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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