 OUT 45.70 1 1
ITENANT: IG2 LIGHTING FIXTURES 4.00 LGT 7.80ISSUED ON: PROCESSED BY: PLAN BY: 1
1 ILA 100 AMP PANELS, MCC 1.00 PAN 38.80 101/31 /11 SR 1
TOTAL FEES 120.10 1 1
10WNER: TEL. NO: 1 IF D F Y: CODE:
IQUON GLENN W;KIM YEE (626) 271-6176- 1 1 / 1
19943 NADINE ST 1 1
ITEMP 917802623 I IftfISCRIPTIdN OF WORK V1
I I (ELECTRICAL FOR NEW ADDITION AND UPGRADE SERVICE PANEL TO 1
I
I I 1100 AMP
1APPLICANT: TEL. NO: - 1 1 1
(GONG, ROCKY (626) 350-1345-
1 1 ISPECIAL CONDITIONS: I
I I 1
I I
ICONTRACTOR: TEL. NO: 1 1APPROVALS _ DATE INSPECTOR SIGNATURE 1
IQUON, GLENN (626) 271-6176- 1 1 I"
19943 NADINE STREET LIC. NO I ITEMPORARY POWER POLE I I I
ITEMPLE CITY, CA 91780 NONE I I I I 1
1 I (UNDERGROUND CONDUIT I 1 1
(ARCHITECT OR ENGINEER: - TEL. NO: 1 IUFER GROUND I I I
I LIC. NO: I IROUSH CONDUIT I I 1
I I I
1ROUGH WIRING I I 1
1 I IMAIN WATER LINE
(PLASTIC Y/N METAL Y/N 1 1 1
1 1 1UTILITY COMPANY NOTIFIED
I
1 I I I I I
I I I I I I
1 I 1 I I I
1 I I I I I
I I I I I I
I I I I I
I IREPORT ID: DPR265ROUTE TO: BS0508
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