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HomeMy WebLinkAboutMECH-19-2038 6 t . City of Arcadia, CA Permit NO. Mech 19-2038 Development Services Department r r� D t '- f '5 Ca PermrtType Mechanical 240 West Huntington Drive,Post Office Box 60021 _ +j °`9 r 1 'I , a 7 t�--. C- Work Clossncc000n.HVAC•--.-ew:System,Residential a Arcadia,CA 91066-6021 i = t.� (626)574-5416 ' -; -. - - - ' ' - _ issued - Permit - Issue'oate.10/08/20191 Expiration: Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 860 Arcadia AVE Arcadia,CA 5783005021 .....�.. m . . �.a..� .. _,.w..e . .J-.. . m,-, Contacts . .. ..a .-. ,_ YOLANDA R COATES TR Owner P S Construction Contractor 860 ARCADIA AVE,ARCADIA,CA 91007 5415 Persimmon,Temple City,CA 91780 (818)442-2764 431044 Description:INSTALL NEW OUTLET FOR NEW WALL MOUNT A/C 1 Valuation: $ 0.00 ' Tenant UNIT P. Total Sq Feet: 0.00 Plan CheckH Plantl Fees Amount Payments Amount Paid Compressor<3 Ton(up to 3 hp) $19.86 Total Fees $117.51 Electrical Permit Issuance Fee $47.01 Cash/Receipt M REC-02723-19 $117.51 Mechanical Permit Issuance Fee $47.01 Amount Due: $0.00 Outlets-Receptacles&Switches $1.63 Solid Waste Management Fee 2 $1.00 Solid Waste Management Fee 2 $1.00 441 COMPLETth Total: $117.51 ((7-0849 CALLS FOR INSPECTIONS ACT/144- I7/ Request for inspection by telephone at 626-574-5450. Leave a message requesting the address,timeframe and what inspection item is needed. This permit/plan review expires by time limitation and becomes null and void if the work authorized by the permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Arcadia building inspector for a period of 180 consecutive days. October 08,2019 Issued By: Date October 08,2019 Page 1 of 1 ,FAR �.JFOgy4e, ow' PERMIT/PLAN REVIEW APPLICATION E‘.."131:13,'—. tia' Development Services Department,240 West Huntington Drive,Post Office Box 60021 Arcadia, CA 91066-6021, (626) 574-5416, Fax (626) 447-9173 City of Arcadia /LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION E]"I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full force and effect. t� ❑ I have and will maintain a certificate of consent to self-insure for workers' t' icense Class Q ' erase No. ��tO44 Exp. Date t*'2r ' compensation, as provided for by Section 3700 of the Labor Code, for the Signature of Contractor 1 —`, performance of the work for which this permit is issued. OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of he Labor Code,for the performance of the work for which this permit License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier S utANA demolish,or repair any structure,prior to its issuance,also required the applicant • , .. "`gip= 41, i,Di g-161 Q-ct- = P.S. CONSTRUCTION v N , ` 9' ._ 45c�431� c sai a N—Ic ' d V1 A 4 - E3 gy p(.) - , � y \•li.lnoul sit.[. 0x7�Uo% L0311CUlSQ - i F I ) Lia < LS. _ _ _ _ 1• i t 4 _; s ft► �� C is i "�z� �� d ± Os s\ , I 3' d co \, i I4 0 sett / 6 r CO cod; 1 N ` 11 ji 4.i jl m wy .4....._ii '''‘fmia a I r I �1I /` . -Sr Q--6L'�� 44 71 ' ) —_ . "1 I., ri 1 ' ' 0 , 1 `-r i ' ` �� Z 'S cr I 1 I --cu CO iJ a.P H -- eI r- - —:i -IN C1 laEawOak1 , . 41 . \ — —. r _ ,if <------_ — , _ pct•e t4 L.. 0.V2o r / 5415 Persimmon • Temple City, CA 91780 • (626) 442-2764 Om 3-70 -29,01,CPR'