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HomeMy Public PortalAbout5000 ENCINITA AVE_Mechanical__ 7 6 A 364-C E-A 8-B_68 APPLICATION FOR PERMIT�''j� HEATING - VENTILATING - AIR CONDITIONI r COUNTY OF LOS ANGELES ` DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 6�0 JOHN A LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST (Print or type only) OWNER NO TYPEJOF APPLIANCE OR EQUIPMENT FEE MAI L ADDRESS-(5 &-c'o ABSORPTION SYSTEM, BTU CITY TEL N AIR HANDLING UNIT, CFM CONTRACTOR ` ODu J ADDRESS '� B LHORSEPOWER COMPRESSOR, HORSEPOWER CITY NO v STATE LIC VENTILATION SYSTEM LICENSE NO. CLASS DISTRICT NO GROUP ZONE([_PESSED BY EVAPORATIVE COOLER FURNACE FAU GRAVITY V FLOOR BTU INSPECTION RECORD HEATER SUSPENDED—UNIT- WALL USPENDED UNITWALL o_ O U O I-- U W O_ Cn Z NEW_ADDITION PERMIT $ ALTER—REPAIR— TOTAL FEE $ Plan check applicant Name Address I ty Tel No I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ITH ALL ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE ATING, AIR CONDITIONINGROUGH IHEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION 111-16 /61 4Z-11-1F CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL ODE OF THE STATE OF ALIFORNIA JACK R ALLEN,SUPE�R�,Vj,-W 3�.�)v1ECHANICAL ENG'R IGNATURE PERMIT VALIDATIT CK/ M O CASH F PERMITTEE � �,_/ PLAN CHECK VALIDA N :L'8 4 ti')Er -54 1 5.7 5 &:jd SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE WORKERS' COMPENSATION DECLARATION APPLICATION FOR PERMIT I hgreby d�� that I have a certificate of consent to self rtaur' fi a certificate of Workers' Compensation Insurance, HEATING - VENTILATING - AIR CONDI T G �J® or a certified copy thereof (Sec 3800, Lob C ) CE 81 C WITCIVE® J U L 2 6 1989 CE 818(REV 10/81) acv N704992751 Company CNA Certified copy is hereby furnished COUNTY OF LOS ANGELES_ BUILDING AND SAFETY ® Certified copy is filed with the county building inspec- FOR APPLICANT TO FILL IN BUILDING- tion department (PRINT OR TYPE ONLY) ADDRESS 5000 Enclnita Ave. 0 07/89 A hcant LOCALITY Date L! PP Temple City NO TYPE OF APPLIANCE OR EQUIPMENT FEE CERTIFICATE OF EXEMPTION FROM WORKERS' NEAREST COMPENSATION INSURANCE CROSS ST %-_I/ 7—L) (This section need not be completed if the Work involved by ABSORPTION UNIT BTU DISTRICT NO PROCESSED BY the permit is for one hundred dollars ($100)or less) O AIR HANDLING UNIT, CFM + I certify that In the performance of the work for which this J � permit Is Issued, I shall not employ any person in any manner 1 so as to become subject to the Workers'Compensation Laws BOILER BTU APPROVALS DATE INSPEC R S SIGNATURE Date Applicant 3 COMPRESSOR, BTU 3-Me 30 I,QQ ROUGH FINAL NOTICE TO APPLICANT If, after making this Certificate of VENTILATION SYSTEM t Exemption, you should become subject to the Workers' t Compensation provisions of the Labor Code, you must forth- EVAPORATIVE COOLER { VALIDA ION with comply with such provisions or this permit shall be deemed revoked i FURNACE FAU GRAVITY LICENSED CONTRACTORS DECLARATION t FLOOR BTU I hereby affirm that I am licensed under provisions of Chapter 9HEATER SUSPENDED—UNIT— (commencing USPENDED UNIT(commencing with Section 7000) of Division 3 of the Business WALL and Professions Code,and my license is in full force and effect » License Number 313818 Lic Class C38 O V__ 8 Contractor Ben Monsher Dote '07/11/89 Pool fr ❑ I am exempt under Sec © 0 Plan check fee w B&P C for this reason PERMIT ISSUING FEE 10 150 Date Signature TOTAL FEE 140 150 OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031 5, Business and NAME - Professions Code) y F1ADDRESS I, as owner of the property, or my employees with ..„ -- f _ _ ACC 4 wages as their sole compensation,will do the work and r �n the structure Is not intended or offered for sale(Section CITY TEL NO 33JVV(( 0 7 7044, Business and Professions Code) , El1, as owner of the property, am exclusively contracting OWNER Chin Seafood -- — 1 ITEM with licensed contractors to construct the project (Sec- MAIL _ TOTAL 40 50 tion 7044, Business and Professions Code) ADDREss5000 Enclnita CONSTRUCTION LENDING AGENCY CITY PITI le City TEL NC818-282-3036 CHECK40.50 1 hereby affirm that there is a construction lending agency for l.LIJLIlr� the performance of the work for which this permit is Issued C6NTRACTOR f 41r7IttHH``i1*E .00 (Sec 3097, Civ C ) Rpn Lender's Name A11RE"6401 Flotilla Street 00OD—L1t1iJ01M1 $p/ 2/892/89O Lender's Address CITY - 9M4V 213-725=1811 - 4847 1 P1112:09 I certify that I have read this application and state that the LICENSVATS ENO 313818 CLASS LIC C38 above information Is correct I agree to comply with all County ordinances and State jaws relating to building construction, and,hereby authorize representatives of this County to enter upon the above-mentioned roperty for Inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date ' ' COUNTY OF LOS ANGELESt "° TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ME 0508 9707220083 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: rEGALTD FEES PAID BUILDING ADDRESS: TR: 1098 LT: 5 BL: .001 5000 ENCINITA AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 'TEMP CA 917803707 ASSESSOR INFORMATION NUMBER: `NEAREST CROSS STREET: 8590-031-028 01 PERMIT ISSUANCE FEE 27.75 J HOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY 02 COMPRSR < 100 KBTU 2.00 COM 54.00 ! TENANT: 35 AHU < 2000 CFM 2.00 AHU 25.50 ISSUED OC A . SEAFOODS R US, INC. TOTAL FEES - 107.25 07/22/97 TC 07/22/98 OWNER: TEL. NO: FINAL DATE FINAL BY• CODE: INTERNATIONAL BUSINESS TRADING CORP - `Q MTPK 917540293 DffffMT ION OF-WORK INSTALL REFRIGERATION SYSTEMS FO WALK-IN FREEZER APPLICANT: 0• G W AIR-CONDITIONING, INC. (818) 572-9338- SPECIAL CONDITIONS: CONTRACTOR: TE O� APPROVALS DATE INSPECTOR SIGNATURE G W AIR CONDITIONING, INC. (818) 572-9338- 1544 GLADYS AVE. LIC. NO FAU/WALL FURNACE SAN GABRIEL CA 91776 505565 COMBUSTION AIR OPENI GS . ARCHITECT0: _ p G-� DUCT WORK LIC. NO: \/ AC/COMPRESSOR \p 0 THERMOSTAT - I Ic-D-1 ({E j� 1 C W11CPIKS PI` IRE I DAMPERS SMOKE,DETECTION DEVICES D � CID COMMERCIAL OOD D Y/ 6/a JJJJ REPORT ID: DPR264 ROUTE TO: BS0508 i