HomeMy Public PortalAbout9520 GARIBALDI AVE_Mechanical__ Y COUNTY 0? LOS AN6;tT.ES TEMPLE CITY ¢ 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1012150013
BUILDp?G AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PEiO : (626) 285-0488 ETT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 6561 LT: 263 ON: .002 9520 CARIBALDI AV
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917801644
ASSE98OR INFORMATION NDISMUR: NEAREST CROSS STREET: TWur•E CITY
5385-007-002 01 PERMIT ISSUANCE FEE 27.80 71384AS PAGE: 596 GRID: J2 LJDCALITY: TENRLa CITY, C
TEZUan41 V21TION FAN 1.00 FAN 15.80
' LATT
TOTAL FEES 43.60 ISSUID ON: PROCR.89ED BY: PLAN BY_
12/15/10 SR
OMNSR: TKL. NO: FINAL FINAL BY: CODE:
HPHC PROPMTIE9 LLC (626) 382-1688- Fsf r
19223 COLIMA RD.#972 ! ,(I 4f
ROMLAND BTS 91748 III��� IIICRIPTION OF WORK
ONE VENTILATION FAN
APPLICANT: TEL. NO: ,
MEI, LS (626) 696-0003-
517 N. CHANDLER AVE SPECIAL COI9D=ONS:
MONTEREY PARR 91754
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
LI WEI CONSTRUCTION- (626) 696-0003-
517 N. CHANDLER AVENUE #D LIC. NO EFAU/WALL FURNACE
MONTEREY PARK, CA 91754 837977 B
COMBUSTION AIR OPR2U NGS
ARCHITECT OR EN INRKR: TEL. NO: DUCT MURK
LIC. NO: AC OU(PR&SSC)R
TTD RM0.9TAT
II FIRS DAMPERS
L SMOKE DETECTION DEVICES
COM4iRCIAL BROOD
REPORT ID: DPR264 ROUTE TO: 1390508
' WDR)<OT8 COMPE7NSA DECLARATION CD4°°%-'"°'m APPLICATION FOR PERMIT LIME GREEN
7aI3E4C
I hgrebytfl
.arm�fhve et I haa certlfloato oate o1 consent to self Insure,
or 1s sartmoa't6'of Worker's Compensation Insurance, or a certifled HEATING.-VENTILATING- AIR CONDITIONING
Fopy thereof(8e�.3800 Lab.C.)
0 No. ry COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV.
Certffled copy is hereby fumlshed.
Certr6ed copy,Is Med with the oamty tx,MhV InWecdon FOR APPLICANT TO FILL IN
d (PRINT OR TYPE ONLY) ADDRESS Ar,
LOCALITY
Date 'Apocw t 40. TYPE OF APMIAWN E OR EOLRPMENT FEF
CERTIFICATE OF EXEAIPIION FROM WNEAREST
I�ORR8' CROSS.ST. -
COMPENSATION INSURANCE ABSORPTION UNIT BTU
(Thiq segUon need not be oomptetsd tt the.work Invotved by the MAP BOOK QAGE PARCEL
perMtt In for one hundred doRars(;100},or tees.) AIR HANDLING UNIT CFM oerntar Na rnocaSIM BY
I carttfy that In the performance of the work for'whloh this permit
Js Issued, I'shell not employ any parson In.any manner so u to 90LEFI,BTU
become subject to the Workers'Compenastlon Laws.
cow BTU 6 d
,wtstoyue are ssFUOror#eewiaArue
Data Applloant MLE 5dth4 VENTILATION SYSTEM
'NOTICE TO APPLICANT: If, after mpking this Ce tlflcate of ROUGH.
Exemption,you should become subject to the Workers' Compensation EVAPOfiATfVE COOLER
provlalbrtie of the Labor Code, you must forthwith comply with such FOAL
provisions or thirpermft shall be deemed revoked. FURNACE: FAU� Vrn
LX>ENsm CONTRACTORS DECLARATION FLOOR BTU /'- 0"0 VALIDATION
I hereby affirm that I am licensed under provlslons of Chapter D REA ' SUSPENDEDUMT
(commencing with $eotlpn 7000) of Dlvi*ion'3 of the Business and � WALL
Professions Code,and my Iloenas Is In full locos and effect.
I MN LaT (!)LT &0
Ucenn Number
a.
Q I am exempt w,d&Seo. Plan Check fee 8
PERMIT ISSUING FEE S �3 O
B.BP.C.for this reason �
TOTAL FEE d a W
O..
ILD TION P1-AN q-fECt(APPLICANT - Z
I hereby affirm that I am exempt from the Contractor's License Law NAME ,
for the following reason (Sectlon 7031.6, Business and Professions p
Code): ADDRESS �
I, as owner of the property, or my employees with wages AeXT-T
as their sole compensation, will do the work and the CITY TEL NO. 9 {� �.C�:i
offered structure Is not Intended of for sale (Section 7044, M f ��.t�
Business and Professions Code). OWNER 1 ITEM
I, as owner of the property, ■m exclusively contracting MNL _
with licensed contractors to construct the project (Seo- ADDRESS TI}TAL C,
titin 7044, Buelnep and Profess no Code). CIT TB_NO. — IiTGWft .�}
CONSTRUCTION LENDING AGEKY ffo {�
I hereby .affirm that (here Is a construction lending agency for VLI
CAME the performance of the work for which this permit Is Issued T� /(I ' CAME '
(Seo.3087,Cly.C.).
ADDRESS
Lenders NameCIT( No.Wh
13�3+J—Cp01 5I 2/91
Lenders Address 8TATE 6762 1 Ah 7!44
I certify that I have read this appflcvWon and state that the above LICENSE NO. CLA88
Informatlbn Is correot. I agree t0 comply with all Courtly ordinances
and State Laws relaring to bufdtrig consbuodon,end hereby audxxlze
representattvee of thte County to enter upon the above-mentloned
property for In Ion p ea. 8EE REVERSE FOR EXPLANATORY LANOUAUE