HomeMy Public PortalAbout6460 LIVIA AVE_Mechanical__ d{ 4
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0005020001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
EGA ID: FEES PAI BUILDING A DRESS:
TR: 12504 LT: 15 6460 LIVIA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801329
ASSESSOR INFORMATIONNUMBER: NEAREST CROSS STREET: LONGDEN
5382-018-003 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H1 LOCALITY: TEMPLE CITY
02 COMPRSR < 100 KBTU 1.00 COM 27.00
TENANT: 108 FURNACE/HEATER <100 1.00 UNI 27.00 ISSUED ON: PROCESSED BY: PLAN BY: IRES ON:
30 AIR INLETS/OUTLETS 7.00 UNI 30.45 05/02/00 UT 0/29/00
TOTAL FEES 112.20
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
LOK;HARRY (626) 288-3501-
6460 LIVIA AV
TEMP 917801329 DESCRIPTIO F WORK
CHANGE OUT OF FAU AND ADDING AIR CONDITIONING
PLIC . NO:
SAME AS OWNER
SPECIAL CONDITIONS:
C On
CONTRACTOR: TEL. NO: ®� APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO FAU/WALL FURNACE
COMBUSTION AIR OPENINGS W
IA
ARCHITECT OR EER: TEL. NO: DUCT WORK
LIC. N�—L
O: 1111111 AC/COMPRESSOR v
THERMOS T
�ry)U D [� C
n /7 /J0�K
3 FIRE DAMPERS
IIIJJ~ i(I�-, U\11J1/ IIJ^LS! OKE DETECTION DEVICES
C 0 g COMMERCIAL HOOD
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REPORT ID: DPR264 ROUTE TO: BS0508
78A34E C11810113"°/" APPLICATION FOR PERMIT.
HEATING - VENTILATING - AIR CONDITIONING
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING
'(PRINT OR TYPE ONLY) ADDRESS'• •,6460 North Livia /9✓A '
NO TYPE OFAPPLIANCEOR EQUIPMENT FEE LOCALITY Temple City
NEAREST
CROSS ST. .G�J
A®SORPTION UNIT,.BTU
OWNER Oe`McEachiln
'AI•R HANDLING UNIT, C•FM MAIL
ADDRESS 6460 N. Livia
BOILER, BTU
CITY Temple City TEL NO. • 287--268
COMPRESSOR, BTU CONTRACTOR
Bryant Heat. & Air Cond . Inc
VENTILATION SYSTEM ADDRESS 1 50 E. Las Tunas Drive
EVAPORATIVE COOLER 7 50
CITY San Gabriel TEL. NO. 286-1141
FURNACE' FAUGR V6 STATE LIC.
1 FLOOR BTU � LICENSE NO. 221751 - CLASS C20
r
HEATER. SUSPENDED UNIT_ DISTRICT NO GROUP ZONE PROCES D BY CL.
WALL Jp I v
�. O 8 - or-
CD
INSPECTION RECOR 00w
a-
Plan-check fee 25% of above. / /lJ! IA-
PERMIT
tiPERMIT ISSUING FEE'$ 4 50
TOTAL FEE 121 00
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
I HEREBY ACKNOWLEDGE THAT. 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS'CORRECT AND AGREE TO COMPLY
WITH ALLORDINANCES AND LAWS REGULATING HEATING, VENTI-
LATING, AIR CONDITIONING
1 HEREBY CERT FY THAT I AM NOT ACTI IN VIOLATION APPROVALS DATE INSPECTOR'S SIGNATURE
OF CHAPTER 9, DI 3, OF THE BUST PROFESSION
CODE OF THE ST E CALIFORNIA ROUGH '
SIGNATURE
OF PERMITT FINAL
PLAN CHECK VALIDATION PERMIT VALIDATION CK M O CASH
CK M O CASH T V
2 9 5 1QV= 23 4*1 0 1 .� 0 A:k
WORKER'S COMPENSATION DECLARATION 20-0046 DPW 9/89 ���La�����®UCl Ir®� ���OHII�'II 76A364C Ir LIME'
I bereby affirm that,] have a certificate oPconsentto self Insure,
or a certificate of Worker's Compensation Insurance; or a certified HEATING-VENTILATING-AIR CONDITIONING
copy thereof(Sec 3800 Lab C)
Policy No Company ' COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS ',BUILDING AND SAFETY DIV.
❑ _ "Certified copy is hereby furnished
Certified copy is filed with the coup building inspection FOR APPLICANT TO FILL IN BUILDING �lO�
❑ county 9 P
department - (PRINT OR TYPE ONLY) ' ADDRESS
Date ApplicantLOCALITY "
NO TYPE OF APPLIANCE OR EQUIPMENT FEE
CERTIFICATE OF EXEMPTION FROM WORKERS', NEAREST
COMPENSATION INSURANCE CROSS ST
' ABSORPTION UNIT,BTU ASSESSOR '
,(This section need not be completed-if the work Involved by the '
MAP BOOK, PAGE�� PARCEI,¢ &
permlYper)s,for one hundred dollars($100)ordess.) AIR HANDLING UNIT;CFM
DISTRICT NO PROCESSED BY
certify that in the formance of the work for which this permit
Is issued, I shall not employ any person in any manner so as to BOILER,BTU
become subject to the Workers'Compensation Laws
COMPRESSOR,BTU
• APPROVALS DATE INSPECTOR'S SIGNATURE
Date Applicant VENTILATION SYSTEM
NOTICE TO APPLICANT If, after making -this Certificate of ROUGH
Exemption,you should become subject to•the Workers'Compensation EVAPORATIVE COOLER '
provisions of the Labor Code, you must forthwith comply,with such FINAL
provisions or this permit shall be deemed revoked FURNACE FAU GRAVITY
LICENSED,CONTRACTORS DECLARATION FLOOR BTU VALIDATION
I hereby affirm that I•am licensed under provisions of Chapter 9 SUSPENDED UNIT _
(commencing with Section 7000)of Division 3 of.the Business and HEATERWALL - ��,�j -_��,i°;•`_i
Professions Code,and my license is In full force and effect' M:_
r1
.� 1 ITI=i F_i
License Number, Lic Class TOTAL . 30 - 45
Contractor Date rt _ 0
El am exempt under Sec Plan Check fee' l• 1 U� ]i V
e&P C for this reason PERMIT ISSUING FEE$ Z,,, �4 p 0
Date TOTAL FEE s�! Ilr! !;+—[t[li 17! i4 V
9
Signature ? t 1 I tilts C.t d
OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT (n
Z
I hereby affirm that I am exempt from the Contractor's License Law NAME D
for the following reason=(Section'7031 5, Business and Professions
C091b) 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) NER
❑ vv vl
I, as owner of the•property, am exclusively contracting MAIL
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044;Business and Professions Code)
CONSTRUCTION LENDING AGENCY CITY TEL N
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)
ADDRESS
Lender's Name
CITY TEL NO
Lender's Address STATE LIC
I certify that I have read'this application and state that the above LICENSE NO CLASS
Information Is correct I agree to comply with all County ordinances
and State laws relatin/pppes
ng construction,and hereby authorize
representatives of thito enter upon the above-mentioned
prop fo spect - lL SEE REVERSE FOR EXPLANATORY LANGUAGE
/SI ATURE OF APPLICAN OR AGENT —ITATE �� -