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Home My Public Portal About4950 MCCLINTOCK AVE_Mechanical__ I 6A364—CE818-1-68 APPLICATION FOR PERMIT HEATING - VENTILATING - AIR CONDITIONING LJ COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER " BUILDING AND SAFETY DIVISION BUILDING [�>y JOHN A. LAMBIE. COUNTY ENGINEER ADORES 4 COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN CRoss sT. (Print or type only) OWNER No. TYPE OF APPLIANCE OR EQUIPMENT FEE MAIL ADDRESS c ABSORPTION SYSTEM, BTU Y TE AIR HANDLING UNIT, CFM CONTRACTOK 1 BOILER, HORSEPOWER ADDRESSr. . s COMPRESSOR, HORSEPOWER Y TEL. N ST LIC.. ' VENTILATION SYSTEM LICENSE NO CLASS DISTRICT NO. GROUP ZONE P CES-SE BY EVAPORATIVE COOLER FURNACE: FAU GRAVITY FLOOR—BTU INSPECTION RECORD v HEATER: SUSPENDED UNIT WALL ' C G Awl11 <i--2 of Luen NEW—ADDITION— PERMIT $ 3 00 ALTER—REPAIR— TOTAL FEE $ e I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTYORDINANCES AND STATE LAWS REGULATING HEATING, VENTILATING, AIR CONDITIONING. I HEREBY CERTIFY THAT I AM NOT ACTING IN--1(IOLATION OF CHAPTER 9, DIVISION 3 OF THE BUSINESS AND PROFISSIONAL CODE OF THE STATE OF IF NI APPROVALS DATE IN TOR'S SIV4ATURE SIGNATURE ROUGH OF PERMITTE FINAL C Gri , �"— rVA,LIDATION JACK R. ALLEN CK. M.O. CASH SUPERVISING MECHANICAL ENG.'-R7. 0 'l ME BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE `/��!� ' - • � ION Othat.1SCOMPENSATate of consent to 20oD46DPW 9/89 APPLICATION FOR PERMIT LAME GREEN -� hereby affirm thet,l hive a certificate of consent to self Insure, 76A384C or a certificate of worker's Compensation Insurance, or a certified HEATING-VENTILATING-AIR CONDITIONING copy thereof(Sec.3800 Lab.C.) Policy No. Company COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV. Certified copy is hereby furnished.. ❑ Certified copy Is filed with the county building inspection FOR APPLICANT TO FILL IN BUILDING department. (PRINT OR TYPE ONLY) ADDRESS l� DateApplicant LOCALITY NO. TYPE OF APPLIANCE OR EQUIPMENT FEE CERTIFICATE OF EXEMPTION FROM WORKERS' NEAREST COMPENSATION INSURANCE CROSS ST. ABSORPTION UNIT,BTU ASSESSOR (This section need not be completed if the work Involved by the O MAP BOOK PAGE PARCEL permit is for one hundred dollars($100)or less.) AIR HANDLING UNIT,CFM DISTRICT No PROCESSED BY I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to BOILER,BTU become subject to the Workers'Compensation Laws. .�9"t°sF�+'= COMPRESSOR,BTU /-� � I'✓0 0 C) Date Applicant APPROVALS DATE INSPECTOR'S SIGNATURE VENTILATION SYSTEM NOTICE TO APPLICANT: If, after making this Certificate of ROUGHr Exemption,you should become subject to the Workers'Compensation EVAPORATIVE COOLER provisions of the Labor Code,you must forthwith comply with such FINAL provisions or this permit shall be deemed revoked. FURNACE: FAU GRAVITY LICENSED CONTRACTORS DECLARATION FLOOR BTU VALIDATION 1 hereby affirm that I am licensed under provisions of Chapter 9 HEATERSUSPENDED UNIT : (commencing with Section 7000)of Division 3 of the Business and WALL Professions Code,and my license is in full force and effect. O � I 4-_sS License Number Lic.Class t �rn! �..�— /Q dQ ® 12 Contractor Date C ❑ Plan check fee 0 o r7 I am exempt under Sec. C BAP.C.for this reason PERMIT ISSUING FEE$ '3 D O Date: TOTAL FEE OY7 D O a Signature PLAN CHECK APPLICANT (f OWNER-BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's License Law NAME y h a for the following reason(Section 7031.5, Business and Professions Code): ADDRESS1,50 C 0,1 I/'1 o G� �i •1 i o 4 - I, as owner of the property, or my employees with wages as their sole compensation, will do the work and the -� 11 ' P CITY TEL.NO.S� / structure Is not Intended or offered for sale(Section 7044, i i'�`�:, Business and Professions Code). OWNERMar�4 t. _ I, as owner of the property, am exclusively contracting h n I_I l`iL 47_ [DO MAIL with licensed contractors to construct the project (Sec- ADDRESS w)_i _tti �7 a�(_ tion 7044,Business and Professions Code). c CONSTRUCTION LENDING AGENCY CITY TEL.NO. L Ht NGE n Coli 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.). ADDRESS Lender's Name r �t µ^ CITY TEL.NO. "- Lender's Address 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 o arty 4AA. insn purpo SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE R AGENT DATE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0812090012 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1TR: 4902 LT: 50 I I 4950 MCCLINTOCK AV IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:1 TEMP CA 917804103 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: GRAND 18574-023-016 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY, Cl 1 141 VENTILATION FAN 1.00 FAN 15.75 I 1 ]TENANT: I TOTAL FEES 43.50 11SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I I 112/11/08 SR 06/09/09 (OWNER: TEL. NO: I IFINAL �jATE FI /�Y: CODE: ] CAPRA DAVID OCK AV A (626) 279-9171- i I / 4950 MCCLINTOCK AV d1��1 / 1 ITEMP 917804103 1 ID SCRIPTIO OF WORK I 1 IVENTILATION FAN 1 (APPLICANT: TEL. NO: 1 I I ITOM (626) 287-0927- 1 1 15823 AGNES AVE. I ISPECIAL CONDITIONS: (TEMPLE CITY CA 91780 ] 1 1 (CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I ITOM O'LEARY CONSTRUCTION (626) 287-0927- 1 1 1 15823 AGNES AVENUE LIC. NO I 1FAU/WALL FURNACE I I I ITEMPLE CITY, CA 91780 489354 B-1 I I I I I I I ]COMBUSTION AIR OPENINGS I I 1 (ARCHITECT OR ENGINEER: TEL. NO: - I IDUCT WORK 1 I I LIC. NO: ] 1AC/COMPRESSOR I I I I I I I I (THERMOSTAT I I 1 1 I IFIRE DAMPERS I I I 1 ISMOKE DETECTION DEVICES I I I I I ]COMMERCIAL HOOD 1 ] I I ] I I I I 1 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 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 I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0202060005 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL 10:TR: 13384 LT: 6 S BUILDINGADDRESS: 5104 MCCLINTOCK AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803556 ASSESSOR INFORMATION NEAREST CROSS STREET: FREER 8574-005-007 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY 02 COMPRSR < 100 KBTU 1.00 COM 27.00 TENANT: 08 FURNACE/HEATER <100 1.00 UNI 27.00 ISSUED 0N-—PROCESSED N B : EXPIRES 0 : TOTAL FEES 81.75 02/06/02 JK 08/05/02 OWNER: TEL. NO: F NAL AT FINAL BY: CODE: ZAMORA JESUS J;SOLEDAD H (626) 442-4838- 5104 MCCLINTOCK AV .9—* /1 TEMP 917803556 INSCRIPTIONOF�WORT- C/O HVAC APPLICANT: L. 0: BARBARA BROWN (310) 253-5229- 3801 LENAWEE AVE SPECIAL CONDITIONS: CULVER CITY 90232 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR 5 GNATURE MIKE DIAMOND (310) 253-5229-X61 3801 LENAWEE AVE LIC. NO FA. L FURNACEq CULVER CITY, CA 42390 B/L 19951 * ^a COMBUSTION AIR OPENINGS ARCHITECT OR ENGINEER: TEL. 0: DUCT WORK LIC. NO: AC/COMPRESSOR C; - THERMOSTAT — FIRE DAMPERS SMOKE DETECTION E CS COMMERCIAL HOOD * ADDITIONAL DATA ON FILE REPORT ID: DPR264 ROUTE TO: SS0508