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Home My Public Portal About4923 SERENO DR_Mechanical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 FI F1 nrsl rERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUJJAS CL ..108 0408230016 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 017813 PHONE (626) 231-0488 EXT - LEGAL ID FEES PAID BUILDING ADDRESS ON FILE 4923 SERENO DR ASSESSOR INFORMATION NUKBFR _ FEE DESCRIPTION OUINT7TY UOM AMnUNT TEMP CA 917803035 NEAREST CROSS STREET `NCINITA 5388-014-009 Al PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 CRID J5 LOCALITY TEMPLE CITY 02 1 OR 2 FAMILY DWELL 3469 00 SO 364 25 -OTAL FEES 392 00 ISSUED ON PROCESSED ,:Y PLAN BY EXPIRES ON U8/23/04 JK 02/19/05 N'NER TEL - 1-1 KALpATE pj P� CODE NOBLE, LESLIE (909) 376-8816- /�- 4923 SERENO DR --- TEMP 91'803035UtbLgiF UN JUt WURK -- LLECTRT AL FOR ADDIT104 APPLICANTTEL NO SAME AS OWNER 05CIAL CONDITIONS CONTRACTOR TEL NO �rTE I ��SIGNAi Jam(c SAME AS OWNER - LIC NO ITEMPORARY OR ENGINEER —, LIC ., - iR wigCORDUIT _ AAIN WAT R-M - PLASIIL,1/N METAL "/F 1 REPORT ID DPR265 ROUTE TO BSO508 i WORKER S COMPENSATION DECLARATION 16000 DPW 9/N 1 >S&%4C APPLICATION FOR PERMIT `IME GREEN 1 her9Dy e1iv11►Ihat I here-e certificate of consent to sell insure or a.egrtdmale of Worker e-Compeneetlon Insurance of a certified HEATING-VENTILATING-AIR CONDITIONING copy thereof(Seo-38W Lab C) Policy No cempen" COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV CerafuM copy is hereby furnished ❑ CeNfled copy-s filed with the county building Inspection FOR APPLICANT TO FILL IN BUILnIND R_3 S tlepertment (PRINT OR TYPE ONLY) ADDRESS T Date ApplicanTYPE LOCALITY' / !� r NO TE OF APPLIANCE OR EOU�IAENT FEE _ CERTIFICATE OF EXEMPTION FROM WORKERS NEAREST COMPENSATION INSURANCE ABSORPTION UNIT,BTU (�� CRO83� ��`n (This section need not M completed If the wort Involved by the r-- ' ASSESSOR BOOK t PAGE PARCEL permit Is for one hundred dollars(0100)or leu) AIR HANDLING UNIT CFM mrmecr w mac®ry I certify that in the performance of the work for which this permit is Issued I shell not employ any person in any manner so as to BOILER BTU become subject to the Workers Compensation Laws COMPRESSOR BTU ` a ` Date Appllram VENTILATION SYSTEM / �`�N Nsvnov� arts roctras saoruTuae NOTICE TO APPLICANT If after making this Certificate of ROUGH 1 6 Exemption you should become subject W the Workers Compensation EVAPORATIVE COOIER provisions of the Labor Code you must forthwith comply with such prom ons or this permit shall be deemed revoked TURNACE FAU RAv rY LICENSED CONTRACTORS DECLARATION FLOOR VALIDATION I hereby affirm that I am licensed under provisions of Chapter 9 SUSPENDEp (commencing with Section 7000) of Diweion 3 of the Business and HEATER WALL Professions Code and my license is in full force and effect / NU_� .i License Number Lie Cleve , JJU3 11�,.31a Contractor Data 1 DOS h S 8 ElI aril exempt under Sec Plan check fee G (11 fflL 2 16 `�0 Q r BaPCfor this resion PERMIT ISSUING FEES C� i7HECK �•—�I-10 DeeTOTAL FEE CHANGE' .Coo Signature OWNER BUILDER DECLARATION PLAN CHECK APPLICANT I]QI�Q—I](JI]1 _�lia�YJ? I hereby affirm that I am exempt from the Contractor a License Lew NAME for the following reason (Section 7031 5 Business and Professions41 Code) AD—MESS ®. I as owner of the property or my employees with wages ' fi as their sole compensation will do the work and the CITY !� C TEL tglY fly structure Is not Intended or offered for ole (Section 7044 Buemeas and Professions Code) OWNER S ❑ I as owner of the property am exclusively contracting MAIL with licensed contractors to construct the project (Sec ADDRESS tion 7044 Business and Profession$Code) CONSTRUCTION LENDING AGENCY CRY TEL NO 1 hereby affirm that there is a construction lending agency for CONTRACTOR (B , the performance of the work for which this permit 4e issuetl (` , Sac, 3097 Civ C) ' ADDRESS Lender a Name CRY TEL NO Lendera Address STATE LIC a I certify that I have read this application and state that the above UCENSE NO - CLASS information s correct I agree to comply with all County ordineru e and State have reeling to building construction,and hereby authonze repres intatrve l of this County to enter upon the abovg-mentioned i pro r rnapecf rposes BEE REVERSE FOR EXPLANATORY LANGUAGE E AP oR Ao rrt a Z5 — S ' COUNTY OF LOS ANGELES TEMPLE Cllr Y 0ion - CN:.x-CAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS HE de0508 0408230010 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 ERT - LEGAL ID. FEES PAID BUILDINC ON FILE 4923 SERENO DR'DDRES, FEE DESCRIPTION -QUANTITY UDM - A110LINT TEMP CA 917803015 ASSESSOR INFORMATION NLIMBER NEAREST CROSS STREET ENCINITA 5388-014-009 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J5 LOCALITY TEMPLE CITY 03 COMPRSR 101 500 KBTU 2 00 COM 104 40 TENANT 09 FURNACE 101 500 KSTU 2 00 UNI 104 40 ISSUED ON PROCESSED 13Y PLAN BY EXPIRFS ON 30 AIR INLETS/OUTLETS 21 00 UNI 91 35 08/23/04 JK 02/10/05 TOTAL FEES 327 90 _ NOBLE, LESLIE ( IN C�J - 4923 SERENO DR (909) 376 8816 , TEIIP 917803035 -DESCRIPTION--O-O-R— - — HVAC STYSTEM _ APPLICANT TEL NO SAME AS OWNER - - - - f S�f�6TS antis CONTRACTOR- TEL No ( 1 -- A SFFcrU ,TGNn—TTW SAME AS OWNER LIC NO / A� E C-ITECT OR ENGINE COMBUSTION AIR LIC No we 5'3i6kE�Ok --jTHIPHOSTAT -- ______ FIRE DAMPERS SMOKE DETECTION 1 1 DEVIC-LT- COWERCiAL D REPORT ID DPR264 ROUTE TO- SS0508