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Home My Public Portal About10660 HALLWOOD DR_Mechanical__ J. 76 A364 - CE BIB - 9-7, APPLLCATION�P�ERMIT HEATING VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELES ADDRESS ��/a /OG DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY " NEAREST CROSS ST. FOR APPLICANT TO FILL IN OWNER red- (PRINT OR TYPE ONLY) / / (� MAIL / T l Jet/ 0O NO. TYPEOFAPPLIANCE OR EQUIPMENT FEE ADDRESS ABSORPTION UNIT, BTU CITY7-�e-A4 42 4 e- CO- EL. NO.J(vJC _-,/kcjj CONTRACTOR AIR HANDLING UNIT, CFM ADDRESS 3 IV �'T.k BOILER, BTU CITY / e TEL. NO._,14 `fes COMPRESSOR, BTU -FO �� OO STATE cG LIC. LICENSE NO. l/ S Gi / 7 CLASS Z�1 VENTILATION SYSTEM DISTRICT NO. GROUPPR ES ONE SED BY EVAPORATIVE COOLER �� T - ( o� FURNACE: FAUeel-GRAVITY ,�� CD INSPECTION RECORD FLOOR BTU Y!� J HEATER: SUSPENDED UNIT_ O F- WALL c_:- U-1 CL Z Plan check fee 255 of above. See reverse. PERMIT ISSUING FEE S s 00 TOTAL FEE o� PLAN CHECK APPLICANT NAME ADDRESS L-L.F Y TEL.NO. HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ALL ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE IN CTOR'S SIGNATURE NG, AIR CONDITIONING. ROUGH HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION HAPTER 9, DIVISION 3, OF THE BUSINESS AND FE IONAL FINAL EOF THE STATENATURE PERMIT VALIDATION CK. M.O. CASH OF PLAN CHECK VALIDATION CK. M.O. CASH .00rS +� 1 5 6 ,1,3 3. Jl i�l 7 4 1 D 1 3-00- SEE EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 78A%6E - CE0188t 9174 ' APPLICATION FOR PERMIT HEATING - VENTILATING - AIR 6ONOITIONING r= BUILDING A SAFETY DIVISION FOR APPLICANT TO FILL IN BUILDING / ^ (PRINT OR TYPE ONLY) ADDRESS/ 0w 'V ,r LOCALITY NO. TYPE OF APPLIANCE OR EQUIPMENT FEE NEAREST CROSS ST. ABSORPTION UNIT, BTU OWNER AIR HANDLING UNIT CFM MAIL .-ADDRESS BOILER, BTU CITY doe, TEL. NO. COMPRESSOR, BTU CONTRACT / VENTILATION SYSTEM ADDRESS EVAPORATIVE COOLER CITY TEL. NO. FURNACE: FAUGRAVITY STATE LIC. FLOOR BTU LICENSE NO. CLAS HEATER: SUSPENDED UNIT_ DISTRICT NO. GROUP ZONE CESSED BY WALL ^� ®!'!� O ( ( . . " INSPECTION RECORD H v W d N Plan check fee 2517o of above. PERMIT ISSUING FEE $ 40( 5-0 TOTAL FEE PLAN CHECK APPLICANT NAME ADDRESS CITY TEL.NO. I HEREBY ACKNOWLEDGE T I HAVE REA THIS APPLICATION AND STATE THAT THE ABO IS ORRECT A AGREE TO COMPLY WITH ALL ORDINANCES D LA S REGULA I HEATING, VENTI- LATING. AIR CONDITIO NG. I HEREBY C FY T I AM NO CTING IN VIOLATION APPROVALS DATE INSP OR'SS TURE OF CHAPTER 9, ISI 3, THE BU S AND PROFESSIONAL CODE OF THE F C F NIA. ROUGH SI GNAT UR OF P'ER EE FINAL PLAN CHECK VALIDATIONPERMIT VALIDATION cK. .D. CASH K, M.O. CASH 838N0GT 214.1 9 1 5.75A WORKER'S COMPENSATION DECLARATION 20-0046 DPW 9/89 - • I hereby affirm that I have a certificate of consent to self insure, 76A364C APPLICATION FOR PERMITUM UM E GREEN or a certificate of Worker's Compensation Insurance, or a certified HEATING-VENTILATING -AIR CONDITIONING copy thereof(Sec.3800 Lab.C.) u Policy No./04/29P Company rr� COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS. BUILDING AND SAFETY DIV. Certified copy is hereby furnished. ❑ Certified co Is filed with the count building BUILDING copy y g inspection FOR APPLICANT TO FILL IN 4 department. (PRINT OR TYPE ONLY) ADDRESS ��y -JL� Date Applicant LOCALITY �G�/ L� Gil 7y NO. TYPE OF APPLIANCE OR EQUIPMENT FEE CERTIFICATE OF EXEMPTION FROM WORKERS' NEAREST - CROSS ST. COMPENSATION INSURANCE ABSORPTION UNIT,BTU (This section need not be.completed if the work involved by the MAPESSOR BOOK PAGE PARCEL permit is for one hundred dollars($100)or less.) AIR HANDLING UNIT,CFM DISTRICT NO. PROCESSED B 1 certify that in the performance of the work for which this permit q^ is issued, I shall not employ any person in any manner so as to BOILER,BTU V become subject to the Workers'Compensation Laws. ! COMPRESSOR,BTU APPROVALS DATE INSPE TOR'S SIGNATURE Date Applicant VENTILATION SYSTEM NOTICE TO APPLICANT: If, after making this Certificate of ROUGH Exemption,you should become subject to the Workers'Compensation EVAPORATIVE COOLER . provisions of the Labor Code, you must forthwith comply with such FINAL 1 provisions or this permit shall be deemed revoked. FURNACE: FAU GRAVITY LICENSED CONTRACTORS DECLARATION FLOOR BTU VALIDATION I hereby affirm that I am licensed under provisions of Chapter 9 HEATERSUSPENDED UNIT : (commencing with Section 7000) of Division 3 of the Business and WALL Professions Code,and my license is in full force and effect. 2 1 0lIM7C- a/Afs License Number r Lic.Class ✓ �G(� jC�%� O Contract CL Date 001. O ❑ I am exempt under Sec. Plan Check fee 0 B.&P.C.for this reason PERMIT ISSUING FEE$ U Date: TOTAL FEE Q a Signature (n OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT Z I hereby affirm that I am exempt from the Contractor's License Law NAME , for the following reason (Section 7031.5, Business and Professions /� �� { Coe)' - ADDRESS 1fA: 3,;t, I, as owner of the property, or my employees with wages S as their sole compensation, will do the work and the CITY /y� TEL.NO. structure is not intended or offered for sale (Section 7044, i1 Business and Professions Code). OWNER � if�(7 VV ❑ I, as owner of the property, am exclusively contractingAr•t•� A MAILj with licensed contractors to construct the project (Sec- ADDRESS (7 �G�cJU/ —� 4"L\rr+ �� aoty tion 7044, Business and Professions Code). CITY Q�/ TEL.NO. 70 � OJ' T CONSTRUCTION LENDING AGENCY �� `/' �cfZ 3DITES I hereby affirm that there is a construction lending agency for 1 M the performance of the work for which this permit Is issued CONTRACTOR TOTAL a +� (Sec.3097, Civ.C.). ADDRESS CHECK 39.90 i Lender's Name /� t,,/-� CITY ,Q��/�j(/✓�- TEL.NO.g�p�?,/�Y CHANCE. .00 Lender's Address STATE l� � �L`� CLASS J ' I certify that I have read this application and state that the above LICENSE NO. e information is correct. I agree to comply with all County ordinances 0000-0001 $/ 3/95 and State laws relating to building construction,and hereby authorize J1 representatives of this County to enter upon the above-mentioned 1674 1 AM 9:04 property nspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE —SIGNATURE OF APPLICANT OR AGENT APPLICANT OR AGENT DATE _ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1209210011 BUILDING AND SAFETY/ LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: i ITR: 19189 LT: 59 I I 10660 HALLWOOD DR 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917804124 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I 18585-028-012 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY CAI 130 AIR INLETS/OUTLETS 5.00 UNI 22.00 I (TENANT: I TOTAL FEES 49.80 (ISSUED ON: PROCESSED BY: PLAN BY: 1 109/21/12 SR I I I I (OWNER: TEL. NO: (FINAL DATE FINAL BY: CODE: MERCADO, JULIAN (626) 448-8142- 110660 HALLWOOD DR ITEMP 917804124 IDESCRIPTION OF WORK I INEW DUCT WORK THROUGHOUT HOUSE I (APPLICANT: TEL. NO: ICYPRESS HEATING AND AIR CONDITIONIN (626) 963-9810- 1547 S LORAINE AVE 1 ISPECIAL CONDITIONS: 1 IGLENDORA CA 91741 I I I I I I I (CONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE 1 ICYPRESS HEATING AND AIR (626) 963-9810- 1 1 1547 S LORAINE AVE LIC. NO IFAU/WALL FURNACE IGLENDORA CA 91741 302865020 II 1 E XPIRED9,-c� COMBUSTIONAIR OPENINGS (ARCHITECT OR ENGINEER: TEL. NO: 1 IDUCT WORK I I I I 1I LIC. NO: IAC/COMPRESSOR 1 1 I 1 11 I ITHERMOSTAT I I I I I IFIRE DAMPERS 1 I ISMOKE DETECTION DEVICES I ICOMMERCIAL 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 I I I I I I I 1 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 I I I I I I I I I I I I I I I (REPORT ID: DPR264 ROUTE TO: BS0508 I i I I I I