HomeMy Public PortalAbout5603 CAMBURY AVE_Mechanical__ COUNTY OF LOS ANGELES TEMPLE CITY q 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0206110003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING D SS:
TR: 15159 LT: 7 BL: .001 5603 CAMBURY AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802602
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LIVE OAK
8588-012-030 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
I08 FURNACE/HEATER <100 1.00 UNI 27.00
TENANT: TOTAL FEES 54.75 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
06/11/02 JK 12/08/02
OWNER: TEL. NO: ( FINAL DATEEXPIRED CODE:
BROOKS;CHARLENE J (626) 287-4608-
5603 CAMBURY AV
TEMP 917802602 DESCRIPTION OF WORK
C/O FAU
APPLICANT: TEL. NO:
IWAI COOLING & HEATING (626) 932-1163-
826 BONITA ST SPECIAL CONDITIONS:
MONROVIA 91016
I
CONTRACTOR: TEL. N0: - - . APPRUVALS DATE INSPECTOR SIGNATURE
IWAI COOLING AND HEATING (626) 932-1163-
826 BONITA ST. LIC. NO i_. FAU/IJALL FURNACE
MONROVIA, CA 91016 B/L 28844 * ' - '
COMBUSTION AIR OPENINGS
ARCHITECT OR ENGINEER: TEL. NO: / _ DUCTWORK
LIC. NO: i� AU/COMPRESSOR
THERMOSTAT
FIRE DAMPERS
SMOKE DETECTION DEVICES
COMMERCIAL HOOD
i
" ADDITIONAL DATA ON FILE
REPORT ID: DPR264 ROUTE TO: BS0508
WC!t KLRS-C'OMPFNSAIlQN DECLARATION _ CE -81Q APPLICATION FOR PERMITr. CE 878 12-801
t here; aftirm' rhat t have a certificate of conseC: -
ir•ure, or a certificate of Workers'Compensation Insurance,or HEATING Al ENT ILATING-Al R CONDITIONING
{certified cop), thereof(Sec. 3800,Lab.C.)
Policy No,, Cpmpany.- COUNTY OF LOS ANGELES BUILDING AND SAFETY
0 Certified copy is hereby furnished. _ -
0 Certified copy is filed with the county building inspection - BUILDING
department.
- FOR APPLICANT TO FILL IN /
Dale Applicant ADDRESS
' (PRINT OR TYPE ONLY)
_ .LOCALITY -
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE I P_171��r' C t Jy
CERTIFICATE 17FEXEMPTIFROM WORKERS' NEAREST
COMPENSATION INSURANCE
TURANCE Q ¢
(This section need not be completed if the work involved ABSORPTION UNIT,BTU CROSS ST. tvf7 9— (� j,.A Q/. a
by the permit is for one hundred dollars ($100) or less. DISTRICT No. N PROces;E0 By O
I certify that in the perfcrmance of the work for which this AIR HANDLING UNIT,CFM—
permit
permit is issued; I shall not employ any person In any manner Sin
so as to become subject-to the Workers'Compensation Laws. - BOILER, BTU O
,! QQ// �/ APPROVALS DATE MSPEC 0 'SSIGNI TURE L)
Daie.3_��S Applicant_J�J _ I COMPRESSOR,BTU 6I—DO-D � " � tL
ROUGH �7/t\�
NUTFC6 TO AYYLIC'AN Tv If, after qta kin-, this C.aificate of 00
VENTILATION SYSTEM FINAL (/ " � Z
Exemption, you should become subject to the Workers' _
Compensationprovisionsof the Labor'Code, you must forth- EVAPORATIVE COOLER VALIDA, ION
with comply with such provisions or this permit shall be
deemed revoked. - - t/ FURNACE: FAU_2_ GRAVITY— v
LICENSED CONTRACTORS DECLARATION
X FLOOR: BTU_�'Q�_047,2
�. I hereby affirm that I ant licensed under provisions of.Chapter HEATER: SUSPENDED _ UNIT
9 (cnmmeneing with Section 7000) of Division Sof the.Busi. WALL
' ness and Profecs!"m Code, and my'license is in full force and
effect,License Number /y.��df_l_ Lie.class.C 2-(�pp si' 1 624 A
' Contractor Date
I am exempt from the licensing requirements as I am a y '�I e e3 0 5 0
licensed architect of a registered professional engineer Plan Check fee 25%of above,
acting in my professional capacity (Section 7051, Bus"
mesa and Professions Code). - PERMIT ISSUING FEE $ 1� •"• • 3 0.5 0 a=n
s L.ic.or Reg.No. _ Date --::EE= :-,.TOTAL
S� Q 3 0'5 c 8 5
—
HOME OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT
I hereby affirm that i am exempt front-the Contractor's NAME S/Z/1f�Lt_QP UQ96 AJ .
License Law for the following reason (Section 7031.5, Busi"
ness and Professions Code): ADDRESS
1, as owner of the property, will do the work and the J
structure is not intended or offered for sale (Section CITY Te- TEL. NO:3
7044, Business and Professions Code). ,y
ID
OWNER 1?r C,
I, as ozr of the property, am exclusively contracting S,/]�
with licensed contractors to Construct the project MAIL
,(Section 7044.Business and Professions Code). ADDRESS
CONSTRUCTION LENDING AGENCY CITY ,. TEL.NO. _
1 hereby affirm that there is a construction lending ng agency CONTRACTOR C�ft� wTT rJ'T /C
for the iter formancz of the work for which this permit is /71A .
issued ({Sec. 3097,Civ,C). U ——
Leader s Name ADDRESS '
Lender's Address, CITYy
NO /V7 TEL. - -
A4ead-i� Qo29 .
I certify that I have read this upplication and state that the STATE LIC.
above information is correct.i agree to comply with-all County LICENSE NO. �f //�fy CLASS C 0
ordinances and State law's regulating Heating. Ventilating and -
Air Conditioning,and hereby authorize representatives of this SEE REVERSE FOR EXPLANATORY LANGUAGE.
County to entrr upon the above. entioned property for _
inspe• arrpurptis+ /TJ .
Signaturs of Permit/I —