HomeMy Public PortalAbout9578 LAS TUNAS DR_Mechanical__ COUNTY QF LOS ANGELES TEMPLE CITY # 0506 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1005100007
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
ITR 6561 LT 628 I 9578 LAS TUNAS DR
I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802106
ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET TEMPLE CITY BLVD
18587-015-012 JOW P C FEE $109 35 MIN 0 00 130 05 THOMAS PAGE: 596 GRID J3 LOCALITY- TEMPLE CITY, Cl
1 140 EVAPORATION COOLERS 2 00 UNI 43 80
TENANT 141 VENTILATION FAN 2.00 FAN 31 50 JISSUED ON PROCESSED BY PLAN BY
ITEA STATION 143 COMM KITCHEN HOOD 2.00 HOO 130.80 105/11/10 SR
1 147 ALTER EXIST DUCT SYS 2.00 SYS 54 00 1
(OWNER TEL NO: 170 PC INDIV COMM HOOD 2 00 HOO 505.80 1FIN D1A E FINAL BY- CODE: I
IPAN, TERESA (626) 288-3785- 101 PERMIT ISSUANCE FEE 27 75 1 - 1
1158 W. VALLEY BLVD i TOTAL FEES 923 70 1 1
ISM GABRIEL CA 91776 1 IDE CRIPTION OF WORK A1
1 I (TENANT IMPROVEMENT RESTAURANT MECHANICAL
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(APPLICANT. TEL NO 1 I
1TAI, DANIEL (626) 359-3568- 1 1 I
1322 E FOREST AVE 1 1SPECIAL CONDITIONS 1
ARCADIA, CA 91006 1 1
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(CONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE 1
IATECK CONSTRUCTION INC (909) 393-9798- 1 1 1
115800 EL PRADO ROAD UNIT C LIC NO 1 1FAU/WALL FURNACE ❑( 1
I CHINO CA 91708 845160 B 1 1
1 1 1COMBUSTION AIR OPENINGS 1 I 1
(ARCHITECT OR ENGINEER TEL. NO1 (DUCT WORK I I
_ 1
I LIC NO: I JAC/COMPRESSOR 1
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1 1 (THERMOSTAT I 1
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1 1 1FIRE DAMPERS I 1 1
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1 1 (SMOKE DETECTION DEVICES 1 1 I
I 1 ICOMMERCIAL HOOD I 1 1
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1REPORT ID DPR264 ROUTE TO. BS0508 1 I
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WORKERS'COMPENSATION DECLARATION 76A364C o ,3) _7)5
I hereby affirm that I have a certificate of consent to self CE -818 (2-80)
insure, or a certificate of Workers'Compensation Insurance,or r L Q• r•�•�>-M
a certified copy thereof(Sec 3800,Lab C.) U ova
Policy No Company
Certified copy is hereby furnished
❑ Certified copy is filed with the county building inspection C_ - -- r i BUILDING n
de Ant (r®R AP?�ACANT d® ELI- IN 9� /*C
Do - Applicant II (PRINT OR TYPE ONLY) ADDRESS
LOCALITY NEAREST 7- it
TI ."ATE OF EXEMPTION FROM WORKERS' NO TYPE OF APPLIANCE OR EQUIPMENT FEE
- COMPENSATION INSURANCE "'J` I '-
i i se,. on need not be completed if the work involved ABSORPTION UNIT, BTU CROSS ST /—��r=7 / `�� ` _/ __ O
tfie p rmit is for one hundred dollars ($AG) or Iess.) DISTRICT NO// CESSEDED BY 0
I certify t in the performance of the work for which this _ AIR HANDLING UNIT,CFMy��C d� r ®�
permit is is ued, I shall not employ any person in any manner J O
So as to be co a subject to the W rke s' Comp sation Laws BOILER, BTU
J Q 1I APPROVALS DATE INSPECTOR'S SIGNATURE W
A pllcant_ _ ____' COMPRESSOR BTU_I��J DOU w ROUGH �� N
NOTICE f0 APPLICANT If, after making this Certificate of VENTILATION SYSTEM FINAL
Exemptir n, you should become subject to the Workers'
Compen,ation provisions of the Labor Code, you must forth- EVAPORATIVE COOLER VALIDATION
with co nply with such provisions or this permit shall be l
deemed evoked. j
FURNACE FAU GRAVITY
LICENSED CONTRACTORS DECLARATION FLOOR BTU
Ihere y affirm that i am licensed under provisions of Chapter HEATER SUSPENDED UNIT
9 (commencing with Section 7000) of Division 3 of the Busi- WALL
ness and Professions Code, and my license is in full force and
effect
License Number Lic.Class lel
Contractor Date
I am exempt from the licensing requirements as I am a j
licensed architect or a registered professional engineer Plan Check fee 25%of above.
acting in my professional capacity (Section 7051, Bus-
iness and Professions Code).
Lic.or Reg.No. Date I �++�u.?[a1.. r'c_ 71
�Q
HOME OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT
I hereby affirm that I am exempt from the Contractor's i NAME�A � s
License Law for the following reason (Section 7031 5, Bust- ( (>✓�
ness and Professions Code) ADDRESS �7 q
❑ I, as owner of the property, will do the work and the TEL N
structure is not intended or offered for sale Section CIT /� (iG O
� W
7044, Business and Professions Code). ( `I'7, F+
❑ !,OWNER -f =/ , xi
I, as owner of the property, am exclusively contracting L�+ �//'�� (J i ,_, 010 0 0 0 8
with licensed contractors to construct the project I MAIL < Vot (/�/Z�w�y C 71.50
(Section 7044, Business and Professions Code) ADDRESS o 0
CONSTRUCTION LENDING AGENCY CI^ ITY TEL.NO _ `�� r
I hereby affirm that there is a construction lending agencyI (� r
for the perfov 2 0 812'
rmance of the work for which this permit is CONTRACTOR
1 —
issued(Sec. 3097,Civ.C). r ^tJy��
Lender's Name ii ADDRESSII$��"
Lender's Address CITY v TEL NO
I certify that I have read this application and state that the ;TSTA E �}Q LIC. /��yq
above information is correct.i agree to comply with all County LLICENSE NO _ _00/ O_____—__ CLASS_ _ l�_w
ordinances and State laws regulating Heating, Ventilating and
Air Conditioning, and hereby authorize representatives of this SEE REVERSE FOR EXPLANATORY LANGUAGE
County to enter upon the above-mentioned properly for
�nsr,ect,on purposesnature of Permittee Date