HomeMy Public PortalAbout9700 LAS TUNAS DR_Mechanical__ 5A364—C,ES18—S-6H APPLICATION FOR PERMIT
_ - HEATING - VENTILATING - Alig CONOITIO ING ;
COUNTY OF LOS ANGELES �
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION 'BUILDING Y,
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESSCOLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY �s f
-FOR APPLICANT TO FILL IN CROSS Sr. /'�'r�!/F'�' ,,yy �1✓,
(Print or type only)
OWNER .4 fid[//O
No.. TYPElOF APPLIANCE OR EQUIPMENT FEE
MAIL
ADDRESS oS"mlE
ABSORPTION SYSTEM, BTU— , CITY TEL. NO.
AIR HANDLING UNIT, CFM CONTRACTOR �� i
BOILER, HORSEPOWER ADDRESS D ��� �� � A✓G
COMPRESSOR, HORSEPOWE A, CITY _/17dtJJ�E TEL. NO. ,�pp�
STATE LI C.
VENTILATION SYSTEM / LICE SEf NO. +�D� ��F CLASSI,"�� a
DISTRICT N0. GROUP ZONE CESSED BY
EVAPORATIVE COOLER ��
FURNACE: FAU GRAVITY -
FLOOR—BTU INSPECTION RECORD
HEATER:.SUSPENDED—UN IT I �v � �p
WALL c
9-
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Cs
— Z2 CD
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Z
NEW ADDITION PERMIT. $ 3 00
ALTER—REPAIR— TOTAL FEE $ O
Plan check applicant
Name -
Address,,/.� D ASG, ��r� /-�c
City Tel. NO.,?F3. j
r
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPL
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO WITH ALL ORDINANCES AND LAWS REGULATING HEATING, APPROVALS D E INS TOR'S SIGNATURE
LATING, AIR CONDITIONING.
• ROUGH
I HEREBY CERTIFY THAT 1 AM NOT ACTING IN VIFINALL'c L"_
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFES
CODE OF THE STATE OF CALIFORNIA.
JACK R. ALLEN,SUPERVISI ECHANICAL ENG-R.
SIGNATURE �Q/ -�- -PERMIT VALIDATI - c - M.O. CASH
OFrPERMITTEE C -
PLAN CHECK VALIDATION
grl0 0 9 t I:i 5 4 1 D 6-050-
,EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
i WORKERS'COMPENSATION DECLARATION APPLICATION FOR PERMIT
,- I,hereby�Mh�ffirm that "have a certificate of consent to self �
~insure;or a certificate of Workers'Compensation Insurance, HEATING - VENTILATING - AIR CONDITIONING
or a certified cp76A364C py thereof(Sec. 3800 ab. C.)
pp����� CE-818(REV. 10/81)
Policy No. (_Company
❑ Cegifled copy is hereby furnished. COUNTY OF LOS ANGELES BUILDING AND SAFETY
Certified copy is filed with the county building inspec- FOR APPLICANT TO FILL IN BUILDING ��7e / ,.
tion depart ent. ADDRESS '77 t/ L ecg U f f rd
Date �- (PRINT OR TYPE ONLY)
Applican y ��� LOCALITY ,
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
CERTIFICATE OF EXEMPTION FROM WORKER NEAREST
COMPENSATION INSURANCE CROSS ST. 7J(JA1%
(This section need not 11@ completed if the work involved by ABSORPTION UNIT,BTU DISTRICT NO. PROCESSED BY
the permit Is for one hundred dollars($100)or less.)
I certify that in the performance of the work for which this AIR HANDLING UNIT,CF / t�( ,
permit is issued,I shall not employ any person in any manner
so as to become subject to the Workers'Compensation Laws. BOILER, BTU
I P �^ APPROVALS DATE INSPE OR'S SIGNATy1RE
Date Applicant COMPRESSOR, BTU 15 c9r� 4 ROUGH —
NOTICE TO APPLICANT: If, after making this Certificate of VENTILATION SYSTEM FINAL
Exerription, you should become subject to the Workers'
Compensation provisions of the Labor Code, you must forth- EVAPORATIVE COOLER VALIDATION 117
with comply with such provisions or this permit shall be
deemed revoked. FURNACE: FAU GRAVITY
LICENSED CONTRACTORS DECLARATION FLOOR BTU
I hereby affirm that I am licensed under provisions of Chapter 9 HEATER: SUSPENDED UNIT
'(commencing with Section 7000)of Division 3 of the Business WALL
and Professions Code,and my license is in full force and effect. n DU Vr License.NumbeClass 63
0.
U
Contractor I1 f`ME2 Date 009
❑ I am exempt under Sec. V
Plan check fee 1L
B.&P.C. for this reason PERMIT ISSUING FEE$OF
Date: '
Signatur
TOTAL FEE L�
&WNER-B R DECLARA ION PLAN CHECK APPLICANT 0 4 0.9 A
I hereby affirm that I am exempt from the Contractor's License ( # 0 0 0-0 0 8
Law for the following reason (Section 7031.5, Business and NAME C �
Professions Code): I 0 a LL 1.5 0
❑ I, as owner of theproperty, or m em to ees with ADDRESS `
Y P Y ,Vl�
wages as their sole compensation,will do the work and CITY TEL. NO. 0 0 0 4 1,5 0�
the structure is not intended or offered for sale(Section G(. ti�
7044, Business and Professions Code). 0 8,•1 2,= 8
❑ 'I, as owner of the property, am exclusively contracting OWNER
with licensed contractors to construct the project'(Sec- MAIL
tion 7044, Business and Professions Code). ADDRESS
CONSTRUCTION LENDING AGENCY CITY TEL. NO.
1the performance hereby affirm that there is a construction lending agency for Poo.
3097, Civ. C.)the work for which this permit is issued CONTRACTOR �i C t
w
( � '�
Lender's Name ADDRESS
CITY , ^ ��_ Q TEL. NO.
Lender's Address
STATE LIC.
I certify that I have read this application and state that the LICENSE NO. Q CLASS
above information is correct. I•agree to comply with all County
ordinances and State,laws relating to building construction,
rnp hereby authorize representatives of this County to enter
on t bove-mentione roperty for inspWtion p poses. SEE REVERSE FOR EXPLANATORY LANGUAGE
��fS
Signature of Applicant or gent Date
WORKERS'COMPENSATION DECLARATION CE B1 C' pp p �p n�
1 hereby affirm that I have a' certificate yf consent to lif
. CE-618(2-80) A P P La 0 C f i T�O N FOR PER ILII 0 T
insvIo.ora^ertificateof Workers'Compensation Insurance;Ioi HEATING-VENTILATING-AIR CONDITIONING
l
a c lfies4-copy thereof(See.3800,Irab.C.): .
Policy No.E-N O'339mpany PaCif' Com [ I '
Cetlified copy is hereby furnished. COUNTY OF LOS ANGELES i BUILDING AND SAFETY
® Certified'copy is filed with the county p uil ing inspection
department. � FOR APPLICANT TO FILL IN 'BUILDING 9700 Las Tunas
Date —� 7-86 ApplicantX4=_ (PRINT OR TYPE.ONLY) - ADDRESS
I: LOCALITY
CERTIFICATE OF EX PTION FROM ORKERS' NO. TYPE OF APPLIANCE OR EQUIPMENT FEETprap
COMPENSATION INSURANCE ;NEAREST }
(This section need not be completed if the. work involved ABSORPTION UNIT,BTU CROSS ST. GQ.Id en WEst AveO
by the permit is for one hundred dollars ($100) or less.) 'DISTRICT NO. P ssEo av 0
I certify that in the performance of the work for which this AIR HANDLING UNIT,CFM 15 00 , /1� pE
permit'is issued, I shall not employ any person in any mangier I (J O
so as to become subject to the Workers'Compensation Taws. BOILER,BTU
7�r�+r�T��� APPROVALS DATE fCTOR'SSIG TURE W
Date Applicant COMPRE i`�iFt',wu 7-0 00 ROUGH — N
NOTICE TO APPLICANT: If, after making this Certificate of VENTILATION SYSTEM,QVer 10
Exemption, you should become subject, to the Workers' FINAL
Compensation provisions of the Labor Code,you must forth- EVAPORATIVE COOLER _ VALID ION
with -comply with such.provisions or this permit shall':be '
deemed revoked. -FURNACE: FAU' GRAVITY—
LICENSED
RAVITY LICENSED CONTRACTORS DECLARATION FLOOR: BTU
I hereby affirm that I am licensed under provisions of Chapter HEATER: SUSPENDED UNIT
9 (commencing with Section 7000)of Division'3 of the Busi- WALL r
ness and Professions Code, and my license is in full force and
effect. I
License?Nuber 4 Lic.Class— f'—2 n #I Altinr ContraDate3-17-$6 0 0 0Ipt f the licensing 'requirements as I am a �j
licensed architect or a .registered professional engineer Plan check fee 25%of above.
acting In'my professional capacity (Section 7051, Bus-
iness and Professions Code). PERMIT ISSUING FEE$
Lic.or Reg.No. Date TOTAL FEE
HOME OWNER-BUILDER DECLARATION '
l PLAN CHECK APPLICANT ,
I hereby affirm that •I 'am exempt from- the Contractor's NAME
License Law for the following reason (Section 7031.5, tusi-
ness and Professions Code): :I: ADDRESS. - y
I, as owner of the property, will do the, work and,the
structure is not intended or offered for sale (Section CITY 'TEL.NO.
7044,Business and Professions Code).
❑
I, as owner of the property,-am exclusively contracting OWNER T.C. Associates
with licensed contractors to construct the project MAIL 2975 Wilshire B.1'V
(Section 7044,Business and Professions Code). ADDRESS
CONSTRUCTION LENDING AGENCY CITY •LOS Angeles-,- L.NO. ,.
I hereby affirm that there is a construction lending agency CONTRACTOR
for the performance of the work .for which this permit is Westland ,
issued Sec.3097,Civ.,C.). None
Lenders Name ADDRESS 3041 Roswell EEStreet
Lender's Address CITY LOS An .eles l.A:'NO' 254-6769
,
I certify that. I have read this application and state that the STATE L.IC.
above information is correct.I agree to comply with all County LICENSE NO. 349594 CLASS C-20
ordinances and-State laws regulating Heating,Ventilating;and'
Air Conditioning,and hereby authorize representative's ofPthis SEE REVERSE FOR EXPLANATORY LANGUAGE
County to enter upon the above-mentioned property, for
inspect"on p es.
3-17-8.6
wturefoMPrOofttee Date• �i'
I " WORKERS' have TION DECLARATION APPLICATION FOR PERMIT
I hereby affirm that I have a certificate.0 consent to self
insure, orw Certificate of Workers'Gompens5tion Insurance, HEATING - VENTILATING - AIR CONDITIONING
or cr certified copy thereof(Sec. 3800, Lab. C.) 76A364C
Policy No.600809251rompany Transcontinental CE-818(REV. 10/81)
Certified copy is hereby furnished. 43341 COUNTY OF LOS ANGELES BUILDING AND SAFETY
® Certified copy is filed with the county building inspec- FOR APPLICANT TO FILL IN BUILDING
9ti�on department. (PRINT OR TYPE ONLY) ADDRESS 5700 Las Tunas "Kaiser"
1
Date .L,129/88 ApplicantWestern Allied NO. TYPE OF APPLIANCE OR EQUIPMENT FEE LOCALITY Temple
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. PROCESSED BY o
the permit is for one hundred dollars(;100)or less.) I 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 i APPROVALS AT INS; S SIGNATURE
Date Applicant COMPRESSOR,BTU ROUGH
dw
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 VALIDATED IV V
with comply with such provisions or this permit shall be C�
deemed revoked. FURNACE: .FAU GRAVITY 1 � L;4f)
LICENSED CONTRACTORS DECLARATION FLOOR - BTU �1 #g�—
1 herebyaffirm that I am licensed under provisions of Cha ter 9 SUSPENDED—UNIT—
'(commencing
USPENDED UNIT ,j
'(commncing with Section 7000)of Diviion 3 of the Business HEATER: WALL I if 'C�( , 34 `;;=51R
and Professions Code,and my license is in full force and effect. 8 I n 1 ets/Out 1 ets' @ 1.75ea 14. 0 CHANGE .D0 06'
License Number 198821 Lic. Class C20 ® V
Contractor Western Allied Date 12/2:9/88 [1000-0001 1; 6--/89 o
❑ �I am exempt under Sec. E 233 1 AM 8 224
Plan check fee
B.BP.C. for this reason'
PERMIT ISSUING FEE$ 10.150
Date:
Signature TOTAL FEE 134-150
I
OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT
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
wages as their sole compensation,will do the work and CITY TEL. NO.
the structure is not intended or offered for sale(Section
7044, Business and Professions Code). OWNER Kas i er COnstruci ton
❑ I, as owner of the property, am exclusively contracting
with licensed contractors to construct the project (Sec- MAIL
ADDRESS 3355 'E. 26th Street
tion 7044, Business and Professions Code).
CONSTRUCTION LENDING AGENCY CITY LOS AngelesTEL.N(213 685-4050
I hereby affirm that there is a construction lending agency.for
the performance of the work for which this permit is issued CONTRACTOR *Western Allied Corp.
(Sec. 3097, Civ. C.).
ADDRESS 12046 E Florence Avenue ,
Lender's Name
Lender's Address CITY Santa Fe Springs ?EL•M3)685-4050
STATE LIC.
I certify that I have read this application and state that the LICENSE NO. 198821 CLASS C20
a ov information is corr ct, a to comply with all County
ffiApwplicantorAgent
to I s elati to building construction,
e r pr se ati es of this County to enter
r pe y for,i spection u�c�es. SEE REVERSE FOR EXPLANATORY LANGUAGE
r Agent Date (j,/{o!
! WORKERS' COMPENSATION DECLARATION APPLICATION FOR PERMIT
I hereby-affirm that I have.a certifiFote of consent to self
insure, or a certificate of Workers' Compensation Insurance, HEATINGVENTILATINGAIR CONDITIONING
ora certified copy thereof (Sec. 3800, Lab. C.) 76A364C
Policy No.606725691Company CNA Casualty 20-0046 DPW 9/88
Certified copy is hereby furnished. 44769 COUNTY OF LOS ANGELES BUILDING AND SAFETY
Certified copy is filed with the county building inspec- FOR APPLICANT TO FILL IN BUILDING9700 Las Tunas Dr 1st Floor
tion a t �t (PRINT OR TYPE ONLY) ADDRESS
Date 0 ApplicantWestern Allied Corp 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. PROCESSED BY
the permit is for one hundred dollars($100) or less.) r
I certify that in the performance of the work for which this AIR HANDLING UNIT, CFM
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 INSPECTOR'S SIGNATURE
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 VALIDATION
with comply with such provisions or this permit shall be deem- W/C 8/91
ed revoked. FURNACE: FAU GRAVITY
LICENSED CONTRACTORS DECLARATION FLOOR BTU
I hereby off irm that I am licensed under provisions of Chapter 9 HEATER: SUSPENDED UNIT
(commencing with Section 7000)of Division 3 of the Business WALL
and Professions Code,and my license is in full force and effect. 3 Inlets Outlets -.�5'� r
License Number 198821 Lic. Class C20911.
'p,
DID. U
Contractor Western Allied Date =&#W9& ACl = Im
❑ f
I am exempt under Sec. �/�����-T•� E-0 J�€�1 �.''.'.'=(U
�� � Plan check fee
B.BP.C. for this reason 1 !-IEMS L
Date: PERMIT ISSUING FEE $ T€ iL
r�
Signature TOTAL FEE CHECK itcy oL�}
OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT
I hereby affirm that I am exempt from the Contractor's License :.CHANGE 'Utl,f
Law for the following reason (Section 7031.5, Business and NAME
Professions Code):
❑ I, as owner of the property, or my employees with ADDRESS i I(0[€[€-0,01 €1 9/ -r7r-'•3€
wages as their sole compensation,wil l do the work and CITY TEL. NO. 27€tF i e C-
the structure is not intended or offered for sale(Section
7044, Business and Professions Code). OWNER Kaiser Construction
❑ I, as owner of the property, am exclusively contracting
with licensed contractors to construct the project (Sec- MAIL
tion 7044, Business and Professions Code). ADDRESS3355 E. 26st Street
CONSTRUCTION LENDING AGENCY CIT' LOS Angeles, CA TEL. NO.658-4050
I hereby affirm that there is a construction lending agency for
the performance of the work for which this permit is issued CONTRACTOR Western AlliedCo
(Sec. 3097, Civ. C.).
ADDRESS
Lender's Name 12046 '13 '171 orpTir-e Ave-Tule
Lender's Address CITY Santa Fe Springs TEL. NO.523-1990(714)
LIC
I certify that I have read this application and state that the STATE NO. 198821 CLASS C20
above information is correct. I agree to comply with all County
ordinances and State law relating to building construction,
and h reby authorize r r sentatives of this County to enter
up e a ove-menti a roperty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
X30/90
Signature of Applicant or Agent Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0208070007
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
-ISGA S PArD BUILDING ADDRESS:
TR: 6561 LT: 484 BL: .001 9700 LAS TUNAS DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802243
AiSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: KAUFFMAN
8587-024-030 OW P.C. FEE 5109.35 MIN 0.00 1,389.83 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
01 PERMIT ISSUANCE FEE 27.75
EAT: 02 COMPRSR < 100 KBTU 1.00 COM 27.00 ISSUED ON: PROC SS D BY: AN B EXPIRES ON:
04 COMPRSSOR > 500 KSTU 1.00 COM 130.95 09/27/02 JK 03/26/03
18 BOILER 101 500 KBTU 1.00 BOI 52.20
OWNER: TEL. N0: 30 AIR INLETS/OUTLETS 157.00 UNI 682.95 FINAL DAT FINAL BY: CODE:
TEMPLE CITY UNIFIED SCHOOL DISTRICT (626) 548-5000- 35 AHU < 2000 CFM 1.00 AHU 12.90 L4_I
1_
9700 LAS TUNAS DR 37 AHU > 10000 CFM 1.00 AHU 65.40 3
TEMPLE CITY 91780 41 VENTILATION FAN 5.00 FAN 78.75 DESCRIPTION OF WORK
42 VENT SYSTEM (OTHER) 1.00 SYS 33.90 MECHANICAL FOR T.I.
46 FIRE DAMPERS 157.00 DAM 1,695.60
APPLICANT: TE TOTAL FEES 4,197.23
SERGE PERUSSE (626) 859-1088-
3319RNCHO LA CARLOTASP CI CONDIT ONS:
COVINA 91724
CC
•r , r
APPROVALS DATE INSPECTOR SIGNATURE
CONTRACTO • TEL. NO:
DRP NATIONAL INC (626) 859-1088- f;;�'�•" ��?- ��
3319 N RANCHO LA CARLOTA RD LIC. NO ; '7� .�"�-`� •'.� FAU FURNACE
COVINA, CA 91724 803221 B ff`�
COMBUSTION AIR OPENINGS
RC ECT OR ENGINEER: O: �f r i�I'i —! .^'�� \ o C OR ��/} ,
CARMICHAEL—KEMP"ARCHITECTS (626) 357-9880 bp•"�j' '�' L
302 W FOOTHILL BLVD LIC. NOj/' _ iI 1 aiiil AC COMPR SSOR
MONROVIA, CA 91016 C20592 d; �- ! I I
THERMOSTAT
FIRE DAMPERS
SMOKE DETEC-T-rO—N-DlVrC—ES�U��L- O yCOM ERCIAL
HOOD
'��.•\Ami� �! I. j +'`1�, �5 .Z`i''
j
REPORT ID: OPR264 ROUTE TO: BS0508