HomeMy Public PortalAbout8640 LONGDEN AVE_Mechanical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0806200001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID I FEES PAID I BUILDING ADDRESS
ITR 5903 LT 32 1 1 8640 LONGDEN AV
I IFEE DESCRIPTION. QUANTITY UOM AMOUNT TEMP CA 91775
ASSESSOR INFORMATION NUMBER I 1 NEAREST CROSS STREET BURTON
15386-006-018 101 PERMIT ISSUANCE FEE 27 75 1 THOMAS PAGE 596 GRID. G2 LOCALITY TEMPLE CITY, Cl
1 102 COMPRSR < 100 KBTU 1 00 COM 27 00 1
(TENANT 108 FURNACE/HEATER <100 1 00 UNI 27 00 11SSUED ON PROCESSED BY PLAN BY: EXPIRES ON
130 AIR INLETS/OUTLETS 7 00 UNI 30 45 106/20/08 SR 12/17/08
1 1 TOTAL FEES 112 20 1
OWNER TEL NO- I IF AL DATE FINAL Y: CODE
ISCIURBA, MARTHA (626) 799-1210- 1 1
18640 E LONGDEN AVE I I
ISAN GABRIEL, CA 9177 1 IDE CR PT N OF WORK
I (HEAT/COOL 3-TON PKG UNIT ON ROOF 1
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(APPLICANT TEL. NO I
IBRYANT HEATING & A/C (626) 286-1141- I
11350 E -LAS TUNAS DR I ISPECIAL CONDITIONS 1
ISAN GABRIEL CA 91776 1
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ICONTRACTOR TEL NO I 1APPROVALS DATE INSPECTOR SIGNATURE 1
IBRYANT HEATING AND A, C (626) 286-1141- 1 1
11350 E LAST TUNAS DR LIC NO I 1FAU/WALL FURNACE I I
ISAN GABRIEL, CA 91776 221751C20H I 1 1-1
I I (COMBUSTION AIR OPENINGS 1 I 1
1ARCHITECT OR ENGINEER TEL NO I (DUCT WORK I I I
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LIC NO 1 - 1AC/COMPRESSOR I I
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1 I 1THEPMOSTAT fm I Ir1
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I I (FIRE DAMPERS I I I
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I (SMOKE DETECTION DEVICES 1 I 1
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I 1COMMERCIAL HOOD I I I
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(REPORT ID DPR264 ROUTE TO BS0508 I I I
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CW= OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0806250003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 -
f PHONE (626) 285-0488 EXT
ILEGAL ID I FEES PAID I BUILDING ADDRESS. I
ITR 5903 LT 32 1 8640 LONGDEN AV
I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 91775
IASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET BURTON I
15386-006-018 101 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID: G2 LOCALITY TEMPLE CITY, Cl
141 VENTILATION FAN 1 00 FAN 15 75 I
ITENANT I TOTAL FEES 43 50 (ISSUED ON PROCESSED BY PLAN BY. EXPIRES ON I
1 106/25/08 SR 12/22/08 1
10WNER TEL NO: 1 IF��L�/ ATE���/// •FIN�jL gY CODE 1
ISCIURBA LANDGON, MARTHA (626) 799-1210- I 1 / N TEy /Z/L l
18640 E LONGDEN AVE 1 Irluo J (►I/
ISAN GABRIEL, CA 9177 DE8CRItlTION OF WORK
11NSTALL VENTILATION FAN I
(APPLICANT- TEL NO 1 1
1FRANCISCO MENDIETA (626) 309-1338-
1400 ALABAMA ST I (SPECIAL CONDITIONS 1
ISAN GABRIEL CA 91776 1
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ICONTRACTOR TEL NO 1 1APPROVALS DATE INSPECTOR SIGNATURE 1
(MENDIETA ELECTRIC (626) 309-1338- 1 1
1400 ALABAMA ST LIC NO I IFAU/WALL FURNACE
ISAN GABRIEL, ,CA 91775 551372/C10 1 I
1 ICOMBUSTION AIR OPENINGS I I
(ARCHITECT OR ENGINEER - TEL NO IDUCT WORK
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1 I I
1 LIC NO- 1 1AC/COMPRESSOR
1 ITHERMOSTAT I
(FIRE DAMPERS 1
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. I 1 (SMOKE DETECTION DEVICES I I
1 (COMMERCIAL HOOD 1
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1 (REPORT ID DPR264 ROUTE TO BS0508
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'WORKERS'COMPENSATION DECLARATION APPUCATMH FOP, PERNT
I hereby affirm that I have a certificate of consent To self ,
impure, or a certificate of Workers' Compensation Insurance, HEATING- - VENTILATING - AIR CONDITIONING
or a certified copy thereof (Sec 3800, Lab C ) 76A364C
CE-818(REV 10/81)
Poltcy No Company
❑ Certified copy Is hereby.furnished COUNTY OF•LOS ANGELES 'BUILDING AND SAFETY
❑ • Certified copy is filed with t ounty but ding spec- FOR APPLICANT TO•FILL IN BUILDING l 0
tion department ADDRESS l 1`1
(PRINT OR TYPE ONLY)
Date Appllcan LOCALITY c
NO TYPE OF APPLIANCE OR EQUIPMENT FEE
CERTIFICATE OF EXEMPTION F WORKE NEAREST
COMPENSATION INSURANCE CROSS ST L �-
(This section need not be completed if the work involved by ABSORPTION UNIT, BTU DISTRICT NO PROCESSED B
the permit is for one hundred dollars ($100)or less.)
AIR HANDLING UNIT, CFM ({/O
I certify that in the performance of the work for which this
permit Is Issued, I shall not employ erson In an nner
so as To become subject to the W fS Cam 5 io La s BOILER, BTU APPROVALS DATE IN`
R'S SIGNAT E
Date Apphcant COMPRESSOR, BTU ROUGH -�D
NOTICE TO APPLICANT If, after mak6b this Cer Ificate of VENTILATION SYSTEM FINAL -
Exemption, you should become 'subject to the Workers' { i
Compensation provisions of'the Labor Code, you must forth- EVAPORATIVE COOLER /, I i'TION
with comply with such provisions or this permit shall be
deemed revoked FURNACE FAU GRAVITY
LICENSED CONTRACTORS DECLARATION FLOOR BTU 0
I hereby affirm that I am licensed under provisions of Chapter 9 HEATER SUSPENDED UNIT
(commencing,with Section 7000) of Division 3 of the,Business WALL
and Professions Code, and,m license Is In full force and effect \
y e 1 P_ Cl�o iit e OD o
License Number C Llc Class V
Contractor D.Date ,'' 0
❑ - - �40Q4A
I am exempt under Sec , us
V
Plan check fee f
B 8P C for this reason e 0 0 0 0 8
a
al e, • #PERMIT ISSUING FEE $ v Q f
Date TOTAL FEE r I - 2(150
Signature -
OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT 00 - 20.5030:
1 hereby affirm that I am exempt from the Contractor's License D 0. 2 0 7—8 6
Law for the following reason (Section 7031 5, Business and NAME /
Professions Code)
❑ 1, as owner of the property, or my employees with ADDRESS
wages as their sole compensation,will do the work and CITY TEL NO
the structure Is not Intended or offered for sale(Section'
7044, Business and Professions Code)
OWNER h
❑ I, as owner of the property, am exclusively contracting
with licensed contractors to construct the project (Sec- MAIL /
Lon 7044, Business and Professions Code) ADDRESS L91 rim,
CONSTRUCTION LENDING AGENCY CITY �L - TEL NO LI 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 ) �fl
h
ADDRESS J!Rt 0
- -
Lender's Name ` ` \
CITY I Vvx� TEL,NO _ /qq,
Lender's Address � 111
STATE
'IqL LIC
I certify that I have read this application and state that the LICENSE NO CLASS »
above Information Is correct I agree to comply with all County
ordin es and State jaws relating to building' construction, -
an er by author, a re es tatives of this County to enter
u s e abov n In rty for Inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature pplicant or Age�t Date -