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Home My Public Portal About5256 SERENO DR_Mechanical__ COUNTY OF IAS ANGELES TEMPLE CITY N 050 B MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1405050030 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT ILEGAL ID FEES PAID BUILDING ADDRESS ITR 45808 LT 1 UN 55256 IFEE DESCRIPTION QUANTITY DOM AMOUNT TEMP CA SERENO10803058 (ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET 15388-010-070 101 PERMIT ISSUANCE FEE0 I 27 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY CAI 02 COMPRSR < 100 MID 1 00 CUM 27 000 TENANT TOTAL FEES 54 80 ISSUED ON PROCESSED BY PLAN BY 05/05/14 SR OWNER _ TEL NO I TE/ FiAL BY CODE 1WONG BENJAMIN M,LISA T (626) 286-4139- /1}\ 15256 SERENO DR ITEMP 917803058 SCA ION OF WORK (REPLACE CONDENSOR (APPLICANT TEL NO ILI, JIANTAO (626) 557-5323- 1556 ABERY AVENUE I (SPECIAL CONDITIONS LA PUENTE CA 91744 ICONTRACTOR TEL NO IJ T AIR CONDITIONING AND HEATING (626) 537-5323- A ROVALS DATE INSPECTOR SIGNATURE 1556 ABERY AVENUE LIC NO FAO/ FURNACE CA PUENTE CA 91744 961269 I MBUSTION AIR OPENING II (ARCHITECT OR ENGINEER TEL NO I IDUCT WORK LIC NO IAC/COMPRESSOR THERMOSTAT (FIRE D ERS SMOKE DETECTION DEVICES COMNCRC LLL HOOD I I 1 I I I I I I I I I I I I IREPORT IO DPR264 ROUTE TO BS0508 I WORKER SCOMPENSATION ateofconsentto DPW 9189 APPLICATION FOR PERMIT LIME GREEN I hereby affirm that I have a certificate of consent to self Insure or a certificate of Worker a Compensation Insurance or a cenified HEATING-VENTILATING-AIR CONDITIONING copy thereof(Sec 3800 Lab C) Policy No Company COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV Candled copy Is hereby furnished ❑ Cendred copy Is filed with the county building Inspection FOR APPLICANT TO FILL IN ADDRESS ' department (PRINT OR TYPE ONLY) Y LOCALITY Date Applicant NO TYPE OF APPLIANCE OR EQUIPMENT FEE CERTIFICATE OF EXEMPTION FROM WORKERS NEAREST CROSS ST COMPENSATION INSURANCE ABSORPTION UNITBTU _ - (This section no"not be completed M the work Involved by the ASSESSOR MAP 8001( PAGE PARCEL permit is for one hundred dollen(1111700)or NN) AIR HANDLING UNIT QFM Grp g1pCE—ey I comfy that in the performance of the work for this permit Is ed man aceto not employ any person In any manner so as to BOILER BTU �D S becomcome subject to the Warkere Compenssibn Lewe G yS &&J J � �I COMPRESSOR ST Deter Applgem (1•LYs,Ii71 [TU .Pvnovus wTe srsscmea spaxruw ��—� VENTILATION SYSTEM NOTICE OAP (CANT If alter making this Certllrosu of ROUGH Exemption you shaud become subject to the Workers Compensation provisions of the Labor Code you must forthwith comply with such EVAPORATIVE GOOIER le FINAL provimonn or this permit shell be doomed revoked / FURNACE FAU VRY + LICENSED CONTRACTORS DECLARATION / FLOOR Bru VALIDAT ON I hereby affirm that I am licensed under provisions of Chapter B SUSPENDED—UNIT— (commencing USPENDED UNIT_(commencing with Section 7000) of Division 3 of the Business and HEATER WALL Professions Code and pmy license us In full force and/effect � License Number 1 Lic Clete ALL •Lit et / ��jG/ OF 01 10, Y Contactor De (�'31L Ok p V Q ❑ I am exempt under Sec Plan Check fee Q U / B aP C far this reason PERMIT ISSUING FEE !O O Date TOTAL FEE W SrerteLure d OWNER BUILDER DECLARATION PUN CHECK APPLICANT Cit Z I hereby affirm that I am exempt from the Contractor a Lben"Lew NAME , O for the following reason (Section 7031 5 Business and Professions Code) ADDRESS ❑ I as owner of the property or my employees with wages l'r .�.� t ns, their sole compensation will do the work and the CITY TEL NO 3303 M. - structure is not Intended or offered for sale(Section 7044 1 ITEM Busmeas and Professions Code) OWNER'` TALAtAl ' I CGJ1�t.�� ❑ 1 as owner of the property em exclusively cant acting MAIL TOTAL 122.25 with licensed contractors, to construct the project (Sec M.25 Lon 7044 Bunlness and Professions Cade) MCK /L CONSTRUCTION LENDING AGENCY CITY A TEL NO GE I hereby affirm that there is a construction lending agency for CONTRACTOR , the performance of the work for which this permit Ps Issued y- 'ISec 3087 Ch, C) _ ADDRESS 0000—GW 1 7/26/93 ' Larder s Name , CITY TEL NO 0916 1 AM 8:07 Larder a AddressSTATE LC �_�� ' I certify that I he"read this application and state that the above UCEI BE NO ABB CL Information Is correct I agree to comply with an County ordlnancea and State laws relating to Wilding construction,and hereby authome representatives of this County to enter upon the above mentioned _ properly for I pecUon purposes BEE REVERSE FOR EXPLANATORY LANGUAGE 'P,rR,e ��3 �� oR AaENT `� ,