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HomeMy Public PortalAbout9635 LAS TUNAS DR_Mechanical__ 76 A364 - CE 818 - 9-71 APPLI ATION FOR PERMIT HEATING - VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELES AD RESS96 Etas Tunas 'Dr. DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY Temple City NEAREST a �..: ...,s:•,.......,.. CROSS ST. I [lyYk.(�i�L�✓ FOR APPLICANT TO FILL IN OWNER Llo d' s. Bank (PRINT OR TYPE ONLY) MAIL 9636 Las Tunas -Dr. No. TYPE OFAPPLIANCE OR EQUIPMENT FEE ADDRESS CITY Temple City TEL. No. 256-1121 ABSORPTION UNIT, BTU CONTRACTOR KAMOR ENGINEERING, AIR HANDLING UNIT, CFM ADDRESS 60 No. San Gabriel Blvd. BOILER, BTU CITYTEL. NO. pasaderia 795.-7523 COMPRESSOR, BTU STATE ],6.506.4 . LI SS C-20 LICENSE NO. VENTILATION SYSTEM DISTRICTT NO. �CGRODU P• /+LONE PROC SSED BY EVAPORATIVE COOLER ��. a `� C� 0- FURNACE: FURNACE: FAU_GRAVITY INSPECTION RECORD v FLOOR BTU HEATER: SUSPENDED-UNIT- WALL­ USPENDED UNIT_WALL' v LSI Modify Duct Sxsten� to3; z accommo: a, e new cei Plan check fee 25% of above. See reverse. PERMIT ISSUING FEE S o TOTAL FEE 7.•50 PLAN CHECK APPLICANT NAME ADDRESS CITY TEL.NO. I HEREBY 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 INSPECTOR'S SIGNATURE LATING,AIR CONDITIONING. ROUGH a I HEREBY C &FEMS1 NOT ACTING IN VIOLATION OF CHAPTER , IVI SINESSA D PROFESSIONAL FINAL CODE OF THE T TE F SIGNATURE PERMIT VALIDATION CK. °� M.O. CASH OF PERMITT PLAN CH C VALIDATION CK. M.O. CASH 4 0 %". .B 2 6 4 1 .5 0�« d SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE WORKER'S COMPENSATION DECLARATION 20-0046 DPW 9189 I LIME GREEN., I her(' affirm2hat I have a certificate of consent to self in ' APPLICATION FOR PERMIT or a certificate of Worker's Compensation,Insurance, or a certified HEATING VENTILATING-AIR CONDITIONING copy thereof(Sec.3800 Lab.C.) I Policy No. Company COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV. ❑ Certified copy is hereby furnished. ❑ Certified co g p is filed with the county building Inspection FOR APPLICANT TO FILL IN BUILDING department. (PRINT OR TYPE ONLY) ADDRESS w� . Date Applicant LOCALITY j C' NO. TYPE OF APPLIANCE OR EQUIPMENT FEE CERTIFICATE OF EXEMPTION FROM WORKERS' NEAREST CROSS COMPENSATION INSURANCE Z 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($100)or less.) AIR HANDLING UNIT,CFM DISTRICT NO. PROCESSED BY I certify that in the performance of the work for which this permit Is Issued, I shall not employ any person in any manner so as to BOILER,BTU become subject to the Workers'Compensation Laws. COMPRESSOR,BTU Date �-+~ Applicant VENTILATION SYSTEM APPROVALS DATE INSPECTOR'S SIGNATURE NOTICE TO APPLICANT:.If, after making this Certificate of ROUGH Exemption,you should become subject to the Workers'Compensation. EVAPORATIVE COOLER --�' provisions of the Labor Code,you must forthwith comply with such FINAL ��9 provisions or this permit shall be deemed revoked.LICENSED CONTRACTORS DECLARATION• FLOOR —BTU FAU BTU r;1 Zvi GRAMVIVO I VALIDATION I hereby affirm that 1 am licensed under provisions of Chapter 9 SUSPENDED UNIT (commencing with Section 7000)of Division 3 of the Business and HEATER: WALL Professions Code,and my license is in full force and effect. 't • v .4c b License Number SC�7��b Lic.Class � ANT' O . ® 3303 11 b.4: > Contractor f'A c n_ Co i Date k4-94 -E 1117 ❑ I am exempt under Sec. Plan Ch@C ee r le., Q 140 TOTAL x.76.®2 a B.&P.C.for this reason PERMI ISSUING FEE$ CHECKj '7i I F Date: TOTAL FEE CHANGE UI� u Signature12 OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT / p •�� U, I hereby affirm that I am exempt from the Contractor's License Law NAMEk' ® t rl isi.i i . � '�`a` forJhe.following reason (Section 7031.5, Business and Professions 1 IS C e: -, T 0-38 © ) ADDRESSA77 (.l�C.1JY1a ��17 .. 6,��0;1 s �� � � 1, as owner of the property, or my employees with wages as their sole compensation, will do the work and theCITY A TEL.NO.SI ,yf3- structure is not intended or offered for sale (Section 7044, / am Business and Professions Code). OWNER F1 I, as owner of the property, am exclusively contracting MAIL. with licensed contractors to construct the project (Sec- ADDRESS tion 7044,Business and Professions Code). CITY TEL.NO. CONSTRUCTION LENDING AGENCY e 1 hereby affirm that there is a construction lending agency for CONTRACTOR ® 1 the performance of the work for which this permit Is issued t 1 (Sec'.3097,Civ.C.), ADDRESS , C U #ZZb Lender's Name CITY Q�++``�-��� D r TEL.NO. - \1 A J -Y loin Lender's Address STATE LIC. r of I certify that I have read this application and state that the above LICENSE NO.Sd?JQ b CLASS 7 information Is corral, I agree to comply with all County ordinances and State laws relating to building construction,and hereby authorize representatives of this County to enter upon the above-mentioned property for i speCtion purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE NATURE OF APPLICA OR AGENT DATE 1 I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS9701 LAS TUNAS ME 0508 0212160007 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 I PHONE: (626) 285-0488 EXT: LEGAL 10: __MES PAID BU=NG ADDRESS: TR: 6561 LT: 174 BL: .001 I 9635 LAS TUNAS DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802109 ASSESSOR IN0 I NEAREST CROSS STREET: CAMELLIA 8587-019-035 f 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY IIII 35 AHU < 2000 CFM 1.00 AHU 12.90 37 AHU > 10000 CFM 1.00 AHU 65.40 ISSUED 0N: PROCESSED EXPIRES ON: WELLS FARGO BANK 147 ALTER EXIST DUCT SYS 1.00 SYS 27.00 12/16/02 JK 06/14/03 I TOTAL FEES 133.05 OWNER: TEL. NO: F DAT FINAL CODE: WELLS FARGO BANK - } �� 1350 FASHION VALLEY SAN DIEGO I b SC !-ION 0F WORK MECHANICAL FOR T.I. APPLICANT: TEL. NU- RON TRAVILLION (909) 303-8008- 32836 WOLF STORE RD SPECIAL CONDITIONS: TEMECULA 92592 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE K C CONSTRUCTION SERVICES, INC. (909) 303-8008- 32836 WOLF STORE ROAD LIC. NOFURNACE TEMECULA, CA 92592 700592 B COMBUSTION AIR OPENINGS ARCHITECTOR ENGINEER: E 44 DUCT URBON ARCHITECTURE (619) 523-9686- 4353 OSPREY ST LIC. NO:,1 AC COMPRESSOR SAN DIEGO, CA NONE, I THE OSTA FIRE DAMPERS SMOKE D O COMMERCIAL HOOD REPORT ID: DPR264 ROUTE TO: BS0508