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HomeMy Public PortalAbout6209-6211 GOLDEN WEST AVE_Mechanical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0109120007 _ BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: --TnT-PAID BUILDING ADDRESS: ON FILE 6209 GOLDEN WEST AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 91780 A NEAREST CROSS STREET: LONGDEN 5385-020-004 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY 08 FURNACE/HEATER <100 1.00 UNI 27.00 TOTAL FEES 5 TSSED BY: PLAN B R ON: 09/12!01 UT 03/11/02 OWNER: FINALD E /�I B : CO 6 09 GSUMIDAOAV (626) 286-1732- b/ /0 TEMP / z TEMP 917801705. DESCRIPTION OF WOWff- REPLACE EXISTING FURNACE WITH NEW FURNACE. NO OTHER CHANGES APPLICANT: -7R. NO: BRYANT HEATING & A/C INC. (626) 286-1141- 1350 E. LAS TUNAS DR SPECIAL CONDITIONS: SAN GABRIEL CA 91776 _ CONTRALTO TEL. 0: ® � ���� � � APPROVALS DATE INSPECTOR fl-G-NXTURE BRYANT HEATING AND AIR CONDITIONING (626) 286-1141- 1350 E LAS TUNAS DR LIC. NO A L FURNACE SAN GABRIEL CA 91776 221751 C20 , / COMBUSTION AIR OPENINGS ARCHITECT OR ENGINEER: TEL. NO: - // / f �n \ DUC LIC. NO: AC/COMPRESSOR1111,11 ' �' SR I TAT 1 FIRE DAMPERS DEV ¢ f nt I COMMERCIAL-HOOD i I - I 1 REPORT ID: DPR264 ROUTE TO: BS0508 r i COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0109120008 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 16211 GOLDEN WEST AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 91780 ASSESSOROR NEAREST CROSS STREET: LONGDEN 5385-020-004 01 PERMIT ISSUANCE FEE 27.75 {THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY 1 02 COMPRSR < 100 KBTU 1.00 COM 27.00 08 FURNACE/HEATER <100 1.00 UNI 27.00 ISSUED ON: PROCESSED B . TOTAL FEES 81.75 09/12/01 UT 03/11/02 OWNER: TEL. NO: FINAL DATE FIW BY: CODE: SUMIDA, VICTORIA N (626) 286-1732- G GJ% 'al 6209 GOLDEN WEST,AV TEMP 917801705 D-ESUMPTION OF WORK REPLACE EXISTING FURNACE WITH NEW FURNACE, ADD 2-TONS APPLICANT: TEL. NO (24,000 BTU) AIR CONDITIONER BRYANT HEATING & A/C INC. (626) 286-1141- 1350 E. LAS TUNAS DR SPECIAL CONDITIONS: SAN GABRIEL CA 91776 - CONTRACTOR: TEL. 0: ® ���� APPROVALS DATE INSPECTOR G ATURE BRYANT HEATING AND AIR CONDITIONING (626) 286-1141- 1350 E LAS TUNAS DR LIC. NO 1?FAU/WALL FURNACE SAN GABRIEL CA 91776 221751 C20 COMBUSTION AIR OPENINGS ARCHITECT 0 0: UCT WORK LIC. N O _— �a 1111111 , AC/COMPRBSOR THERMOSTAT FIRE DAMPERS Vf' rl rf U Lii �1 %/ jl S DE ECT 0 - - ----- --- —------- ---N !1 ICK COMMERCIAL HOOD O �a REPORT ID: DPR264 ROUTE TO: BS0508 i i COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0808110003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT ILEGAL ID I FEES PAID BUILDING ADDRESS 6209 GOLDEN WEST AV ON FILE IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 91780 I (ASSESSOR INFORMATION NUMBER. I I NEAREST CROSS STREET GARIBALDI 15385-020-004 1,01 PERMIT ISSUANCE FEE 27 75 ,THOMAS PAGE 597 GRID A2 LOCALITY TEMPLE CITY, Cl 1 102 COMPRSR < 100 KBTU 1.00 COM 27 00 (TENANT- I TOTAL FEES 54 75 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 1 I 108/11/08 SR • 02/07/09 1OWNER TEL NO I IFINAL DATE IFINY CODE.ISUMIDA, VICTORIA (626) 286-1732- I 1 - 16209 GOLDEN WEST AV I I ITEMP 917801705 - I CR TION OF WORK REPLACING 3 TON A/C UNIT (APPLICANT TEL NO I I IBRYANT HEATING & A/C (626) 286-1141- 1 11350 E LAS TUNAS DR I ISPECIAL CONDITIONS ISAN GABRIEL CA 91776 I I I i ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE 1 IBRYANT HEATING AND A, C (626) 286-1141- - 11350 E LAST TUNAS DR LIC NO 1 IFAU/WALL FURNACE I I ISAN GABRIEL, CA 91776 221751C20H 1 I_ I ICOMBUSTION AIR OPENINGS I I I I I I I (ARCHITECT OR ENGINEER TEL NO 1 IDUCT WORK I I 1 LIC NO 1 IAC/COMPRESSOR ITHERMOSTAT I i IFIRE DAMPERS I 1 ISMOKE DETECTION DEVICES I I I 1COMYERCIAL HOOD 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 I I I I I I I I I I I I I I I IREPORT ID DPR264 ROUTE TO BS0508 1 I I I I I_ I I y// —t - ° /_— sf-. �O—gam Wfi KERS' CI have ter DECLARATION APPLICATION FOR PERMIT I,f�/resby,aifirm that I have a certificate of consent to self, � ' ms '7eboira certificate of Workers' Compensation Insurance, ',:HEATING - VENTILATING - AIR CONDITIONING ora certified copy thereof (Sec 3800,'Lab'C ) CE 81 C CE'818(REV 10/81) - - - -• -• - - - . Y Policy No Company 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 departmeht ADDRESS , - , (PRINT OR TYPE ONLY) • Date Applicant LOCALITY NO TYPE OF APPLIANCE OR EQUIPMENT FEE _ - CERTIFICATE OF EXEMPTION FROM WORKERS' NEAREST COMPENSATION INSURANCE CROSS ST F ABSORPTION UNIT, BTU (This section need not be completed if the work involved by DISTRICT NO PRO D BY- _ _ __- • the permit is for one hundred dollars ($100)or less.) AIR HANDLING UNIT, CFM �) d 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation LOWS BOILER, BTU Jn� n APPROVALS DATE NSPE TOR'S SIGNATURE DOS/� � pplicant COMPRESSOR, BTU ��VQ ROUGH NOTICE TO APPLICANT 'If, after'mating this Ceri icate of VENTILATION SYSTEM FINAL Exemphon, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- EVAPORATIVE COOLER VAI IDAT_ N with comply with such provtsions.or this permit shall be deemed revoked i FURNACE FAU VITY LICENSED CONTRACTORS DECLARATION / FLOOR BT ilra 10 I hereby affirm that I am licensed-under provisions of Chapter 9 HEATER SUSPENDED UNIT ` (commencing with Section 7000) of Division 3 of the Business WALL and Professions Code,and my license is in full force and effect License Numb " Lic Class 17 C) — V' aDate/ ©�/✓� 0 O , C ctor ❑ I am exempt under Sec , W Plan check fee d B &P C for this reason CA Date -PERMIT ISSUING FEE•$ ' Signature TOTAL FEE (� OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT 0 a 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) ❑ I, 'as owner of the Property,'or my employees with . ADDRESS wages as their sole compensation,will do the work and -' the structure isnot intended or offered for sale(Section CITY TEL NO, 7044,-Business and Professions Code) - - "-- OWNER ❑ I, owner of the property, am exclusively contracting L +� �5 6 3,5 A withth licensed MAIL contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code) #;o 0 0 0 0 8 CONSTRUCTION LENDING AGENCY CITY TEL.W9. 74?A � I hereby affirm that there'isca construction lending agency for o,o 4 2 0 0 the performance of-the work for which this permit is issued CONTRACTOR (Sec 3097, Civ C ) 4 2 0 0 ADDRESS Lender's Name "Q 4=8 6 CITY Lender's Address STATE LIC LIC I certify that I'have read this application and state that the LICENSE N ?` 26CLASS •- above information is correct I agree to comply with all County a ordinances and State laws relating to building construction, and hereby authorize representatives of this County to enter upon h above-me ti tined property for inspection purposeess/ SEE REVERSE-FOR EXPLANATORY LANGUAGE Sig a re,of Applicant or Agent * Date - •" " ' -' WORKERS'COMPENSATION DECLARATION APPLICATION FOR PERMIT , ei y affirm that I hove c certificate of consent to self sore, a?a certificate of Workers' Compensation Insurance, HEATING - VENTILATING - AIR CONDITIONING ' or a certified copy thereof (Sec 3800, Lab C ) 76A364C CE-818(REV 10/81) - - P❑oli�y No_ Company - Certified copy is hereby furnished COUNTY OF LOS ANGELES BUILDING AND SAFETY ❑ Certified copy is filed with the county building mspec- FOR APPLICANT TO FILL IN BUILDING tion departmentADDRESS - (PRINT OR TYPE ONLY) Date Applicant LOCALITY NO TYPE OF APPLIANCE OR EQUIPMENT", FEE CERTIFICATE OF EXEMPTION FROM WORKERS' NEAREST COMPENSATION INSURANCE CROSS ST (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.) AIR HANDLING UNIT, CFM I certify that m the performance the work for which this a permit Is Issued, I shall not employ any person In any manner so as to be me s blect to the Workers'Compensation Laws IBOILER, BTU APPROVALS DATE INSP R'S SIGNATU pp �9if( COMPRESSOR, BTU? d0 pC.� ROUGH Da IlcanY•`_= L z f NOT E TO APPLICANT If, after making this Certificate of VENTILATION SYSTEM FINAL Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- EVAPORATIVE COOLER VALIDA10 ON OV with comply with such provisions or this permit shall be deemed revoked • ' " FURNACE FAU G VITY n^r / o LICENSED CONTRACTORS DECLARATION FLOOR BTU G aCV/ I hereby affirm that I am licensed under provisions of Chapter 9 HEATER SUSPENDED UNIT-- WALL ' (commencing with Section 7000) of Division 3 of the Business >_and Professions Code,and mylicenseis In full force and effect License Numb�✓�e'/Z Lic Class 'C Z U_ -7� O C ct H ❑ I am exempt under Sec W Plan check-fee IL H B 8P C for this reason PERMIT ISSUING FEE $ Z Date Signature TOTAL FEE s' �48'8L0'A OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT I hereby affirm that I am exempt from the Contractor's LicensePoo. # 0.0 e • 0 8 Law for the following reason (Section 7031 5, Business and NAME Professions Code) I • e 5 Q 5 0 El1,I, as owner of the property, or my employees with = wages as their sole compensation,will do the work and CITY TEL NO 5 Q 5 05 the structure is not intended or offered for sole(Section 7044, Business and Professions Code) OWNER 0 6 2 4 ''8 6 - ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec- MAIL ` tion 7044, Business and Professions Code) ADDRESS / CONSTRUCTION LENDING AGENCY CIT 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 (Sec 3097, Civ C ) ADDRESS Lender's Name v ITY TEL N Lender's Address � I certify that I have read this application and state that the STATE LIC LICENSE NO CLASS `S -2— 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 - 'upon the above-mentioned property for ri/inspe ion purpgsFs SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date