HomeMy Public PortalAbout9202 LAS TUNAS DR_Mechanical__ 76A364 - CE818 - 3-69 APPF' PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING 9202 Las Tunas
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION
JOHN A LAMBIE, COUNTY ENGINEER LOCALITY Temple City, Calif.
COLEMAN W JENKINS,SUPERINTENDENT OF BUILDINGNEAREST [ +
CROSS ST.
FOR APPLICANT TO FILL IN
(PRINT OR TYPE ONLY) OWNER
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
ABSORPTION SYSTEM, BTU CITY TEL NO
CONTRACTOR '� r t t
AIR HANDLING UNIT, CFM
al Co .
BOILER, HORSEPOWER ADDRESS
733 W. Wilson Ave -
CITY Glendale Ca TEL. NO. 245-026
COMPRESSOR, HORSEPOWER STATE LIC.
LICENSE N0. CLASS r_
VENTILATION SYSTEM DISTRICT NO. GROUP /ZONE C E S S E D 8Y
EVAPORATIVE COOLER I �' _� ��
FURNACE FAU GRAVITY
FLOOR BTU _ INSPECTION RECORD
HEATER, SUSPENDED UNIT
WALL
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1 hood with exhaust p
U
system 5000 w
0
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U
CL
NEW-ADDITION- PERMIT S 3 00 Z
ALTER_REPAIR_ TOTAL FEE S
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL. N0.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING,VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
LATING, AIR CONDITIONING
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH
CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL
CODE OF THE STATE OFC FOR FINAL / -74
�'----
SIGNATURE JACK R. ALLEN,'SUPERVISI ECHANICAL ENG'R.
OF PERMITTE
PERMIT VALIDATION cK.J M.O. CASH
PLAN CHECK VALIDATION
0 6 4 JUN 2 6 4 1- D 8.0C) n:8
-E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE �� /
76 A364- GE 818-1/75
APP CATION FO ERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY L L�
NEAREST .�
CROSS ST
FOR APPLICANT TO FILL IN OWNER )/
(PRINT OR TYPE ONLY)
MAIL
NO TYPE&SIZE OF EQUIPMENT FEE ADDRESS %
SEE BACK OF APPLICATION
CITY TEL NO.
FORCE AIR FURNACE, BTU -
nil-
COMPRESSOR, BTU GG'.�C>U 6l�y CONTRACTOR s A
ADDRESS
VENTILATION FAN CITyrr�_ /�1�A TEL. NO S'� _76
LIST ALL OTHERS BELOW STATrrE LIC
LICENSE NO. !S CLASS
1 T ICT NO GROUP ZONESSED BY
INSPECTION RECORD
2
O
U
O
U
W
N
Plan check fee. See reverse. z
F'I.H\IIT ISSI'1\C I''I:I, �
PLAN CHECK APPLICANT
NAME
ADDRESS
CIT i TEL NO
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCESAND LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
LATING, AIR CONDITIONING
ROUGH
1 HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION /
OF CHAPTER 9, ATE OF
OPTHERNIA BUSINESS PROFESSIONAL FINAL g
CODE OF THE STATE OE A�RNIA
SIGNATURE PERMIT VA
OF PERMITTE LIDATION cj_",/i4 o cnsH
7
PLAN CHECK VALIDATION CK M 0 CASH ,
639 1241 U 1 2.0 C)
WORKERS'COMPENSATION DECLARATION APPLICATION FOR PERMIT
hereby affirm that I have a certificate of consent to self
insure, or a certificate of Workers' Compensation Insurance, HEATING - VENTILATING - AIR CONDITIONING
or a certified copy thereof (Sec 3800, Lab C ) CE-81 C
Cd H�!�y CE-818(REV 10/81)
Policy Nob !ooCompann // !/ COUNTY OF LOS ANGELES BUILDING AND SAFETY
Certified copy is hereby furnished
❑ Certified copy is filed with the county building inspec- FOR APPLICANT TO FILL IN BUILDING
tion department ADDRESS Z$
t- (PRINT OR TYPE ONLY) 2-
Date y 'W _ Applicant NO TYPE OF APPLIANCE OR EQUIPMENT FEE LOCALITY
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 l/' PROCESSED BY
the permit is for one hundred dollars ($100)or less.) /o (/
I certify that in the performance of the work for which this AIR HANDLING UNIT, CFM `J[ v Q
permit is issued, I shall not employ any person in any manner
So as to become subject to the Workers'Compensation Laws BOILER, BTU APPROVALS DATE IN TOR'S SIGN TURE
Date Applicant COMPRESSOR, BTU 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- EVAPORATIVE COOLER VALIDA
with comply with such provisions or this permit shall be
deemed revoked FURNACE FAU GRAVITY
LICENSED CONTRACTORS DECLARATION FLOOR BTU
I hereby affirm that I am licensed under provisions of Chapter 9 HEATER SUSPENDED—UNIT—
(commencing
USPENDED UNIT(commencing with Section 7000) of Division 3 of the Business WALL
and Professions Code, and my license Is In full force and effect
22 L c& XkHM v dd 0
License Number �O Lic Class 17 rV
/�
;29666A O
Contractor&M-1 WORLD. Date �—�
H
❑ I am exempt under Sec •'• •t• • $ d
#L
Plan check fee H
B&P C for this reason PERMIT ISSUING FEE •) 4 • 2,Q 5 0 Z
Date TOTAL FEE �` - 2(150
Signature
26
OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT
t _ 0 a 2 4 $$
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 1bZ j Z_&JS 7~'✓�
nv
wages as their sole compensation, will do the work and CITYL TEL NO ��� 7
the structure is not intended or offered for sale(Section yztj
7044, Business and Professions Code)
OWNER
❑ 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 49
6v1:5—
CONSTRUCTION LENDING AGENCY CITY 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 D
(Sec 3097, Civ C )
ADDRESS
Lender's Name /,/a/— p
CITY TEL NO /
Lender's Address
STATE fLIC
I certify that I have read this application and state that the LICENSE NO r0 b CLASS B
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 ab ve-mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicant or Agent Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0709200005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
ILEGAL ID I FEES PAID I BUILDING ADDRESS. I
ITR 6561 LT 8 BL 001 UN 002 1 I 9202 LAS TUNAS DR 1
I IFEE DESCRIPTION QUANTITY- UOM AMOUNT I TEMP CA 917801907 1
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET ENCINITA
18587-002-014 101 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY, Cl
1 140 EVAPORATION COOLERS 2 00 UNI 43 80 I 1
ITENANT I TOTAL FEES 71 55 11SSUED ON PROCESSED BY PLAN BY EXPIRES ON
IAJISEN T 109/20/07 SR 03/18/08 1
TOWNER- TEL NO I FINAI, DAT Y CODE 1
ICHENG, JOSEPHINE (626) 419-5717- 1 I 1
19202 LAS TUNAS DR 1 1 1
ITEMPLE CITY CA 91780 1 IDESCRIPTION OF WORK I
I 12 EVAPORATIVE COOLERS T
(APPLICANT TEL NO 1 I
1WEN XIA (626) 463-3568- 1 1 I
1942 ARCADIA AVE #13 I 1SPECIAL CONDITIONS T
TARCADIA, CA 91007 I 1 1
(CONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE T
11NFINITY A/C AND HEATING (626) 463-3568- I 1 1
1WEN XIA LIC NO I TFAU/WALL FURNACE I
1942 ARCADIA AVE #13 791994 C20 i I 1 1 1
TARCADIA, CA 91007 I 1COMBUSTION AIR OPENINGS 1
1ARCHITECT OR ENGINEER TEL NO I 1DUCT WORK 1 I 1
I LIC NO 1 IAC/COMPRESSOR I I 1
ITHERMOSTAT I I I
I IFIRE DAMPERS I I I
1 ISMOKE DETECTION DEVICES I
1COMMERCIAL HOOD
I I I I i I
I I I I I I
T 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 IREPORT ID DPR264 ROUTE TO: BS0508 I I I I
I I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0508260025
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
TR 6561 LT 8 BL 001 UN 002 9202 LAS TUNAS DR
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917801907
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET
8587-002-014 OW P C FEE $109 35 MIN 109 35 196 43 THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY, C
O1 PERMIT ISSUANCE FEE 27 75
TENANT 30 AIR INLETS/OUTLETS 5 00 UNI 21 75 ISSUED ON- PROCESSED BY PLAN BY EXPIRES ON
AJISEN RAMEN 40 EVAPORATION COOLERS 5.00 UNI 109 50 08/26/05 JK 02/22/06
43 COMM KITCHEN HOOD 4.00 HOO 261 60 i
OWNER TEL NO TOTAL FEES 617.03 FINAL DATE FINAL BY CODE.
JOSEPHINE (626) 419-5717- // ./
9202 LAS TUNAS DR 10 -
TEMPLE CITY CA 91780 DESCRIPTYON OF WORK
MECHANICAL FOR TENANT IMPROVEMENT RESTAURANT
APPLICANT TEL NO
L C CONSTRUCTION & PLUMBING (626) 455-0236-
12368 E VALLEY BLVD SPECIAL CONDITIONS
EL MONTE, CA 91733
CONTRACTOR. TEL NO APPROVALS DATE INSPECTOR SIGNATURE
L C CONSTRUCTION AND PLUMBING (626) 455-0236-
12368 E VALLEY BLVD #115 LIC NO FAU WALL FURNACE
EL MONTE, CA 91733 538151 B
COMBUSTION AIR OPENINGS
ARCHITECT OR ENGINEER TEL NO DUCT WORK
DESIGN FOR RESTAURANT, PLUS (626) 570-9978-
119 S ATLANTIC BLVD #228 LIC NO AC/COMPRESSOR
MONTEREY PARK, CA 91780 NONE
THERMOSTAT
FIRE DAMPERS
SMOKE DETECTION DEVICES
COMMERCIAL HOOD
7
* ADDITIONAL DATA ON FILE
REPORT ID DPR264 ROUTE TO BS0508