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Home My Public Portal About6129 MUSCATEL AVE_Mechanical__ ION WOthat I have a certificate of consent to 20.0048 DPW 9/89 APPLICATION FOR PERMIT LIME GREEN 78A364C I hereby affirm that I have a certificate of consent to self insure, or a certificate of Worker's Compensation Insurance, or a certified HEATING-VENTILATING-AIR CONDITIONING copy thereof(Sec.3800 Lab.C.) Policy No. Company Cl/✓l� 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 r ADDRESS department. (PRINT OR TYPE ONLY) LOCALITY � G/'/�h'�1�� c,-/l Date / Z� d' Applicant ��""� NO. TYPE OF APPLIANCE OR EQUIPMENT FEE CERTIFICATE OF EXEMPTI N FROM WORKERS' NEAREST CROSS ST. COMPENSATION INSURANCE ABSORPTION UNIT,BTU This section need not be completed if the work Involved ASSESSOR G ( b P Y the MAP BOOK 15� � PAGE Q PARCEL D�� permit Ig for one hundred dollars($100)or less.) AIR HANDLING UNIT,CFM DISTRICT NO PROCESSED BV I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to BOILER,BTU become subject to the Workers'Compensation Laws. O COMPRESSOR,BTU APPROVALS DATE INSPECTOR'S SIGNATURE Date Applicant VENTILATION SYSTEM NOTICE TO APPLICANT: If, after making this Certificate of ROUGH 1-Z74 Exemption,you should become subject to the Workers'Compensation EVAPORATIVE COOLER provisions of the Labor Code, you must forthwith comply with such FINAL provisions or this permit shall be deemed revoked. FURNACE: FAU GRAVITY LICENSED CONTRACTORS DECLARATION FLOOR BTU ALIDi4TION I hereby affirm that I am licensed under provisions of Chapter 9 SUSPENDEDUNIT (commencing with Section 7000)of Division 3 of the Business and f HEATER: WALL Professions Code,and my license is in full force and effect. -- �.. ACCT.v 7 48 M License Number Lic.Class ` / S '' I ITEMS c Contractor Ale- Date r A p� �A ❑ I am exempt under Sec. PIBrI Check fee TOTAL 43®(30 a B.&P.C.for this reason PERMIT ISSUING FEE$ C�i 48.0 Date: TOTAL FEE Q �,Lnl E al LCL Signature I,. a PLAN CHECK APPLICANT U OWNER-BUILDER DECLARATION tp�ri�� {t q 6 s 1 hereby affirm that I am exempt from the Contractor's License Law NAME ® ° `" W VII—IM0S • 11/25/92 for the following reason(Section 7031.5, Business and Professions L f 7 pry Code): ADDRESS 070•.1 1 A r 883047 ❑ 1, as owner of the property, or my employees with wages 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). OWNER E] I, as owner of the property, am exclusively contracting MAIL // ��y with licensed contractors to construct the project (Sec- ADDRESS A /Y C lft(S , tion 7044, Business and Professions Code). CITYTEL.NO. CONSTRUCTION LENDING AGENCY l/ sla�L' I hereby affirm that there is a construction lending agency for CONTRACTOR �n tKe performance of the work for which this permit Is issued (Sec.3097,Civ.C.). ADDRESS Lender's Name CITY TEL.NO. 'S Y Lender's Address I certify that I have read this application and state that the above LICENSE NO. W/ G /C� CLLASS 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' spection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Z "'�—''� /J d SIGNATU fI F APPLICANT OR AGENT r DATE WORKERS'COMPENSATION DECLARATION APPLICATION FOR PERMIT I hereby affirm that I have a certificate of consent to self insure,pW a-ceryicate of Workers'Compensation Insurance, HEATING - VENTILATING - AIR CONDITIONING Policy N or a certified copy Cher f(Sec. 3800, Lab. C.) 76A364C CE-818(REV. 10/81) - Company COUNTY OF LOS ANGELES BUILDING AND SAFETY Certified copy is hereby furnished. ❑ Ce tifted copy is filed with the county buildigty inspec- FOR APPLICANT TO FILL IN BUILDING Ab t II rtment. ` (PRINT OR TYPE ONLY) ADDRESS16 {/ Ddtt Applicant TY�' LOCALITY NO. TYPE OF APPLIANCE OR EQUIPMENT FEE 6 CERTIFICATE OF EXEMP FR WORKERS' NEAREST COMPENSATION INSURANCE CROSS ST. (This section need not be completed if the work involved by ABSORPTION UNIT, BTU DISTRICT NO PROCESSED BY the permit is for one hundred dollars($100)or less.) AIR HANDLING UNIT,CFM A` I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner BOILER, BTU so as to become subject to the Workers'Compensation Laws. APPROVALS DATE INJ.PE R'S SIGNATURE Date Applicant COMPRESSOR, BTU ROUGH NOTICE TO APPLICANT: If, after making this Certificate of VENTILATION SYSTEM FINAL Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- EVAPORATIVE COOLER VALIDATI N with comply with such provisions or this permit shall be < deemed revoked. FURNACE: FAU GRAVITY LICENSED CONTRACTORS DECLARATION FLOOR BTU I hereby affirm that I am licensed under provisions of Chapter 9 HEATER: SUSPENDED UNIT '(commencing with Section 7000)of Division 3 of the Business WALL and Professions Code,and my license is in full force and effect. C License Numb r J[ Lic. Class JAA Contractoi Date 0 Pi 6 �' 0 ❑ I am exempt under Sec. Plan check fee °' B.&P.C. for this reason o a r 0, %0 c2 2 PERMIT ISSUING FEE$ Date: I G06-68 Signature TOTAL FEE Z� OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and NAME Professions Code): ❑ I, as owner of the property, or my employees with ADDRESS 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). ]I,p"',..� �y OWNER �•W !" ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec- A /-"'DDRESS tion 7044, Business and Professions Code). r O CONSTRUCTION LENDING AGENCY CITY TEL. NO. 1 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.). Fd\ mgk Cd&e. ADDRESS / f f �/�f C Lender's Name CITY Q TEL. NO. Lender's Address STATE LIC. I certify that I have read this application and state that theLICENSE NO. CLASS above information is correct. I agree to comply with all County 48 ordinances and State laws relating to building construction, ,—d—hereby authorize representatives of this County to enter U pon Jc)bove:-,m ention property for insp coon pur ses. SEE REVERSE FOR EXPLANATORY LANGUAGE a , � ° Signature of App 6 t or Agent tote i COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0807150016 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I ITR: 5903 IT: 53 UN: .002 I 1 6129 MUSCATEL AV N 1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:I SGAB CA 917752624 1 ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LONGDEN 15386-009-052 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl 1 102 COMPRSR < 100 KBTU 1.00 COM 27.00 [ 1 ITENANT: 08 FURNACE/HEATER <100 1.00 UNI 27.00 11SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1 1 30 AIR INLETS/OUTLETS 8.00 UNI 34.80 107/15/08 SR 01/11/09 1 I I TOTAL FEES 116.55 1 I [OWNER: TEL. NO: I IF D TE FINAL BY: CODE: 1 IMOO, CHING YANG (626) 287-0879- I 1 I 16129 MUSCATEL AV I I ISGAB 917752624 1 IDE%CRIFVION OF WORK I I [INSTALL AIR CONDITIONING AND TING SYSTEM TO EXISTING I IHOUSE 13 SEER SPLIT 5 TON UNIT "DAY & NIGHT" 1 (APPLICANT: TEL. NO: I I I [SAME AS OWNER [ [ [SPECIAL CONDITIONS: [ I I I [CONTRACTOR: TEL. NO: [ (APPROVALS DATE INSPECTOR SIGNATURE 1 ISAME AS OWNER - I I I I LIC. NO [ 1FAU/WALL FURNACE [ I [COMBUSTION AIR OPENINGS 1 [ARCHITECT OR ENGINEER: TEL. NO: IDUCT WORK I I I I LIC. NO: I IAC/COMPRESSOR I [ I [THERMOSTAT 1 I I [FIRE DAMPERS I I [ I [ ISMOKE DETECTION DEVICES I I [ I [ [COMMERCIAL HOOD I I I I I I I I I I I I I I I I I ]REPORT ID: DPR264 ROUTE TO: BS0508 I 1 [ [ I I I [ I I