HomeMy Public PortalAbout9043 GARIBALDI AVE_Mechanical__ 60LNTY OF LOS ANGELES TEMPLE CITY f 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TU&S ME 0508 0106200014
BUILDING AND SAFETY / LAND DEVELOPMEJiT TEMPLE CITY CA 91780
PHONE: (626) 285-0488. EXT:
LEGAL ID: FEES PAID BUILDING ADDRE
TR: 5904 LT: 190 UN: .002 9043 GARIBALDI AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801620
ASSESSOR INFORMATION NUKBER: NEAREST CROSS STREET:
5384-001 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY
02 COMPRSR < 100 KBTU 1.00 cOM 27.00
08 FURNACE/HEATER <100 1.00 UNI 27.00ISSUED ON: PROCESM BY: PLAN BY: EXPIRES .
30 AIR INLETS/OUTLETS 8.00 UMI 34.80 06/20/01 JK 12/17/01 .
32 ADPL VENT (OTHER) 1.00 UMI 12.90
TOTAL FEES 129.45 FINAL DAT CODE:
FELD RICHARD J (626) 287-1961- JQ O
9043 GAR I BALD I IAV /
TEMP 917801620
INSTALLIMO ENERGY EFFIC STEM
APPLICANT: TEL. NO:
NETCLERK -
720 DUBUQUE AVENUE SPECIAL CONDITIONS:
S. SAN FRANCISCO
CONTRACTOR: TEL. NO: S p,N ELES Ca �
APPROVALS DATE INSP
L A AIR ENERGY SAVERS (818) 780-7807- V�
6735 GAVIATA AVE LIC. NO
VAN NUYS, CA 91123 733534 C20 / \
ARCHITECT OR ENGINEER: TEL. NO: DUPT WORK
LIC. NO 111111
FC-D) TMF=ERS
UL r -'L 1J `.J ❑MKIS WIXE DETBCTION DEVICES
CIAL HOOD
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es
e ❑ �0 /
Service
REPORT ID: DPR244 TR9tlTrE fi6&' OS"
y
COUNTY OF-,LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0802050003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CTTY CA 91780
PHONE: (626) 285-0488 ETT:
LEGAL ID: FINS PAID BUILaING ADDR&SS:
TR: 5904 LT: 190 UN: .002 9043 G RIBA DI AV
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917801620
ASSES9OR INFORMATION NUMBER: _ lC3A3T CROSS STREET:
5384-008-003 01 PERMIT ISSUANCE FEE 27.75 THJMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, C
09 FURNAZE 101 500 T.BTU 1.00 UNI 52.20
TEUU": 41 VENTILATION FAN 1.00 FAN 15.75 IS= ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FERN 95.70 02/05/08 SR 08/03/08
OWNUR: TEL. NO: F BATE FINAL BY: CODE:
JI, JIANFEI (626) 226-8864- �(^� �v
9043 GARIB ADI AV
TEMP 917801620 DESC:RLPTION OF SKIRL
ADD 1 WL FURNACE 6 VENTILATION FAN
APPLICANT: TEL. NO:
MONVG (626) 293-1612-
817 N. GARF RT AVE SPECIAL CONDITIONS:
ALHAMBRA, CA 91801
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
PA LAM CONSTRUCTION, CO. (626) 293-1612-
817 N. GARFIELD AVENUE LIC. NO FA CTs
ALHAMBRA, CA 91801 809418 B
COMBUSTION AIR OPENIZIGS
ARCHITECT OR E290INEER: TTI,. NO: DUCT MOR[
LIC. NO: AC/CCNPRFSSOR
TI DKRMDST A T
FINE DAMPERS
SMOKE DFi'r=ON DEVICES
COMMERCIAL HOOD
REPORT ID: DPP-264 ROUTE TO: BS0508
.WQRKARS'COMPENSATION DECLARATION CEA 6816 4C A F R L ICA-T16N FOR P E R RA T
"I hereby affirm that.I have n certificate of consent to self
Insure, or a crtiflcatabf Workers'Compensation Iirsurance,o-r HEATING-VENTILATING-AIR CONDITIONING
a certified cox thereof(Sec. 3800, Lab. C.)
Policy No. Company
Certified copy is hereby furn4h.ad. COUNTY OF LOS ANGELES BUILDING ARID SAFETY
Certifled copy Is filed with the county building inspection
department. FOR APPLICANT TO FILL IN
BUILDING
Date ApplLcer)t (PRINT OR TYPE ONLY) ADDRESS .
'
LOCALITY
CERTIFiC:ATE OF EXEMPTION FROM WORKERS'
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE _ _ LO ,
COMPENSATION INSURANCE NEAREST
(This section need not be completed if the work Involved ABSORPTION UNIT, BTU CROSS ST.
by the permit Is for one hundred dollars rs ($100) or less.) DA STRICT r�rO. PRoc ev 8
1 certify that In the performance of'the work for which this AIR HANDLING UNIT CFM `�
permit is Issued, I shall not employ any persbn In any manner
so as to become subject,to the Worker&'.Corppertion Laws. BOILER BTU
f . `.�. APPROVALS ATS irtsr SIGN URF
Date/�PPllcantf_.&1L�4 fP COMPRESSOR BTU
ROUGH eyA
NOTICE TO APPLICANT: If, after making this Certificate of VENTILATION SYSTEM FINAL Z
Exemption, you should become subject to the Workers'
Compensation provisions of the Labor Code, you must forth-
with comply .with such provislorui or this permit shall beEVAPORATIVE COOLER
deemed revoked. FUR NACEr- FAU' G ul Y �]
LICENSED CONTRACTORS DECLARATION FLOOR: U
I hereby affh•tn that I am licensed under provisions of Chapter HEATER:. SUSPENDED UNIT
9 (commencing with Section 7000) of Division 3 of the Busi- f WALL
neas and Professions Code, and.my License is in full force and
effect.
Llcense Number Llc.Clefs at— z of
Contractor -Date
ElI am exempt from,t 'licensing requirements as I am,a 0 84.9 A
licensed architect o k registered professional engineer Plan check fee 25% of above. # 0:0,6'* •
acting in my professional capacity (Sectfon 7051, Bus-
Iness and Professions Code). PERMIT ISSUING FEE $ f - - ,3(150
Lic.or Rat.No. DateTOTAL FEE, ti • • • 3.Q 5 0 6
HOME OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT f (1-1 O
I hereby affirm that I am exempt from-the Contractor's NAME
License Law for the following reason (Section 7031.5, Busi-
ness and Profeaaions Code): ADDRESS
I, as owner of the property, will do the work and the
structure Is not Intended or offered for sale (Section - CITY TEL. NO,
7044, Business and Professfons Code).
F] 1, as owner of the
property, OWNER
p party, am exclusively contracting
with licensedcontractors to construct the project MAIL
io
(Sect lo 7044, Business and Professions Code). ADDRESS
CONSTRUCTION LENDING AGENCY CITY TEL.NO.
I hereby affirm that there Is a i�onstructlon lending agency
for.the performance of the work for which this permit 1111 CONTRACTOfi
Issued (Sec. 3097,Cly,C.).
Lender's Name ADDRESS.1 +�
Lender's Address CITY 42 TEL.NO. �
I certify that I have read this appLication and state that the 18�T�A�TE LIC.
above information Is correct.I agree to comply with all County ENO. CL
ordinances and State laws regulating Heat Ing,Voattlating and
Air Condit g, and hereby authorize representatives of this SEE REVERSE FOR EXPLANATORY LANGUAGE
County ter upon the above-mentioned_ property for
his ctl polos
Signature o7 Permittee Date _ -