HomeMy Public PortalAbout5817 MYDA AVE_Mechanical__ • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0407120006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL I EES PAID BUILDING ADDRESS:
TP.: 5905 LT: 122 5817 MYDA AV
FEE DESCRIPTION: QUANTITY: UO14: AMOUNT: TEMP CA 917801824
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ROSEMEAD BLVD.
5387-014-019 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE'CITY, C
03 COMPRSR 101 500 KBTU 1.00 COM 52.20
TENANT: 30 AIR INLETS/OUTLETS 3.00 UNI 13.05 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 93.00 07/12/04 JK 01/08/05
OWNER: TEL. N0: FINAL D E riNAL BY: CODE
LIU, HUATANG (626) 309-5062-
5817 MYDA AV D RIPTI N F WORK
'f EMP 917801824
NE HVAC
APPLICANT: TEL. 0:
NG (626) 215-2212-
9515 E. CAMINO REAL SPECIAL CONDITIONS:
ARCADIA, CA 91007
CONTRACTOR: TE NF O: APPROVALS V DATE INSPECTGHaSIGNATURE
LIU, HUATANG (626) 215-2212-
5817 MYDA ST. LIC. NO FAU/WALL FURNACE
TEMPLE CITY, CA 91780 NONE
COMBUSTION AIR OPENINGS
ARCRi ECT OR GINEER: TEL. NO: "— lDc'Rv h10u
[ORIENTAL CONSTRUCTION CO. (626) 215-2212- _
9515 E. CAMINO REAL LIC. NO: AC/COMPRESSOR
�ARCADIA, CA 91007 NOPE
THERMOSTAT
FIRE DAMPERS
SMOKE DETECTION DEVICES
COMMERCIAL HOOD
I
I
i
REPORT ID: DPR264 ROUTE TO: BS0508 I—
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0404150014
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING DDR SS:
TR: 5905 LT: 122 5817 MYDA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801824
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ROSEMEAD BLVD.
5387-014-019 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, C
30 AIR INLETS/OUTLETS 3.00 UNI 13.05
TENANT: 47 ALTER EXIST DUCT SYS 1.00 SYS 27.00 ISSUED ON: PROCESSED BY: PLAN BEXPIRES N:
TOTAL FEES 67.80 04/15/04 VG 10/12/04
OWNER: TEL. NO: FINAL E FINAL BY: CODE:
LIU, HUATANG (626) 309-5062-
5817 MYDA AV -
TEMP 917801824 RPSFPTIUN UF WORK
T D DUCT TO ADDITION WITH 3 OUTLETS
APPLICANT: TEL. 0:
NG (626) 215-2212-
9515 E. CAMINO REAL SPECIAL CONDITIONS:
ARCADIA, CA 91007
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
LIU, HUATANG (626) 215-2212-
5817 MYDA ST. LIC. NO FAU/WALL FURNACE
TEMPLE CITY, CA 91780 NONE
COMBUSTION AIR OPENINGS
ARCHITECT OR NGINEER- TEL. NO: DUCT WOR
ORIENTAL CONSTRUCTION CO. (626) 215-2212-
9515 E. CAMINO REAL LIC. NO: AC/COMPRESSOR
ARCADIA, CA 91007 NONE
THERMOSTAT
FIRE DAMPERS
SMOKE DETECTION DEVICES
COMMERCIAL HOOD
REPORT ID: DPR264 ROUTE TO: BS0508
S COMPENSATION DECLARATION 2MO4 200046 DPW 9/89 APPLICATION FOR PERMITLIME GREEN
�.. C
I hereby cts,rmNlnat I have a certificate of consent to self insure,
or a cegIficato of Worker's Compensation In rance, or a certified HEATING-VENTILATING-AIR CONDITIONING
copy thereof(Sec.3800 Lab.C.)
G`
Policy No. p 3•)2 Company C� COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV.
❑ Certified copy Is hereby furnished. d
BUILDING of /
Certified copy is filed with the county inspe FOR APPLICANT TO FILL IN ADDRESS �+i!
dep m nt. (PRINT OR TYPE ONLY) <.. ����rrr///
Date �� f Applican� , LOCALITY
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
CERTIFICATE OF EXEMPTION FROM WONEAREST
RISA S'
COMPENSATION INSURANCE/ CROSS ST.
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 BOILER,BTU
become subject to the Workers'Compensation Laws.
COMPRESSOR,BTU r
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
LICENSED CONTRACTORS DECLARATION FLOOR BTU V LIDATION
I hereby affirm that I am licensed under provisions of Chapter 9 SUSPENDED UNIT
(commencing with Section 7000)of Division 3 of the Business and HEATER: WALL
Professions Code,and my license is in full force and effect.
r
License Number LID.Class
CL
Contractor Date 3� C
❑ I am exempt under Sec. Plan Check fee a
D
BAP.C.for this reason PERMIT ISSUING FEE F
Date: TOTAL FEE iL
Signature ' ACCTe4
PLAN CHECK APPLICANT -- U.
OWNER-BUILDER DECLARATION 3307 42.00 G
1 hereby affirm that I am exempt from the Contractor's License Law NAME i ITEMS
for the following reason(Section 7031.5, Business and Professions
Code): ADDRESS TOTAL 143-0113
❑ I, as owner of the property, or my employees with wages
as their sole compensation, will do the work and the CITY TEL.NO. CHECK 48.0)
structure is not intended or offered for sale(Section 7044, - u,+r
Business and Professions Code). OWNER CHANGE .00
❑ I, as owner of the property, am exclusively contracting MAIL
with licensed contractors to construct the project (Sec- ADDRESS ! �Ii{�1f�Ff1 nryr'f-�i f to
tion 7044,Business and Professions Code). . LFLt1i��-0001 t8.r! 5/7_
CONSTRUCTION LENDING AGENCY CITY TEL.NO. 2 ' C e n
I hereby affirm that there is a construction lending agency for CONTRACTOR19- , 5194 1 AM10:22
the performance of the work for which this permit is issued
(Sec.3097,Civ.C.). `O
ADDRESS 3
Lender's Name
CITY TEL.NO.
Lender's Address STATE LIC. �
I certify that I have read this application and state that the above LICENSE NO. CLASS C
-�
information is correct. I agree to comply with all County ordinances 14
and State laws relating to building construction,and hereby authorize
representatives Stjqs County to enter upon the above-mentioned
property for c' n purposes. , SEE REVERSE FOR EXPLANATORY LANGUAGE
SIGNATUR OF APPLICANT OR GENT PTE.