HomeMy Public PortalAbout9945 NADINE ST_Electrical__ 76A6W DBa SA 3-SO APAI ICATION FOR PERMIT
DEPARTMENT OFF LOS NG AND SAFETY COUNTY
COIINTY OF LOS ANGELES ,�a .,
WILLIAM J. FOX; CHIEF ENGINEER
FOR APPLICANT TO FILL IN
DISTRICT NO. OROUP ZONE PERMIT Na:
S .� .4 y7os '
[ADDRESS
CTRICIAN
RECEIVED BY READY FOR DATE ISSUED
O ( FIRST INSPECTION
TELNO. -6 2 TY LICENSE N0. EXPIRES BUILDING
PERMIT FEES ADDRESS
NUMBER EACH FEE, LOCALITY
LIGHT OUTLETS I NEAREST
RECEPTACLES CROSS ST.� � C
WALL SWITCHES 'OWNS /"
TOTAL OUTLETSZ 3 MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 2B CITY TEL. N0.
FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
M18C. APPLICATION_ AND STATE THAT THE ABOVE IB CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW Mw. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
Yl A uae 111 .26 SIGNATURE OF
yx 2 .50 PERM ITT I
2 S. 1:DO INSPECTION RECORD
S 15 1.313
15 BO 2.80
BO 200 5.00
200 500 ULCO J
SOO 1000 18.00 Z
OVER 1000 20.00 Q
M.O. SET/FREQ. CHANGER-HP lz
WELDER81 AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75OP ORIO.)
MOVED MOTORS (715 or DR1oa
MISC.
SIGNS
N0. NO.TRANS.
NO. NO.LAMPS APPROVALS
FOR EACH PERMIT: D TIC INSPECTOR'S NAME
WIRING $1,00 00 CONDUIT
FIXTURES $1.00 010 WIRING O7
SUPPLEMENTARY .60 1 FIXTURES
POWER
TOTAL FEE 60, UTILITY CO.NOTIFIED
FINAL
76A663-CE80610/72 APPLICATION F R ELECTItICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER .JOB
BUILDING AND SAFETY DIVISION ADDRESS �'
LOCALITY 77254Y24 Sr (14,1 r Y.1 4L �1r
NEAREST n
FOR APPLICANT TO FILL IN CROSS ST. AC
�J /� y
OUTLETS No. OWNER OR
$ $EACH FEE RM NAME Al ✓A
RECEPT.� MAIL r
LIGHT• TOTAL FIRST 20 25 S`�
ADDRESS
SWITCH_ OVER 20 10CITY �JG4E d/ TEL. NO. 297-3,137
, PLAN CHECK
LIGHTINGTOTAL FIRST 20 26 APPLICANT
FIXTURES OVER 20 ADDRESS
.10
RESIDENTIAL APPLIANCES• CITY TEL. NO. '
PERMIT r
RANGE DRY ER-I—WTR. HTR. APPLICANT LG.
STA. COOK %._i_F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY T�/YJJ�L �/ TEL. N0.Z�s-IS��e
CLOTHES WASH. DISHWASH. LICENSE OR
REG. NUMBER CLASS.
FAN OTHER _ Z 1.00 Q D I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE_& TYPE OVER TO
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE
1 - 10 3.00 OESCRICED RESIDENTI L PROPERTY. '
O
PERMITEE V
10 - 50 6.00 SIGNATURE w
50 - 100 . 10.00 CDc~>
" DISTRICT N0. SED BY taJ
100 500 15.00 a
Z
SIGN, GAS
TUBE, OR SIGN AND ONE CIRCUIT 5.00 APPROVAL$ DATE INSP 'S SIGNATURE
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICENOTOVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK
SERVICE OVER 600 VOLTSOR200AMP 10.00 ROUGH CONDUIT
TEMPSERVICE,POLE, &APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED '
FINAL
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 0(�
TOTAL FEE
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATIONCK: O. CASH
5 81Ni11�� 8
85 0
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
MPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508'0803050044
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: ]
ON FILE 1 9945 NADINE ST 1
I
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917802623 1
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: GOLDEN WEST 1
18588-018-011 Al PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
I IF1 120V, 15/20A BR CKTS 15.00 BR 245.85. 1 I
(TENANT: . F2 208, 277V LGT BR CKT 13.00 BR 354.90 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: ]
Gl OUTLETS-LGT,SW,RECP 12.00 OUT 23.40 (03/05/08 ,. SR 09/01/08 ]
1 'HA FAU LESS 3HP 1.00 FAO 10.95 1 I
(OWNER: TEL. NO: ]H7 RES EXHAUST FANS 1.00 EX 10.95 IFINAL DATE EXPIRM' '. CODE:]CRIDER WILLIAM D;PRISCILLA (626) 287-1204- ]JB AC UNITS +3-10HP 1.00 AC 19.65 119945 NADINE ST ILB 200 AMP PANELS, MCC 1.00 PAN 38.85 II
(TEMP 917802623 ] TOTAL FEES 732.30 IDESCRIPTION OF WORK 1
I (ELECTRICAL FOR ADDITION, REMODEL AND UPGRADE SERVICE PANEL 1
I ITD 200 AMP 1
(APPLICANT: TEL. NO: I I I
]CRIDER (626) 287-1204- I I I
19945 NADINE ST. ISPECIAL CONDITIONS:.
I
(TEMPLE CITY, CA 91780 ]
I I '
]CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
IWILLIAM D CRIDER (626) 287-1204- I I I
19945 NADINE STREET LIC. NO 1 ITE+PORARY POWER POLE I I
ITEMPLE CITY, CA 91780 NONE I I I I I
I (UNDERGROUND CONDUIT I I I
I I I I I I
]ARCHITECT OR.ENGINEER: TEL. NO: I IUFER GROUND 1 I I
(DAVID LI AND ASSOCIATES t (626) 288-1216- 1 1 I I I
11000 SAN GABRIEL BLVD. LIC. NO: I IROUGH CONDUIT I. I I
IROSEMEAD, CA C058076 ;� 11
(ROUGH WIRING -�V
IMAIN WATER LINE
I IPLASTIC.Y/N METAL Y/N I I I
I I I I I I
I I (UTILITY COMPANY NOTIFIED( 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 I
I I I I I
I I 1
I I I I
I ]REPORT ID: DPR265 ROUTE TO: BS0508 I I I I
I I I i I
COUNTY OF LOS ANGELES TEMPLE CITY # '0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1403100018
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: 1 FEES PAID BUILDING ADDRESS: 1
ON FILE 1 1 9945 NADINE ST 1
I FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917802623
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET:
18588-018-011 1A1 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, CI
I IG•1 OUTLETS-LGT,SW,RECP 7.00 OUT 14.00 1
TENANT: IG2 LIGHTING FIXTURES . 10.00 LGT 20.00 (ISSUED ON: PROCESSED BY: PLAN BY: ,
1 TOTAL FEES 61.80 103/10/14 SR
(OWNER: TEL. NO: IFINAL DATE FI CODE: 1
ILIU, YAPENG (626) 518-2588- I I I
19945 NADINE ST I I I
1TEMP 917802623 I - _ I SCRIPTION OF WORK 1
17 OUTLETS AND 10 LIGHT FIXTURES
(APPLICANT: TEL. NO:
ISAME AS OWNER
SPECIAL CONDITIONS: 1
ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE I
ISAME AS OWNER - I I I
LIC. NO i (TEMPORARY POWER POLE i i 1
' i JUNDERGROUND CONDUIT i 1 1
ARCHITECT OR ENGINEER: TEL. NO: - i JUFER GROUND I I I
LIC. NO: i IROUGH CONDUIT 1 I I
IROUGH WIRING
I ( I 1 I I
I i IMAIN WATER LINE I I I
1 1 PLASTIC Y/N METAL Y/N
I I
I I (UTILITY COMPANY NOTIFIED] I 1
I I I I I I
I I I I 1 I
I I I I I I
I I I
I I I 1 1
I I I I I I
I IREPORT ID: "DPR265 ROUTE TO: BSO508 1 I 11
I I I I I i