The URL can be used to link to this page

Home My Public Portal About5406 BALDWIN AVE_Mechanical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0003100006 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285 0488 EXT LEGAL ID FEESBUILDING ADDRESS ON FILE 5406 BALDWIN AV FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 91780 ASSESSOR N 0 MATIO R NEAREST CROSS STREET OLIVE 8586 023 023 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID A4 LOCALITY TEMPLE CITY 02 COMPRSR < 100 KBTU 2 00 COM 54 00 TENANT TOTAL FEES 81 75 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 03/10/00 UT 09/06/00 OWNER TEL NO FINAL DATE FINAL BY CODE GLESBY ROSE F 631 PARKROSE AV Zwo MROV 910163770 D��TPT I ON O UPGRADE 2 REFRIGERATION UNITS (COMPLETE SYSTEMS) APPLICANT TEL NO PHILS COMMERCIAL REFRIGERATION (562) 802 1629 15641 LEMON DR SPECIAL CONDITIONS WHITTIER CA ES CTEL ® A� PHILSACTOR COMMERCIAL REFRIGERATION (562)N802 1629 ®� ��1A9- APPROVALS DATE INSPECTOR SIGNATURE 15641 LEMON DR LIC NO FURNACE WHITTIER CA 219077 C38 COMBUSTION AIR OPENINGS ARCHITECT OR ENGINEER TEL NO / DUCT WORK LIC NO I 1111117 AC/COMPRESSOR 1�Z lU THERMOSTAT T Ilrr--(�)� D L�� /, f7O(_^,n/7 FIRE DAMPERS IIJ� \VI]�1\JIl pLJ��<{�LJ�(� SMOKE DETECTION DEVICES / COMMERCIAL HOOD C/ ❑ ** _ ❑ ® ®y 48�le SLrv0e'1a{��oi REPORT ID DPR264 ROUTE TO BS0508 WORKERS COMPENSATION DECLARATION CEA 8 8C(2 80) 6. l.i/"i� ®1\7 ®� PERMIT I hereby affil— that I have a certificate of consent to self insure or a certificate of Workers Compensation Insurance,or HEATING-VENTILATING-AIR CONDITIONING a certified copy thereofSey 3800 L b NoC) Policy -" : ompany Certified FI COUNTY OF LOS ANGELES T ' BUILDING AND SAFETY by is he eby furnished ' Certified copy is filed with the count) build g inspection BUILDING pa tme t" 7 t FOR APPLICANT TO FILL IN ADDRESS t Date �� l�✓�'cant_ _C_[" C �`r (PRINT OR TYPE ONLY) h LOCALITY CERTIFICATE OF EXEMPTION FROh WORKERS NO TYPE OF APPLIANCE OR EQUIPMENT FEE 'P COMPENSATION INSURANCE * NEAREST (This section need not be completed if the work involved ABSORPTION UNIT BTU CROSS ST ZZ by the permit is for one hundred dollars (5100) or less) DISTRICT NO PROC D U 1 certify that in the performance of the work for which this AIR HANDLING UNIT CFM permit is issued I shall not employ any person in any manner r so as to become subject to the Workers Compensation Laws IBOILER BTU O APPROVALS DATE INSPECTOR S SIGNAT E V Date Applicant COMPRESSOR BTU _ ROUGH d \NOTICE TO APPLICANT If after making this Certificate of VENTILATION SYSTEM CL Exemption you should become subject to the Workers FINAL r Z Compensation provisions of the Labor Code you must forth EVAPORATIVE COOLER ro VALIDATION ' with comply with such provisions or this permit shall be deemed revoked LIC.ENSEDCONTRACTORSDECLARATION / FURNACE FA GRAVITY FLOOR BTU I hereby affirm that I am licensed under provisions of Chapter HEATER SUSPENDED U IT 9 (commencing with Section 7000)of Division 3 of the Busi WALL ness and Professions Code and my license is in full force and effect License Number ip,t- 74k L,i (''lass d Contract ��! •��fT Dat I am exempt from the licensing requirements as I am a licensed architect or a registered professional engineer Plan check fee 25%of above acting in my professional capaci" (Section 7051 Bus iness and Professions Code) PERMIT ISSUING FEE$ Lic or Reg No Date ITOTAL FEE HOME OWNER BUILDER DECLARATION PLAN CHECK APPLICANT r I hereby affirm that I am exempt from the Contractors NAME t License Law for the following reason (Section 7031 5 Busi ness and Professions Code) ADDRESS A I as owner of the property will do the work and the CITY TEL NO ;2,3 3 0 4 A structure is not intended or offered for sale (Section 7044 Business and Professions Code) �j i# opo)o 0 0 8 OOWNER I as owner of the property am exclusively contracting with licensed contractors to construct the project MAIL �-f 1 2 °�O 4 R 5 0 (Section 7044 Business and Professions Code) ADDRESS _ _,W p CONSTRUCTION LENDING AGENCY CITY �( TEL NO ° a50 I herebv affirm that there is a construe ton tending agency i 0 lib—8 2 for the performance of the work for which this permit is CONTRACTOR 6 ? t � f issued(Sec 3097 Civ C) -�f f' Lender s Name ADDRESS ` E ` Lender s Address � CITY `� /4 c/jr TEL NO _ I certify that I have read this application and state that the STATE LIC above information is correct I agree to comply with all County LICENSE NO" CLASS ordinances and State laws regulating Heating Ventilating and ,kir Conditioning and hereby authorize representatives of this SEE REVERSE FOR EXPLANATORY LANGUAGE County to enter upon the above mentioned properly for inspect; n p ores Signa ure 0 f Pe nittee / A Dat