HomeMy Public PortalAbout6406 GOLDEN WEST AVE_Mechanical__ ION
Ef
W4a DPW
, er;by . ;8aO; ;, o° :; »,f ,n.ure, 9/ 9 APPLICATIR PERMIT LAME GREENV�{'
or e.xrtifLcate of Werkere Compensation Insurance, or a certlfted HEATING -VENTILATING JR CONDITIONING I I
copy thereof(Seo.38W Lab. L
❑o"No COUNTY OF LOS ANGELES [)Wrb�UBUC WORKS BUILDING AND SAFETY DN.
Certified oopy Y hereby tum}shed.
LDM
Caroli d to mad withthe b„s�ng FOR APPLICANT TO FILL IN BUI
`l (PRINT OR TWE ONLY)
De2e �7y ;AX Applk�ent NO. TWE OF APPLIANC> OR EQUIPMENT FEE LOC1111 fY r �� (94 G \NEAREST K VOL
S
CEARFK,ATE OF EXEMPTION FROM WORKERS' O D y
PENSATFON INSURANCE ABBDRPTIpN UNIT BTU
(This ewtlon need. be oomplsted If the work Invo the NAP BOOT( PAGE PARCEL
permit is for ons hun dollars 0100)or ,Up RANDLJNG UNIT CF►1
oencT wa neo®ems rr
I oerdty that In the perform of
for whloh thin permit
Is Issued, I shall not employ a on In any manner so as to Bpi BTU
become subject to the Wo Compe Laws.
BTU
APOFOML I DATE MMUM-OFM SOWTUre
Date Apploent VENTILATION SYSTEM
NOTICE TO APPLICANT: If, after making this CertIfloete of ROUQH
Exemption, you should beoome subject to the Workers'Compensation EVAPORATIVE COOLER
provisions of the Labor Cade, you must forthwith comply with such FINAL
provlslons or this permit shall be deemed revoked. FURNACE: FAU
LICENSED CONTRACTORS DECLARATION FLOOR BTU VALIDATION
I hereby afflrm that I am Iloensed under provisions of Chapter ° FIERIER 8USPEMED UNIT
(oommenoing with Section 7000) of Division 3 of the Business and WALL A
Professions Code,and my[loans Is In full foroe and effect. AC•T■r
License Number LID.Claes I ITEi as
Date TOTAL I is7_20 S
El I em exempt under Seo. Plan Check fee NECK 112.'ell a:
B.BP.C.for PERMIT ISSUING FEE 0.
Date TOTAL FEE d
11-�I}01 1�11 Y4 Cn
ONRJEfa BUILDER DECLARATION CHECK Z
f to see Toilow no senors exempt
Seo pt f from
he Business or' License roLaw
w NAME , ,3422 1 AM 11:1_` —
ons
Code): ADIDPEM
ElI, as nor of the property, or ployees with wages
an their le componsat III do the work and the CITY TEL NO.
structure Is n or offered for sale (Section 7044,
Buslneas a Cpde). OWNER
❑ I nor of the prop am exoluslvely oontracting MAIL i
Ith Iloensed contractors to ruct the project (Seo- P ES3
7044, Business and Professlons
CONSTRIO
UCTN LENDfNG AGENCY TEL NO
by affirm that there le a opnstructlon len g a envy for CONTRACTOR
,
t ormenoe of the work for whloh ermlt Is issued
(Seo. C.).
ADDRl68
Lenders Name
CITY TEL .
Landers Address STATE LIC.
I oerttfy that I have read this appilcatlon and state that thd above LICENSE NO. CLASS '—,��D
Inforrrralion Is correct. I agree to comply with all CowTty ordinances
and State laws to bulkfing conatuodon,and hereby audvrtze
repree ty la to upon the above-mentloned
property r I SEF REVERSE FOR EXPLANATORY LANGUAGE
r
COUNTY OF LOS ANGELES TEMPLE CITY NM 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUUUS ME 0508 0307030022
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING
TR: 12368 LT: 1 6406 GOLDEN WEST:AV
FEE DESCRIPTION: QUANTITY: UDM: AMOUNT: TEMP CA 917801422
ASSESSOR INFORMATION MUM NEAREST CROSS STREET: LONGDEN
5383-020-001 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY
TEILANT30 AIR INLETS/OUTLETS 4.00 UMI 17.40
• TOTAL FEES 45.15 ISSUM ON: PROCESSED BY: PLAN BY: EKPIRES
07/03/03 JK 12/30/03OWNER .
ABDOU•MAGDI S•SUAD T (626) 443-8931-
6406 GOLDEN AV
TEMP 917801422 DESCRIPTION OF WORK
MECHANICAL FOR ADDITION
APPLICANT: TEL. NO:
DAVID ESTRADA (800) 570-1818-
5500 SCHAEFER AVE #D SPECIAL U)NDITIONS'
CHINO 91710
CONTRACTOR: I tj— mu: APPROVALS DATE INSPECTOR SIGNAILRE
DAVID ESTRADA CONSTRUCTION CO. (909) 613-5903-
5500 SCHAEFER AVE LIC. NO
CHINO CA 91710 68491
ARCHITECT OR ENGINEER: T E DUCT WORK
LIC. No:.:
THERMOSTAl
FIRE DAMPERS
REPORT ID: DPR264 ROUTE TO: BS0508