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HomeMy Public PortalAbout9153 LAS TUNAS DR_Mechanical__ 76A364C CE-818(REV.6/78) ©s APPLICATION FOR PERMIT HEATING - VENTILATING- AIR CONDITIONING COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING G (PRINT OR'TYPE ONLY) - ADDRESS 9153 LIS Tunas ,LO - . NO. TYPE OF'APPLIANCE OR EQUIPMENT PEE Cn4LITY, 2'eTri 1eClty - NEAREST ,CROSS ST. ABSORPTION UNIT,BTU - OWNER .. AIR HANDLINGUNIT,CFM - MAIL' ADDRESS BOILER,BTU TT CITY, - TEL.NO:/�' COMPRESSOR,BTU ��D�y CONTRACTOR AAA Conditioned Air Ind.. VENTILATION SYSTEM ADDRES5.10160 Valley Blvd p EVAPORATIVE COOLER CITY* El Monte TEL.NO. 579 1800 FURNACE: FAU . G VITY STATE LIC. FLOOR BTU OQ� IU — LICENSE NO.293529 CLASS C720 HEATER: SUSPENDED UNIT_ APPROVALS DATED INSPECTOR'S SIGNATURE WALL ROUGH FINAL .. f ... .,. INSPECTION RECORD( 09. ®' -------------- Plan check fee 25% of above., 'PERMIT ISSUING FEE$ Z' TOTAL FEE PLAN CHECK APPLICANT PLAN CHECK VALIDATION ALIDATION NAME ADDRESS CITY - TEL NO. .,�/i .�Y7:+4,.' •.c-,+C..-'�--w T .A.� .h� "'-.{"7a:,1 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ANDSTATE THAT HE AVE 15 CRRECT-ANU TALL ORDINANCEST ANDBO OLAWS ROEGULATINGD HEATING,_AGREE TVENTILATCOMPLY ING, AIR , - z 6 1 14 A CONDITIONING. PERMIT VALIDATION I;HEREBY C RTIFY THAT I AM NOT ACTI IN VIOLATION OF. - # 00- 0041 CHAPTER 9, DIV I ON 3, OF THE B SI ESS A �POFEIIIONAL CODE .. - OF THE STATE OF ALIF(�R - SIGNATURE 2-;0 O 2 7,O 0 OF PERMITTE ' DISTRICT NO.. PROCESSED BY - t0 O O 2 7..0 Q.0 �✓ v —�� 06, 1 `4-79 . WORKER'S COMPENSATION DECLARATION ;6A364�PW 9'89 APPLICATION- FOR PERMIT I hereby affirm at f:haue a certificate of consent to self.insure, or a certificate*,Worker's Compensation Insurance, or a certified HEATING-VENTILATING-AIR CONDITIONING HM GREEN copy thereof(Sec.380(0 Lab.C.) ,'n Policy No V �`� Company �7(� COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS BUILDING AND SAFETY DIV ❑ Certified copy is hereby furnished. Certified copy is filed with the county building inspe ion FOR APPLICANT TO FILL IN BUILDING epartment. (PRINT OR TYPE ONLY) ADDRESS Date � Applicant NO. TYPE OF APPLIANCE OR EQUIPMENT FEE LOCALITY' ' L--•�`r CERTIFICATE OF EXEMP ON FRO ORKE NEAREST CROSS S COMPENSATION INSURANCE ABSORPTION UNIT,BTU ASSESSORR (This section need not be completed if the work involved by the MAP BOOK PAGE PARCEL permit is for one hundred dollars($100)or less.) AIR HANDLING UNIT,CFM I certify that in the performance of the work for which this permit DISTRICT NO. Pt OCESSED BY is issued, I shall not employ.any person in any manner so as to become subject to the Workers'Compensation Laws. COMPRESSOR,BTU v :.APPROVALS .DATE INSPECTOR'S SIGNATURE Date ,Applicant VENTILATION SYSTEM NOTICE TO APPLICANT: If, after making this Certificate of ROUGH Exemption,you should become subject to the Workers'Compensation EVAPORATIVE COOLER provisions of the Labor Code, you must forthwith comply with such FINAL ;LL, provisions or this permit shall be deemed revoked., FURNACE: FAU GRAVITY LICENSED CONTRACTORS DECLARATION FLOOR - BTU ALI O ATION A'_.+�: f I hereby affirm that I am licensed under provisions of Chapter 9 SUSPENDED UNIT --,-- (commencing with Section 7000) of Division 3 of the Business and HEATER: ALL ) e Professions Code,and my license is in full force and effect. / 1 .. i T ENS Z5 tf 22 C=2�' i j ! -15 .• License Number Lic.Class _�/ , -15 cL HE t o Contractor / Date 7CHANGE 0 ❑ I a xempt�i er sec. Plan check fee B.&P.C.for this reason PERMIT ISSUING;FEE$ Z_1S IfIEI3_I�tryl >' t �F— Date: Signature TOTAL FEE 6 y i Art 10 o. a. OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT Z 1 hereby affirm that I am exempt from the Contractor's License Law NAME 1 Z /l for the following reason (Section 7031.5, Business and Professions Code): ADDRESS I, as owner of the property, or my employees with wages as their sole compensation, will do the work and the CITY TEL.NO. structure is not intended or offered for sale (Section 7044, Business and Professions Code). OWNERTD Iv \ , ❑ I, as owner of the property; am exclusively'contracting MAIL ^'') ^ with licensed contractors to construct the project (Sec- ADDRESS 2, ,� c t1/,AqrLc tion 7044, Business and Professions Code). CITYTEL.NO. �J K, 63 CONSTRUCTION LENDING AGENCY NlO S v— I hereby affirm that there is a construction lending agency,for CONTRACTOR ' the performance of the work for which this permit Is issued — (Sec.3097,Civ.C.). N�Z_ 0 _ ADDRESS LL Lender's Name / ) CITY QN Z OBJ � TEL.NO. nl I „ Lender's Address STATELIC., �✓ ^y certify that I have read this application and state that the above LICENSE NO. CLASS Cr2 v - information is correct. I agree to comply with all County ordinances . and State laws relating to building construction,and hereby authorize representativ of is County enter upon the above-mentioned property f i s cti urp S. SEE REVERSE FOR EXPLANATORY LANGUAGE ' 1 SIGNATOR OF APPLICANT OR EN DA E - - COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME'0508 0904280002 BUILDING_ AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID: FEES PAID BUILDING ADDRESS: . I ITR: 5905 LT: 13 BL: .001 9153 LAS TUNAS DR I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917801906 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 15387-016-038 101 PERMIT'ISSUANCE FEE 27.75 1 THOMAS PAGE:-596 GRID: H3 LOCALITY: TEMPLE CITY, Cl 1 142 VENT SYSTEM (OTHER) 1.00 SYS 33.90 1 1 (TENANT: 1 TOTAL FEES 61.65 11SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1 (CAFE ROULE, INC. 104/28/09 SR 10/25/09 1 (OWNER: TEL. NO: IF NAL DATE FIN BY: CODE: I IGUAN, ROBERT (626) 236-6661- 1 _ 1 19149 LAS TUNAS DR (TEMP 917801906 I - JDESCRIPrPION OF WORK I 1 1 (TENANT IMPROVEMENT VENTILATION FAN 1 (APPLICANT: - TEL. NO: 1KWOK (323) 697-2120- I I I 1260 E. GARVEY AVE. 1 (SPECIAL CONDITIONS: I (MONTEREY PARK 91755 I 1 I . ICONTRACTOR: TEL. NO: 1APPROVALS DATE INSPECTOR SIGNATURE 1 IK-ONE CONSTRUCTION MANAGEMENT, INC. (626) 272-6868- 1 1 I 120873 MISSIONARY RIDGE ST LIC. NO 1 1FAU/WALL FURNACE I I (DIAMOND BAR, CA 91789 897280 B 1 I I I (COMBUSTION AIR OPENINGS I I I (ARCHITECT OR ENGINEER: TEL. NO: 1 (DUCT WORK I I IKWOK, TERENCE (323) 697-2120- 1 1 I 1260 E GARVEY AVE. LIC. NO: 1AC/COMPRESSOR (MONTEREY PARK, CA 91755 C24796 I I I I 1 (THERMOSTAT I I I 1 I (FIRE DAMPERS I I 1 I ISMOKE DETECTION DEVICES I 1 (COMMERCIAL HOOD 1 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 1 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 I I I I