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HomeMy Public PortalAbout9331 DAINES DR_Mechanical__ + Y r. CJS ;i6as6dc • CE-B 18 IREV.6/78) _ ©, APPLICATION FOR PERPRIT HEATING - !EMULATING -.A,IR CONDITIONING - COUNTY OF.LOS ANGELES .. : BUILDING AND SAFETY FOR APPLICANT TO-FILL IN BUILDING ADDRESS 3 0z (PRINT OR TYPE ONLY):.. - _ LOCALITY NO: TYPE OF APPLIANCE OR EQUIPMENT FEE • NEAREST CROSS ST. . .. ABSORPTION UNIT,BTU OWNER - AIR HANDLING UNIT,CFM' - MAIL' .. - ADDRESS'. BOILER,.BTU CITY TEL.NO. . COMPRESSOR,BTU. CONTRACTO VENTILATION SYSTEM ADDRESS EVAPORATIVE COOLER CITY - TEL.NO-�� -� FURNACE: FAUGRAVITY STA LIC. FLOOR' BTU - I ICENS.E"NO.. - C.LASS HEATER:. 'SUSPENDED' - UNIT APPROVALS- DATE INSPECTOR'S SIGNATURE . WALL . ROUGH .� FINAL _7 •..' � �} INSPECTION RECOFAD 99 Plan check fee"25% of-above. PERMIT ISSUING FEE$ z TOTAL FEE J PLAN CHECK APPLICANT PLAN CHECK VALIDATION ' NAME ADDRESS 7•UJ/ O . • 4 CITY TEL.NO. .. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING HEATING, VENTILATING, AIR - .�7 2 O.O A —'CONDITIONING. . ' I PERMIT VALIDATION I HEREBY CERTIFY THAT I AM NOT ACTING IN-VIOLATION OF # 0 0 0`0 4 1 CHAPTER 9, DIVISION 3, OF THE USINESS AND PROFESSIONAL.CODE OF THE STATE OF CALIFORNIA. •s 2.-0 0.1 1.0 0 SIGNATURE OF PERMITTE :0.0'Q O 0 U DISTRICT NO. PROCESSED�.Y • 1 01 2!;-7 9 CE'-8IS fREV.6/78) ©5, APPLICATION IOR PERMT NEATING- VENTILAYING'= ,AIR CONDITIOMIMG" COUNTY OF LOS ANGELES BUILDING-AND SAFETY FOR`APPLICANTTO FILL IN: BUILDING ADDRESS" (PRINT OR TYPE ONLY) Q331 Dainps _ LOCALITY 'Te le NO. .TYPE oF'A'PPLIANCE OR EQUIPMENT FEE - . - NEAREST f t . CROSS ST. ABSORPTION UNIT,BTU OWNER .AIR HANDLING UNIT,CFM AMAIL DDRESS 9331 Daines. ' BOILER,BTU '/, CITY, TemPle Gl'ty TEL.NO. 2H5-39.3 _ / COMP.RESSOR,BTU v/_-y,7, w ; CONTRACTOR VENTILATION SYSTEM - ADDRESS 442 Wo, Bonita EVAPORATIVE COOLER - . CITY San Dimas TEL.NO., FURNACE:- FAU G ��jITY' STATE. " - LIC:, FLOOR - BTU V d (/. LICENSE NO.. _ Q CLASS - HEATER: SUSPENDEDUNIT WALL _ gppROVALS DATE INSPECTOR'S SIGNATURE ROUGH . - FINAL / ./ � '® . INSPECTION RECOR cccc Plan check fee 25% of above. PERMIT ISSUING FEE Z 'TOTAL FEE,, PLAN CHECK APPLICANT-, PLAN CHECK VALIDATION NAME .. .. ADDRESS ' CITY - TEL:NO. IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATibWAND Z OO STATE THAT THE ABOVE IS CORRECT AND-AGREE TO COMPLY WITH ALL - per" 7 3 U,'7 A ORDINANCES AND LAWS REGULATING HEATING. VENTILATING. AIR CONDITIONING. ,. #,o•o fo o 4 1 • PERMIT VALIDATION " I HEREBY CERTIFY T AT zu,M 'N T -ACTING IN• OLATION OF CHAPTER (VISION-3 F THSIN ND PROFE IONAL'CODE' ;2 0' 0 2 7,Q QOFTHE ST F NIA. SIGNATURIOF PE RIV ITTE - o O 1O'2.7.0 O U DISTRICT NO. ���///� `^{ .PROCESSED BY 10.2A-7 9 _/ `� < 76A364C.. '\ p � _ WORKERS'COMPENSATION DECLRRATIO.N CE-818(2.80) 6=�1 PPL� C AT�O N FOR' P E R'M UT F-hereby affirm that: I have a' certificate of consent to self ; insure,or-a certificate 0f Workers'Compensation Insurance;or ' C-0EA,"PIWG,-bIENYILAYING-AIR' CONDIYI"®NUNG' a certified'copy thereof(Sec.3800,Lab.C.),,' v Policy No. Company ' COUNTY OF LOS ANGELES BUILDING-,ANC SAFEyTY Certified copy is hereby furnished: Certified copy-is filed with.the county building inspection BUILDING 0 . FOR"APPLI'CANT TO FILL IN, department.' _ Date Applicant (PRINT OR TYPE I ONLY) - A r DDRESS � LOCALITY "• NO. TYPE OF APPLIANCE OR EQUIPMENT FEE CERTLFICATE OF EXEMPTION FROM_WORKERS' COMPENSATION INSURANCE CR OAREST (Thin section need not be completed.if the.work involved' ABSORPTiO,N UNIT; BTU _. SS., O by the permit is for one hundred dollars ($100) or,less.). TRICTNo. RocESSE BY U I certify that in the performance of the,work for which this PIR HANDLING UNIT,CFM G .N DIS cc permit isissued ,I shall'nor.employ any person in any manner t�t Sir �� '�- o so as to become subject to the Workers' Compensation Laws. BOILER; BTU `D A E W APPROVALS' INSP �TOR'S SIGNA RE Date Applicant = COMPRESSOR, BTU J t d NOTICE.-TO'APPLICANT: If, after'making this Certificate of VE.NTILATION,SYSTEM ROUGH Exemption, you should become subject "to. the "Workers' FINAL _ Compensation provisions.of the Labor.Code,you must forth; T Z EVAPORATIVE COOLER with comply' with 'such.'provisions or this permit>shali be LIDATIQN deemed revoked.. FURNACE.:.' FAU- �'• GRAVITY- '- � • y 1, 1 LICENSED CONTRACTORS,DECLARATION FLOOR: BTU I hereby affirm that I am licensed under.provisions of Chapter HEATER: SUSPENDED, UNIT 9 (commencing with'Sectian'7000) of Division'3<of the Busi 2WALL:', ness and Professions Code,-and my license:is in,full force and effect. License Number Lic.Class'< Contractor Date �- I am exempt from thelicensing requirements°as I am a- ` liesed architect or a registered Plan,engineer- PJan Check-,fee 'acting25%Of above - in, m`y professional capacity (Section',7051 -Bus= " < iness and Professions Code)." PERMIT ISSUING"FEE $ Lic or Reg,No. a Date TOTAL:FEE' LZ HOME OWNER BUILDER DECLARATION PLAN'CHECK APPLIC T I hereby affirm that 1 am exempt from the Contractor's NAME: License Law for the following reason (Section 7031.5, Busi- .mess and,Professions�Code): ,• ADDRESS (.�, {- TTI, as,owner',of the property, will do'the work and'the CITY f T•EL'.r:NO. l} o o e'o b 8 structure. is not intended' or offered for sale`(Section ` 7044, Business and Professions Code). $ Q1 a; j'orF 1 7,O'0 I, as owner of the property, am exclusively contracting', �✓ ' with licensed. contractors to construct the' project: MAIL -o`o o 11`00� (Section 7044, Business and Professions Code).° ADDRESS � u✓E CONSTRUCTION LENDING AGENCY \ CITY TEL,NO.` �': 3 I hereby affirm that there is a construction lending agency �j9 � ,7����. for the performance'of the work for,which this permit is CONTRACTOR. issued (Sec. 3097,Civ.C.), Lender's Name ADDRESS Lender's Address CITY TEL.-NO. I certify that I have read this application and state that the. gTATE LIC. above information is correct.I agree to comply with all County LICENSE NO. CLASS ` ordinances and State laws regulating Heating; Ventilating and. Air'Condition ing, and hereby authorize representatives of this SEE REVERSE FOR EXPLANATORY LANGUAGE County toent r u n the above-mentioned property for n c.tion es i Signature of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1304240020 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID: FEES PAID I BUILDING ADDRESS: ON FILE I 9331 DAINES DR (FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917803111 I (ASSESSOR INFORMATION NUMBER: i i _ I' NEAREST CROSS STREET: 16588-030-018 101 PERMIT ISSUANCE.FEE 2.7.80 I THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY CAI I 102 COMPRSR < 100 KBTU 1.00 COM 27.00 1 (TENANT: 108 FURNACE/HEATER <100 1.00 UNI 27.00 (ISSUED ON: PROCESSED BY: PLAN BY: 147 ALTER EXIST DUCT SYS 1.00 SYS 27.00 104/24/13 SR I TOTAL FEES 108.80 1 I (OWNER: TEL. NO: I IF AL DATE FIN Y: CODE: ICOSTANTINO EMIL J JR CO TR (626) 285-3934- 19331 DAINES DR TEMP 917803111 1 IIPTION OF WORK I (REPLACE EXISTING PACKAGE UNIT REPLACE DUCTS I I I I I (APPLICANT: TEL. NO: I I I ICONTRERAS, CARRA (626) 286-3157- 14931 N ENCINITA AVE 1 (SPECIAL CONDITIONS: TEMPLE CITY CA 91780 CONTRACTOR: TEL. NO: I APMO VAIS DATE ATURE ICONNOR AIR CONDITIONING (626) 286-3157- I 1 I 14931 N ENCINITA AVE LIC. NO I IFAU/WALL FURNACE TEMPLE CITY CA 91780-3706 403735 V (y ICOMBUSTION AIR OPENINGS _ (ARCHITECT OR ENGINEER: TEL. N0: DUCT,'WORK I I 1 LIC. NO: 1 IAC/COMPRESSOR I I THEP-MOSTAT- I IFIRE DAMPERS I I I i ISMOKE DETECTION DEVICES 1 I I 1 (COMMERCIAL HOOD I I I I f r I I I i I 1 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 (REPORT ID: DPR264 ROUTE TO: BS0508 I I