HomeMy Public PortalAbout6303 GOLDEN WEST AVE_Electrical__ COfvWIN$ATON pECLARATrON 7846&3 10/81 APPLICAMON FOR ELECTRICAL PERMIT
,1 f)ereby &WM that I have a dertt kxdp of axteent to self kft",,
ors of Workers' CompeaaeH«t hnurence, or a owff d COUNTY OF LOS ANGELES BUILDING ANP SAFETY-
oo0y therdof(Seo.3800.Leb.C.)
ADDRBBS
�No. ;, Comper,v Pow�cnr+T,o FILL IN.', � f �—,1
n Ceriffled cagy Is hereby tUmietied NewPaakientiel BIdVe S Pbble EACH NO. FEE OIC. 0.165
ce-t ooQy h Tiw wrh'the carroty bridlnG krepeottori 1 t} 2 Fert)Qy,34 Ft
depe tromrt_- Muffl-tan*Sc.Ft- NEAREff
DKe cress s7. QfJ
Poebecrtiel swtrr,mhrg Poole OWNER CR
FIRM WJ4AE
1;ERT�IGRECOMJ�E1Ji fRAt orttS Rec Lied sw. t / �9Rrat 20 (:
Cr �►�
M-6s eation rwed not be oorriplebd i(the work tivPfrrrd bY.the Total No T Addttionel X11 � �� Tet No
permfait for.".hu Bred t#o6prs(slop)or*W)-
PLAN'CHECK
1 oertlFy #0e to the pef-fonnanioe of #1B_work fbr which this permit - - APPUCANT
b Yedued,-lret0•nq[ -hpioy airy:peabort fn any menr�r do eA tQ � p Ftxfuree 'Rist 20 ADDRESS
.becorm Wblect.t4.fh9.. CorhpeBatfon,J_ew4_
lbtel Na {. Addttkxrel - CffY Tel No
DebsAP Ibaad Appllerroee.Not Over 1 HP �T .
N(7MC✓= 70 AffUCgWT: If, aftgr: rnol V tf* Gertz Pt
E�mptiort,you should beoome a,q}ectto the V4brkerd Camper ea >f+ , f Yeeder= bX
provlsions.at ttp Lebon Coda,yvu rrru_ef Tort)fWffi comply wt(h eboh 'overt Dryer._ W44_ ADfeSS { 22 5
pr NW ne or-thio Pemft-,4¢e deemed revof4eti Top FAU. _,Wk L
D W .DEp�RgKw Hood Fan �. Other_ puy; Tel No
I herrhy'AfTn'thk 1.4M ikeneed ander prov'o rn pf Chaptar'B. Dlsp �_ Room Air cord �� LlCrateE OR
(corfiffw,obr�with y000)'of DiApion.3 df the Bust—and REi�AAM6E1a fe
PrI ssions Code.and*kenise Is fn f(A ire and'ef a Inver.Apwakis.d Large.Apo Wxe es. MSTRICT NO. ; ¢}tel
Size¢ Type HF?KW,KYt�or K\I R 8
List r NUMber ' SDB� Lia.Clew o-t'o LJO to 'I Ur CL 1L'
Over 1 to 10 krcl
Corrfraotnr (g�3 0`�'Z- 0ver 10 bo 60 fid-
em exempt'trader sea beer 6b.to Ob{no gY ,
BdC_for ththis reason Over 100
P. .'
Servkt; Swbd,MCG S PaNkboWds ,
Date- •0.�200 Arrp.Vrder 800 V ► ,
201 - 1000-Ar*Linder600 V -
bver 1000 Amp.or Over a6o V
Ecaernptlon for Flag-Wak Elea
SINGLE FAWLY Temp.Power Pde S Appurtenanges 2
'HOME OWrE_BLC EA DE-CLAR410N Sfgrr Wfth One Branch Chaff �,�+ T
1 hereby affkm'thet I am exempt from the Co{rtnador's llue oe Lgw trt, T.T
for the fofi nij rpason{section 7031.6, Br kmm and Proleseicrm Ad�oriW Stbn_BrWich Cta#te _ .-..
�) 3307 23.60
EI -OoMkxl Gond<�ts a
ndro6ora
L Qe-owror d V,e property,wtil do tf-e work atd thre struohre 1 1TM.
Is not krianded or offw* for Baia (Section x04-4,Snekiese' Oh1er(See Complete adt
Fee Schde) T r-�
and Professions Code). ,` TOTAL 2$ 60
coNSrr�tx-r10N�r�AGENCY - CHECK, 23,60
I hgmby,Oft+Tn that there le a conn fending eger>ay for trio
peribrmeroe of the work for which ttls perm]L is iMUad{Seo_3091, ppRM7 FEE (bub-Totaq w 1!* r ■0
Chi.t,)
Led"NamPLANcr lEcfarto FEE _ - 1 A$� MO
Lender's Address 2253 1' AK 7:15
I oerttfy t ud-1 heve read this appfioaborl and state th6f the above" iOIAL FEE
W mladon Is correct I agree lo oompfy with afi County ordkucera
snd 8tate Apm reo* irid Eleotrbeb whk-�L and Nksby authatra /
repr*—ftdves of b* County to miter tp6n,b-0 above--rrlerdlor '
Property Sim.REVERW FOR EXPLANRTOW r M#G 14E
ofenTfttee DaiQ
COUNTY OF LOS ANGELES T324P E CITY ¢ 0508 ELECTRICAL PAST
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1208060036
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 ETT:
LEGAL ID: FEES PAID
BUILD227G ADDRESS:
ON F= 6303 GOLDEN WEST AV
FEE DESCRIPTION: QUANTITY: DON: AMOUNT: TEf4P CA 917801421
ASSESSOR INFORMATION N N[BER: NEAREST CROSS STREET: LONGDEN
5383-019-001 Al PERMIT IssUACE FEE 27
N .80 nDDKPS PAGE: 597 GRIT?: A2 LOCJJ,=: TEMPLE CITY, C
G1 OLTPLS•T9-L(3T,SW,RECP 4.00 OUT 8.00
TENANT. G2 Z,IGHTrING"FIXTURES - 2.00 LOT 4.00 ISSUED ON: PROCESSED BY: PLAN BY:
H2 RES GRBG DISP LT 3HP 1.00 DIS 11.00 08/06/12 SR
H4 RES RANGE HD8 LT 3HP 1.00 HOO 11.00
OWNER: TEL. 190: H5 RES WASH MACH LT 3HP 1.00 WAS 11.00 FINAL DATE FINAL BY: CODE:
JIATAO LI (626) 394-4328- TOTAL FEES 72
630 .-80opy
6303,GOLDEH WEST AV
TEMP 917801421
CR-TPTIOF OF WORK
4 OUTLETS, 2 LIGHT FIZTVRES AND RANGE HOOD, GARBAGE DISPOSAL
AND WASHING MACHINE FOR KITCHEN AND BATHROOM
APPLICANT: TEL. NO:
KWOx, DOROTHY (626) 300-8818-
1139 WFSTKENIJ9TER AV SPECIAL OCINDITIONS:
ALHAmBRA CA 91803 -
CONTRACTOR: TEL. NO: APPROVALS .DATE
INSPECTOR SIGNATUkE
LI, JIA T (626) 394-4328-
6303 GOLDEN WEST AVENUE LIC. NO TEMPORARY POWER POLE
TEMPLE CI'T'Y, CA 91780 NONE
UND-CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UPER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH
. MAIN NATER T.IIUi
PLASTIC YIN ME-IAL YIN
CTI--= COMPANY NOTIFTED
REPORT ID: DPR265 ROUTS TO: BS0508
COUNTY OF LAS ANGTLrT- TEMPLE CTTY # 0508 ELECTRICAL PERMTT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RL 0508 1212100046
BUISaING AND 9AF&'i'Y / LAND DEVELOPMENT TEMPLE CT.TY CA 91780
PHONE: (626) 285-0488 ETT:
LEGAL ID: FEES PAID BUSLDI2i0 ADDRESS:
ON FILE 6303 GOLDEN WRST AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801421
ASSESSOR INFORMATION NUMBER: NRARF.ST CROSS STREET: LONGDEN
5383-019-001 Al PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 G=: A2 LOCALITY: TEMPLE CITY, C
01 OUTLETS-IAP,SX,RECP 45.00 OUT 72.60
TENANT: G2 LIGHT2PG FIXTURES 3.00 LOT G.00 ISSUED ON: PROCESSED BY: PLAN BY:
H7 RES RZHAUST FANS 1.00 RX 11.00 12/10/12 SR
LB 200 AMP PANELS, MCC 1.00 PAN 38.90
OWNER: TEL. NO: TOTAL FEES 156.30 FINAL DATEF BY: CODE:
JTA TAO LI (626) 394-4328-
6303 GOLDEN NEST AV
TRICI? 917801421 DESCRIPTION OF WORK
45 OUTLE'T'S, 3 LIQHT FIrJS, EMEAUST FAN AND UPGRADE '
SERVICE PANEL 200 AMP
APPLICANT: TSL. NO:
XWOK, DOROTHY (626) 300-8818-
1139 WE`4TMINISTRR AV SPECIAL 03ND IONS:
ALARA CA 91803
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIMUUVRE
YU ZHI2iG GUM (626) 893-8533-
6154 OAR AVENUE LIC. NO - TEMPORARY POSTER POLE
TEMPLE CITY CA 91780 713400
. U2mERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFUR GROUND
- O
LIC. 190: ROUGH CONDO-Lr
ROU(3H WIRING
PLASTIC YIN METAL 7/N
* UTILITY COMPANY NOTIFIED
• ADDITIONAL LUTA ON FILE
REPORT ID: DPR265 ROUTE TO: B90508