HomeMy Public PortalAbout9934 LAS TUNAS DR_Mechanical__ 76A364*CE618`;-68 - APPLICATION HEATING VENTILAPERMIT
VENTILATING - AIR CONDITIONING
-
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS, SUP15RINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
(Print or type only) OWNER
NO. TYPE,OFAPPLIANCE OR EQUIPMENT FEE IEMAIL
ADDRESS
ABSORPTION SYSTEM, BTU
CIT filta
L. NO.
AIR HANDLING UNIT, CFM CONTRACTOR ^ r
I
BOILER, HORSEPOWER- ADDRESS 3 f��(J��
COMPRESSOR, HORSEPOWER CI _�.j Lia ` TEL. NO: '�����
STAT [' / LIC.
VENTILATION SYSTEM 'LICENSE NO. J CLASS
DISTRICT NO. GROUP ZONE PROCESSED-BY
EVAPORATIVE COOLER `-
FURNACE: FAU GRAVITY O �-I �B�-j rk
elf-
, a
FLOOR-BTU I SPECTI RECORD c=)U
HEATER: SUSPENDED NI L , O
WALL 1
to
W
O_
_ N
- Z
NE ADDITION PERMIT $ 3 00 `
ALTER—REPAIR TOTAL FEE $
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION _•
AND STATE THAT THE A80VE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING '
HEATING, VENTILATING, AIR CONDITIONING -
I HEREBY CERTIFY THAT—1 AM NOT ACTING VIOLATION
OF CHAPTER 9, DIVISION 3 F THE BUSINESS P FESSIONAL
CODE OF•THE STATE OF C IFO N APPROVALS .DATE INS TOR'S SIGN TURE
SIGNATURE f ROUGH 11
OF PERMITTE
FINAL `i
^ ,V ID JACK ALLEN
O.. CASH SUPERVISING MECHANICAL ENG'R.
LACI,?. 7 0 6 Det 1.7 4 -1. D 1 3,0
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE -
76 A364 - CE 818 -1/75 '
APPLICATION.FOR. PER IT• ,
HEATING - VENTILATING = AIR CONDITIONING ;
COU-NTY,OF LOS ANGELES ADIDRESSS hA V
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY' 1
NEAREST ,J Q
CROSS ST
R APPLICANT TO FILL I'. OWNER
(PRINT OR TYPE ONLY) -I1
No
-TYPE SIZE OF EQUIPMENT, ADDRESS
FEE MAIL -
SEE BACK OF APPLICATION ,1 S r (lam
CITY 1 ct TEL. NO.
FORCE AIR FURNACE, BTU 1 vt
CONTRACTOR CrN C
COMPRESSOR, BTU
ADDRESS 2' v ,
VENTILATION FAN CITY•L.O-%A rj, EL. NO 6� 71 g,,'I�
LIST ALL OTHERS BELOW STATE "LIC r
I� r LICENSE NO. ' CLASS
, �—E IQ ��' �{� ,u� - DISTRICT NO ZONE PROC SED:BY• -
t 90 crm-coy,( - �wo-ill'• •jg 7 • �'
[,GROUP� ���• �:.�..�-,,�, ;
b004M15G�" IyOO� l4t "?
INSPECTION RE
:1 y2 Gmroct oar Ht ,
A 2 Ooa l0 d� t�t' 3a o
IL
Plan'check fee. See reverse. z
YI,II\1hI ISSI;IV'(, FI:`I, :*
pp '
PLANCHECK APPLICANT
• vh - •
NAME y
ADDRESS'
:e
CITY - �' TEL NO,
I HEREBY AC KNOW LEO GE-THAT�I HAVE'READ THIS APPLICATION • ' - y� ., - ^;2y;'
AND STATE THAT THE ABOVE 'IS CORRECT AND AGREE TO COMPLY '
WITH ALL ORDINANCES"•AND LAWS REGULATING HEATING; VENT'[-! - APPROVALS DATE INSP.ECTOR'S SIGNATURE`
LAT G, AIR CONDITIONING•, * - ''D
- -
3, ROUGH"
I HEREBY ''CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF-CHAPTER 9, DIVISION 3, OFp THE BUSINESS AND PROFESSIONAL FINAL r• ,� ,�a
CODE OF THE STATE C FO , <`�� 'i
SIGNATURE / - �•- 'PERMI,T •VALIDATI N � M 0 CAS
•O F P E R M I T T+_,F% «��
PLAN CHECK; VALIDATION' CK M 0 CASH; p. ,
4 0.4
: - e(,�t,�Le Ctl_l�.
WORKERS'COMPENSATION DECLARATION CE 81 C " nn (� p p�
1 hereby affirm that I have a certificate of consent to self 76 - 64 (2-80)' 6�`�l If- P LL B C A��O C7 FOR P E R� �T
insure, or a certificate of Workers'Compensation Insurance,or HEATING-VENTILATING-AIR CONDITIONING �.•
a certified'copy thereof(�SSec��.�3800,Lab.C.) '
COUNTY OF LOS ANGE ES-• @ BUILDING AND SAFETY
Certified copy 6 hereby furnished.
�( Certified copy is Bled with the co.<<y'Guild• i sction BUILDING
de art j =OR'APPLICANT TO FILL IN gDDRESSDat e_7 Appligant _ — _ (PRINT OR TYPE ONLY)
L' � �
LOCAL] � _ •
CERTIFICATE'OF EXEMPTION FROM WORKERS' NO. TYPE OF,APPLIANCE OR,EQUIPMENT FEE NEAREST � I--
COMPENSATION INSURANCE
(This section ed not"be.completed if the work involved' ABSORPTION UNIT, BTU—
(This
ST a0
by the permit is one hundred dollars ($100) or less.) DISTRICT NO PRC SSE U
I certify that in the per ance-ofthe work for�which'this AIR HANDLING UNIT,CFM n/ F
permit is issued, I shall not em any person in any manner
so as to become subject to the Wor `' Compensation Laws. BOILER, BTU
- - , - I ve t , A-yc„ A_PPROVALS ,DATE, PgSPECTOR•S SIG' 7URE -W
Date Applicant° ` J-_ COMPRESSOR, BTU - V1 VV
ROUGH U)
NOTICE-TO APPLICANT If,.after making.this Certificate of- VENTILATION'SYSTEM z
Exemption, "you- should become-subject,to the ,Workers' FINAL '
Compensation provisrpn'sthe Labor Code, you must forth- EVAPORATIVE COOLER �,.� VALIDATION .
With comply' with such provost ns or this permit shall be
deemed revoked. FURNACE FAU GRAVITY =
LICENSED CONTRACTORS DECLARATION ' FLOOR, BTU
1.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
ness and Professions Code, and my license is to full force and <
effect. Q .
License Nummber�1�328�_.Lie Class J�—�
Contractor!' C'C--Fate /•L-S IS9
I ain-e"+�tt.__from the licensing requirements as I am a `
Licensed architez a registered professional'engin per Plan,check fee 25%of above.
actor in my profession acity '(Section 705'1, Bus- PEFiMIT,ISSUING FEE $
mess'a'nd Professions Code).
Ctc,or Reg.No. Date TOTAL FEE•
HOME OWNER-BUILDER DECLARATION. PLAN,CHECK APPLICANT „
I hereby aEftrm that I am exempt from- the Contractor's NAME
License Law''brthe following reason (Section 7031.5, Busl-
ness and Professtong-,,(,ode) ADDRESS-
0,5 2 4 A
r
1, as owner of the prQ erty, will do the work and the
structure is not mtend�ed-,or offered fuCITY TEL. NO'r sale (Section _ # oo�o o•�o $ -
7044, Business and ProfessionN,Qode)t �,,-�A D
aOWNER _ H� - 2 3,5.0
I, as owner of the property, am ex�lustvely contracting -- ;2,- ,
with licensed` contractors to constrict; the project MAIL 3 _
L��l 12x(/ 2 3;5 0
(Section 7044,Business and Professions Code). ADDRESS ro o�0
CITY A I hA '-n�_ TEL.
NO. (]7,2 8'x.8
` CONSTRUCTION LENDING AGENCY 4- , � '
I hereby-affirm that there is a consttuctton lending agency =
for the performat�e of the work for which this.permit Is` CONTRACTOR
issued(Sec- 3097,CO-C,)• �
Lender's Name z_` ADDRESS' ^Z�
Lender,'s Address C -e,Sn NQS
CITY•
ti
I•certify that I have read'this apphcatton and state that the _ STATE" LIC. C
-above information is correct.I agree to coinply,wtth all County. ILLLgENSE NO 3CLASS
ordinances and State laws regulating Heatmg,•Ventilating and..
Atr
46ndntng, and F eby authorize re,{iresntaftves of this SEE REVERSE FOR EXPLANATORY LANGUAGE'
Counter vhe above-mentined pnppo - ' PERFECT CLIMATE
_ -9926 Plon�r Bhrd.,#'Ilignermittee Date Santa Fe Springs,CA 91M70 -
COUNTY OF LOS ANGELES TEMPLE CITY - # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0908030006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
(LEGAL ID FEES PAID BUILDING ADDRESS
I ON FILE 1 9934 LAS TUNAS DR 1
I 1FEE DESCRIPTION - QUANTITY" UOM AMOUNT TEMP CA 917802210
ASSESSOR INFORMATION NUMBER I - I NEAREST CROSS STREET
18587-030-027 101 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID A2 LOCALITY TEMPLE CITY, Cl
I 102 COMPRSR < 100 KBTU 4.00 COM 108 00
TENANT 108 FURNACE/HEATER <100 4 00 UNI 108 00 JISSUED ON PROCESSED BY PLAN BY EXPIRES ON
BANK OF THE WEST I TOTAL FEES 243 75 108/03/09 SR 08/03/10
OWNER TEL. NO IF DATE F CODE
BANK OF THE WEST (213) 972-0569- 1 I � I
1300 S GRAND AVE
1LOS ANGELES CA 90071 JDOGCRIIPTIONF WORK
1REPLACE FOUR (4) GAS/ELECTRIC PACKAGE UNITS LIKE FOR LIKE
APPLICANT TEL NO
IBROTHERTON, LISA (951) 830-9416-
I21211 COMMERCE POINT ISPECIAL CONDITIONS
WALNUT, CA 91789
I �
1CONTRACTOR TEL NO 1APPROVALS DATE INSPECTOR SIGNATURE
IWEATHERITE CORP (909) 598-8900-
121211 COMMERCE POINTE DR LIC NO FAU/WALL FURNACE 1
WALNUT CA 91789 451778 C20 - -
I lCOMBUSTION AIR OPENINGS - 1
1ARCHITECT OR ENGINEER TEL NO IDUCT WORK
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