HomeMy Public PortalAbout5315 BARELA AVE_Mechanical__ COUNTY OF LGS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1402100012
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID BUILDING ADDRESS: I
ITR: 14210 LT: 9 I 5315 BARELA AV I
I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:I TEMP CA 917803243 I
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: 1
18589-002-009 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY CAI
102 COMPRSR < 100 KBTU 1.00 COM 27.00
TENANT: 108 FURNACE/HEATER <100 1.00 UNI 27.00 11SSUED ON: PROCESSED BY: PLAN BY: I
TOTAL FEES 81.80 102/10/14 SR I
10WNER: TEL. NO: IFIrJAL DATE FINAL BY: CODE:
1WANG, YIBING (626) 286-8883- 1 s
15315 BARELA AV
ITEMP 917803243 IDEStRIPTION F WORK I
ICHANGE OUT A/C + HEATING SYSTEM
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(APPLICANT: TEL. NO: � 1
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ISAME AS OWNER _
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ISPECIAL CONDITIONS: I
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(CONTRACTOR: TEL. NO: i iAPPROVALS DATE INSPECTOR SIGNATURE
ISAME AS OWNER _
LIC. NO i FAU/WALL FURNACE /
1 I (COMBUSTION AIR OPENINGS 1 I
(ARCHITECT OR ENGINEER: TEL. NO: IDUCT WORK
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LIC. NO: i IAC/COMPRESSOR
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ITHERMOSTAT
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IFIRE DAMPERS
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ISMOKE DETECTION DEVICES I 1
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IREPORT ID: DPR264 ROUTE TO: BS0508 I 1
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1103030005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID BUILDING ADDRESS: I
ITR: 14210 LT: 9 I 5315 BARELA AV 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803243 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: OLIVE I
18589-002-009 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
I 141 VENTILATION FAN 1.00 FAN 15.80 1 I
(TENANT: ITOTAL FEES 43.60 11SSUED ON: PROCESSED BY: PLAN BY:
103/03/11 SR I
10WNER: TEL. NO: IFINAL DATE F/INAL BY: CODE:
IWITTE MARK A;LINDA J (626) 309-1700- 1 I l H I
15315 BARELA AV I P 4 ' 1`
ITEMP 917803243 IDESCRIPTION OF WORK
IVENTILATION FAN FOR BATHROOM REMODEL
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(APPLICANT: TEL. NO:
ISAME AS OWNER
I ISPECIAL CONDITIONS:
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ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I
ISAME AS OWNER - I I I
I LIC. NO I IFAU/WALL FURNACE
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(COMBUSTION AIR OPENINGS I I
1ARCHITECT OR ENGINEER: TEL. NO: I IDUCT WORK I I I
_ I I I
1 LIC. NO: I 1AC/COMPRESSOR I
I I I
ITHERMOSTATI
I I I
IFIRE DAMPERS I I
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(SMOKE DETECTION DEVICES
(COMMERCIAL HOOD I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
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I I I I I I
IREPORT ID: DPR264 ROUTE TO: BS0508
I I I I I I
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0005170008„
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 `
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 14210 LT: 9 5315 BARELA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803243
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: OLIVE
8589-002-009 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY
02 COMPRSR < 100 KBTU 1.00 COM 27.00
TENANT: TOTAL FEES 54.75 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
05/17/00 UT 11/13/00
OWNER: TEL. N0: FLNAL DATE�-�ry FINAL BY:� CODE:
WITTE MARK A;LINDA'J (818) 309-1700-
5315 BARELA AV
TEMP 917803243 DESCRIPTION OF WORK
ADD AIR CONDITIONING TO EXISTING SYSTEM
APPLICANT: TEL. NO:
GENERAL HEATING AND AIR COND. (626) 358-0022-
1310 S. MYRTLE _ _ SPECIAL CONDITIONS: .
MONROVIA, CA _-----_- -
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
GENERAL HEATING AND A, C (626) 358-0022 =' '
1310 S. MYRTLE AVE. LIC. NO ; , %`_ TAU/WALL FURNACE
MONROVIA, CA. 91016 469166 C20
y 4y. S COMBUSTION AIR OPENINGS
ARCHITECT OR ENGINEER: TEL. N0: ni'J DUCTWORK
LIC. NO:; f -� - — ,—I--�, � AC/COMPRESSOR
THERMOSTAT /�))
- ;;+'- .• ;, FIRE DAMPERS
SMOKE DETECTION DEVICES
COMMERCIAL HOOD
• Viz- -
REPORT ID: DPR264 ROUTE TO: BS0508
WORKER'S COMPENSATION DECLARATION 76A364C 46DPW 9189 APPLICATION FOR PERMIT LIME GREEN
76A3
I h`er`eby aff`Pm that I have a certificate of consent to self insure,
or a certificate of Worker's Compensation Insurance, or a certified HEATING-VENTILATING-AIR CONDITIONING
copy thereof(SeL 3800 Lab.C.)
Policy No. Company COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV.
Certified copy is hereby furnished.
BUILDING
❑ Certified copy is filed,with the county building inspection FOR APPLICANT TO FILL IN ADDRESS
department. (PRINT OR TYPE ONLY)
LOCALITY
Date Applicant NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS', CROSS ST.
COMPENSATION INSURANCE ABSORPTION UNIT,BTU
(This section need not be completed if the work involved by the M PESSOBOOK Za k I PAGE �a�� PARCEL fV 5
permit is for one hundred dollars($100)or less.) AIR HANDLING UNIT,CFM DISTRICT NO. PROCESSED BY
I certify that in the performance of the work for which this permit
is issued, I shall not employ any person in any manner so as to BOILER,BTU
become subject to the Workers'Compensation Laws.
COMPRESSOR,BTU
APPROVALS DATE INSPECTOR'S SIGNATURE
Date Applicant VENTILATION SYSTEM
NOTICE TO APPLICANT: If, after,making,this Certificate of ROUGH
Exemption,you should become'subject to the Workers'CompensationEVAPORATIVE COOLER
provisions of the Labor Code, you must forthwith comply with such FINAL
provisions or this permit shall be deemed revoked. FURNACE: FAU GRAVITY
LICENSED CONTRACTORS DECLARATION FLOOR BTU VALIDATI N
I hereby affirm that I am licensed under provisions of Chapter 9 k SUSPENDED UNIT
(commencing with Section 7000) of Division 3 of the Business and HEATER: WALL
Professions Code,and my license is in full force and effect. + ,r
License Number Lic.Class di
iL
Contractor Date 0
❑ 1 am exempt under Sec. Plan Check fee 0
B.&P.C.for this reason PERMIT ISSUING FEE$
Date: TOTAL FEE
Signature U3
OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT ZJJ
I hereby affirm that I am exempt from the Contractor's License Law NAMEfor the following reason (Section 7031.5, Business and Professions
Code): ADDRESS �j r 5` /v- I c Y+lG... `_•E _a
❑
I, as owner of the property, or my employees with wages
as their sole compensation, will do the work and the CITY �! TEL.NO. �( 17049 - -n
Structure is not intended or offered for sale (Section 7044,
Business and Professions Code). OWNER +
L
� I .4-
E/11,
� � L
E 1, as owner of the property, am exclusively contracting � � - ` - • --
MAIL _—
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code). I` ^
CONSTRUCTION LENDING AGENCY CITY TEL.NO. h( -
I
hereby affirm that there is a construction lending agency for CONTRACTOR
theperformance of the work for which this permit Is issued
(Sec.3097,Civ.C.).
ADDRESS i_s'_i'_+—I_j! ;3_? 7 t
Lender's Name pt:
CITY TEL.NO. __ ;.
Lender's Address STATE LIC.
I certify that I have read this application and state that the above LICENSE NO. CLASS
information is correct. I agree to comply with all County ordinances
and State laws relating to building construction,and hereby authorize
representatives of this County to enter upon the above-mentioned
proper for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
SIG ATURE OP APPLICANT O GENT DAT