Loading...
HomeMy Public PortalAbout6206 - 6208 LOMA AVE_Mechanical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0106200011 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGALL'ID: 41, FEES PAID BUILDING ADDRESS: TR: 5904 LT: 266 BL: .001 6208 LOMA AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801634 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: WOODRUFF 5384-012-012 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 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 11.00 UNI 47.85 06/20/01 JK 12/17/01 TOTAL FEES 129.60 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: LU JOHN KUO-SHUEAN;NANCY YOUNG CHYA � 6030 GOLDEN WEST AV TEMP 917801718 DE RIPM ON OF WORK NEW HVAC SYSTEM APPLICANT: TEL. NO: CANYON AIR SYSTEM (626) 335-1116- 316 CRESTGLEN _—. SPECIAL CONDITIONS: GLENDORA CA 91740 CONTRACTOR: TEL. NO: ��e��« ��\\' APPROVALS DATE INSPECTOR SIGNATURE CANYON AIR SYSTEMS, INC. (626) 335-1116- 316 CRESTGLEN ROAD LIC. NO �, fi �✓^ .v\�� AU/WALL FURNACE GLENDORA, CA 91741-2167 393379/B ✓ `~ �� COMBUSTION AIR OPENINGS ARCHITECT OR ENGINEER: TEL. NO: �—� A �� v. �`�A, DUCT WORK LIC. NO` — r��� � � '�-�� � �'yip i ��:�,-� �,, AC/COMPRESSOR THERMOSTAT ' FIRE DAMPERS SMOKE DETECTION DEVICES COMMERCIAL HOOD Jam. REPORT ID: DPR264 ROUTE TO: BS0508 7eA364 - cE81e - 3-69 PLICATION R PERMIT HEATING - VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELES CBUILDING �� DEPARTMENT OF OUNTY ENGINEER ADDRESS /SCJ BUILDING AND SAFETY DIVISION JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY COLEMAN W.JENKINS,SUPERINTENDENT OF BUILDING NEAREST CROSS ST. FOR APPLICANT.TO FILL IN OWNE a � (PRINT OR TYPE ONLY) a MAIL NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRES - ABSORPTION SYSTEM, BTU CITY TEL. N AIR HANDLING UNIT, CFM CONTRACT i ADDRESS BOILER„ HORSEPOWER CITY EL. N0. COMPRESSOR_HORSEPOWER STATE LIC. LICENSE N . CLASS VENTILATION SYSTEM DISTRICT NO.. GROUP ZONE PROLES D BY EVAPORATIVE COOL FURNACE: FAU GRAV Y FLOOR BTU INSPECTION RECORD HEATER: SUSPENDED UNIT WALL d O V 0 U 4 NEW—ADDITION— PERMIT 3 ' 00 z ALTER�REPA IR_ TOTAL FEE $ PLAN.CHECK APPLICANT NAME ADDRESS CITY TEL. N0. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION •- - _ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY - WITH ALL ORDINANCES AND LAWS REGULATING HEATING,VENT1- - APPROVALS DA—TE',:- IN'SPECTOR'S SIGNATURE 'v LATING, AIR CONDITIONING. - ' I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF, .x ROUGH - ... CHAPTER 9, DIVISION 3,. OF THE BUSINESS AND PROFESSIONAL - FINAL - - CODE OF THE STATE OF C RNIA - SIGNATUREJACK R.'ALLEN, SUPE7,ECHANICAL PERMITTEE ENG'R. PERMIT VALIDATION M.O. CASH PLAN CHECK VALIDATION 2 w 40 1 D. 6.C.O .7. "EE,BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE-� � 6A3e4 - cEals 3-69 APPLICATION. FOR PERMIT HEATING - VENTILATING' CONDITIONING ':OUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS' / �c �� BUILDING AND SAFETY DIVISION -'-- JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY COLEMAN W. JENKINS,SUPERINTENDENT OF BUILDING NEAREST CROSS ST. FOR 'APPLICANT TO FILL IN � (PRINT OR TYPE ONLY) OWNER MAIC' NO. TYPE OF APPLIANCE OR EQUIPMENT FEE - ADDRESS ABSORPTION SYSTEM, BTU CITY TEL. NO.]) L Q� CONTRACTOR AIR HANDLING UNIT, CFM a ADDRESS ( 6 e BOILER, HORSEPOWER U G CIT �:/ TEL. NO.% D COMPRESSOR, HORSEPOWER TA E LIC. aLIC ENSE NO. � I a �" CLASSY- e3 VENTILATION SYSTEMDISTRICT NO. GROUP ZONE PROC sED BY EVAPORATIVE COOLER l FURNACE: FAU GRAVITY FLOOR BTU_ CO aarm INSPECTION RECORD .HEATER: SUSPENDED-UNIT. UNIT WALL ' >-. a. i w O W CL Lo NEW-ADDITION. PERMIT $. 3 '00 z ALTER REPAIR_ TOTAL FEE _ $ S PLAN CHECK APP•LI'CANT NAME ADDRESS CITY TEL. ND. I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION - AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO.COMPLY WITH ALL ORDINANCES AND LAWS REGULATING HEATING,,VENTI" LATI.NG, AIR CONDITIONING. APPROVALS DATE INSPECTOR'S SIGNATURE - ` - - --"�I. HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION'OF - ROUGH . CHAPTER 9, DTVI ION 3, OF THE BUSINESS AND PROFESSIONAL FINAL " CODE OF THE E DF CALIFORNIA. ' 97, J. SIGNATuJACK R. ALLEN, SUPERVISING MECHANICAL'ENG'R. OF PERMITTEE PERMIT VALIDA.TIO CK` M.O:' 'CASH PLAN CHECK ..VALIDATION .:.._..., SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ' ., ' WORKERS' COMPENSATION DECLARATION ' APPLICATION F®R ' I hereby�',affirm that I have a certificate,of consent .-PERMIT to self _ insure,ora certificate of Workers`Cofn ensation' Inisurbnce; p i476A364C HEATING - 'VENTILATING - AIR.'CONDITIONING or a certified copy thereofSec 3800 Lab."C�)C �' 7� .20-0046 DPW'9/88 Policy No. r mpany _�_ . Certified copy,is hereby furnished COUNTY.OF,LOS ANGELES BUILDING AND SAFETY s. Certifiee copy is filed with-the-county building ms'ec" FOR BUILDING , fi'on department. APPLICANT TO FILL IN a ADDRESS v // Ae- _Date .Applicant /�aYq��'"!eNO' (P,RINT OR'TYPE ONLY). LOCALITY /p J, < TYPE OF APPLIANCE OR EQUIPMENT.? FEE `, C� CERTIFICATE OF EXEMPTION FROM WORKERS' NEAREST COMPENSATION INSURANCE' ' CROSS ST. 01 (This section Heed not be'complefed iF the<work involved by ABSORPTION UNIT;-BTU DISTRICT no, PRO s d BY the permit is for one hundred dollars ($100)"or less.) AIR-HANDLING UNIT, CFM-, V 7 L.certify''thdt in the performance of the work for which this ✓ permit is issued,1 shall not employ any person-m,any manner' BOIL so`as to become subject to the.Workers' Compensation Laws: E R APPROVALS 'once NSP 's S;GNA7URE' BOILER; �. Date: Applicant h 'COMPRESSOR, BTU �� a '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 I� TON ' �f with comply with such proyisions:or this permit shall,be deem- ed revoked. . n, FURNACE. FAU GRAVITY. 3 �J LICENSED CONTRACTORS DECLARATION: `' FLOOR BTU, (commencing with Section 7000)of Division,3 of I hereb affirm That I am licensed under rovisions'of Chapter 9 HEATER: SUSPENDED UNIT Y provisions' the Business WALL. _ and Professions Code,and my license Is in,full force and effect. License Number Lic Class /r—nn p - ( e Contracto Date i10 IZ, I am exempt,un ler Sec.- Plan check fee u y B.&P.C. for,this reason. Z PER ISSUING FEE $ - Date: _ TOTAL FEE Signature' OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT r •� I hereby affirm that'l am exempt from the Contractor's License Law for the following reason (Section 7031.5; Business and NAME L Professions Code):. ❑' I, as owner'of the'property; or my employees with` ADDRESS 2-- SLI Itmese wages as their sole compensation, will do the work and = r/ ,jJ ts_'•, es CITY TEL. NO.�W - �C1S•��. 7 the structure is not intended or offered for sale'(Section - V „e 7044; Business"and Professions Code): OWNER. I; as owner ofahe property, am exclusively contracting. _ i�-M- 1 as .1 a with licensed contracto_rs-to'construct the project (Sec- MAIL,_ ` ADDRESS ' tion 7044, 36siness and Professions Code). rl I_°rls.• , -CONSTRUCTION LENDING AGENCY ` CITY <.'•. TEL.:NO. 5`= CKt:a Thereby affirm that there is a construction lending agency for the performance of the work,for'which this permit is issued'` : CONTRACTOR �� =t (Sec: 3097,,Civ. C.). r� Cor t•:e�€ �t31= _f; ADDRESS ' Lender's Name 'u/ d t L CITY TEL. NO:. �` Lender's Address L�+ STATE•''•' LIC., iia f -.«.t .1, certify that I have:read this application and.state that the LICENSE NO: CLASS C, ' t'3a ° above information is correct. I agree to comply with all County ordinances and fate laws relating to building construction,. and hereby a oriz epresentatives of this County to enter upon'the ab ve-m coned pr erty for inspe"c'tion pur ores: ' SE OR E REVERSE FOR EXPLANATORY;LANGUAGE ' Signature o pplicant o Age bate. • - < - - ©s