HomeMy Public PortalAbout10308 FREER ST_Mechanical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1106280009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
1TR: 15874 LT. 2 10308 FREER ST
1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT- 1 TEMP CA 917803442 1
ASSESSOR INFORMATION NUMBER: I INEAREST CROSS STREET: ARDEN
18585-019-002 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597, GRID: B4 LOCALITY: TEMPLE CITY, Cl
1 102 COMPRSR < 100 KBTU 1.00 COM 27.00 1
TENANT 135 AHU < 2000 CFM 1.00 AHU 12.80 JISSUED ON- PROCESSED BY: PLAN BY:
TOTAL FEES 67.60 106/29/11 SR
(OWNER: TEL. NO: IF DATE F
/ Y. CODE: 1
1PITTMAN, DALE (626) 350-5028- 1
110308 FREER ST I 1 l �I 1
1TEMP 917803442 1 1DTISCRIPTION OF WORK v1
I 1 IREPLACE EXISTING HEAT PUMP CONDESING UNIT ON ROOF AND FAN 1
1 ICOIL UNIT IN ATTIC 1
(APPLICANT: TEL. NO:
IBRYANT HEATING & A/C (626) 286-1141-
I 1
11350 E. LAS TUNAS DR (SPECIAL CONDITIONS:
1SAN GABRIEL CA 91776 1
�G Ir',tiY CC i- ( � � -
1CONTRACTOR: TEL NO: 1 IAAPRO ALS DATE INS ECTOR SIGNATURE 1
1BRYANT HEATING AND A, C (626) 286-1141- 1 1
11350 E LAS TUNAS DR LIC. NO 1 1FAU/WALL FURNACE 1 1
ISAN GABRIEL CA 91776 948151 C20
COMBUSTION AIR OPENINGS 1 1
(ARCHITECT OR ENGINEER- TEL. NO: IDUCT WORK _
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LIC. NO: i IAC/COMPRESSOR I I
I I I
1 1 1THERMOSTAT 1 1
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1FIRE DAMPERS 1 1
1 1 (SMOKE DETECTION DEVICES 1 1 1
1 1 1COMMERCIAL HOOD 1 1
1 1 I I I I
I I I I I I
1 i I I I I
I I I I I I
I f I I I I
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1 I I I I I
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1 (REPORT ID: DPR264 ROUTE TO BS0508 1 1
i
76A364C
.CE-818 (REV.11/78)
is APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
(PRINT OR TYPE ONLY_) ADDRESS10308' Freer St-
LOCALITY'-Tem'pI e C i t
NO TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
CROSS•ST '
ABSORPTION UNIT,BTU - ,
OWNER Dale Pittman
.
AIR HANDLING UNIT,CFM AMAIL
DDRESS 1030'8' Freer At.
BOILER,BTU 1ITyremp I e Ci t TEL.N5505028
1/ COMPRESSOR,BTU 10 . 0 CONTRACTOR G
VENTILATION SYSTEM ADDRESS 167 W/ Orang'ethorpe-
EVAPORATIVE COOLER CITY P I scent i a TEL-N09961521 . -
FURNACE FAU GRAVITY A STATE LIC.
1- FLOOR BTU so 0 10 . 00LICENSE NO CLASS
HEATER SUSPENDED UNIT_ APPROVALS DATE INSPECTOR'S SIGNATURE
WALL
,ROUGH �.
FINAL O
INSPECTION RECORD
0
Plan check fee 25% of above
PERMIT ISSUING FEE$ -700 z
TOTAL FEE
PLAN CHECK APPLICANT - PLAN CHECK VALIDATION
NAME :29593A
ADDRESS
#�o1o'o o 4 1
CITY - TEL NO
I HE ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION AND 2 0 o27,00
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
ORDINANCES AND LAWS REGULATING HEATING, VENTILATING, AIR 'o'0 0 2 7.0 Q U
CONDITIONING PERMIT VALIDATION
NT-ACTG IN VIOLATIN OF
CHAPTERE9, DIV SIONI 3Y OF THE AM NEO55 ANDIN ROFESS_IIONALOCODE 032-7:—8 0
OF THE STATE '
SIGNATURE '
OF PERMITTEE
DISTRICTNO � PROCESSED B ✓ '
WORKERS' COMPENSATION DECLARATION APPLICATION FOR PERMIT
a:I.here b'Y affrcm that• f have a certificate of consent to self
hisure,-otra certificate of Workers' Compensation Insurance, HEATING - VENTILATING - AIR CONDITIONING
or a tertlfied copy thereo Sec. 3800, Lab C ) 76A364C
(,�r n CE-818(REV 10/81) '
Poli y No.�V�S) m p a y �• ��n�t1�Q1JtA0.J�`� ,
.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)
2,�',irJ0Q �� " " . —' LOCALITY
Date Applicant NO TYPE OF APPLIANCE OR EQUIPMENT FEE
CERTIFICATE OF EXEMPTION FROM WORKERS' NEAREST
COMPENSATION INSURANCE CROSS ST
ABSORPTION UNIT, BTU DISTRICT NO PROCESSED BY
.(This section need not be completed if the work involved by. �
the permit'is for one hundred dollars ($100)or less.) '
AIR HANDLING UNIT, CFM
I certify that in the performance of the work for which this
permit is issued, I shall not employ,any person in any manner
so as to become sublect to the_ rkers'Compen
sa
,�tionLQWS BOILER, BTU APPROVALS DATE IN T R'S SIGNATURE
Dotey Applicant 1•T" –'�-" COMPRESSOR, BTU ROUGH Z `
NOTICE TO APPLICANT: If, after making this Certificate of VENTILATION SYSTEM FINAL
Exemptron, you should become 'sublect to the Workers' . �A 2_!"1_.,
Compensation provisions of the Labor Code, you must forth- EVAPORATIVE COOLER VALIDAT N
with comply with "such provisions- or this permit shall be '
deemed revoked - FURNACE FAU _ GRAVITY• '
LICENSED•CONTRACTORS DECLARATION FLOOR BTU
I hereby affirm that I am licensed under provisions of Chapter 9 HEATER SUSPENDED UNIT
(commencing with Section 7000) of Division 3 of the Business WALL'
and Professions Code,and my license is in full force and effect. >'
S' v s S Q
License Number 13y _ Lic Class , V
DC
eG �u zO
Contractor Date J Dote o8430A V
❑ I am exempt under Sec uat
Plan check fee # o•e o e,e 8 ,N
B&P C for this reason - Q I .o 2 Q 5 Z
Date.
Z� Nov PERMIT'ISSUING FEE $ (� _
Slgnatur �'i--.lam» TOTAL FEE ' v
OWNER,BUILDER DECLARATION PLAN CHECK'APPLICANT '-• o o e 2 Q 5
I hereby affirm that I am exempt from the Contractor's License31111. I •1,2 5;=8 7
Law for,the following reason (Section 70315, Business and NAME PC
Professions Code):
❑ 1, as owner of the property, or my employees with ADDRESS 54 L i go,w%,v v j ;
wages as their sole compensation,will do the work and"
the structure is not intended or offered for sale (Section CITY P C_ TEL NO 4q-1 Z
7044, Business and Professions Code) �},+{ -
\1
❑ I, as owner of the property,'am exclusively contracting OWNER.,
withIicensed`contractors to construct the proiecf(Sec- MAIL Q p !
tlon.7044, Business and Professions Code) ADDRESS
CONSTRUCTION LENDING AGENCY CITY rC, TEL NO
I hereby affirm that there is a construction lending agency for
the performance of the work for which this permit is issued CONTRACTOR DS
(Sec 3097, Civ C.) ,,
ADDRESS Y cc,",
L�Vt W\C3
Lender's Name _ _ 7441'7W-1 r -7`
CITY r .� TEL NO `"C4 Z:Z1 G
Lender's Address
STATE4� I �a f�• LIC
I certify That I have read,ihis application and state that the LICENSE NO*- "[ CLASS � ' ' •• - -- _ ,.. ,
above information-Is correct I agree to comply with all County
ordinances and State laws relating to building construction,
and hereby authorize representatives of this County to enter
n the above-m toned property for inspection purposes •SEE REVERSE FOR.EXPLANATORY LANGUAGE
-2—Y N
Signature of Applicant or Agent Date -