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HomeMy Public PortalAbout6228 MUSCATEL AVE_Mechanical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0511140016 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 ERT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 5904 LT: 6 UN: .002 6228 MUSCATEL AV N FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: SGAB CA 917752627 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN 5386-010-012 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, C 41 VENTILATION FAN 1.00 FAN 15.75 TENANT: TOTAL FEES 43.50 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 11/14/05 JK 05/13/06 OWNER: TEL. NO: FIN AT8 FINAL BY: CODE: CEO, DENNIS (626) 292-6921- ` 6228 MUSCATEL AV ir7aV oc_ SGAB 917752627 _RS R PTION OF WORK VENTILATION FAN APPLICANT: TEL. NO: TSUSHIMA - 317 W. MAIN ST #417 SPECIAL CONDITIONS: ALHAMBRA, CA 91801 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE MAR GERALD WAYNE (626) 646-1988- 8835 EMPEROR AVENUE LIC. NO FAU/WALL FURNACE SAN GABRIEL, CA 91775 4392978 COMBUSTION AIR OPENINGS ARCHITECT OR ENGINEER: TEL. NO: DUCT WORK TSUSHIMA, RICK K (626) 282-3417- g 317 W MAIN ST #417 LIC. NO: AC COMPRESSOR G ALHAMBRA, CA 91801 4392978 THERMOSTAT FIRE DAMPERS SMOKE DETECTION DEVICES COMMERCIAL HOOD * ADDITIONAL DATA ON FILE REPORT ID: DPR264 ROUTE TO: BSO508 76A36/111- CEBIBSI-9i75 APPLICATION FOR'PERMIT HEATING - VENTILATING - AIR CONDITIONING BUIL G AND SAFET IVISION 41 FOR APPLICANT TO FILL IN BUILDING IClZ7 M U, L (PRINT OR TYPE ONLY) DDRESS LOCALITY NO. TYPE OFAPPLIANCEOR EQUIPMENT FEE ;NEAREST CROSS ST. ABSORPTION UNIT, BTU __ OWNER SOLL9K30 ME AIR HANDLING UNIT, CFM MAILfln -^ ADDRESS MV .P7 l BOILER, BTU CITY ,3 6,pr,%R I L_ TEL. NO.; 4g+ COMPRESSOR, BTU CONTRACTOR J?jp , P o - VENTILATION SYSTEM ADDRESS a EVAPORATIVE COOLER CITY Az V SIATEL. NO. 3 9I J FURNACE: FAU GRAVITY STATE J �j LIC. / FLOOR BTU IZ2do LICENSE NO. L�%+7�IDC> CLASS �- HEATER: SUSPENDED-'UNIT- DISTRICT NO. GROUPZONE OCESSED BY Q- WALL x • 08 "Y Y 7ib''� S. C] INSPECTION RECORD w • LL ys Z Plan check fee 25% of above. PERMIT ISSUING FEE $ TOTAL FEE ` PLAN CHECK APPLICANT NAME ADDRESS al 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 REGULATING HEATING, VENTI- LATING, AIR CONDITIONING. I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION - APPROVALS DATE' INSPECTOR'S SIGNATURE OF CHAPTER 9, DIVISIO! OF THE BUSINES ND PROFESSIONAL CODE OF THE STATE 0 C L RN A. ROUGH ROUGH SIGNATURE FINAL OF PERMITTEE "'j �t°• PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. ASH. 2:6'4,Ll SFp '21 411 0 2_0.OA98 A 76A364C . CE-818 TRIM.6/78) r ®> APPLICATION FOR PERMIT HEATING - VENTILATING AIR -CONDITIONING COUNTY OF LOS ANGELES DUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDIN (PRINT OR TYPE ONLY) ADDRES NO. TYPE OF APPLIANCE OR EQUIPMENT 'FEE LOCALITY 'r NEAREST n 1 • CROSS ST. ABSORPTION UNIT,BTU OWNER AIR HANDLING UNIT CFM MAIL ADDRESS ��� BOILER,BT ' CITY TEL O 1 COMPRESSOR,BTU CONT CT ryl VENTILATION SYSTEM ADDRES EVAPORATIVE COOLER CITY TEL.NO. FURNACE: FAU GRAVITY STATELIC. a. FLOOR BTU LICENSE NO. CLA r� HEATER: SUSPENDED UNIT_ WALL pppgOVALS DATE INSPECTOR'S SIGNATURE ROUGH FINAL j>� __—�. O INSPECTION RECORD mg 10 Plan check fee 25 of above. PERMIT-ISSUING FEE$ 71.— Ila TOTAL FEE O� PLAN CHECK APPLICANT PLAN CHECK VALIDATION NAME V ^,T ADDRESS � p CITY TEL.NO. �2047A IHEREBY ACKNOWL T T I HAVE READ THIS APPLICATION AND STATE THAT THE ABO IS COR ECT AND EE TO COMPLY WITH ALL # o 0 o o 4 1 ORDINANCES AND LAWS R ULATING E ING, VENTILATING, AIR CONDITIONING. PERMIT VALIDATION 2 0 - 27,00 I HEREB!! ER THAT I'AM CTING IN VIOLATION OF CHAPTER 9,/D N THE BUSI SS AND PROFESSIONAL CODE 2 7 O O U OF THE STA? F C IA. o.0 0 SIGNATU OFPER. t� O �'- •�' 011,03'-79 DISTRICT NO-. /� PROLE ED BY Lp �/ ION WORKER'S h have certificate of consent to 7SM63DPW9189 APPA ATION FOR PERMIT LIME GREEN 7tiA364C I hereby affirm that I have a certificate of consent to self insure, or arcertificafe of Worker's Compensation Insurance, or a certifi�e� • e HFATING 1VENTILATING-AIR CONDITIONING copy thereof(Sec�y3800MLab.C.) Policy N fr 9,`� Compan . y COUNTY OF LOS ANGELES 'DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV. ❑ Certified copy is hereby furnishe'. y p FOR APPLICANT TO FILL IN BU LDING Certified copy Is filed with the count 692 Idin ns action AD L`RESS department. (PRINT OR TYPE ONLY) Date - Applicant NO. TYPE OF APPLIANCE OR EQUIPMENT FEE LOCALITY NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' CROSS ST. COMPENSATION INSURANCE ABSORPTION UNIT,BTU - ASSSR (This section need not be completed if the work Involved by the M P BOOK PAGE PARCEL permit is for one hundred dollars($100)or less.) AIR HANDLING UNIT,CFM DISTRICT NO. PROCESSED BY I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to BOILER,BTU I7® become subject to the Workers'Compensation Laws. � J x COMPRESSOR,BTU � APPROVALS DATE INSPECTOR'S SIGNATURE Date Applicant VENTILATION SYSTEM NOTICE TO APPLICANT: If, after making this Certificate of ROUGH Exemption,you should become subject to the Workers'Compensation EVAPORATIVE COOLER provisions of the Labor Code,you must forthwith comply with such FINAL provisions or this permit shall be deemed revoked. FURNACE: FAU GRAVITY VALIDATION LICENSED CONTRACTORS DECLARATION FLOOR BTU I hereby affirm that I am licensed under provisions of Chapter 9 HEATER: SUSPENDED UNIT (commencing with Section of Division 3 of the Business and WALL Professions Code,and my license is in full force and effect. License Number Lic.Class .3W,3 �'•' _ f i I EMo. Contractor Date �+ �J I}I i � o ' ❑ I gexempt under Sec. Plan check fee r• —r•: �� �,_� B.&P.C.for this reason PERMIT ISSUING FEE$ d:q +��HAN �!e I.Q Date: CHANGE .II� TOTAL FEE LL Signature c' PLAN CHECK APPLICANT cr OWNER-BUILDER DECLARATION + f12 1 hereby affirm that I am exempt from the Contractor's License Law NAME 1 tji 1113 19 for the following reason (Section 7031.5, Business and Professions Code): ADDRESS ❑ 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 �. LWAW ®� %ice ❑ I, as owner of the property, am exclusively contracting MAIL ,�1 with licensed contractors to construct the project (Sec- ADDRESS SA 1J. tion 7044,Business and Professions Code). CITY TEL.NO. CONSTRUCTION LENDING AGENCY �J 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 CITY TEL.NO. Lender's Address �/� 'i I certify that I have read this application and state that the above LICENSE NO. Tr 3a 70 CLLASS information is correct. I agree to comply with all County ordinances a State laws relating to building construction,and hereby authorize repro ntatt is County to enter upon the above-mentioned proper y fo n p tion r r SEE REVERSE FOR EXPLANATORY LANGUAGE SIG R OF PLICART OR AGENT DATE