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Home My Public Portal About10310 LA ROSA DR_Mechanical__ COUNTY OF LOS ANGELES TEMPLE CITY R 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0506 1312030002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (625) 285-0488 EXT: (LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 37580 IT 18 10310 LA ROSA DR I _IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917803401 (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: ARDEN 1 18585-016-061 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: 84 LOCALITY: TEMPLE CITY CAI I 102 COMPRSR < 100 KBTU 2.00 COM 54.00 1 ITENANT: 108 FURNACE/HEATER <100 2.00 UNI 54.00 11SSUFD ON: PROCESSED BY: PLAN BY: 1 130 AIR INLETS/OUTLETS 12.00 UNI 52.60 112/03/13 SR 1 147 ALTER EXIST DUCT SYS 1.00 SYS 27.00 1 1 IOWNER: TEL. N0: I TOTAL FEES 215.60 1FINAL DATE FINAL fLy CODE: 1 SCANLAN, SHELLY (626) 833-4447- 110310 LA ROSA DR 1 ITEMP 917803401 1 ID SCRIPTION OF WORK 1 REPLACE HVAC SYSTEM & ADD ONE NEW SYSTEM REPLACE DUCT WORK I APPLTCATEL. NO: ZABATTA, JOHN (323) 627-3132- IPO BOX 9366 1 ISPECIAL CONDITIONS: �1 ALTA LOMA CA 91701 1CONTRACTOR: TEL. N0: 1 1APPROVALS DATE INSPECTOR SIGNATURE 1 ZABATTA HEATING AND AIR CONDITION (909) 989-9200- 1 IPO BOX 9368 LIC. NO 1 IFAU/WALL FURNACE1 (ALTA LOMA CA 91701 561159 COMBUSTION AIR OPENINGS ARCHITECT OR ENGINEER: TEL, NO: IDUCT WORK I I I LIC. NO: JAC/CDMPRESSOR THERMOSTAT I I 1 1FIRE DAMPERS I I 1 I I 1 1SMQKE DETECTION DEVICES I 1 1 I I 1COMMERCIAL xoon 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 II 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 II I I I II I I I I I ADDITIONAL DATA ON FILE I iREPORT ID: DPR 264 ROUTE TO: BS 0508 I I II I W'ORKERYCOvliftvSA UVN ULC LAR.A[ION 76A364C APPLICATION FOR PERMIT I hereby' affirm that I have a certificate of consent to self CE -8781280) insure,or a certificate of Workers' Compensation Insurance,or HEATING-VENTILATING-AIR CONDITIONING a certified copy thereof (Sec. 3800,-KC.) t Policy Nu. - 1C'ompany' ❑ Certified copy is herehy furnished. COUNTY OF LOS ANGELES BUILDING AND SAFETY ® Certified copy is filed with the eount7 ' .b..ufii�ffispection BUILDING pft�ttec.v Yts + FOR APPLICANTTO FILLIN ADDRESS Date Applicant (PRINT OR TYPE ONLY) LOCALITY — CERTIFICATE OF EXEMPTION FROM WORKERS' NO. TYPE OF APPLIANCE OR EQUIPMENT FEE - _- NEAREST �. - - I CL COMPENSATION INSURANCE J q,JCL (This Section need not be Completed if the work involved ABSORPTION UNIT, BTV CROSS ST. by the permit is for one hundred dollars (5100) Or less.) DISTRICT NO. PROCErZBY 1 certify that in the performance of the work for which thisAIR HANDLING UNIT,CFM '� ,. U) permit is issued. I shall not emplov anv person in any manner J so as to become subject to the Workers' Compensation Laws. BOILER, BTU — ' APPROVALS DATE iNSPECTOR's SIGNATURE cr Date Applicant 1 COMPRESSOR, BTU _ ROUGH Q NOTICE, TO APPLICANT: If, after making this Certificate of VENTILATION SYSTEM Q -mption, )on'should become subject to the Workers' FINAL p i.pensation provisions of the Labof,Code, von must forth EVAPORATIVE COOLFR 3 comply �sifh such provisions or this permit shall be VALIDATION W med revoked. FURNACE: FAU— GRAVITY_ , F LICENSED CONTRACTORS IiECLARATION ' FLOOR: BTU -rebv affirm that I am licensed under provisions of Chapter HEATER' SUSPENDED UNIT :ornmencing with Secrion 7600) of Division 3 of the Bust- WALL and Professions Code, and my license is in Tull force and License Number �+t��' g Lic.Class � r Contractor r Date /� - ❑ I am exempt trom the licensing requirements as I am a licensed architect or a registered professional engineer Plan check fee 25%Of above. acting in in,., professional capacity (Section 7051, Bus- iness and Professions Code). PERMIT ISSUING FEE $ Llc.or.Reg.No. Date TOTAL FEE '✓�.� HOME OWNER BUILDER DECLARATION PLAN CHECK APPLICANT il (: 1,7 h I hereby affirm that 1 am exempt from the Contractor's NAME a • 7 License Law ifor the following reason (Section 7031.5, Busi- ness and Professions('ode). ADDRESS -" a ❑ I, as owner of the property, will do the work and the CITY TEL. NO. • � ' �lj structure is not intended or offered for sale (Section 7044, Business and Professions Code). ❑ OWNER I. as owner of the property. am exclusively contracting with licensed contractors to construct the project MAIL (Section 7044, Business and Professions Code). ADDRESS CONSTRUCTION LENDING .AGENCY CITY TEL. NO. I hereby affirm that there is a construction lending agency for the performance (if the wurk for.which this permit is CONTRACTOR f- issued (See. 3097.Civ.C'.). T Lender's Name. .__ ADDRESS Lender's Address CITY TEL. NO. I certify that 1 have read this application and stare that the STATE '(. . LIC above information is correct. I dgrce to comply with all Countv LICENSE NO. CLASS , ordinances and Stale laws regulating Heating. Ventilating and \ir C'unditioning. and hereby uuthoriee representatives of this SEE REVERSE FOR EXPLANATORY LANGUAGE County to enter ypur),.the above-nemioned property for luspection purpose;: Signature of P mit( Data WORKERS'CON1PENSATION DECLARATION 76A364C APPLICATION 1p 1p py p� I� PERMIT y ' I hereby affirm that I have a certificate of consent to self CE -818 (2-80) A r Ir LICA 1 I O 1 tl f O R r E R M I 1 �•r insure, or a certificate of Workers'Compensation Insurance,or HEATING-VENTILATING-AIR CONDITIONING �rUl a certified copythereof(See. 3800 lab11C.) Policy No./-0-.1A .AZompan33 d5 G ) v/'�'� Certified copy ishereby furnished. COUNTY OF LOS ANGELES BUILDING AND SAFETY � Certified copy is filed with the co4bu,1,14,,F,/, p ctw❑ BUILDING /ddepa +-� r 7L`ey�%` FOR APPLRINT OR TV PE ONLY T TO L IN ADgRESS /0�/O �C. a Rms c?Date/ / ._,7APplicani LOCALITY �� I1.�CERTIFICATE OF EXEMPTION FRS' NO. TYPE OF APPLIANCE OR EQUIPMENT FEE / ! �� Y COMPENSATION INSURANCE NEAREST } (This section deed not be completed if the work involved ABSORPTION UNIT, BTU— CROSS ST. r et - O by the permit is for one hundred dollars ($100) or less.) olsrmcr No. PPocesseo ev U 1 certify that. in the performance of the work for which this AIR HANDLING UNIT,CFM (( X permit is issued. I shall not employ any person in any manner l� O so as to become subject to the Workers' Cpmpensation Laws. BOILER, BTU 1— / JJ'' APPROVALS DATE INSPECTO SIGNATURE 0 Date Applicant COMPRESSOR, BTU 7 aWO � ROUGH e W v N NOTICE TO APPLICANT: If, after making this Certificate of VENTILATION SYSTEM FINAL i` .- f.T z Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- EVAPORATIVE COOLERVALIDATION with comply with such provisions or this permit shall be �O deemed revoked. / FURNACE: FAU.6—o OGRAV ITV LICENSED CONTRACTORS DECLARATION / FLOOR: BT� I hereby affirm that 1 am licensed under provisions of Chapter HEATER: SUSPENDED UNIT 9 (commencing with Section 7000) of Division 3 of the Busi- WALL ness and Professions Code, and my license.is in full force'and effect. 9 - License Num�b-er3Qfjf� Lia Class.c- ;tO Contractor COsj� � Date-7--&-917 I am exempt f.om the licensing requirements as I am a licensed architect or a registered professional engineer Plan Check fee 25% of above. acting in my professional capacity (Section 7051, Bus- iness and Professions Code). Lic:or Reg,No. Date TOTAL FEE HOME OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT a'4 41,7 A I hereby affirm that I am exempt from the Contractor's NAME - - # o a e e e 8 License Law for the following reason (Section 7031.5, Busi- ness and Professions Code): ADDRESS - 2'- 3050 EJ1, as owner of the property, will do the work and the ' structure is not intended or offered for sale (Section CITY TEL. NO. 0 0 0 30,50- 7044..Business and Professions Code). ❑ - OWNER. ?I"' �2Jen1 Cor '08 .10.-83 1, as owner of the property, am exclusively contracting O with licensed contractors to construct the project MAIL d�✓' (Section 7044, Business and Professions Code). ADDRESS ' CONSTRUCTION LENDING AGENCY CITY �•- ` TEL. `NO. I hereby affirm that there is construction lending agency CONTRACTOR /�,{� for the performance of the work for which this permit is F-'v issued 'Sec.me Civ.C.). w' n Lender's Name - ADDRESS 7a2/_�r �jreoy.' f_a I,. Lender's Address CITY `iEL.NO.96 I certify that 1 have read this application and state that the STATE rf 7 Q LIC. ('�? Q above information is correct.i agree to comply with all County LICENSE NO ��J 1 I CLASS v ordinances and State laws regulating Heating, Ventilating and Air Conditioning, and hereby authorize representatives of this SEE REVERSE FOR EXPLANATORY LANGUAGE County to enter Pon the above-mentioned property for insn-et'on puree- S Signaturere of mit Data