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HomeMy Public PortalAbout9677 LONGDEN AVE_Mechanical__ 7(�A364,,.�E 818 - 9-71 APPeATION FOR PERMIT HEATING - VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELES 'BUILDING DEPARTMENT OF COUNTY ENGINEER ' ADDRESS BUILDING AND SAFETY DIVISION ?LOCALITY +— r NEAREST CROSS ST. FOR APPLICANT TO FILL IN OWNER (PRINT OR TYPE ONLY) MAI L / NO. TYPE OFAPPLIANCEOR EQUIPMENT FEE ADDRESS CITY TEL. NO. O ABSORPTION UNIT, BTU CONTRACTOR AIR HANDLING UNIT, CFM ADDRESS BOILER, BTU CIT TEL. N COMPRESSOR, BTU .✓ S A E LIC. LICENSE NO. CLASS VENTILATION SYSTEM DISTRICT NO. GROUP ZONE SED BY EVAPORATIVE COOLERCD 8 —/ TFURNACE: FAU—GRAVITY. INSPECTION REC v FLOOR BTU HEATER: SUSPENDED UNIT_ OF W LL v W N Z Plan check fee 25% of above. See reverse. PERJIIT ISSUING FEE S 3 00 fOTAI. FEE 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 REGULATIN EATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE LATING, AIR CONDITIONING. _ �_ t G► I HEREBY CERTIFY TH AM NO A IN VIOLATION ROUGH OF CHAPTER 9, DIVISION THE BUS E R ESSIONAL INAL �(: ��• CODE OF THE STATE OF FORNIA. �•- d t'� SIGNATURE PERMIT VALIDATION CK. M.O. CASH OF PERMITTEE PLAN CHECK VALU6AtION CK. M.O. CASH SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 76 A364 — CE ata — 9-71 APPLICATION FOR PERMIT HEATING - VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS _ BUILDING AND SAFETY DIVISION LOCALITY 3 NEAREST CROSS ST. FOR APPLICANT TO FILL IN OWNER (PRINT OR TYPE ONLY) MAIL NO. TYPE OFAPPLIANCEOR EQUIPMENT FEE ADDRESS CITY TEL. NO. 7 O y ABSORPTION UNIT, BTU s CONTRACTOR AIR HANDLING UNIT, CFM ADDRESS BOILER, BTU CITY TEL. r Z COMPRESSOR, BTU &2d del -r 40 ST T ff LIC. LICENSE NO. CLASS VENTILATION SYSTEM DISTRICT NO. GROUP ZONE OCEBBED BY EVAPORATIVE COOLER 3O d FURNACE: FAUGRAVITY IJ J v FLOOR BTU INSPECTION RECORD HEATER: SUSPENDED UNIT_ o WALL v W �• DO z eo Plan check fee 25c of above. See reverse, PERMIT ISSCI\G FEE S 3 00 OTAI. FEFZO— Z— PLAN CHECK APPLICANT NAME ADDRESS CITY TEL.NO. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND'LAWS REG UL G HEATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE LATING, AIR CONDITIONING. ROUGH I HEREBY CERTIFY TH AM A NG VIOLATION OF CHAPTER 9, DIVISION THE AND ROFESSIONA ; FINAL CODE OF THE STATE OF IFORN SIGNATURE PERMIT VALIDATION CK. M.0. CASH OF PERMITT PLAN CHECK IDATION CK, M.O. CASNv j 5 01'011 -L04 2 D 4,/ ":1 r.: SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE WORKERS'COMPENSATION DLCLARATION I CEA 818(2-80) APPLICATION FOR PERMIT I hereby affirm that I have S certificate of consent to self i insure, or a certificate of Workers'Compensation Insurance,or HEATING-VENTILATING-AIR CONDITIONING "fl a cert,;Oic copy there f(Sec.3800yj,ab. ) P tcy/)�4/0. G OZ Company3� ® Certified copy is hereby furnished. COUNTY OF LOS ANGELES �" BUILDING AND SAFETY Certified copy is filed with the county build' p' s tion FOR APPLICANT TO FILL IN BUILDING 17 7 E-44ZAQ14PAI Date d $; Applicant o (PRINT OR TYPE ONLY)' ADDRESS / LOCALITY1100, CERTIFICATE OF EXEMPTION FROM WORKERS' NO. TYPE OF APPLIANCE OR EQUIPMENT FEE COMPENSATION INSURANCE NEAREST (This section need not be completed if the work involved ABSORPTION UNIT,BTU CROSS ST. a by the permit is for one hundred dollars (5100) or less.) DISTRICT NO. P OCESSED BY ti V 1 certify that in the performance of the work for which this AIR HANDLING UNIT,CFM �' 'y �/ permit is issued, I shall not employ any person in any manner 0 J IJ d O so as to become subject to the Workers' Compensation Laws. BOILER, BTU APPROVALS DATE INSPECTOR'S SIGNATURE V Date Applicant COMPRESSOR,BTU ROUGH 7 O d NOTICE TO APPLICANT: If, after making this Certificate of VENTILATION SYSTEM FINAL �°�' - Z Exemption, you should become subject to the Workers' ,Compensation provisions of the Labor Code, you must forth- EVAPORATIVE COOLER VALIDATION with comply with such provisions or this permit shall be emed revoked. FURNACE: FAU GRAVITY LICENSED CONTRACTORS DECLARATION FLOOR: BTU �Q rihereby affirm that I am licensed under provisions of Chapter HEATER: SUSPENDED UNIT / 9 (commencing with Section 7000)of Division 3 of the Busi- WALL �U6 ness and Professions Code, and my license is in full force and p �� effect, License Number V J Lic.Class s� -Z a Contractor " / _ /`f'��� OF IDI am exemp from the licensing requirements as I am a licensed architect or a registered professional engineer Plan check fee 25%of above. acting in my professional capacity (Section 7051, Bus- r/ iness and Professions Code). PERMIT ISSUING FEE$ d Lic,or Reg.No. Date TOTAL FEE ,S�d 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 5 G�, 1 A structure is not intended or offered for sale (Section CITY TEL.NO. 7044,Business and Professions Code). -I-- / -" 0 0 0 0 0 0 ❑ I, as owner of the property, am exclusively contracting OWNER - with licensed contractors to construct the project AIL � (�` 2 o 0 1 6 5 0 (Section 7044,Business and Professions Code). ADDRESS V/ C� CONSTRUCTION LENDING AGENCY -CITY TEL.N . 0 0 c c (' I hereby affirm that there is a construction lending agency ' ' —C for the performCONTRACTOR performance of the work for which this permit is �� S/IV issued(Sec.3097,Civ.C.). ` A Lender's Name ADDRESS .76 EOY U Lender's Address CITY , EL.NO. I certify that I have read this application and state that the STATE Z LIC. 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 County to enter u on Ite ve-mentioned property for insp do purpose. Signature of Pe;We 7 Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1004220014 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 1 9677 LONGDEN AV 1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917801457 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 15383-019-009 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, C 1 102 COMPRSR < 100 KBTU 2.00 COM 54.00 [ (TENANT: 108 FURNACE/HEATER <100 2.00 UNI 54.00 TISSUED ON: PROCESSED BY: PLAN BY: 1 1 I TOTAL FEES 135.75 104/22/10 SR 1 (OWNER: TEL. NO: FjXAJk DATE FI BY: CODE: 1 ITEMPLE BETH DAVID (626) 287-9994- 1 [ � 1 19677 LONGDEN AV ITEMP 917801457 IDESCRIPTION OF WORK 1 1 1 1HEATING & AIR CONDITIONING IHA E OUT 1 (APPLICANT: TEL. NO: I I I IDUGAN (760) 716-2281- 1 1 1 132528 SUNNYVAIL CIR. I ISPECIAL CONDITIONS: ITEMECULA, CA 92592 1 1 ICONTRACTOR: TEL. NO: 1 [APPROVALS DATE INSPECTOR SIGNATURE 1 IDUGAN HEATING AND AIR CONDITIONING (760) 716-2231- 1 [ 132528 SUNNYVAIL CIRCLE LIC. NO I 1FAU/WALL FUR= 1 1 ITEMECULA, CA 92592 907192 C20 1 1 6 1 1 1 ICOMBUSTION AIR OPENINGS [ I I I I I (ARCHITECT OR ENGINEER: TEL. NO: 1 [DUCT WORK I LIC. NO: 1 1AC/COMPRESSOR 1 I I (THERMOSTAT 1 1 I IFIRE DAMPERS I I I I I I 1 ISMOKE DETECTION DEVICES 1 1 1 [COMMERCIAL HOOD I 1 1 I [ I I [ [ [ I I [ I I I I I I I I I i I I I IREPORT ID: DPR264 ROUTE TO: BS0508 I 1 I I [ I [ I [ I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0208080009 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 9170 PHONE: (626) 285-0488 EXT: LEGAL ID: S PAID BUILDING ON FILE 9677 LONGDEN AV FEE DESCRIPTION: QUANTITY: LION: AMOUNT: TEMP CA 917801457 ASSESSOR INFOR14ATION NEAREST CROSS STREET: KAUFFMAN 5383-019-009 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY 41 VENTILATION FAN 2.00 FAN 31.50 TENANT: TOTAL FEES 59.25 ISSUED 0N: PROCESSED : PLAN EXPIRES ON: 08/08/02 JK 02/04/03 OWNER: TEL. NO: FINAL BY: CODE: TEMPLE BETH DAVID (626) 287-9994- 9677 LONGDEN AV EE X71 RE TEMP 917801457 DESCRIPTION-OF W0 INSTALL NEW VENTILATION FANS PPL NO: SEAN CURRAN (626) 443-9984- 10920 GRAND AVENUE SPECIAL CONDITIONS: TEMPLE CITY s _" CONTRACTOR: TEL. NO: s`•`f:;r +• % APPROVALS DATE INSPECTOR SIGNATURE ----- SC IG ATURESC CONSTRUCTION (626) 443-9984- 10920 GRAND AVENUE LIC. NO FAU ALL FURNACE TEMPLE CITY, CA 91780 805476 B ` '•,: _` \ ` t COMBUSTION AIR OPENINGS ARCHITECT ENGINEER: TEL. NO: DUCT WORK I, LIC. NO: - AC/COMPRESSOR THERMOSTAT FIRE DAMPERS • 1 -� - _ SMOKE C O DEVICES COMMERCIAL HOOD REPORT ID: DPR264 ROUTE TO: BS0508