HomeMy Public PortalAbout5114 SERENO DR_Mechanical__ . y
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ME 0508 9805190037
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE (818) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
ON FILE 5114 SERENO DR
ASSESSOR INFORMATION NUMBER. FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803039
NEAREST CROSS STREET SULTANA
5388-011-036 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H5 LOCALITY TEMPLE CITY
02 COMPRSR < 100 KBTU 1 00 COM 27 00
TENANT OB FURNACE/HEATER <100 1 00 UNI 27 00 ISSUED ON PROCESSED BY PLAN,BY EXPIRES ON
30 AIR INLETS/OUTLETS 9 00 UNI 39 15 05/19/98 UT 05/19/99
OWNER- TEL NO — TOTAL FEES 120 90 FIAL DATE T CODE
SOENDJOJO
R;MELANI P (818) 309-1287-
SERENO5114 R (9L /
TEMP 917803039 DF5LK TX OF -12
INSTALL HEATING AND AI
APPLICANT. —TM NO
TOMMY'S REFRIGERATION (562) 906-4411-
10655 INEZ ST SPECIAL CONDITIONS
WHITTIER
CONTRACTOR TEL NO os PNGELES COV
APPROVALS DATE I NsPnTM-9rdUTUffF--
MME
TOY'S REFRIGERATION (562) 906-4411-
10655 INEZ ST LIC NO FAU/WALL FURNACE
WHITTIER CA 90605 523477
COMBUSTION AIR OPENIlFW
ARCHITECT OR ENGINEEF— IhL NU DUCT WORK
LIC NO / THERMOSTAT
1111111
r
Uo L C v�voo �KQ`3)� FIRE DAMPERS
COMMERCIAL HOOD
'er 11
I
REPORT ID DPR264 ROUTE TO BS0508
WORKLR" COMPLNSATION DECLARATION 76A364C
1 hereby affirm That I base a certificate of consent to self
CE 618 (280) APPLICATION FOR PERMIT
Imure or 4 certificate of Work Compensation Insurance or HEATING-VENTILATING-AIR CONDITIONING
a n IOed copy P ✓ f(Sec 36 O ab C ) (n'
'Poli
'O y 0
[cert lJkC,gyiy`pn) COUNTY OF LOS ANGELES �. ` r BUILDING AND SAFETY
copy Is h'e`r'e�bs)) furnished
Certified copy Is filed with he.at� lding Inspection BUILDING d1
Date// m nl FOR APPLICANT TO FILL IN ADDRESS 5I U kj s" NeQIZ3
.rr ' Applicant (PRINT OR TYPE ONLY) LOCALIZ--r -7
CLRTIEICATF Of EXEMPTION FROM WORKERS NO TYPE OF APPLIANCE OR EQUIPMENT FEE {I
COMPENSATION INSURANCE NEAREST }
(This section need not be completed If the Work involved - ABSORPTION UNIT BTU CROSS ST d
by the permit Is for one hundred dollars (SI00) Or less) DISTRICT NO PROCESSED By ^ (�
I cernO that in the performance Of the work for which this AIR HANDLING UNIT CFM—
permit permit Is Issued I shall not employ an) person in env manner Q
so as to become subject to the Workers Compcnsalson Laws BOILER BTU OF
APPROVALS DATE INSPECTORS Sr4TURE
W
Uate Applicant COMPRESSOR BTUIA
ROUGH
NOTICE TO APPLICANT If after making this Cutdlaate of VENTILATION SYSTEM FINAL 0 Z
Exemption you should become subject to the Workers
Compensation proslvons of the Labor Code you must forth
with comply with such provisions Or this permit shall be EVAPORATIVE COOLER VALIDATION
deemed revoked I FURNACE FAU— GRAVITY G
LILFNSLD CONTRACTORS DECLARAmON FLOOR BTU-
1
TU 1 hereby affirm that I am licensed under provisions of Chapter HEATER SUSPENDED UNIT
9 (commenting with Section of Division J the B WALL
Professionsnesssand Professions Code and
my my license is m full ll force and ao
effect
Licen/tractor_se Number—e fI� Lle Class cv`.\�rl�\
Co ate_
El1 am exempt ffo'm the licensing requirements as 1 am a
licensed architect or a registered professional engmeLr Plan Check fee 25%of above
acting In my professional capacity (Section 7051 Bus
Inns and Professions Code) PERMIT ISSUING FEE $
Lie or Reg No Date r I TOTAL FEE /
HOMEOWNER BUILDER DECLARATION PLAN CHECK APPLICANT
1 herebv affirm that I am exempt from the Contractors NAME
License Law for the following reason (Section 7031 5 Busl
ness and Profesvons Code) ADDRESS
1 as owner of the propcn) will do the work and the 9 0'07 8 A -
structure is not intended or offered for sale (Section CITY TEL NO
7044 Business and Professions Code) - # -iri!�0 Oil
1 as nwmnr of the property am exclusively contracting _ _ y✓L/�Q rl 2 27
00
pr
with licensed contractors to construct the project MAIL
(Section 7044 Business and Professions Code) ADDRE S L-I fv-� - W N i� �I�
2700
CONSTRUCTION LLNDING AGLNCY CITY TEL NO 5 Z 4i_8
1 hereby affirm That there Is a construction lending permit
s I _ \ 1� i
for the performn cc Of'th work for which this Dermi[ is CONTRACT
Issued (Sec 309 C s )— c '
Lender sName ADDRESS � s.✓<se^ n�ivJ/r�V
Lender s Address CITY �, q TEL NO
I cenif) that I have read this application and sate Ihit the STATE 1J '� LIC
above Information 6 srrect 1 agree to comply with all County ICENSE NO Z s CLAS.
Drift Stale aws regulating Heating Venidatmg and
Au Condi ono and hueby auth once re prexntatn es of this SEE R1 VERSE I OR EXPLANATORY LANGUAGL `
Counij, tj ent u on thL above mentioned pr peny for
,or ,1..
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