HomeMy Public PortalAbout9081 LONGDEN AVE_Mechanical__ ` ` f
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT' OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 9906140001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
EGAL ID: FEES PAID ___nILDING A RESS:
TR: 12115 LT: 2 9081 LONGDEN AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801512
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: HART
5382-021-034 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY
02 COMPRSR < 100 KBTU 1.00 COM 27.00
TENANT: TOTAL FEES 54.75 ISSUED 0 PROCESSED E S N:
06/14/99 UT 12/11
OWNER: TEL. 0: FINAL DATE FINAL BY CODE:
SHEA (626) 626-9612-678
9081 LONGDEN AV `�1 �,
TEMP 917801512 DESCRIPTION
RELOCATE COMPRESSOR
APPLICANT:
MAXIMA BUILDER (626) 456-4688-
2646 DURFEE AVE. 108 SPECIAL CONDITIONS:
EL MONTE, CA 91732
CONTRACTOR: T 0: J APPROVALS DATE INSPECTOR SIGNATURE
DONG QING WANG (626) 454-4688-
DBA MAXIMA BUILDER, INC. LIC. NO L FURNACE
2646 DURFEE AVE. #108 677550 B
EL MONTE, CA 91732 COMBUSTION AIR OPENINGS
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r' LIC. N0: - 1111111 AC/COMPRESSOR
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REPORT ID: DPR264 ROUTE TO: BS0508
761A364 — tE 818 — 9-71 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS jArlyrig
BUILDING AND SAFETY DIVISION LOCALITY C�
NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNERP,Lt�' _ oe
(PRINT OR TYPE ONLY)
MAIL
NO TYPE OFAPPLIANCEOR EQUIPMENT FEE ADDRESS 1
CITY C— / ; TEL NO. 3
ABSORPTION UNIT, BTU
CONTRACTOR
AIR HANDLING UNIT, CFM l '
ADDRESS b P
BOILER, BTU1
CITY e J I TEL. NO-7-4
O (:114(
COMPRESSOR, BTU STATE -a (:1
CLASS C-2,AA
LICENSE NO.
VENTILATION SYSTEM DISTRICT NO. GROUP ZONEPROCESSEE D� Y
�
EVAPORATIVE COOLER (N �'�r d
FURNACE: F AVITY C)U INSPECTIO RECOR v
FLOOR
HEATER. SUSPENDED UNIT_ L O�
WALL v
W
CL
C/)
Z
i
6.
Plan check fee 25% of above. See reverse.
PERN91T ISSUING FEE S 3 00
TOTAL FEE
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALLORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
LATING, AIR CONDITIONING
ROUGH
I HEREBY CERTIFY T I AM NOT ACTIN N VIOLATION
OF CHAPTER 9, DI VI SIO 3, F THE BUSINES AN ROFESSIONAL FINAL l �---
CODE OF THE STATE OF CAL ORNIA --
SIGNATURE PERMIT VALIDA N cK. ' M o CASH
OF PERMITTEE
PLAN CHECV LIDATION c M 0 cases CL
'LACo ^ 6.9 6N AUG 22 4 1 D 15,50-
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE '
WORKER'S COMPENSATION DECLARATION 20-0046 DPW 9/89 ���������®^n ®.� ���nn�� ��R
76A364C NIu� LNE
G E EI hereby affirm that I have a certrticate of consent to self Insure, �7
I'M'
or a certificate of Worker's Compensation Insurance, or a certified 'HEATING-VEN' ILATING -AIR CONDITIONING` I I
copy ther Sec 3800 Lab C) I/ u
Policy No Company COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND'SAFETY DIV.
Ir
❑ . Certified copy Is hereby furnished
Certified copy is filed with the building Ins ctio FOR APPLICANT TO FILL IN BDDRESS 9O 8 �`Z Pte`
department�j'`, (PRINT OR TYPE ONLY)
Date +� Applican LOCALITY
NO TYPE OF APPLIANCE OR EQUIPMENT FEE,
CERTIFICATE OF EXEMPTION FROM WORKERS' NEAREST
CROSS ST
-COMPENSATION INSURANCE
ABSORPTION UNIT,BTU ASSESSOR •
(This section need not be completed If the work Involved by the MAP BOOK PAGE PARCEL,
permit is for one hundred dollars($100)or less.) AIR HANDLING'UNIT,CFM
DISTRICT NO PROCESSED BY
],certify that in the performance of the work for which this permit
is Issued, I-shall not,employ any person in any manner so as to BOILER,BTU ,� V
become subject to the Workers'Compensation Laws O
`JD '
` COMPRESSOR,BTU OWZ) .
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 HEATER SUSPENDED UNIT
(commencing with Section 7000)of Division 3 of the Business and WALL
Professions Code;and,my licenseis
rin full force and effect
License Number �tl/7 111'
( / Lic Class Z O
CL
Contractor Date "' ` D O
❑ I am exempt under Sec Plan check fee
B&P C for this reason PERMIT ISSUING FEE 5 �p U
Date TOTAL FEE 0
W
Signature, Z.
PLAWCHECK APPLICANT - CO
OWNER-BUILDER DECLARATION a Z
I hereby affirm that I am exempt from the Contractor's License Law NAME
for the following reason (Section 7091 5, Business and Professions D *.
Coe) ADDRESS _ - J - .. h'1r.�•I s4 ,__
I, as owner of the prope'rty,`or my employees with wages
as their sole compensation, will do the work and the CITY z TEL'NO 3303 50. r
structure Is not Intended or offered for sale (Section 7044,
1 »
Business and Professions Code) OWNER lw,e ITEM": . '
❑ I, as,owner of the property, am exclusively contracting MAIL w JOTAL 50
with licensed contractors to construct the project (Sec- ADDRESS CHECK �_
tion 7044, Business and Professions Code) p/ CHECK 5e..0-15
CONSTRUCTION LENDING AGENCY CITY TEL NO Z8 O b 4+
I hereby affirm.that there is a construction lending agency for — CHANGE 'fill
the performance of the work for-which this permit is issued CONTRACTOR j <
(Sec 3097, Civ C) D l I t
ADDRESS 1. ISI jJ}U—I�I �(1
Lender's Name qq
CITY TEL TEL NO d(Q ��uv 1 AtrtI t
Lender's Address S 7y�
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 relating to building construction,and hereby authorize
rqprssasU,atIVeS of this Co my to enter upon the above-mentioned
property or inspe"onSEE REVERSE FOR EXPLANATORY LANGUAGE
E OO APPL C DATE