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HomeMy Public PortalAbout6123 IVAR AVE_Mechanical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1308280017 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 5904 LT: 18 6123 IVAR AV -I FEE DESCRIPTION: QUANTITY: UOM:-' AMOUNT: TEMP CA 917801524 (ASSESSOR INFORMATION NUMBER: I ^-- NEAREST CROSS STREET: 15386-010-060 101 PERMIT.ISSUANCE•"FEE _ 27.,80 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY CAI I 102 COMPRSR' '< 100 KBTU 1.00 COM x • 27-00 1 TENANT: 108 FURNACE/HEATER <100 ., 1.00 UNI 27.00 11SSUED_ ON: PROCESSED BY: PLAN BY: 130 AIR INLETS/OUTLETS 11.00 UNI 48.40 108/28/13 SR 141 VENTILATION FAN 4.00 FAN 63.20 1 OWNER: TEL. NO: TOTAL FEES 193.40 IFINAL DATE FINAL BY: CODE: ILEI, MEI XIAO I 16123 IVAR AVE I I TEMPLE CITY CA 91780 IDESCRIPTION bF WORK I I (INSTALL AIR CONDITIONING + HEATING SYSTEM, 11 AIR INLETS ANDI 1 14 VENTILATION FANS I APPLICANT.: TEL" NO: I - I ILI, GUANG JIN (626) 672-8360- 1 1 1 1522 W WINNIE WAY I +SPECIAL CONDITIONS: 1ARCADIA CA 91007 1 1T`�' f���7. CONTRACTOR: TEL. NO: I A ROVALS DA E INSPEC R SIGNATURE IGUANG JIN LI (626) 672-8360- 1 - FF In fN 1522 W WINNIE WAY LIC. NO ( - 1FAU/WALL FURNACE ! 1P"RCADIA CA 91007 688406 1 IICOMBUSTION AIR OPENINGS (ARCHITECT OR ENGINEER: TEL. NO: III I.DUCT WORK ILANTRIK DEVELOPMENT LLC (626) 379-4900- 1 1560 W MAIN STREET C278 LIC. NO: 1AC/COMPRESSOR J1 ALHAMBRA CA 91801 688406 * 1 ITHERMOSTAT IFIRE DAMPERS I I I ISMOKE DETECTION DEVICES I ICOMMERCIAL HOOD 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 1 I* ADDITIONAL DATA ON FILE IREPORT ID: DPR264 ROUTE TO: BS0508 1 I I I I i I 78Az384E(CF=13tSA)-9/77 APPLICATION FOR PER6RIT HEATING - VENTILATIPG - AIR CONDITIONING . COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FOR'APPLICANTTO FILL IN BUILDING '„23 N. Ivar Ave (PRINT OR TYPE ONLY) - ADDRESS: - LOCALITY 'Tem-ple Cit - ' NO. TYPE OF APPLIANCE OR EQUIPMENT• FEE . - NEAREST ,.�LCt_%L(.�C.rC.Q.•C C.C%•4.i. . CROSS ST. 'ABSORPTION UNIT,BTU ,. 7�' - OWNER H. L�,1' , 1�us-L in AIR HANDLING UNIT,CFM MAIL 61."3__N' q ADDRESS .2 613. N' Ivar Ave BOILER,BTU - .CITY TEL.NO. rem le TCity Heating COMPRESSOR,BTU CONTRACTOR Valley Heating Co . '. VENTILATION SYSTEM ADDRESS 1.1.1.6 S-`� San. Gabi A el,- 'Blvd.",.,` .. EVAPORATIVE COOLER - CITY �+:. q �ry.p{ TEL.NO:28538:1.8 F LICENSE NO. 1,4( U � ”'-' CLASS C 2,O"` _ FURNACE: FAU�GRAVITY- STATE . 1.9 LIC.:,., FLOOR BTU 7 , 1. HEATER: SUSPENDED-' UNIT- DISTRICTNO. GROUP -_ZONE :PR07*SED BY t� • WALL' u. -� - INSPECTION RECOR A Plari'check fee 25% of above. UA PERMIT ISSUING FEE. TOTAL FEE .PLAN CHECK APPLICANT - NAME ADDRESS CITY TEL.NO. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND - - - STATE THATTHE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND' LAWS REGULATING HEATING,_ V TING, .AIR ' CONDITIONING. I HEREBY CERTIFY T AT I AM NOT TING IN VIO/ATIONF� APPROVALS DATE 'INSPECTOR'S SIGNATURE CHAPTER 9, DIVISION 3, THE BUSINE AND PROFES E - - , OF THE STATE OF NIA. R UGH' ,,, SIGNATURE V OF PERMIT- 9 ' PLAN CHE K VALIDATION cc. M.O. cnsli PERMIT AL16ATEOM O CKIp M.O. CASH —+ o 0 o p v O O 4-- (4 . OD. O C) CH Os W{)'I;KLRS'COMPENSATION DECLARATION , CEA 418'(2-80) �.1f- 1� L CAT� N FOR If�ERUVIf T I hereby affirm-thaf I have a' certificate of,consent to self insure,or"'.a certificate of Workers':Compensation Insurance;ocI certified copy thereof.Sec.,3.800,Lab.C. I�IIEA�INCv'bIENTIL ATIR1ts- 163 C®NDIYIQ (�Ifa a p ( )" Policy No. -'Company Certified copy is;hereby.firrmshed4: G� COUNT OF ' fUGEL.ES BUILDIiVG AND-SAFETY a � _ .. Certified copy is filed with the county.buildtng inspection 0" FOR APPLICANT TO FILL:IN ooR ' s department (PRINT OR TYPE ONLY) B .. Date- Applicant CERTIFICATE OF EXEMPTION.FROM WORKERS.' NO'. TYPE OF_AP:PLtANCE OR EQUIPMENT FE'E _ LOCALI.Y COMPENSATION INS.U,RANCE � ; CROSS ST } (This, section neednot'be corholeted it the work involved. ABSORPTION UNIT,"BTU tl by. the.ptirntit is for one hundred`dollars ($100) or" less.) oisraI&NO. P ss Y O. I certify that in the peiformance'df the work for which thii- AIR HANDLING UNIT,°CFM permit.is issued, I.shall not employ any'person in.any,manner �✓ , so as.to'become subject to the:Workers'Compel ation'Laws. BOILER, BTU .. GHT.�.RE ,- Date' Applicant QMPR'ESSOR,BTU APPROVALS p DATE INSPECTOR'S 51 C ROUGH a NOTICE'TO APPLICANT: If,'•ifter making-this Certificate of VENTILATION SYSTEM Exemption, you should become subject to the .Workers' FINAL Z Compensation provisions of the Labor Code, you must forth EVAPORATIVE COOLERATION wifh- comply with such provisions or this rpermit shall be VALID deemed revoked. FURNACE: FAU G,RAVIIY 'LIC.ENSED CONTRACTORS DECLARATION FLOOR: BTU I hereby affirm tha4,I am licensed under provisions of ChapterHEATER: SUSPEND D': UNIT (corcimeneing with-3ectiorL f000),of Division 3 of the Buri--' WALL < ness,and Professions-Code;;and my license is in full force and effect, License Number Lie.Class ' Contractor, :•Date ! am exempt frorn the:licensing requirements.as I,am a licensed architect or'a registered professional. engineer Plan"check fee 25%of above.-- acting bove.acting in my.professional capacity (Section 7051 "Bus- iness;and"Professions Code), ` PERMIT ISSUING Hfe$ r] Lid.or Ing:>No- Date fiOTAL'FEE': HOME OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT'` r I hareby affirm that.i aiit'•exempt from Contractor's NAME Licen Law for the following reason`(Section 7031.5, Bus- I�\M n�e6 ssnnd Professions Code)-: , ADDRESSi�•* ' LVd I as owner of`the property?, will do the work and the ' CITY TEL NO. structure is not intended or offered for sale ;(Section• ly _ 1fl' 7044;Business and Professions Code). — — OWNER, 1; , owner of the property,'am'.exclusively confracting < with ticensed contractors to construct the,• project MAIL (Section 70,44,Business and.Frofessioas Code). ADDRESS' `6 2 8'A CITY o o'®Eo CONSTRUCTION LENDING AGENCY TEL NO. ), 4 I hereby affirm' that`there is a'construction lending agency for the performance of the work:for which this' permit is CONTRACTOR j� o o' P p !� 2 ,117,�� . , issued(Sec.3097',Civ.C.): - Lender's NameADDRESS m e` ' ' �` 1 Z 0 Lenders AddressCITY . TEL NO.- a.'b,8rw 8.O I certify that I have read this application and state that the STATE UIC: above information is'correct. I agree to comply with all County LICENSE NO. CLASS _ ordinances.and State laws regulating Heating, Ventilating and Air Conditioning,'and hereby authorize representatives of this SEE REVERSE FOR'EXPLANATORY LANGUAGE County, to �n'er upon the abov-mentioned property for incnection purj'uses. Sigr..tture of Permittee Date Z6A364C o o O o 0 0 I h=' JgE`RS'COMPENSATION DECLARATION' O ereby affirm that I have a' certificate"of consent to self, ; CE'.818 (2.80); AI[�If�•L� ICA �O N If--O R ,ti—E R IIVU T insure; or a certificate of Workers'Compensation-Insurance,or (` �q{ ��1i�1Gv N(Ef -A-T . -;AIR 'CONDITIONU(r�9tLv:.. ' ,;a certified copy thereof(Sec. 3800;Lab..C.) I ! Policy No., Company ELES 0'. y is'hereby furnished. C01)NTY O`F LOS AfUG BUILDING AND SAFETY Certified ea P ' Certified copy is filed with the pounty building inspection " BUI'L'DIN'G ` W FORAPPLICANT TO FIL'L'IN _97, department. - ADDRESS ., _ Hate -" Applicant (PRtN I OR TYPE ON "•. LOCALITY CERTI-TIF TE OF EXEMPTION FROM WORKERS' NO, .,.TYPE,OF AP,PL(ANCE OR•°EQUIPMENT FEE rt+.. �... _ • .. COMPENSATION INSURANCE' (This'section need not be.•`completed if. the work•"involved.` L16SORPTION UNIT, BTU71�- - p, „ .. - O RO CT N0, � PROCE - a by the permit:is.for,one hundred dollars ($100) or less.) U I certify that in the,performarice of the work'for which this AIR';`HANDLING U.NdT,CFM a peimit is issued'I'sh'all not employ any person in any manner D r so as to;become subject to the Workers' Compensation.Laws;, ;,, '. BOI-LER;;BTU „`. .,.: APPROVALS.. DP Tf, " INSPECTOR'S siG URE Ux Date Applicant CQMPRSSS©R,_.BT.-U- ROUGH _ y•z �. w �•` NOATICE•TOAPPLICANT:-If after'makrng this Certificate ofVE`I:-fl AT(6N SYSTEM FINAL' z Exemption; you_•should 'become` subject. to the Workers'.•: - —` Compensation provisions`of the Labo:r'Code,'you must forth= EvAPORATay.E G6OLER_ VAU�DATION with. comply with suchr provisions -or,,this`"permit shall be s �'deemed.revoked ,. , FURNACE ,. FAU f V T > LICENSED:CONTRACTORS DECLARATION � �� v=/ �� " FLOOR ETU I,hereby`affirm that I am licensed under provisions of'Chapter.� �HEATER: SUSPENDED -,;: UNIT ° �v 9 (commepcmg•With,Section•7000)`:of`Drvisron'3•of the Busy 'WALL', Ness and Professions Code,,and my license is-in full force and ^ effect•, License>Nuritber ' Lc;Class • .� ::..'_,, ..�_ -, _ .f. Contractor Date , , �= I am<exempt from the licensing requirements I am a licensed architect or a•registered• professional"engineerPlan Check fee 25%of above 41 . -acting-,in any professional`"capacity (Section 705.1,-Bus >'iness-and Professions.Code): E -' -. ;-,-.REMIT ISSUING F,EE.$ Lic,or Reg.No> Date TG�AL FEE' - > HOME OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT I,,:hereby affirm that L aril exempt from'_<th'e• Contractor's NAME.'S�s �.' �Q�;,�.�(fV License Law-for the following reason (Sect,ion.7031.5 Busr nss and Professions Code):" z. ADARE _ . N • owner;of'the property,°will do the'-work'and the r. CITY ry.,• TEL. NO. J� ° eture is not intended or• offered•.for sale,(Sectton.'s C. x _ 7044, Business and,•Pcofessrons Code). wr... :, i 2 9 2 .A _ � ..CAc� . I, as.owner.of°the property, am:exclusively'cohtracting # e o=o o /�, With licensed contractors..to:. 'construct the 'pioject. MAIL (Section 7044,'Businessand Professrofls,Code) ADDRESS � 2,9+e'� 7�.•d = `r 'CONSTRUCTION LENDING AGENCY CITY TEL NO = I.hereby affirm' that there .is a construction lending agency , - v e ° ®��G7 ,for the performance of the Work 'forWhich this permit is CONTRACTOR. r issued(Sec,3097,Civ C.). � 0`G t �. Lender's Name <1D0'RESS Lender's Address i/ T:EL CITY a C ' I certify that•I have read this.application and state'that the STATE LIC. abci've information is correct.I agree to comply with all County LICENSE:NO. - CLASS ordinances and-State jaws regulafing Heating, Ventilating and Air Conditioning,and hereby authorize representatives of,this SEE REVERSE FOR EXPLANATORY I;ANGUAGE= County to enter upon the above-mentioned property, for nspecti.n pur e Signature'of Permittee Date. _ _ . aI , Worm that have COMPENSATION DECLARATION n nnl( C n TMN FOR �Enq,n IT I here�y affirm that I have a certificate of consent to self h11�IT L� 4=�1 11V L!- 41� II�IIVv U Il , insure, or a certificate of Workers' Compensation Insurance, HEATING - VENTILATING - AIR CONDITIONING o certifi d copy thereof LSec. 3800; Lab. C. 76A364C 'CE,8'8(REV. 10/81) dlicy No J O mpany �r[� �[O�f1� -f�CCP�t' r . Certified copy is hereby furnished: COUNTY OF LOS ANGELES ---- BUILDING AND SAFETY 191 Certified.copy is filedwith the county building ` ec-". FOR APPLICANT-TO FILL IN BUILDING 7 lion depa Tment. c ,p� ADDRESS 3 _l ��2 /J ��` \/ 1 (PRINT OR TYPE ONLY) _ Date Applicant /Kf` `�I�7WY'/ LOCALITY 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 ($100)or less.) AIR HANDLING UNIT, CFM I certify that in the performance of the work for which this, permit is issued,-I shall not employ any person in any manner so as to become subject to-the Workers'Compensation Laws., BOILER, BTU q 3 APPROVALS DATE INSP OR'S SIGNATURE Date Applicant 1 COMPRESSOR, BTU 000 dd ROUGH NOTICE TO APPLICANT: If, after making this'Certificate of VENTILATION SYSTEM FINAL Exemption, you should become subject to the Workers'. Compensation provisions of the Labor Code, you must'forth- EVAPORATIVECOOLER VALIDATIO with comply with-such provisions'or this permit shall be deemed revoked: FURNACE: FAU GP" VITY LICENSED CONTRACTORS DECLARATION-' FLOOR. BTU to O 0 V I hereby affirm that I•am licensed under provisions of Chapter 9HEATSUSPENDED UNIT ER: `(commencing with-Section 2000) of Division 3 of theWA Business � and Professions Code;and my license-is in full force and effect. License Number A Lic. Class / D ' Contractor ���if N"IZ- ,/T k Dae A_'/r_1?K� 0 O 1 am exemptunder Sec. _ V Plan check fee a B.&P.C. for this reason' H PERMIT.ISSUING FEE-$ v _1� Z - Date: TOTAL FEE �2 3.8 3,6 A . Signature OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT #,0 0 0:0 0 8 I hereby affirm that I am exempt from the Contractor's License ® ) - 3 3 Q5 01 Law for',the following reason (Section 7031.5, Business and NAME Professions Code): e o 0 3 0.5 0& ❑ 1, as owner Of the property, or my employees with ADDRESS wages as their sole compensation,will do the work'and 0..t't1 5—8.6 the structure is not intended or offered for sale(Section CITY' TEL. NO. 00 GlJ 7044, Business and Professions Code). a ' !� �+� f' E�! ❑ I, as owner of the property, am exclusively contracting OWNER ¢ dCnn rwith licensed contractors to construct the project (Sec- MAIL ADDRESS tion 7044,Business and Professions.Code). CONSTRUCTION LENDING AGENCY CITY. ` TEL'NO:- �/ ,3 7a I hereby affirm that there is a construction lending agency for b the performance of,the work for which*this permit is issued CONTRACTOR '(Sec. 3097, Civ. C.). /�p /. ADDRESS 7 / � /✓ - f Lender's Name /� � �N Lr dJ'i vs-- CITY .�C ��.' TEL..NO. 7J O Lender's Address STATELIC. I certify that 1 have read this application and'state that the LICENSE NO._ O.7,?� 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 up the above-menu property forins 2 purposes. SEE REVERSE FOR EXPLANATORY.LANGUAGE Signature of Applicant or Agent Date -