HomeMy Public PortalAbout9914 LIVE OAK AVE_Mechanical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 1\1 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 9911'460043
' BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID:� FEES'PAID BUILDING ADDRESS:
(TR: 18155 LT: 3 9914 LIVE OAK AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802613
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BALDWIN
18588-013-007 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
_ 02 COMPRSR < 100 KBTU 1.00 COM 27.00
TENANT: - 08 FURNACE/HEATER <100 1.00 UNI 27.00 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
30 AIR INLETS/OUTLETS 5.00 UNI 21.75 11/16/99 UT 05/14/00
TOTAL FEES 103.50
(OWNER:_ TEL. NO: FINAL DATE FINAL B CODE:
RUDLUFF OSCAR C JR;SHARON M (818) 287-3755- l
(9914 LIVE OAK AV 11
TEMP 91%2502613 DESCRIPTION OF WORK
NEW HEATING AND AIR CONDITIONG SYSTEM FOR RESIDENCE
APPLICANT: TEL. NO:
DANIEL'S HEATING & AIR CON. (909) 599-8552-
438 W. ARROW HWY. SPECIAL CONDITIONS:
SAN DIMAS, CA
SES (Co
CONTRACTOR: TEL. NO: ®� ��A APPROVALS DATE INSPECTOR SIGNATURE
DANIELS HEATING AND AIR (909) 599-8552- I�
438 W ARROW HWY #10 LIC. NO FAU/WALL FURNACE �/
SAN DIMAS CA 610726 C20
COMBUSTION AIR OPENINGS
L/
ARCHITECT OR ENGINEER: TEL. NO: DUCT WORK
LIC. N0 1111111 AC/COMPRESSOR
ITHERMOSTAT
UO n �� � I\OI 'I FIRE DAMPERS
ILIA \1v1/� Il1�IS]ILI�`v SMOKE DETECTION DEVICES
( Qeg II^^ COMMERCIAL HOOD
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REPORT ID: DPR264 ROUTE TO: BS0508
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7.6 A3P* CE 818-1/75
APPLICATION TOR PERMIT
HEATING = VENTILATING AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING 9914 IVE OAK AVE.
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITYTBMFJE - "
NEAREST BALDWIN &' GOLDEN WEST
CROSS ST.
FOR APPLICANT TO FILL 'IN OWNER RUDLUFF, OSCAR'-
(PRINT OR TYPE ONLY)
MAIL
NO. - TYPE&SIZE OF EQUIPMENT FEE ADDRESS• ABOVE
SEE BACK OF APPLICATION -
CITY TEL. NO. 287-3755
FORCE AIR FURNACE, BTU
CONTRACTORL&J COPPER PLUMBING CO.
COMPRESSOR, BTU
ADDRESS 507 .W.,RICHARDSON. LANE '
VENTILATION FAN / CITY GLEN DORA TEL'.-NO.9163-1093
LIST ALL OTHERS BELOW ( STATE LICENSE NO. 303946 CLASS C.'36
`SWIMMING POOL HEATER DISTRICT NO. GROUP ZONE PRO CE ED BY
INSPECTION RECORD
O
' U
O
F-
Lu
a-
Plan check fee. See reverse. —0 z
PF1011T 1,5S1FIN(. FFh; r 00
PLAN CHECK APPLICANT 1
NAME
ADDRESS
CITY TEL.NO. "
"1 HEREBY ACKNOWLEDGE THAT I HAVE READ'THIS APPLICATION
AND STATE THAT'THE ABOVE 15 CORRECT'AND AGREE TO COMPLY
WITH ALL.ORDINANCES AND LAWS REGULATING HEATING, VENI'I- APPROVALS DATE - INSPECTOR'S SIGNATURE
LATING, AIR CONDITIONING.
ROUGH
AHEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL Z
CODE OF THE STATE OF CA IFORNIA.
SIGNATURE PERMIT VALIDATI( O, CASH
OF PERMITTEE
'PLAN CHECK L ATION CK. M.O. CASH
.'a
1 ,�./ � 6 iii.
r 1
WORKERS'CI have cerciTION DECcafe oSpATfON
onse 1APPM A7R0H► .F0R pC RNT
I hereby affrrm that I have a .certificate of consent to self � / ! �'r
insure, or a certificate at Workers' Compensation Insurance, HEATING --VENTILATING- - AIR CONDITIONING
or a certified py Thereof ( ec. 3800, Lab. C.) 76A364C
CE-818(g EV. 10/81)-
Policy No. Company
Certified copy is herebyfurnished. COUNTY OF LOS ANGELES: . BUILDING AND SAFETY
Certified copy is filed with the county building inspec- FOR APPLICANT TO FILL IN BUILDING
ADDRESS �`-
T tion department (PRINTOR TYPE ONLY) _ /
C:
Date/ 2—Apphcant- LOCALITY
y NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
CERTIFICATE OF EXEMPTI;1AROM WORKERS' NEAREST i
COMPENSATION INSURANCE CROSS ST. _e
(This section need not be completed if the work involved by ABSORPTION.UNIT, BTU DISTRICT NO. PROCE D Y
the permit is for onehundred dollars (5100)or less.) -s
I certifythat in p the erformonce of the work for which this AIR HANDLING UNIT, CFM
permit is issued, I shall not employ any person in any manner
BTU
so as to become subject to-the Workers''Compensation Laws. BOILER, APPROVALS DATE INSPECTOR'S SIGNATURE
COMPRESSOR,'BTU ROUGH ? a !<
DateApplicant f
NOTICE TO APPLICANT: If, oftei making this Certificate of VENTILATION SYSTEM FINAL � V
Exemption, 'you should become subject to the Workers:
Compensation provisions of the Labor Code,ryou must forth- EVAPORATIVE COOLER VALIDATION
with -comply with ,such,prcivisions 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 ' HEATSUSPENDED UNIT
ER:
(commencing with Section 7000) of Division 3 of the Business WALL
and Professions Code,and my license is in full force and effect.
r7.
License Number 51eZI V5' ^ Lic: Class
COnactor Date �• 2''� t 0
tr
oI am exempt under Sec.
Plan check fee. IL
H
B.&P.C+ for this reason
te: PERMIT ISSUING FEE $ ll �
D
TOTAL FEE
Signature . .._. L3.w
O -BUILDER.DECLARATION PLAN CHECK APPLICANT
I hereby affirm that I am exempt from the Contractor's Licensee y
Law for the following reason (Section 7031.5, Business and NAME
Professions Code):
"�€�7'5,9'A
ElI, as owner of the property, or my employees with ADDRESS�/� !� ,.0 .
wages as their sole compensation,will do the work and
CITYTEL.'NO.
the structure is not intended or offered for sale(Section
7044, Businessland Professions Code). .2 10,0 2 C'-'O
❑ OWNER /
I, as owner of the property,'om exclusively contracting • �' .o'o o'�
with licensed contractors to-construct the project (Sec- MAIL /` C,')5 a
tion 7044, Business and.Profess ions'Code'). ADDRESS
CONSTRUCTION LENDING AGENCY CirYa � 1''C 4_ r
� ✓ TEL. NO. � � - •� `'
I hereby affirm that there is a.construction lending agency for D
the performance of'the work for which this permit.is issued CONTRACTOR'
(Sec. 3097, Civ. C.).. r/
ADDRESS Al
Name J r s�� e
CITYf�'��L TEL. NO. `»� '�iv
Lender's Address
STATEy_� L LIC.
I certify that I have read !this application and state that the LICENSE NO. 7 CLASS
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 above-m 'tio p rty for.inspection purpo es. SEE REVERSE FOR EXPLANATORY LANGUAGE
5i .r1urtef Applicant or Agent