HomeMy Public PortalAbout5434 LOMA AVE_Mechanical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1009010001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
ILEGAL ID: 1 FEES PAID BUILDING ADDRESS
ITR- 7796 IT: 15 I 5434 LOMA AV 1
I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803003 1
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET 1
15388-001-015 101 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY, Cl
1 102 COMPRSR < 100 KBTU 1 00 COM 27 00 I 1
(TENANT. 108 FURNACE/HEATER <100 1 00 UNI 27.00 (ISSUED ON PROCESSED BY PLAN BY 1
1 I TOTAL FEES 81.80 109/01/10 SR 1
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T
OWNER. TEL NO I DE n
BY CODE-
LEONG, VICTOR (626) 975-9620- 1/Y// �j{
15434 LOMA AV 1 1 1
ITEMP 917803003 1 IDD S�PTYON OF WORK 1
I i I (1) REP FURNACE 115K BTU (1) REP A/C 5 TON (1) COIL
I I I I
(APPLICANT TEL NO. 1 I 1
IZAMORA, CARLOS (818) 735-7876- I 1 I
15858 DOVETAIL DR ISPECIAL CONDITIONS 1
IAGOURA HILLS I I
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ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE 1
ISERVICE CHAMPIONS HEATING AND A, C (714) 777-7777- 1 1 I
122911 SAVI RANCHY PKWY LIC NO I IFAU/WALL FURNACE 1
IYORBA LINDA, CA 92887 799170 C20 1 I 1 I 1
I ICOMBUSTION AIR OPENINGS I 1
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(ARCHITECT OR ENGINEER TEL. NO I IDUCT WORK II I I
LIC NO- i TAC/COMPRESSOR
_ I THEPJ4OSTAT I I
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I I IFIRE DAMPERS I I I
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I I ISMOKE DETECTION DEVICES I I I
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I ICOMP,ERCIAL HOOD I I
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I (REPORT ID DPR264 ROUTE TO 3S0508 1 I I
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ME 0508 9703180002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
GA S PAID BUILDING ADDRESS:
TR: 7796 LT: 15 5434 LOMA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803003
ASSESSOR INFORMATION NEAREST CROSS STREET:
5388-001-015 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY
02 COMPRSR < 100 KBTU 1.00 COM 27.00
O8 FURNACE/HEATER <100 1.00 UNI 27.00 ISSUED 0 EXPIRES .
TOTAL FEES 81.75 03/18/97 TC 03/18/98
OWNER: TEL. 0: FINAL DATE FINAL BY:
BECK JEROME;SANDRA T
5434 LOMA AV
TEMP 917803003 DESCRIPTION
CHANGE OUT OF EXISTING HEATING AN AIR COND. SYSTEM
APPLICANT: L.
ALPHA CONSTRUCTION (909) 627-9632-
SPECIA CONDITIONS:
CONTRACTOR: TEL. NO: ` �� ;'� APPROVALS DATE INSPECTOR SIGNATURE
ALPHA CONSTRUCTION (909) 627-9632-
6397 TRUMAN LIC. NO FAU/WALL FURNACE
CHINO, CA 91710 558141 B ,� ��V %'\
„ COMBUSTION AIR OPENINGS
ARCHITECT
LIC. NO: AC/COMPRESSOR
THERMOSTAT
RE UAMPERS
PM DETECTION DEVrC S r
,�•f
COMMERCIAL HOOD
REPORT ID: DPR264 ROUTE TO: BS05O8
16A364GE818 - 3-69 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING,
' COUNTY OF LOS ANGELES BUILDING S-g3q
'Q ®d!A
DEPARTMENT OF COUNTY ENGINEER ADDRESS `B J Bit bP`
BUILDING AND SAFETY DIVISION
JOHN A LAMBIE, COUNTY ENGINEER LOCALITY
-:OLEMAN W JENKINS,SUPERINTENDENT OF BUILDING NEAREST
CROSS ST
FOR APPLICANT TO FILL IN OWNER "ft � .7%
(PRINT OR TYPE ONLY) ,
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS 3 ,m,4_ l�•.V�".
ABSORPTION SYSTEM, BTU CIT,Y� R TEL. N �� q?
AIR HANDLING UNIT, CFM CONTRACTOR
ADDRESS
BOILER, HORSEPOWER
CITY TEL. N0.
COMPRESSOR, HORSEPOWER �wS STATE LIC.
LICENSE NO CLASS
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE CESSED BY
EVAPORATIVE COOLER SQ 7 /
FURNACE FAU GRAVITY
FLOOR BTU I" voiO �jL'1 INSPECTION RECORD
HEATER SUSPENDED UNIT
WALL ?•
CL
0
U
0
F-
w
0-
<n
NEW_ADDITION_ PERMIT $ 3 00
ALTER_REPAIR_ TOTAL FEE $
PLAN CHECK APPLICANT
NAME
ADDRESS
1
C I,TY TEL NO.
IHEREBY ACKNOWLEDGE THAT 1 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 I PECTOR'S SI ATURE
LATING, AIR CONDITIONING.
1HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH ,(
CHAPTER_9, DIVISION 3, OF THE BUSINESS AND OFESSIONAL FINAL
CODE OF THE STATEPVALIFgKIA.
SIGNATURE JACK R. ALLEN, SUPERV G MECHANICAL ENG'R.
OF PERMITTE
PERMIT VALIDATIOM. CASH
N CK.
PLAN CHECK VALI ATION �
t
LA
:274. 6-; Uri 741" 0 15. 5ON c
',EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
WORKERS'COMPENSATION DECLARATION n P P n C n M N FOR P E RMY
I hereby affrrm that I have a certificate of consent to self G=J �L /� �J�"J �u
Insure, or a certificate of Workers' Compensation Insurance, �j6P364CHEATING
- VENTILATING - AIR CONDITIONING
or a certified copy thereof (Sec 3800, Lab
C ),
,CE-818(REV 10/81)
Policy No Company COUNTY OF LOS ANGELES BUILDING AND SAFETY
Pol
Certified copy Is hereby furnished
• Certified copy is filed with the,county building inspec- FOR APPLICANT TO FILL IN BUILDING O
tion department (PRINT OR TYPE ONLY) ADDRESS
Date Applicant LOCALITY aa�P(
JNOTYPE OF APPLIANCE OR-EQUIPMENT FEE �•�—
CERTIFICATE OF EXEMPTION FROM WORKERS' NEAREST
COMPENSATION INSURANCE CROSS ST �tq�W1q
(This section need not be completed If the work involved by. ABSORPTION UNIT, BTU DISTRICT NO PROC D B
the permit Is for one hundred dollars ($100)or less.) AIR HANDLING UNIT,CFM /1 aG t
I certify that In the performance of the work for which this C/
permit Is Issued, I shall not employ any person In any rrAnner BOILER, BTU
SO astobecome subject to the War rS'COT a atl0 aW5 APPROVALS DATE PE OR'S SIGNATURE
Dater pphcant COMPRESSOR, BTU ROUGH
i
NOTICE TO APPLICANT If, after aking this rtl ate of VENTILATION SYSTEM FINAL
Exemption, you should becom subject to t e orkers'.
Compensation provisions of the Labor Code, you must forth- EVAPORATIVE COOLER VALIDATION
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 9HEATER SUSPENDED UNIT(commenting with Section 7000) of Division 3 of,the Business WALL
and Professions Code,and my license is In full force and effect
y63�2/ - vLLS o 0
License Number Lic Class V
_� 6 09
Contracto W!=\ Date�/ /� u O
H
❑ I am exempt under Sec ' d
Plan check fee
B &P C for this reason NPERMIT ISSUING FEE 4) Z
Date
Signature TOTAL FEE
OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT
I hereby affirm that I am exempt from the Contractor's License D
Law for The following reason (Section 7031 5, Business and NAM
Professions Code)
❑ 1, as owner of the property, or my employees with ADDRESS
wages as their sole compensation,will do the work and
the structure is not Intended or offered for sale(Section CITY TEL NO
'7044, Business and Professions Code) -
❑
OWNER,
1, as owner of the property, am exclusively contracting MAIL 600 3 A
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code)
CONSTRUCTION LENDING AGENCY CITY TEL NO # o e 0 0 0 8
I hereby affirm that there Is a construction lending agency for „ I 0 o,2 Q 5 0
the performance of the work for which this permit Is Issued CONTRACTOR�O D
(Sec 3097, Civ C ) 5
ADDRES � � C.>�� -o 0 0 2 0.5 0 U -
Lender's Name (� 1� y .1 1,21 -8 6
Lender's Address CITY w O
STATE L C
I certify that I have read this application and state that the LICENSE NO CLASS
above Information is correct 1 agree to comply with all County
ordinances and State jaws relating to building construction,
and hereby authorize representatives of this County to enter '
7PA
thea o e-m nt ned property for Inspection Lyposes SEE REVERSE FOR EXPLANATORY LANGUAGE
6
Signature of Appliccl,or gent Date - '