HomeMy Public PortalAbout9215-9517-9519 LONGDEN AVE_Mechanical__ • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0708200002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ON FILE I I 9519 LONGDEN AV I
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801611 I
(ASSESSOR INFORMATION NUMBER: I 1 NEAREST CROSS STREET: I
15382-020-056 101 PERMIT ISSUANCE FEE 27.75THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl
1 102 COMPRSR < 100 KBTU 1.00 COM 27.00 1 I
ITENANT: 08 FURNACE/HEATER <100 1.00 UNI 27.00 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
I 130 AIR INLETS/OUTLETS 7.00 UNI 30.45 108/20/07 SR 02/16/08 I
1 1 TOTAL FEES 112.20 1 1
(OWNER: TEL. NO: I IFINAL DATEFI SY: CODE: I
ING WARREN;WENNY;CHAN LAWRENCE K (626) 786-0081- I I 1
15107 HALIFAX RD I &&q I
I TEMP 917803453 1 1� I
MPTION OF WORK
INSTALL AIR CONDITIONING AND HEATING SYSTEM I
(APPLICANT: TEL. NO: I I
ILAWRENCE (626) 786-0081- I I I
15107 N. HALIFAX RD. I ISPECIAL CONDITIONS: I
ITEMPLE CITY CA 93.780 I 1 I
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I
ILKC ASSOCIATES, INC. (626) 786-0081- I I
IP 0 BOX 1704 LIC. NO I 1FAU/WALL FURNACE I
IARCADIA, CA 91077 772902 B I I 0 I I
ICOMBUSTION AIR OPENINGS I I I
(ARCHITECT OR ENGINEER: TEL. NO: I (DUCT WORK I I I
I
LIC. NO: 1 1AC/COMPRESSOR
1 I ITHERMOSTAT I
I I I I I
IFIRE DAMPERS I I I
I I ISMOKE DETECTION DEVICES 1 I I
I I ICOMMERCIAL HOOD I I I
I I I
I I I I I I
I I I I I I
I I I I I I
I I I 1 I I
I 1 I I I
I I I 1 I I
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1 I I I I I
1 I I I I I
IREPORT ID: DPR264 ROUTE TO: BS0508 I I I
I I I I I
WOR,j4�RS'COMPENSATION DECLARATION CEA 8 8(2•BO) A PP L.ICAT I O I� FOR PERMIT
I hereby a. Irm that I have a' certificate of consent to self
insure,or a certificate of Workers'Compensation Insurance,or HEATING-VENTILATING-AIR CONDITIONING
a certified copy thereof(Sec.3800 C.)
Policy No. Compa �� i
❑ Certified copy is hereby furnished. COUNTY OF LOS ANGELES /� BUILDING AND SAFETY
❑ Certifi d copy is filed with the county building ins®pect(pn FOR APPLICANT TO FILL IN F
DLD IRESS /Dot .pplicantdr (PRINT OR TYPE ONLY)
CALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO. TYPE OF APPLIANCE OR EQUIPMENT FEE I,/}�COMPENSATION INSURANCE O S ST t'. (�.-�`%���"v ` aOSS ST.
(This section need not be completed if the work involved ABSORPTION UNIT, BTU O
by the permit is for one hundred dollars (5100) or less.) DISTRICT NO. PROCESSE ev U
I certify that in the performance of the work for which this AIR HANDLING UNIT,CFM /n�
permit is issued, I shall not employ any person in any manner V� O
so as to b co subject to the Workers'Co pensa;ion Laws. BOILER,BTU
// APPROVALS � DATE INSPECTOR'S SIGNATURE LJJ
Do Applicant Applicant d� E�'Ce COMPRESSOR,BTU 36-6)o
ROUGH 1099' a to W
NOTICE TO APPLICANT: If, after making this Certificate of VENTILATION SYSTEM FINAL ) Z
Exemption, you should become subject to the. Workers'
Compensation provisions of the Labor Code, you must forth- EVAPORATIVE COOLE �/J VALIDATION
with comply with such provisions or this permit shall beL(4 *C�
deemed revoked. FURNACE: FAU r
LICENSED CONTRACTORS DECLARATION FLOOR: BTU yy ''ll
I hereby affirm that I am licensed under provisions of Chapter HEATER: SUSPENDED UNIT 320
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.
icense Numb ;4 Lic.Class
5 �3`c Date
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. Data�� 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-
ness and Professions Code): ADDRESS
❑ I, as owner of the property, will do the work and the r
structure is not intended or offered for sale (Section CITY TEL.NO. 6 Q p,
7044,Business and Professions Code).
❑ OWNER ,� -. o 0 0 0 [l 1
I, as owner of the property, am exclusively contracting g '
with licensed contractors to construct the project MAIL C:/vv�. 2 0 - 47.00
(Section 7044,Business and Professions Code). ADDRESS
CONSTRUCTION LENDING AGENCY CITY - TEL.N 0 0 0
I hereby affirm that there is a construction lending agency
for the performance of the work for which this permit is A.,
issued(Sec.3097,Civ.C.).
Lender's Name Lender's Address I certify that I have read this application and state that the IR.XF929 above information is correct.I agree to comply with all County
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 ,abov -mentioned property for
Spec ' n p es.
Si ature of Permittee Dat
76
WORKERS'COMPENSATION DECLARATION CEA 818C(2-80) A P P L IC ATI O N FOR PERMIT
I hereby affirm that I have a' certificate of consent to self
insure,or a certificate of Workers'Compensation Insurance,or HEATING-VENTILATING-AIR CONDITIONING
a certified copy thereof(Sec.380 C.) 'fl
Policy No. Comp, COUNTY OF LOS ANGELES BUILDING AND SAFETY
❑ Certified copy is hereby furnished.
Certified c py is filed with the ca6unty uildiin/'g/inspect' n FOR APPLICANT TO FILL IN BUILDIN
Dat
Applicarl� �-� (PRINT OR TYPE ONLY)14WADDRESS
V LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS' NO. TYPE OF APPLIANCE OR EQUIPMENT FEE f Gp
COMPENSATION INSURANCE NEAREST
(This section need not be completed if the work involved ABSORPTION UNIT,BTU CROSS ST. a
by the permit is for one hundred dollars ($100) or less.) DISTRICT NO. PROCESS 9Y V
I certify that in the performance of the work for which this AIR HANDLING UNIT,CFM. /'
permit is issued, I shall not employ any person in any manner L6 V OM
S02 to b co ubject to the Work rs'Co pen tiotr L WS. BOILER,BTU
/' APPROVALS DATE INSPECTOR'S SIGNATURE10.
V
Da tk Applicant COMPRESSOR,BTU
ROUGH • v N
NOTICE TO APPLICANT: If, after making this Certificate of VENTILATION SYSTEM FINAL 12^1,9 z
Exemption, you should become subject to the Workers'
Compensation provisions of the Labor Code, you must forth- EVAPORATIVE COOLE VALIDATION
with comply with such provisions or this permit shall be
deemed revoked. FURNACE: FAUBTU /
LICENSED CONTRACTORS DECLARATION KGC/
I hereby affirm that I am licensed under provisions of Chapter HEATER: SUSPENDED UNIT
9 (commencing with Section 7000) of Division 3 of the Busi- WALL
ness and Professions Code, and my license is in full force and 3 7
effect. XY q y-y
Lyen;Nu !� Lic.Cl /"�ontate z �✓
I am exempt from the licensing requirements as I am a
licensed architect or a registered professional engineer Plan check fee 25%of above.
acting in my professional capacity (Section 7051, Bus-
iness and Professions Code). PERMIT ISSUING FEE$
Lic.or Reg.No. Date TOTAL FEE 'J
HOME OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT
I hereby affirm that l am exempt from- the Contractor's NAME
License Law for the following reason (Section 7031.5, Busi-
ness and Professions Code): ADDRESS
I, as owner of the property, will 'do the work and the CITY TEL.NO. 2 5 9'9 A
structure is not intended or offered for sale (Section
7044,Business and Professions Code). OWNER # 0 0 0 0 4
❑
I, as owner of the property, am exclusively contracting 2 0. 0 1 7.00
with licensed contractors to construct the project MAIL
(Section 7044,Business and Professions Code). ADDRESS
o 0 0 C'CONSTRUCTION LENDING AGENCY
CITY TEL 1 i (?V
I hereby affirm that there is a construction lending agency CONTRALTO 1 Q 1 4_80
for the performance of the work for which this permit is '
issued Sec.3097,Civ.C.). '
Lender s Name ADDRESS Q
Lender's AddressCITY TEL.N /,Z
i
I certify that I have read this application and state that the I STATE LIC. CZeV
above information is Correct.I agree to comply with all County LICENSE NO. CLASS
ordinances and State laws regulating Heating, Ventilating and
Air Conditioning,and hereby authorize representatives of this SEE REVERSE FOR EXPLANATORY LANGUAGE
L County to enter upon the above-mentioned ropert for
inspe 'un pu es.
nature ot7ermiffiei Date
.bWOIZzI0RS'COMPENSATION DECLARATION -76�A364'C" %� "-r
IT
I hereby affirm that I have v certificate of consent to self CE-818(2-80) d"qq� L IC PIT I O 1w�. '11�-O R P E Ir0
insure,or a certificate o(Workers'Compensation Insurance,o'r HEATING-VENTILATING-AIR CONDITIONING
is certified copy thereof(Sec.3800 C.)
No.
Policg Certified
hereby
COUNTY OF LOS ANGELES BUILDING AND SAFETY
Certified copy is hereby furnished. � r
• , i
Certifi d copy is filed with the county building inspectipn F�R
�' � .II FOR APPLICANT TO FILL IN
.Dat ,' Applicant (PRINT OR TYPE ONLY)
Y
CERTIFICATE OF EXEMPTION FROM WORKERS' NO.: TYPE OF APPLIANCE OR EQUIPMENT FEE
COMPENSATION INSURANCE „ d
.
(This section need. not be completed if the work involved ABSORPTION UNIT,BTU- n . O
.by the permit is, for one hundred dollars ($300) or less.) 1 DISTJICT NO. PROCESSE By- U
I certify that in the performance of the work.for which this AIR HANDLING UNIT,CFM
!j
.,,permit is issued, I'shall•not employ any person in any manner 0 0
so as to b co subject to the Workers' Co pensation Laws. BOILER.-BTU
' /JJ 'I • {/�.• i APPROVALS ' DATE INSPECTOR;SSIGNATURE W
DaL6S�y�� Applicant COMPRESSOR,BTU " Q� ROUGH,. taA
NOTICE TO APPLICANT: If, after making this Certificate-of VENTILATION SYSTEM ' r
Exemption, you should become subject to the. Workers' FINAL
Compensation provisions'of'the Labor Code, you must forth- K VALIDATION "
'with comply with•'suchl'piovisions 6r this permit. shall be'. EVAPORATIVE COO E
deemed revoked:
��
FURNACE: FAU
LICENSED CONTRACTORS DECLARATION FLOOR: BTU . 'l
I hereby affirm that 1 am licensed under provisions of"6ipter n HEATER: SUSPENDED UNIT 5 376
9 (commencing with Section 7000)of Division 3 of the Busi- WALL
ness and Professions Code, and my license is in full force and
effect.
icense Num Lic:Class
• � Date. .�, ,. - •. '. ..R :.
I.
I am exempt from the licensing requirements as I am a
licensed-architect' or a'registered professional engineer Plan check fee,25%of.above.
acting in my,'professional. capacity (Section 7051, Bus- ' I '
in.ess and-Professions Code).' PERMIT ISSUING.FEE$
L(c.or.Reg.No: ' 1)ata� TOTAL FEE
HOME OWNER-BUILDER DECLARATION :. PLAN CHECK APPLICANT
I hereby affirm that I am exempt from-'the Contractor's j, NAME
License, Law for the,following'reason,(Section 7031.5, Busi-
.ness ana,,Professions C(xde): f: ADDRESS
3;'as owner of the property, will do the work and the
structure is not intended or'offered -for sale'(Section
' CITY TEL.NO. 2.6 O O:A'
7044,Business and Professions.Code). OWNER 4 1
_ o,0 0 0 ,
I, as owner'of the property, am exclusively contracting
with licensed contractors to construct the project AMAIL
DDRESS 2.'o ' 47.00
(Section 7044,Business and Professions Code).
�. .. ,�.,TE L.N „, 0.0 (j '] Q 9 CONSTRUCTION LENDING AGENCY � CITV'.
'•I hereby affirm:that there is'a construction lending agency I QT) _8 O•
for "the performance of the work for which this permit is CONTRALTO r
issued(,Sec.3097,Civ.C.)., g
Lend'er's Name 74 ADDRESS
Lender's Address CITNde? TEL.NO
I certify that 1 have read this application,and .state that the ! STATE / LIC.
above information is correct.I agree to comply with all County LICENSE NO. C 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 upon the'fbov •mentioned property for
Si attire of Permittee Dat _ _ __ _
,WO KERS'COMPENSATION DECLARATION 7GA364C '
R cE.B,aizBo, �PPL.ICie1Tl0 . F'OR-PERM11' -
I hereby affirm that I have a' certificate of consent to self
insure,or a certificate of Workers.'Compensation Insurance,Or HEATING-VENTILATING-AIR CONDITIONING
a certified copy thereof(Sec.380 .C.)
Policy No. • Cbmp�, n✓r
0 Certified copy is hereby furnished. COUNTY OF LOS ANGELES BUILDING AND SAFETY
i
1�5Certified c py,'is filed with the c my uildin inspect' n . • FOR APPLICANT TO FILL IN BUILDIN `
Dat�N�Applica .I (PRINT OR TYPE ONLY) ADDRESS
LOTY
CERTIFICATE OF EXEMPTION FROM WORKERS' NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ICALI �p
COMPENSATION INSURANCE I NRAO
(This section need not be completed 'if the work involved ABSORPTION UNIT,BTU CROSS ST, a
by the permit is for one hundred dollars ($100) or less.) DISTRICT NO. PROCESSyb aY V
I certify that in the .performance of the work for which this.. AIR HANDLING UNIT,CFM S'/'� o=
permit is issued, I shall not employ any person in any manner I V
so as to b co.. bject'to,the Work rs'Co en tion L ws• BOILER.,BTU , - sO`--
//'' APPROVALS DATE INSPECTOR'S SIGNATURE V
I)at'e Applicant COMPRESSOR,BTU ROUGH °� CL
NOTICE TO APPLICANT: If, after making this Certificate of VENTILATION SYSTEM N
Exemption, .you 'should become subject to the Workers' FINAL 1 ►1 Z
Compensation provisions of the Labor Code, you must forth-
with comply with such provisions or this permit shall be EVAPORATIVE COOLEVALIDATION.
deemed revoked. 1
FURNACE: - FAU ,
LICENSED CONTRACTORS-DECLARATION FLOOR.: BTU / O
-I hereby affirm that I am licensed under provisions of Chapter' HEATER: SUSPENDED UNIT.
9'(commencing with Section 7.000)of Division 3 of the BnSi-.• WALL
ness and Professions Code,and my license is in full force,and ' S-970
effect:
L' ense N / Lie.Class
On ract r —IJate aJ s i
" I am exempt from the licensing requirements as'I am a' '
licensed architector a registered i professional engineer :i Plan check fee 25%of above.
acting in.my. professional capacity (Section 7051, Bus- '
mess and-Professions Code). PERMIT ISSUING FEE
Lie,or:Reg.NO.- _"Date ' TOTAL FEE
W
HOME ONER-BUILDER DELARATION 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-
ness and Professions Code): ADDRESS
M I, as owner of the property, will do the work and thea -:22 5 9.9 A' -
structure is not intended'or offered for sale (Section CITY .`YEL,NO.•
7044,Business and Professions-Code). #'0 0 q-'6 4, .1 ,
OWNER
I, as.owner of the property,.am exclusively contracting 2 7,
with licensed contractors to construct the project MAI,L. o 0
(Section 7044,Business and Professions Code). ADDRESS
CONSTRUCTION'
LENDIIVG'AGENCY CITY TEL.
T "0 0 -1 '] Q.d q
I hereby affirm that there is a construction lending agency 3 CONTRALTO I Q I. 4—8 0
for the performance of the work for which• this. permit is
issuedSSec.3097,Civ.C.).
Lender s Name ) ADDRESS001.1
Lender's Address CITY TEL.N57 7
I. certify that I have read this application'and state that the STATE ` LIC. ���
above information is correct.I agree to comply with all County :t LICENSE NO. t/_ CLASS. ;
ordinances and-State laws regulating Heating, Ventilating and
Air Conditioning, and hereby authorize representativesof this j SEE.REVERSE FOR EXPLANATORY LANGUAGE
County to enter upon the above-mentioned ropert for
inspe n pu. as. r .
nature o ermi tee Date