HomeMy Public PortalAbout10140 DAINES DR_Mechanical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1008030005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE. (626) 285-0488 EXT
LEGAL ID I FEES PAID I BUILDING ADDRESS
ITR 22438 LT 17 I I 10140 DAINES DR
IFEE DESCRIPTION QUANTITY• UOM AMOUNT I TEMP CA 917802706
(ASSESSOR INFORMATION NUMBER. I I NEAREST CROSS STREET BALDWIN I
18586-027-026 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY, Cl
I 141 VENTILATION FAN 1 00 FAN 15.80 I 1
ITENANT. I TOTAL FEES 43.60 (ISSUED ON PROCESSED BY: PLAN BY I
108/05/10 SR
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IOWNER: TEL NOI IF A FIN BY: CODE
ISHUM, KIN K (626) 448-3228- I 1
110140 DAINES DR I 1 I
ITEMP 917802706 I I S RIPTION OF WORK
I I IVENTILATION FAN FOR BATHROOM REMODEL
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(APPLICANT- TEL NO I I I
ISAME AS OWNER
I I ISPECIAL CONDITIONS: - I
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ICONTRACTOR TEL NO- I (APPROVALS DATE INSPECTOR SIGNATURE I
ISAME AS OWNER - I I I
I LIC NO IFAU/WALL FURNACE I I I
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1 (COMBUSTION AIR OPENINGS
(ARCHITECT OR ENGINEER TEL NO I IDUCT WORK I I I
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I LIC NO: I IAC/COMPRESSOR I I 1
1 I ITHERMOSTAT I I I
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I IFIRE DAMPERS
ISMOKE DETECTION DEVICES I I
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I ICOMMERCIAL HOOD I I I
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IREPORT ID DPR264 ROUTE TO BS0508
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W;i?,RKE'RS'COMPENSATION DECLARATION CEA 818 C(2-80) A P PL IC A T�O N FOR PERMIT
I hereby affirm that I have a certificate of consent to self
insure,or a,5,ertificate of Workers'Compensation Insurance,or HEATING-VENTILATING-AIR CONDITIONINGa certified thereof(Sec. 3800,Lab. C:
Policy N61'-�I JJ C t SJ 7Qmpany 1!PJgk C �nl�enalJ�� COUNTY OF LOS
Lx Certified copyas hereby furnished' ANGELES BUILDING AND SAFETY
Certified copy is filed with the county building in,pept�on FORAPPLICANT TO FILL IN BUILDING
departmen• V ADDRESS 0` O
Date-,{— SApphcant_ �" 7`' (PRINT OR TYPE
ONLY)Applicant. 7
LOCALITY
CERTIFICATE OF.EXEMPTION FROM WORKERS' NO. TYPE OF-APPLIANCE OR EQUIPMENT FEE ,r le / V�
COM PENSATION'INSURANCE NEAREST
(This Section need not be completed if the Work involved ABSORPTION UNIT;BTU CROSS ST �r 0-
by the permit is for one hundred dollars ($100) or less.) DISTRICT NO PROCE, �ED'6Y OU
I certify that.in the performance of the work for which this AIWHANDLING UNIT,CFM UV -
permit is issued, I.shall-not employ any person in any manner �J• v er
so as to become subject to the Workers' Compensation Laws BOILER, BTU " O
APPROVALS DATE N "'C R'S SIGNATURE 4 U
Date Applicant COMPRESSOR,BTULLI
ROUGH° / a
NOTICE TO APPLICANT. If, after making this Certificate of VENTILATION SYSTEMFINAL !( Cn
Z,
Exemption, you should become subject to the Workers', r _
Compensation*provisions of-the L-aboirCode,'you must forth= EVAPORATIVE COOLER VALIDATION
with comply with such provisions or-this-permit shall be.
deemed revoked
LICENSED CONTRACTORS DECLARATION FURNACE FAU�RAVITY
FLOOR 8TU O 0�(j
1 hereby affirm that I am licensed tin der'provis ions of Chapter HEATER SUSPENDED UNIT '
9 (commencing with Section 7000)of Division 3 of the Busi- WALL
ness and Professions,.Code,and my license is in full forge and -
effect.
License Number_?OJ?�J Lir.Class e 3 O�— 1 3 4,•7 A
Contractor 00 �Nd2 Date_/ J -O ° 0-8
ElI am exempt from the licensing requirements as I am a
licensed ar6hitect or a registered professional engineer Plan check flee 25%of,above. i� °„O 2 Q 5 O
acting in my professional capacity (Section 7051, Bus-
iness and Professions Code). —PERMIT ISSUING FEE $ G �Q °`°.c 2 0.-5,0 x
Lic,or Reg No. Date TOTAL FEE i _ U
'^HOME OWNER-BUILDER DECLARATION i � 1.{1 5 8 5
- - PLAN CHECK APPLICANT ,
i hereby affirm that y.am exempt from-the 'Contractor's NAME
License Law for the following reason (Section 7031 5, Busi-
ness and Professions Code) ADDRESS '
1 1, as owner of the property, will do the work and the CITY TEL. NO.
structure is not intended, or offered for sale (Section
7044, Business and Professions Code) '
as owner of the property, am,exclusively contracting OWNER
with licensed contractors to construct the project MAIL - i tN�
(Section 7044, Business and Professions Code) ADDRESS l—�i' L iJQ
CONSTRUCTION LENDING AGENCY CITY eYyt fie• [i:t� TEL.
I herebysaffirm that there is a construction lending agency
for the performance of the work for which this permit is CONTRACTOR Com N a c2 G "e R
issued (Sec 3097,Civ C.).
Lenders Name ADDRESS 3 1 N �1✓ t�N�i ��
Lender's Address CITY 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
Air Conditioning,;and hereby authorize representatives of this SEE REVERSE FOR EXPLANATORY LANGUAGE
County to enter upon�the above-mentioned property for .
III- ction purposes.
Signa_ure of Permittee Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1309260024
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID: FEES PAID BUILDING ADDRESS
ITR 22438 LT 17 - 10140 DAINES DR
I IFEE DESCRIPTION QUANTITY• UOM AMOUNT TEMP CA 917802706 1
ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET
18586-027-026 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY CAI
1 141 VENTILATION FAN 1 00 FAN 15 60
TENANT TOTAL FEES 43 60 (ISSUED ON PROCESSED BY PLAN BY
09/26/13 SR
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OWNER TEL NO (FINAL DATE FI AL BY CODE
SHUN, BILL -
110140 DAINES DR
TEMP 917802706 IDESCRI TION OF WORK
VENTILATION FAN FOR A NEW BATHROOM
APPLICANT. TEL NO I I
IWU, MONICA (626) 253-0188-
118888 LABIN CT B213 ISPECIAL CONDITIONS
IROWLAND HGHTS 91748 1 I I
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ICONTRACTOR TEL. NO 1APPROVALS DATE INSPECTOR SIGNATURE
IMING'S CONSTRUCTION AND (909) 909-2069- 1 1
IHOTEL RENOVATION LIC NO IFAU/WALL FURNACE
118888 LABIN CT UNIT B213 973795 I I I I I
IROWLAND HEIGHTS CA 91748 1 (COMBUSTION AIR OPENINGS
(ARCHITECT OR ENGINEER TEL NO: I IDUCT WORK 1 1 1
IT AND W CONSULTING ENGINEERING _ (626) 288-0708- 1 1 1 I I
11168 N SAN GABRIEL BLVD #N LIC NO 1 IAC/COMPRESSOR 1 I 1
IROSEMEAD, CA 91770 NONE 1 I I
I I (THERMOSTAT
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ISMOKE DETECTION DEVICES I I I
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