HomeMy Public PortalAbout6403 BARELA AVE_Mechanical__ COLltiTY OF LOS ANGELES TEMPLE CITY 0508 MECHANICAL PERMIT'
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUUA8 ME 0508 0312120005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 255-0488 EXT:
TR: 16867 LT: 18 6403 BARELA AV L Vic•
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801406
ASSESSOR INFORMATION NUM ER: .t NEAREST ( S STREET: VAL
5383-014-014 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J1 L `OCALkTT. TE}IPLE CITY
08 FURNACE/HEATER <100 1.00 UMI 27.00 r 1
TOTAL FEES 54.75 .
12/12/03 JKOWNER: TEL. NO: FIX4 DATE FIKAL BY: MDE:
_06/09/04
CAMACHO MARGERY (626) 446-8791-
6403 BARELA AV
TEMP 917801406 DESCRIPTION OF WM
REPLACE 60OBTU FLRNACE AND VENT IN ATTIC
APPLICANT: TEL. NO:
PAMELA GLOEDE (310) 838-04-08-101
3801 LENALIEE AVE SPECIAL CONDITIONS:
CULVER CITY 90232
CONTRACTOR: TEL. W: APPRGVALS DATE INSPECTOR SIGRATURE
GEORGE BRAZIL HEATING (310)838-0408-101
3801 LE?NANEE AVE LIC. NO
CULVER CITY, CA 90232 614102020
ARCHITECT OR ENGINEER:
W: DUCT WORK
. LIC. NO: , AC/COMPRESSM
THERMOSTAT
SMOKE DETECTION M=
COMMERCIAL HOOD
• I
I �—
_ I
"? REPORT ID: DPR264 ROUTE TO: BS0508 T
T
S
WORIEFrS COMPENSAT+ N DECLARATION 20.00445 DPW Or8a _ r
> APPLICATION FOR PERMIT LIME GREEN
I hereby sfflrm that I have a certlflcate of consent to salt Insure,
or a certificate of Worker's Compensation Insurance, or a certttled HEATING-VEN11LATINQ-AIR 00NDITIONING
copy th0reof(Sec.3800 Lab.C.) .
r4al . ti Qom"ny S t. Fund
Pdicy
1 COUNTY OF LOS ANGELES DEPT Or PUBLJC WOF{KS BUILDING AND SAFETY DIV.
Cert W copy Is hereby fumhfȢ
Cerileed copy Is filled with the county FOR APPLICANT TO FILL IN AEKMLDIING 6.403 Bar
(F"NT OR TYPE ONLY)
o.te 7/1/91 . Ala
LOCALITY emple City
A~
No. TYPE OF APPLIANCE OR 1= CVNENT FEF
CS:rMCATE OF EXEMPTION OM NEAREST
M
aaoae sr.
COMPENSATION INSURANCE ABSORPTION UNIT BTU
(Thio sectdon need not be completed k the work Invotvad by theASSE88OR
B
permit Is foe ono 0
no hundred dollars or leee.) AIR HANDFJNG UNIT.Ciel MAP PAGE PAFIL'✓3
MAow P P D Ma n
I certify that In the performance of the work for which this permit
Is teaued, I shall not employ any person In any manner so as to BOLER,BTU
become subject to the Workers'Compensation Laws. f 0
COM
PPFOVke aTr sus nrre eowiue
Date APpgowrt VENnLAT10N SYSTEM
NOTICE TO APPLICANT. If, after making this Certificate of ROUGH L
Exemption,you should beoome subject to the-Workers'Compensation EVAPORATIVE COOLERf
provisions of the Lapor Pods, you must forthwith comply with such FNAL
proviok a or this permit shall be deemed revoked. FURNACE
LICENSED CONTRACTOR$DECLARATION FLOOR VALI A-n6
I hereby affirm that I am Iloense l under provisions of Chapter 8 HEATER UMT "
(commencing with Section 7000) of blvislon 3 of the Business and A W
Profeeaions Code,and my license Is In full force and-affect.
D OZ.S
U oanse Number 5 3 9 Q1 8 IJc-r 20
West Cst. En. Sys-. 7/1/9-1
conveotof
I am exempt urder.800. Plan Check fee t
B.BP.C.for this reason PERMIT ISSUING FEE S Q-{)
beta: TOTAL FEE a
PLAN CHECK APPLICANT 0
OWNER-f3UllJ�1 DEG-ARATK)N
I hereby affirm that I am exempt from the Cchtractor's-loans Law NAME
for the following reason (Section 703116, Business and Profeealons ANT.Code): ADDRE88 AN 1 .i .
I, aa owner of the property, or my employees with wages 3307
as their sole compensation, will do the work and'the CITY T�NO. J3��'��f
structure Is not Intefdsd or offered for sale (Section 7044, 1 ITM
Bualneea and Profeeplona Code). owNEA Daniel Camach0 wt t
nI, as owner of the property, am axoluslvely contracting MAIL TOTAL 49 00
with licensed contractors to construct the project (Sec- ADDRE88same ferry
tion 7044, Bueinees enDECK
d Professions Code). y. �.
CONSTRUCTION LENDING AGENCY CITY Temple Cit TELN0446-8791
I hereby ■fflrm that there is a conetructlon lending agency for CONTRACTOR
the performance of the work for which this permit le issued -
(Sec.3087,Cly.C.). QQrqyvs - -
ADDRESS 185 1 Woodwind Ln. }= 1 N 3f S'1
Lender's Name .
'�""' Anaheim 'EP_NO - 7831 1 A!'! 3:11
Lender's Address STATE LIC.
I certify that I have read thle application and state that the aboye ILICENSE CLA68
btfonnatim to I agree to comply with all County ordlnancea
and State to building conetrvcdon,and hereby authortre
repr County to.enter upon the above-rnenUoned
Property ctl n purpoaes. --7 SEE REVERSE FOR EXPLANATbRY LANGUAGE
or