HomeMy Public PortalAbout9661 LAS TUNAS DR_Mechanical__ 76AS64e - `48'88'9/7S APPLICATION FOR PERMIT
• HEATING - VENTILATING - AIR CONDITIONING
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BUILDING AND SAFETY D SION
FOR APPLICANT TO FILL IN BUILDING
(PRINT OR TYPE ONLY) ADDRESS
LOCALITY
NO. TYPE OFAPPLIANCEOR EQUIPMENT FEE NEAREST
CROSS ST.
ABSORPTION UNIT, BTU
JOWNER £ U SO d Y'
AIR HANDLING UNIT, CFM MAIL
ADDRESS
BOILER, BTU CITY TEL. NO.
COMPRESSOR, BTU
CONTRACTOR
VENTILATION SYSTEM ADDRESS 67_;?,
EVAPORATIVE COOLER CITY Z u 6 a TEL. NO. t. 0
FURNACE: FAUGRAVITY STATE / / 0S LIC.
FLOOR BTU LICENSE NO. / CLASS oZQ 3
HEATER: SUSPENDED UNIT_ DISTRICT NO. GROUP ZONE P- CESSED BY ?,
WALL d
O
INSPECTION RECORD
V
w
a
z
Plan check fee 25% of above.
PERMIT ISSUING FEE $ 41ZJ
TOTAL FEE �l�)
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 ALL ORDINANCES AND LAWS REGULATING HEATING, VENTI-
LATING, AIR CONDITIONING.
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION APPROVALS DATE INSPECTOR'S SIGNATURE
OF CHAPTER 9, DIVISION 3, OF THE BUST 5 AND PROFESSI NA ROUGH
CODE OF THE STATE OF LIFER NI
SIGNATURE OF PERMITTEE FINAL1. ^-
PLAN CHECK VALIDATION PERMIT VALIDATION CK. M.O. CASH
CK, M.O. CASH
6 .5 11-2 OCT 1::, 4 1 0 1 2.0 0 •
WORKERS'COMPENSATION DECLARATION CEA 818 (2-80) APPLICATION FOR PERMIT
I hereby affirm that I have a' certificate of consent to self
insure, o a certificate of Workers'Compensation Insurance,or
a certifie�copy thereof(Sec.3800,Lab.C.) HEATING-VENTILATING-AIR CONDITIONING
Policy No. 'Company
Certified copy is hereby furnished. COUNTY OF LOS ANGELES BUILDING AND SAFETY
Certified copy is filed with the county building inspection FOR APPLICANT TO FILL IN BUILDING u
department. ADDRESS A
Date Applicant (PRINT OR TYPE ONLY)
LOCALITY 1Q
CERTIFICATE OF EXEMPTION FROM WORKERS' NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
COMPENSATION INSURANCE NEAREST 16 S t
(This section need not be completed if the work involved ABSORPTION UNIT, BTU CROSS ST. [ (" O
by the permit is for one hundred dollars ($100) or less.) DISTRICT NO. PROCESS D BY U
I certify that in the performance of the work for which this AIR HANDLING UNIT,CFM tY
permit is issued, I shall not employ any person in any manner 257� Q O
so as to become subject to the cers' Co atio Laws. BOILER, BTU /� 0
Date/�pplicant CO R SSO , BTU 0 0� APPROVALS DATE NSPECTOR'S SIGNATURE w
CL
ROUGH
to
NOTICE TO APPLICANT: If, after making this Certificate of VENTILATION SYSTE
Exemption, you should become subject to the Workers' FINALWRIA —
Compensation provisions of the Labor Code, you must forth- EVAPORATIVE COOLER VALIDATION
with comply with such provisions or this permit shall be
deemed revoked. FURNACE: FAU GRAVITY
LICENSED CONTRACTORS DECLARATION FLOOR BTU
I hereby 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 Number2 81 SO12 Lic.Class- l
Contractor l?A� Date 7 /,
�` r L'
I am exempt from the licensing requirements as I am a
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). PERMIT ISSUING FEE $
Lic.or Reg.No. Date TOTAL FEE
HOME OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT
I hereby affirm that I am exempt from- the Contractor's NAME
License Law for the following reason (Section 7031.5, Busi- �r /1 5 5 6 3 A
ness and Professions Code): ADDRESS
❑ 1, as owner of the property, will do the work and the tj • • • • • 8
structure is not intended or offered for sale (Section CITY 5e Q TEL. NO s'3
7044, Business and Professions Code). • • 2 3,50
OWNER
D1, as owner of the property, am exclusively contracting �" • • • 2 3.5 0 c=.)
with licensed contractors to construct the project MAIL
(Section 7044, Business and Professions Code). ADDRESS •I`
061 1 -82
CONSTRUCTION LENDING AGENCY CITY TEL.NO.
I hereby affirm that there is a construction lending agency
for the performance of the work for which this permit is CONTRACTOR C
issued(Sec. 3097,Civ.C.). /►�1 �p ^L ry�
Lender's Name ADDRESS•
Lender's AddressCITY or �,�C /4� TEL. NO.
1 certify that I have read this application and state that the STATEaa�, ^ LIC. 0
above information is correct.I agree to comply with all County LICENSE NO. V t✓ CLASS
ordinances and State laws regulating Heating, Ventilating and
Air Conditioning, and hereby authorize representatives of this SEE REVERSE FOR EXPLANATORY LANGUAGE
County to enter upo�e ab e-mentioned property for
insp n u,pose, //—
2.
Signature of Permittee ate
' WORKERS'COMPENSATION DECLARATION'% ` APPLICATION FOR PERMIT
I hereby affirm that I have a certificate of consent to self
insure, or a certificate of Workers'Compensation Insurance, I HEATING - VENTILATING - AIR CONDITIONING
or a certified copy thereof(Sec. 3800, Lob. C.) 76A364C
CE-818(REV. 10/81)
polity No. �ompany STATE COMPENSAT ION
Certified copy is hereby furnished. COUNTY OF LOS ANGELES / /
❑ BUILDING AND SAFETY
❑ Certified copy is filed with the county building inspec- I FOR APPLICANT TO FILL IN BUILDING 9661 LAS TUNAS DR o
tion department. (PRINT OR.TYPE ONLY) ADDRESS
Date 11—30-83 ApplicantTEMPLE AIR COND. LOCALITY TEMPLE CITY
' NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
CERTIFICATE OF EXEMPTION FROM WORKERS' NEAREST
COMPENSATION INSURANCE CROSS ST. TEMPLE CITY BLVD*
(This section need not be completed if the work involved by ABSORPTION UNIT,BTU DISTRICT NO. PROCESSED BY
the permit is for one hundred dollars($100)or less.)
I certify that in the performance of the work for which this AIR HANDLING UNIT,CFM J fJ, 6
permit is issued, I shall not employ any person in any manner
so as to become subject to the Workers'Compensation Laws. BOILER, BTU `, APPROVALS DATE INSPECTOR'S SIGNATURE
Date ' –V-83Applicant FRANK DEL IA COMPRESSOR,BTU .303000V ROUGH
NOTICE TO APPLICANT: If, after making this Certificate.of VENTILATION SYSTEM FINAL �Z2, ;
Exemption, you should become subject to the Workers'
Compensation provisions of the Labor Code, you must forth- EVAPORATIVE COOLER VALIDATION
with comply with such provisions or this permit shall be ()J
deemed revoked. FURNACE: FAU GRAVITY
LICENSED CONTRACTORS DECLARATION FLOOR BTU
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 my license is in full force and effect. CENTRAL HEATING BTU 70,,000
License Number2 � Lic. Class C-20 ® y
Contractor
FRANK DELIA Date 11-30-83 O
'
i=
❑ 1 am exempt under Sec. M
t�
Plan check fee CL
h
B.BP.C.for this reason'
PERMIT ISSUING FEES 0 ,,�Id r/ 1 4,Cr v
Date:
Signature TOTAL FEE t7 CJ f: o o.a a " F
OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT
I hereby affirm that I am exempt from the Contractor's License ® o o `� r_
Law for the following reason (Section 7031.5, Business and NAME PA's KELLY TRAVEL SERVICE o r, it(1 C
Professions Code): p
❑ I, as owner of the property, or my employees with ADDRESS 4 L � f'�N/�S
wages as their sole compensation,will do the work and CITY TEL.NO. �„
the structure is not intended or offered for sale(Section %'K- _C
7044, Business and Professions Code).
OWNER
❑ 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).
CONSTRUCTION LENDING AGENCY CITY TEL. NO.
I hereby affirm that there is a construction lending agency for
the performance of the work for which this permit is issued CONTRACTOR FRANK DELIA
(Sec. 3097, Civ. C.).
ADDRESS TEMPLE CITY BLVD.
Lender's Name
CITY ROSEMEAD TEL. NO. 448-4530
Lender's Address
STATE LIC. —
1 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
6rdinances and State laws relating to building construction,
and hereby authorize representatives of this County to enter
upon a aboventio ed property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
11-�D— 83
Signature of Applicant or Agent Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1205020028
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT: i
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ITR: 6561 LT: 134 I I 1 9661 C LAS TUNAS DR I
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917802103 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: KAUFFMAN
18587-020-017 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
1 . 130 AIR INLETS/OUTLETS 2.00 UNI 8.80 I
ITENANT: 141 VENTILATION FAN 1.00 FAN 15.80 IISSU�D ON: PROCESSED BY: PLAN BY: I
1 147 ALTER EXIST DUCT SYS 1.00 SYS 27.00 105/03/12 SR I
I I TOTAL FEES 79.40 1 I
(OWNER: TEL. NO: 1 IF�NA'L DATE FINAL BY: CODE:
1 LUKE, NANCY - 1 i,(/J �1
19661 C LAS TUNAS DR �b !i
ITEMP 917802446 1 IDESCRIPTION OF WORK 1
IALTERATION OF EXISTING DUCT SYSTEM, TWO AIR INLETS AND ONE
I I (VENTILATION FAN
APPLICANT: TEL. NO: 1 I I
SUNWAY BUILDER INC. (626) 378-7162- 1 1
2223 LENTA LANE 1 ISPECIAL CONDITIONS:
IARCADIA, CA 91006 I I
I I
(CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
ISUNWAY BUILDER INC. (626) 280-1234- 1 1 I
2223 LENTA LANE LIC. NO I 1FAU/WALL FURNACE I I 1
JARCADIA, CA 91006 850050B I I I I 1
I I ICOMBUSTION AIR OPENINGS I I 1
(ARCHITECT OR ENGINEER: TEL. NO: I IDUCT WORK
ILIM, CAMILLA (626) 378-7162- 1 1 1
12223 LENTA LANE LIC. NO: 1 IAC/COMPRESSOR I I 1
ARCADIA, CA 91006 12958C
I (THERMOSTAT I I 1
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I IF RE DAMPERS I I I
1 ISMOKE DETECTION DEVICES 1 I
1 ]COMMERCIAL HOOD I I
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I I(REPORT ID: DPR264 ROUTE TO: BS0508 I 1
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