The URL can be used to link to this page

Home My Public Portal About9664 BROADWAY_Mechanical__ 's"3AAE - CEF"/6-9/75 APPLICATION FOR PERMIT. HEATING VENTILATING///- AIR CONDITIONING — Gr � . ..._ BUI NG AND SAF DIVISION - -5 .FOR APPLICANT TO FILL IN - BUILDING (PRINT OR TYPCONLY) ADDRESS LOCALITY 'No. TYPE pF APPLIANCE OR EQUIPMENT FEE NEAREST CROSS 5 _< ABSORPTION UNIT, BTU OWNER AIR HANDLING UNIT, CFM MAIL ` - •- ADORESS BOILER, BTU ' CITV- .TEL. NO. COMPRESSOR_BTU" 57D'm'-'' OO CONTRACTOR AIR KING _ VENTILATION SYSTEM _ ADDRESS14744 FIYIIIIIO Fee - Van '111-1 cm 91402 EVAPORATIVE COOLER - CITY STA7Ew 2Q892yJ6TLI. ,3 FLOORFURNACE: FAU BTU /410 O, LICENSE NO.`CL � / V X37 CLASS Y HEATER: SUSPENDED—UNIT olsrglcT No. ve0up ZONE v cess EO BY O WALL LL J _ H -INSPECTION RECORD w. o.. Plan check fee 25%D of above. , TERMIT ISSUING FEE S 'p TOTAL FEE / PLAN CHECK APPLICANT' I ` NAME / - ADDRESSVV 10 /I CITY - TEL:NO' HERE IS EBY ACKNOWLEDGE HAVE REND THIS APPLICATION. TE THAT THE.ABOVE IS CORRECT AND AGREE TO COMPLY . . ANDI�STAWITH .ALL ORDINANCES AND LAWS REGULATI NG.HEATING,-VENT I- LATING, AIR COND IiIONING. 11 ' I HEREBY CERTIFY THAT I AM ,NOT •ACTING' IN-VIOLATION APPROVALS DATE INSPECTOR'S SIGNATURE OF CHAPTER R, DIVISION 3. OF THE BU51 ESS AND PROFESSIONAL CODE OF THE.STATE OCALtFO NIA. ROUGH ' SIGNATURE OF PERMITTEE" FINAL vn� . PERMIT VALIDATION . M o, CASH PLAT 6ffC K5 I a0,ENSATIOnNlAGH,_ .. POLICY I IOLDE[2, ( `gid G�;2,7-n APR 25. 4-1, 1) 9 7. vR" 1 P POLICY NUMBER;. C.-cI' 3.3:a y� 76A969C-IOE Bt9A)-YL70 .APPLICATION FOR,PERNIIT "' •' � ; HEATING - VENTILATING : AIR CONDITIONING " COUNTY OF.LOS ANGELES ' DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION - FOR:APPLICANT TO-FILLIN 111REBUILDING 117 (PRINT OR TYPE ONLY) - 'ADDRESS _ C� �'Q�dy.J �_J ' LOCALITY NO. TYPE OF APPLIANCE OR EQUIPMENT , FEE - - 'NEAREST jJ - CROSS ST L/ ABSORPTION UNIT.BTU A. AIR HANDLINGUNIT,CFM w MAIL -- ` ADDRESSZ'' -e.:z`-'I NfO W� - I, BOILER:BTU 'F CIT Q- ?le n ` �_` TEL.NO. ` geg COMPRESSOR.B S H� _ 1. CONTRACTOR 'VENTILATION SYSTEM ADDRESS - G. C , 6� ! 3 `L4 V . d EVAPORATIVE COOLER' CITY FURNACE: • FAU IT �-- �- STATE e ` LIC 3 FLOOR, BTL �_L_C� LICENSE NO CLASSjL HEATER: SUSPENDED-UNIT 015TRICT NO. /GROUP ZONE PROCES�EO BY WALL 2� - INSPECTION RECOR ' V Plan check fee 25%-of above. PERMIT ISSUING FEE$ a C6 Z TOTAL FEE PLAN CHECK APPLICANT ' NAME _ . L• ADDRESS CITY TEL.NO. I - I HEREBY ACKNOWLEDGETHAT I HAVE READ.THIS APPLICATION,AND - ,STATE THAT THE ABOVE IS.CORRECT ANDi AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING HEATING.'VENTILATING, AIR - CONDITIONING. I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF APPROVALS BATE INS.PECTOR'5 SIGNATURE'. CHAPTER 9. DIVISION-3, OF THE BUSINESS AND;PROFESSIONAL LODE ROUGH , • 76 - .OF THE STATE OFCA F _ _ SIGNATURE FINAL - �/S'- �• OFPERMI RNIATTEE ' PLAN CHECK VALIDATION C& PERMIT VALIDATION cx. .o. case 744APR .641 U 8 '700AA '6 WORKERS'COMPENSATION DECLARATION 76A364C p pp�1 y I hereby affirm that I,have a certificate of consent to self CE -818 (2 BOl - APPLICATION - FOR' Ir;I=Y-C`IVII 1 ^ insure, or a certificate of Workers'Compensation'lnsurance.or t HEATING V ENTILATING-AIR CONDITIONING Grtu'' a 23',r—$e24Wof(Sec. 3800,Lab C.) - -Polic2, 1 OO .om pany_Ca _ 3 79 779 .. Ca5ualty—Pndemnity "COUNTY OFLOSLE ANGE �S % '` BUILDING AND SAFETY Certified copy is hereby furnished Certified copy is'filed with the county building inspection .BUILDING it fine T FOR APPLICANT TO FILL IN ADDRESS 9664 E. Broadway Date_3-27 L Applicanf-E._L. PAYN E_COMPANY_ (PRINT OR TYPE ONLY) NO. TYPE OFAPPLIANCEOREQUIPMENT.. FEE. .LOCALITY Temple�Ci'ty ` CERTIFICATE E EXEMPTION FROM WORKERS' NEAREST COMPENSATION INSURANCE "- - ' - t Blvd.' a (This section need.not be completed If the work involved ABSORPTION UNIT;BTU CROSS.ST.. Temp l.e CityO by the,permit is for one hundred dollars. ($100f,or less.) - - - - - msralcr NO. PRocF=ser v U ' 2 AIR OOO 20 .00 F certify that in the,performance of the work for which this _ 3_s —•O"O - -• permit is issued4 l:shell not employ any person in any manner - a so as to become subject to the'Workers' Compensation Laws. BOILER. BTU -- - F" - . 2. ton ., , 40OO. APPROVALS DATE Irva -.,TORSSIGr- i1RE U 'Date 3-27-8 1 APplicantE. L. PAYNE COMPANY - LLJ � " - ` , _ 1 coCOMPRESSO R,BTU. 1O OO ROUGH. - •- _ ._, ,_. _ , 0- NOTICE TO APPLICANT:If, after making this Certificate of - VENTILATION SYSTEMFINAL - " Z ~ Exemption, you should become 'subject to the Workers' � Compensation provisions of the tabor Code, you must forth- - EVAPORATIVE COOLER VALIDATION . with comply' with"such provisions or this permit shall'be .. 'deemed revoked. FURNACE: FAUX 4(f 04000 i LICENSED CONTRACTORS DECLARATION 2 FLOOR: _ BTU OX ; ,30 00 �/� ' 2= 000 1 hereby affirm that 1 am licensed under pmvisions,ot Chapter HEATER.- SUSPENDED UN_17 - 9 (commencing with Section 7000) of Division 3 of the Busi- WALL nems and Professions Code, and my license isin full force and • "" ' "' -' effect. I _ License Number. 120228 Lie.Class C-2O - JS Contracton.E.._L.._PAYN.E_ Date_3=27'81 - . .. .. . . .. _ - • I am exempt from the licensing'requirements ss I am a licensed,architect or a registeredprofessional. engineer .Plan check fee 25%of above; -, acting in my professional capacity (Section.705'1; Bus- _ iness and Professions Code). - - PERMIT-ISSUING FEES -7_ .00-_. Lie.or Reg.No. Date - TOTAL FEE .,, 10,7_'00 HOMEOWNER-BUILDER DECLARATION PLAN CHECK APPLICANT I hereby..affirm that-I am exempt from- the, Contractor's ' .NAME �r - License Law for the following reason (Section 7031:.5, Busi: - nessandProfessionsCode): ADDRESS - - _y✓P . - ❑ 1, as owner `of the property, will do the work and the structure' is not intended or offered for•.sale (Section CITY 7044.Business and Professions Code). OWNEP 1, as owner of the property: am exclusively''contracting Temple C-ity Adventist Church with .licensed contractors to construct the "project MAIL - •- • - (Section.7044, Business and Professions Code). ` ADDRESS 9664* E. Broadway' j CONSTRUCTION LENDING AGENCY '-- CITY -Temple- City - TEL.N8: 287-543]. . <4�6 0''6 A I hereby affirm that there is a construction lending agency _: :,: # �'�.�,� 4 1 for, the performance df the work for which this permit is - CONTRACTOR - -- ' issued (Sec. 3097,Civ.C.). .. - E. -COMPANY. e 2 1. Q.7:00 -. Lender's Name _ ADDRESS - .1 ..166—W. 166-W.• L1-ve=Oak Avenue-- 1 .0,700c�a , 1 certify [fiat I have read this application and.state. [hat the srpTAr_Qad_i x_793 1.1.3T1``ORD446=6.1.18' -- 04,.0.1 . LIC above information is correct.I.agree to comply'with all County LICENSE.NO. 120228 CLASS C=ZO - ordinances and State'laws regulating Heating, Ventilating.and Air Conditioning,and hereby authorize representatives Of this SEE REVERSE FOR EXPLANATORY LANGUAGE Counto enter upo the above-mentioned property for insp.crit i purposes. _ Sig iature of Per uittee — _ Daae COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0301030003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 9664 BROADWAY FEE DESCRIPTION: QUANTITY: LION: AMOUNT: TEMP CA 917803206 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: TEMPLE CITY 8588-023-031 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY 10 FURNACE > 500 KBTU 1.00 UNI 130.95 TENANT: 47 ALTER EXIST DUCT SYS 1.00 SYS 27.00 ISSUED OW:--PROCESSED BY: PLAN EXPIWFS ON: LINGULAR WIRELESS TOTAL FEES 185.70 01/03/03 JK 07/02/03 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: SO CAL ASSN OF 7 DAY ADVENTISTS (818) 546-8400- ��q . 03 f/1_/ 1535 LHEVY CHASE DR I GLEN 912064107 D S RIPTION OF WORK INSTALLATION OF EQUIPMENT OF CELL SITE IN CONCEALED RM AT BASEMENT LEVEL & NEW ANTENNA INSIDE EXISTING TOWER APPLICANT: TEL. NO: JACKSON (323) 938-2336- 5670 WILSHIRE #1600 SPECIAL CONDITIONS: LOS ANGELES 90036 S P CONTRACTOR: TEL. N0: t4GELES Cot APPROVALS DATE INSPECTOR SIGNATURE BROOKSTONE TELECOM (909) 694-4114- 27450 YNEZ ROAD, SUITE 300 LIC. NO FAU ALL FURNACE TEMECULA CA 711591 B / COMBUST ON AIR OPENINGS ARCHITECT OR ENGINEER: TEL. N0: _ DUCTWORK W E JACKSON CORPORATION (213) 938-2336- 5670 WILSHIRE BLVD, SUITE 1600 LIC. N0: AC/COMPRESSOR LOS ANGELES, CA 90036 C9857 THERMOSTAT n (IPTG CW t1 /n\ /}O muRK (n1 FIRE DAMPERS Ill! U�l`v�J ILh \l(' �\U)/ L N\�J SMOKE DETECTION DEVICES R 8 COMMERCIAL HOOD 0 0 r'1vo r., A O ❑ hoc Service That REPORT ID: DPR264 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0506 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9'101 IAS TUNAS ME 0508 1004290013 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLR'CITY CA 91780 { PHONE: (626) 285-0488 EXT: j I (LEGAL ID: FEES PAIDBUILDING ADDRESS: ON FILE - _ 9664 BROADWAY FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: III TEMP CA 917803206 (ASSESSOR INFORMATION NUMBER: I. NEAREST CROSS STREET: TEMPLE CITY - 18588-023-031 101 PERMIT ISSUANCE FEE 27.75 1 THOMAS PAGE: 597 GRID: A ' LOCALITY: TEMPLE CITY, Cl 1 103 COMPRSR 101 500 KBTU 1.00 COM 52.20 1 . (TENANT: - 130 AIR INLETS/OUTLETS 11.00 UNI 47.85 TSSUED ON: PROCESSED BY: PLAN BY: I I 1 136 ABU 2001-10000 CFM 1.00 ABU 38.85 04/29/10 SR I I TOTAL FEES 166.65 I IOWNER: TEL. NO: IFIN L PATE fff IN BY: CODE: ITEMPLE CITY 7TH DAY ADVENTISTS (626) 278-9270- 1 19664 BROADWAY Il V ITEMPLE CITY CA 91780 DEICRIPTION OF WORK SUPPLEMENTAL AIR CONDITIONING 12.5 A/C UNIT & 4000 CFM AIR HANDLER (APPLICANT: TEL. NO: I y.. BRYANT HEATING & A/C INC.. (626) 286-1141- 1 1• a' 11350 E. LAS TUNAS DR ISPECIAL CONDITIONS: (SAN GABRIEL.CA 91776 (CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE BRYANT HEATING AND A, C (626) 286-1141- 1 ' 11350 E. LAST TUNAS DR. LIC. NO IFAU/WALL FURNACE ,1. (SAN GABRIEL, CA 91776 2217SIC20H - COMBUSTION AIR OPENINGS 111 ARCHITECT OR ENGINEER: TEL. N0: - DDCT4WORK t 1 I I LIC: NO: J IAC/COMPRESSOR 1 I (THERMOSTAT I I U 1 - I LFIRESDAMPERS .( I 1 I - ISMOKE DETECTION DEVICES , COMMEERCIAL 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 I I 11 I I 11 11 11 1 11 11 I i i 11 11 11 I I I I I I 1 I 11 11 I I •• r I I I I IREPORT ID: DPR264 ROUTE TO: BS0508 I I I 11 11 I