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Home My Public Portal About9237 LOWER AZUSA RD_Mechanical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0912010011 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: 9237 LOWER AZUSA RD ON FILE FEE DESCRIPTION: QUANTITY: DOM: AMOUNT:[ TEMP CA 917803743 ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 18590-029-034 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPEL CITY, Cl 144 SPRAY BOOTH 1.00 BOO 65.40 TENANT: I TOTAL FEES 93.15 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: [JOE'S AUTO BODY I (12/01/09 SR 12/01/10 OWNER: TEL. NO: IFINAL DATE FINAL BY: CODE: JOE'S AUTO BODY - 19237 LOWER AZUSA RD. ]TEMPLE CIYT CA 91780 [DESCRIPTION OF WORK (INSTALL ONE PRE-FAB SPRAY BOOTH WITH FIRE PROTECTION AND [SERVICE PANEL 100 AMP APPLICANT: TEL. NO: [MONDRAGON (562) 755-0625- 114059 GARFIELD AVE. ISPECIAL CONDITIONS: PARAMOUNT, CA 90723 CONTRACTOR: TEL. NO: [APPROVALS DATE INSPECTOR SIGNATURE ]PERFORMANCE SYSTEMS CO. (562) 790-1762- 1 I 114059 GARFIELD AVE LIC. NO [FAQ/WALL FURNACE PARAMOUNT CA 90723 661143 B I [COMBUSTION AIR OPENINGS ARCHITECT OR ENGINEER: TEL. NO: [DUCT WORK LIC. NO: I ]AC/COMPRESSOR ]THERMOSTAT [ ]FIRE DAMPERS I ] ] I [SMOKE DETECTION DEVICES [ [ I [COMMERCIAL HOOD I �� I�%J' b I I I I ] I uh gh u1:- � [ I ] ] REPORT ID: DPR264 ROUTE TO: BS0508 [ ] [ ] COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT ' DEPARTMENT OF PUBLIC WORXS 9701 LAS TUNAS 148 0508 0608310027 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 9237 LOWER AZUSA RD FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803743 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: RI ONDO 8590-029-034 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: JS LOCALITY: TEMPLE CITY, C 35 ABU < 2000 CPM 1.00 ABU 12.90 TENANT: TOTAL FEES 40.65 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 08/31/06 JX 02/27/07 OWNER: TEL. NO: FINAL DATE FINAL CODE: TEMPLE CITY INDUSTRIAL PARK (805) 732-6393- 4134 TEMPLE CITY BL e1/�//�� ROSEMEAD DESCRIPTION OF WORK INSTALLATION AIR HANDLING UNIT APPLICANT: TEL. NO: TOM DUARTE (714) 730-3243- 2913 EL CAMINO REAL SPECIAL CONDITIONS: TUSTIN, CA 92782 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE JITNEY CO., INC. (714) 998-0995- 1057 E IMPERIAL HWY LIC. NO FAU WALL FURNACE SUITE# 605 719304 HIC PLACENTIA CA 92670 COMBUSTION AIR OPENINGS ARCHITECT OR ENGINEER: TEL. NO: DUCT WORK TRUSSNET 8105 IRVINE CENTER DR. LIC. NO: AC COMPRESSOR IRVINE, CA 92618 NONE THERMOSTAT FIRE DAMPERS SMOXE DETECTION DEVICES COMMERCIAL HOOD * ADDITIONAL DATA ON FILE REPORT ID: DPR294 ROUTE TO: BS0508 - I WORKER'S COMPENSATION DECLARATION 20.0048 DPW 9189 r,here4y affirm that I have a certificate of consent to self insure, ' �'G APPLICATION FOR PERMITGREEN�' ME or a certificate of Worker's Compensation Insurance, or a certified HEATING-VENTILATING-AIR CONDITIONING copy thereof(Sec b.C.) Poli o� Company•!�2��!/� COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV. Certified copy is hereby furnished. ❑ Certified copy is-filed with the cc u' Ing Ins ion FOR APPLICANT TO FILL IN poDHE p�.3 de rtnt. Cili�,��Y"�! (PRINT OR TYPE ONLY) Date �Applic t 7rmoo WW LOCALITY f NO. TYPE OF APPLIANCE OR EQUIPMENT FEE RTIFICATE OF EXEMPTIO FROM WORKERS' NEAREST COMPENSATION INSURANCE S"0 CROSS OR 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($100)or less.) AIR HANDLING UNIT,CFM �� DISTRICT NO. PROCESSED BY I certify that in the performance of the work for which this permit Is issued, I shall not employ any person in any manner so as to I BOILER,BTU become subject to the Workers'Compensation Laws. r COMPRESSOR,BTU APPROVALS DATE - INSP R' IGNATURE Date Applicant / 'VENTILATION SYSTEM NOTICE'TO.APPLICANT: If, after making this Certificate of l d ROUGH Exemption,you should become subject to the Workers'Compensation EVAPORATIVE COOLER provisions of the Labor Code,you must forthwith comply with such I FINAL provisions,or this permit shall be deemed revoked. I FURNACE: FAUGRAVITY VALIDATION 06065 LICENSED CONTRACTORS DECLARATION I FLOOR BTU I hereby affirm that I am licensed under provisions of Chapter 91 SUSPENDED UNIT I (commencing with Section 7000)of Division 3 of the Business and' HEATER: WALL l Professions Code,and my license is in full force and effect. License Number `' �3 Lic.Class i I VOID } 4—&a /J,,� 6 �!/ O 3303 —136 a�65 a Cont r' /�� '`6alIB ❑ I am exempt under Sec.. Plan Check fee a �i�3 - B.&P.C.for this reason PERMIT ISSUING FEE$ 33�� 136 65 Date: 1 TOTAL FEE _ Signature 1 ITEMS EMS U 1 PLAN CHECK APPLICANT , OWNER-BUILDER DECLARATION _ L ;o a s 1 hereby affirm that I am exempt from the Contractor's License Law NAME pop.for the following ieason(Section 7031.5, Business and ProfessionsCHEVNI% a •_ Code):. ADDRESS CHANGE I, as owner of the property, or my employees with wages °4U as their sole compensation, will do the work and the CITY TEL.NO. structure is not intended or offered for sale (Section 7044; Business and Professions Code). . I OWNER 0000-0001 6I 6/95 ❑: .1, as owner of the property, am exclusively contracting MAIL 0766 1 PM 3a36 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 r� r I performance of the work for which•this permit is issued ONTRACTOR Q(,�� j r-� —_I L+L C4 (Sec.3097,Civ.C.). l ,/� �/ '� C3 I ADDRES igUE�!ia1 f f L?J�}WC3 � + � __j Lender's Name �^ p f 1 CITY •1 TEL.NO./� 6Q1!!� _4 Lender's Address a-` M I certify that I have read this application and state that the above LICENSE NO. I�� C°nss `� � cn Information is correct. I agree to comply with all County ordinances and State laws relating to building construction,and hereby authorize 3 01, r� repr Ives of thi ounty to enter upon the above-mentioned pert r in ec n purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE;; ID`' O'^ [-a .. 0-- k_,WG!ATK OF APP NT OR AGENT DATE 4f fi, I � WORKERS'COMPENSATION DECLARATION r. ( `I I/ �� 1 herebfy,affirm that I have a certificate of consent to self APPLICATION FOR PERMIT insure, or a certificate of Workers'Compensation Insurance) HEATING - VENTILATING AIR CONDITIONING or a certified copy thereof (Sec. 3800, Lab. C.) 76A364C i CE-818(REV. 10/81) Policy No. Company Certified copy is hereby furnished. I COUNTY OVLOS ANGELES BUILDING AND SAFETY E) tion copy is filed with the county building inspec-' FOR APPLICANT TO FILL IN BUILDING tion department. ADDRESS Q (PRINT OR TYPE ONLY) Date Applicant, Ir' LOCALITY NO. TYPE OF APPLIANCE OR EQUIPMENT FHE' r CERTIFICATE OF EXEMPTION FROM WORKERS' NEAREST COMPENSATION INSURANCE CROSS ST. (This section need not be completed if the work involved by ABSORPTION UNIT,BT.0 , DISTRICT IVO. PROCESSED BY the permit is for one hundred dollars(;100)or less.) interior ` ey AIR HANDLING UNIT,CFM 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 become subject to the W4K. 'Compens. ti n LOWS. BOILER,BTU APPROVALS DATE INS CTOR' N TURE Date ��Applicant • COMPRESSOR,BTU ROUGH01 A NOTICE TO A PLICANT: If, aftethis Certificalozf VENTILATION SYSTEM FINAL Exemption, you should become subject to the W kers' Compensation provisions of the Labor Code, you must forth- EVAPORATIVE COOLER VALIDATI 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 9i HEATER: SUSPENDED-UNIT- '(commencing USPENDED UNIT'(commencing with Section 7000)of Division 3 of the Business, WALL and Professions Code,and my license is in full force and.effect.1 I I. 0 License Number41.449., Class` , Contractor to ❑ • I am exempt under Sec. i CL Plan check fee B.BP.C. for this reason' PERMIT ISSUING FEE$ Date: \ TOTAL FEE 19 38, 1 'A Signature � , OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT #'o o;o o e 8 1 hereby affirm that I am exempt from the Contractor's License ' Law for the following reason (Section 7031.5, Business and NAME I -o'o 2 (1 5 0 Professions Code): ❑ 1, as owner of the property, or my employees with ADDRESS o --o20,506 wages as their sole compensation,will do the work and CITY TEL. NO. the structure is not intended or offered for sale(Section 0 3 =8 8 7044, Business and Professions Code). OWNER _ 0 ❑ 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. O. g I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued CONTRACTOR r' (Sec. 3097, Civ. C.). ADDRESS Lender's Name CITY ,10LTEL. NO. �$��117/ Lender's Address STATE LIC. 00 I 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' o rances and State laws relating to building construction, j h reby au horize representatives of this County to enter t e a v -mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 9/1 i Signature of Aoricant or Agent 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, HEATING - VENTILATING - AIR CONDITIONING or a certified copy thereof (Sec. 3800, Lab. C.) 76A364C CE-818(REV. 10/81) Policy No. Company Certified copy is hereby-furnished. COUNTY OF LOS ANGELES BUILDING AND SAFETY ❑ Certified copy is filed with the county building inspec- FOR APPLICANT TO FILL IN BUILDING tion department. o�tJ (PRINT OR TYPE ONLY) ADDRESS Date Applicant LOCALITY NO. TYPE OF APPLIANCE OR EQUIPMENT FEE CERTIFICATE OF EXEMPTION FROM WORKERS' NEAREST COMPENSATION INSURANCE 60 CROSS ST. (This section need not be completed if the work involved by ABSORPTION UNIT, BTU DISTRICT NO. 41, PROCESSEDY the peit is for one hundred dollars($100)or less.) AIR HANDLING UNIT,CFM —/�4/ G I certifythat in the performance of the work for which this ( t permit is issued, I shall not employ any person in any manner BOILERBTU so as to become subject to the Workers'Comp nsawtovs. , APPROVALS DATE I P CTOR'S SIGNATURE COMPRESSOR,BTU ROUGH -71 Date p pplicant yA I 14- NOTICE TO APPLICANT: If, after making this Certificate of VENTILATION SYSTEM FINAL Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- EVAPORATIVE COOLER VALIDATI N with comply with such provisions or this permit shall be deemed revoked. FURNACE: FAU GRAVITY LICENSED CONTRACTORS DECLARATION FLOOR BTU I hereby affirm that I am licensed under provisions of Chapter 9SUSPENDED UNIT '(commencing with Section 7000)of Division 3 of the Business HEATER: WALL and Professions Code,and my license is in full force and effect. O License Number Lic. Class , Contractor Date ❑ I am exempt under Sec.' L1 Plan check fee III. y B.&P.C. for this reason' Date: PERMIT ISSUING FEE$ Signature TOTAL FEE OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT S 2 8,3 A I hereby affirm that I am exempt from the Contractor's License , # 0 0 0 0 Law for the following reason (Section 7031.5, Business and NAME Professions Code): I, as owner of the property, or my employees with ADDRESS• � °;°2 (15.0 El wages as their sole compensation,will do the work and CITY TEL. NO. the structure is not intended or offered for sale(Section 7044, Business and Professions Code). OWNER' W� o 0,0 2 Q 5,0 5 ElI, as owner of the'property,am exclusively contracting ( 1. 04-87 ADDRE with licensed contractors to construct the project (Sec- AI tion 7044, Business and Professions Code). DDi CONSTRUCTION LENDING AGENCY CITY TEL.N(�Jg9, I hereby affirm that there is a construction lending agency for , the performance of the work for which this permit is issued CONTRACTOR (Sec. 3097, Civ. C.). ADDRESS Lender's Name 1141 CIN TEL. NO. Lender's Address STATE LIC. I 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 ordinances and State laws relating to building construction, and hereby authorize representatives of this County to enter p Jn the ab menti n property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of ArITpilcant or Agent Date