HomeMy Public PortalAbout9431 LONGDEN AVE_Mechanical__ • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
• DEPARTMENT OF,PUBLIC WORKS 9701 LAS TUNAS ME 0508 0901070001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: I FEES PAID I BUILDING ADDRESS: 1
ON FILE I 1 9431 LONGDEN AV I
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917801609 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: OAK
15382-020-047 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl
I 102 COMPRSR < 100 KBTU 2.00 COM 54.00 I 1
TENANT: 108 FURNACE/HEATER <100 2.00 UNI 54.00 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
130 AIR INLETS/OUTLETS 12.00 UNI 52.20 101/07/09 SR 07/06/09 1
I 135 AHU < 2000 CFM 2.00 AHU 25.80 1
(OWNER: TEL. NO: 141 VENTILATION FAN 3.00 FAN 47.25 [FINAL P4TE FINAL Y: CODE:
ISUN TZYH DER (626) 292-6979- 1 TOTAL FEES 261.00 1 /�I I
19431 LONGDEN AV I I � `l
ITEMP 917801609 IDE8CRIPTIOPt OF WORK [
I I (INSTALL AIR CONDITIONING AND HEATING SYSTEM
I
(APPLICANT: TEL. NO: 1 I I
1Z. SUN & ASSOC. INC. (626) 705-2210- 1 I I
18653 GARVEY AVE. I ISPECIAL CONDITIONS: I
IROSEMEAD CA 91770 I I I
(CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE
ITZYH-DER SUN (626) 705-2210- 1 1
ISHANNON S MA LIC. NO I IFAU/WALL FURNACE I I
19431 LONGDEN AVENUE NONE I I [ I
TEMPLE CITY, CA 91780 i iCOMBUSTION AIR OPENINGS I I [
[ARCHITECT OR ENGINEER: TEL. NO: [ IDUCT WORK I I
1Z. SUN AND ASSOCIATES, INC. (626) 705-2210- I I I YL 2 1f
18653 GARVEY AVE #204 LIC. NO: I [AC/COMPRESSOR
IROSEMEAD, CA 91770 C19992 I I
I I (THERMOSTAT I [ I
I [ IFIRE DAMPERS 1
ISMOKE DETECTION DEVICES I I
ICOMMERCIAL HOOD I I
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I I I I I [
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IREPORT ID: DPR264 ROUTE TO: BS0508 I I [
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ORJ�EI have a certificate of consent to self insure, �64C APPLICATION FOR PERMIT LIME GREEN
R'S COMPENSATION DECLARATION 20-0046 DPW 9189 1 , d 3�1
I hereby affiWrm mat
3 7
or a dihificate ofFWorker's Compensation Insurance, orcert HEATING-VENTILATING-AIR CONDITIONING
copy th4re6f(Sed.3800 Lab.C.) `
Policy Ng��Company ' COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV.
❑ Certified copy is hereby furnished. �—/—JSL '
05---Certified copy is filed with the county building inspection FOR APPLICANT TO FILL IN BUIL ss (i'
UILDING
department. ) (PRINT OR TYPE ONLY)
Date Applicant UM Ll ULZ )1 1 11)l6Cl LOCALITY
�-- NO. TYPE OF APPLIANCE OR EQUIPMENT• t FEE
NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' CROSS ST.
COMPENSATION INSURANCE ABSORPTION UNIT,BTU
(This section need not be completed If the work Involved by the ASSESSOR
MAP BOOKPAGEOdLQ PARCEIO�
permit is for one hundred dollars($100)or less.) AIR HANDLING UNIT,CFM
DISTRICT NO. PROCESSED BY
I certify that in the performance of the work for which this permit
is issued, I shall not employ any person in any manner so as to BOILER,BTU �O O
become subject to the Workers'Compensation Laws. O
,} Q0 �]y .//y, (3 ') ) COMPRESSOR,BTU
7 � D I` llcant kJ t/ 1, DRi.'/ APPROVALS DATE INSPECTOR'S SIGNATURE
Date_, App• �� �� VENTILATION SYSTEM
NOTICE TO APPLICANT: If, after making this Certificate of ROUGH
Exemption,you should become subject to the Workers'Compensation EVAPORATIVE COOLER
provisions of the Labor Code,you must forthwith comply with such FINAL _
provisions or this permit shall be deemed revoked. / FURNACE: FAU -
LICENSED CONTRACTORS DECLARATION / FLOOR BTU �G'-O VALIDATION
I hereby affirm that I am licensed under provisions of Chapter 9 HEATER: SUSPENDED UNIT
(commencing with Section 7000)of Division 3 of the Business and WALL
Professions Code,and my license is in full force and effect.
License Number.414 g 1�1 Lic.Class
Contractor_ dA114 CAIRON Date t1l
❑ I am exempt under Sec. Plan Check fee O
Q
B.&P.C.for this reason PERMIT ISSUING FEE$ l fp OC
Date: TOTAL FEE 0,0W
clgSignatured2z ,
PLAN CHECK APPLICANT U
OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law NAME ,
for the following reason (Section 7031.5, Business and Professions "
Code): ADDRESS
❑ I, as owner of the property, or my employees with wages
as their sole compensation, will do the work and the CITY TEL.NO. --L ---° v
structure is not intended or offered for sale(Section 7044,
Business and Professions Code). OWNER
❑ I, as owner of the property, am exclusively contracting MAIL Mt. 10-2 - 00
with licensed contractors to construct the project (Sec- ADDRESS ;•. i.--,• --.i
tion 7044,Business and Professions Code). = =t'j` .Ltil:.°l
CONSTRUCTION LENDING AGENCY CITY TEL.NO. Jlj
I hereby affirm that there is a construction lending agency for CONTRACTOR
,
the performance of the work for which this permit is Issued
(Sec.3097,Civ.C..�),. c
C� D ADDRESS _ GLi—�.?71 e „ `.�.-
I `
Lender's Name 1 ,-r
n c CITY TEL.NO. _L, i� ;,._-1•
Lender's Address 94 ?/ L�,��r u `� 1 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
representatives of this County to enter upon the above-mentioned
property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
S AATUR4140 APPLICAT AGENT DATE