HomeMy Public PortalAbout5084 SERENO DR_Mechanical__ COUNTY OF LOS ANGELES TEMPLE CITY 0 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0505 0511070014
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (606) 295-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
TR 47724 LT 1 ON 5 5084 SERENO DR
FEE DESCRIPTION QUANTITY DOM AMOUNT TEMP CA 917803060
ASSESSOR INFORMATION NUMBER
NEAREST CH099 HTRB8T
5388-011-046 01 PERMIT I0SMA
PSE ]7 75 THOS PAGE 596 GRID HS LOCALITY TEMPLE Cl", C
1
09 FURNACE 1011 500OO SHTU 1 00 UNI 79 20
79
TENANT TOTAL PSEB 95 I94II8D ON PROCR80HD BY PLAN HY 6XP IRB9 ON
11/07/05 JX 05/06/06
OWNER TEL NO H FINAL BY CODS
XIE RAINING -
338 DIAMOND ST
ARCD 910063907 DESCRIPTION OF WORK
CHANGE OUT FURNACE
APPLICANT TEL NO
ALEX ALIP`NDARRZ (563) 908-0006-
8644 NORMALS BLVD
SPECIAL CONDITIOdB
WHITTIER CA 90606
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
V L V PROPERTY DEVHLOPEMSNT (563) 905-0006-
8644 NORMALS BLVD LIC NO - FAII WALL FURNACE
"HITTER CA 90606 739838 C20
COMBUSTION AIR OPENINGS
ARCHITECT OR ENGINEER TEL NO DUCT MORS
LIC NO AC COMPRESSOR
THERMOSTAT
FIRS DAMPERS
SMOKE DETECTION DEVICES
COMMERCIAL HOOD
1
II
REPORT ID DPR064 ROUTE TO 890508
I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC PARKS 9701 LAS TUNAS ME 0508 0906100004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
ITR 47724 LT 1 ON 5 5084 SERENO DR
IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803060
ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET
5388-011-046 X101 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 596 GRID HS LOCALITY TEMPLE CITY Cl
1 108 FURNACE/HEATER <100 1 00 UNI 27 00 1
TENANT TOTAL FEES 54 75 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
106/10/09 SR 12/07/09
I OWNER TEL NO F�� D 'E £ZN�BY CODE
HU, 2HILING (626) 573-8362- /J_AI -L1
15084 SERENO DR '
(TEMPLE CITY CA 91780 1�CRIPT ON OF WORK
IFAU C/0
(APPLICANT TEL NO
IGAUTHER (562) 777-1142-
12252 MCCANN OR (SPECIAL CONDITIONS
SFS CA 90670
CONTRACTOR TEL NO 1 APPROVALS DATE INSPECTOR SIGNATURE 1
INTER CITY ENERGY (562) 777-1142-
112252 MCCANN DRIVE LIC NO FAU/WALL FURNACE
SANTA FE SPRINGS, CA 90670 587709 C36 • _
COMBUSTION AIR OPENINGS
I I I -
IARCHITECT OR ENGINEER TEL NO 1 IDUCP WORK 1
I I I
LIC NO AC/COMPRESSOR
THERMOSTAT
I � FIRE DAMPERS
SMJKE D=CT DEVICES
COMMERCIAL HOOD I
I I I I II
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
ADDITIONAL DATA ON FILE
(' I I
REPORT ID DPR264 _ ROUTE TO BS0508
I I I
� 1
T(YOCOMPENSATION DECLARATION
s1�rereby affirm
that I have o certificate of consent to self APPLICATION FOR PERMIT
fmiure, or a certificate of Wo[ker Compensation Insurance,
or a certffied copy thereof
7(j$ 4800 Lob C > 7eA364C HEATING • VENTILATING - AIR CONDITIONING
Polley No [ompony 1 ` p 0046 DPw 9/88^ r
❑ Cgrtified copy is hereby furnish4d COUNTY OF LOS ANGELES BUILDING AND SAFETY
® Certified copy is filed with the ounry building inspec- FOR APPLICANT TO FILL IN BUILDING '— / y�
tion d part enI _ ADDRESS _M 6w`ND
(PRINT OR TYPE ONLY)
Dote O Applican LOCALITY T
NO TYPE OF APPLIANCE OR EQUIPMENT - FEE
CERTIFICATE OF EXEMPTION FROM WORKERS' NEAREST
COMPENSATION INSURANCE CROSS ST
(This section read not be completed M tiro work Inrolwsd by ABSORPTIOWUNIT BTU DISTRICT No PROCESSED BYBY�j
the porm8for one hundred dollen({loo)or which
O
I certify thatt in the performance of the work forr which this AIR HANDLING UNIT CFM_'
permit is issued, I shall not employ any person m any manner
sa as to become subject to the Worker Compensation Laws BOILER BTU (� .. �j APPROYMs RE
Date Applicant - / COMPRESSOR BTU Y 2VSD /v ROUGH - -
NOTICE TO APPLICANT If, after making this Certificate of VENTILATION SYSTEM _ FINAL 1
Exemption, you should become subject to the Workers'
Compensation provisions of the Labor Code, you must forth- EVAPORATIVE COOLER VALIDATION i
with comp]y with such provisions or this permit shall be deem-
ed revoked i / FURNACE FAU GRAVITY '
LICENSED CONTRACTORS DECLARATION / FLOOR - BTU
I hereby offnm that I am licensed under provisions of Chapter 9 HEATER SUSPENDED UNIT
(commencing with Section 7000)-of Division 3 of the Business FALL
and Professions Code,and my license is in full force and effect ,
Y
License Nurr#r tic Class or-l"� ► L 0
O ,
Contractor tom_% sd , o
�� ❑ 1 am exempt under Sec i V
Plan check fee
B&P C for this reason N
Date PERMIT ISSUING FEE $ _
Signature TOTAL FEE
OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT
I hereby affirm that I am exempt from the Contractor's License
Low for the following reason (Section 7031 5, Business and NAME
Professions Code) D
I, as owner of the property, or my employees with 'ADDRESS a
wages as their sole compensation,will do the work and CITU _ AC(T.7 ,
— TEL NO
the structure is not intended or offered for sole(Section 3307'
7044, Business and Professions Code) OWNERK r `37.W
•.�- 1, as owner of the property am exclusively contracting 1 ITEMS
with licensed contractors to constructthe (Sec MAIL
CO TOTAL37 QQ
eon 70Business and Professions
Codde
CONSTRUCTION LENDING AGENCY CITY M1EL NO CHECK
I hereby off um that there is a construction lending agency for 37.01)
the performance of the work for which this permit is issued CONTRACTOR(Sec 3097, Civ C ) crz'RH>L .[I(1
ADDRESS
Lenders Name �i��
CITY �D TEL NO L T 0000000--13001 10/9/90
Lender's Address STAT a� �
UC - '" 3206
I certify that I have read this application and state that the LICENSE NO a CLASS
. 1 _AM 9:4-
above information is correct I agree to comply with all County
ordinances and State jaws relating to budding construction
and hereby authorize representatives of this County to enter i
upo a above mentioned roperry for inspection purposes - - - -
SEE REVERSE FOR EXPLANATORY LANGUAGE
Si utere of App leant or A ent e