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
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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
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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=
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5415 Persimmon • Temple City, CA 91780 • (626) 442-2764 Om 3-70 -29,01,CPR'