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Home My Public Portal About6355 OAK AVE_Mechanical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1408250005 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: I FEES PAID BUILDING ADDRESS: ON FILE 6355 #10 OAK AV jFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917801336 ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LONGDEN 15382-017-030 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY CAI I _102 COMPRSR < 100 KBTU 1.00 COM 27.00 TENANT: 108 FURNACE/HEATER <100 1.00 UNI 27.00 JISSUED ON: PROCESSED BY: PLAN BY: 131 AIR INLETS/OUTLETS 900.00 SQ 37.10 108/25/14 SR I TOTAL FEES 118.90 1 OWNER: TEL. N0: i IFWNTE FI Y: CODE: CASA ROBLES unZnuFNB MISSIONARY (818) 286-9455-16355 OAK AVW TEMP 917801336 CRIPT ON OF WORK REPLACE HVAC SYSTEM APPLICANT: TEL. NO: I I ILACEY, STEVE (626) 963-8383- I 1144 #B VALENCIA I GSPECIAL CONDITIONS: LENDORA CA 91741 CONTRACTOR: TEL. NO: IAP O S D CTOR SIG AT ICOMFORT ZONE INC. (626) 963-8383- I 1144 B VALENCIA LIC. NO I IFAU/WALL FURNACE ft IGLENDORA, CA 91740 760955 I I ICOMBUSTION AIR OPENINGS 1 ARCHITECT OR ENGINEER: TEL. NO: 1 IDUCT WORK I 1 I I_ LIC. NO: i IAC/COMPRESSOR 1 1 I I (THERMOSTAT 1 i FIR(; DAMPERS I I ISMORE DETECTION DEVICES I I I (COMMERCIAL HOOD I 1 I I 1 I I I 1 I I I I 1 I I I I I I I I I I I I I I I I I 1 I I I I I I IREPORT ID: DPR264 ROUTE TO: BS0508 ` COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1408250006 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: ON FILE I I 6355 OAK AV ]FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[ TEMP CA 917801336 [ASSESSOR INFORMATION NUMBER: ,I I NEAREST CROSS STREET: LONGDEN [ 15382-017-030 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY CAI 1 102 COMPRSR < 100 KBTU 1.00 COM 27.00 I_ [TENANT: 1108 FURNACE/HEATER <100 1.00 UNI 27.00 (ISSUED ON: PROCESSED BY: PLAN BY: 131 AIR INLETS/OUTLETS 1000.00 SQ 37.10 108/25/14 SR 135 AHU < 2000 CFM 1.00 AHU 12.90 1 (OWNER: TEL. NO: I TOTAL FEES 131.80 IF FIN Y: CODE: (CASA ROBLES NAZARENE MISSIONARY (818) 286-9455- 11 6355 AV TEMP 917801336 [ ESCRIPTION OF WORK I IREPLACE HVAC SYSTEM [ I I I I 1APPLICANT: TEL. NO: LACEY, STEVE (626) 963-8383- 144 #B VALENCIA I ISPECLAL CONDITIONS: [ IGLENDORA CA 91741 I I I I I Imc � (CONTRACTOR: TEL. NO: I I ROVALS TE INSPECTO SIG I ICOMFORT ZONE INC. (626) 963-8383- I 1 [ 1144 B VALENCIA LIC. NO I IFAU/WALL FURNACE 1 IGLENDORA, CA 91740 760955 1- I I ICOMBUSTION AIR OPENINGS 1 (ARCHITECT OR ENGINEER: TEL. NO: IDUCT WORK I I 1 LIC. NO: [ IAC/COMPRESSOR [ Ulm I 1 I [THERMOSTAT I ]FIRE DAMPERS [ I ]SMOKE DETECTION DEVICES [ [ I I 1 [COMMERCIAL HOOD 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 ] II I I I I [[REPORT ID: DPR264 ROUTE TO: BS0508 I I 1 1 I • l v 76A964G CE-818(REV.6/78) , ®s APPLICATION FOR"PERMIT' HEATING. - VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING (PRINT OR TYPE ONLY) ADDRESS LOCALITY (+ ' NO. TYPE OF APPLIANCE OR EQUIPMENT FEE NEAREST /•� `- CROSS ST ' ABSORPTION UNIT,BTU OWNER Log- AIR HANDLING UNIT,CFM MAIL ADDRESS BOILER,BTU CITY TEL.NO. COMPRESSW BBTTU� CONTRACTOR VENTILATION SYSTEM ADDRESS. E 2. EVAPORATIVE COOLER CITY TEL.N FURNACE: FAUITY STATE LIC. FLOOR BTU LICENSE NO. CLASS -to HEATER: SUSPENDED-' UNIT_ APPROVALS DATE INSPECTOR'S SIGNATURE WALL ROUGH FINAL ��/ INSPECTION RECORD u ILI- Plan check fee 25%of above. PERMIT ISSUING FEE$ g TOTAL FEE PLAN CHECK APPLICANT PLAN CHECK VALIDATION NAME ADDRESS aJ�ry9 CITY TEL.NO. @5634A' # 0 0 0 0 4 1 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT IS CORRECTALL O DINANCESTHE ANDBOVE LAWS REGULATINGD H ATING,AGREEO VENTILAT NCOMLYIGH AIR 2 - 27,00 CONDITIONING. PERMIT VALIDATIONx. I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF o o o `Z 7 O O v CHAPTER 9, DIVISION 3, OF THE qg&NESS AND PROFESSIONAL CODE OF THE STA AL IA. Q. 07,23-79 . SIGNATURE OF PERMITTEE DISTRICT NO. PRO SED BY WORKER'S COMPENSATION DECLARATION .20.0048 DPW'9/89 L I i E GREEN I hereby affirm that I have a certificate of consent to self insure, 7BAS64C APPLICATION FOR PERMIT or a certificate of Worker's Compensation Insurance,.or a certified HEATING-VENTILATING-AIR CONDITIONING copy thereof(Sec.3800 Lab.C.) u Policy No. Company COUNTY OF LOS ANGELES DEPT OF.PUBLIC WORKS BUILDING AND SAFETY DIV. Certified copy is hereby furnished. ❑ Certified co is filed With the count buildingInspection FOR APPLICANT TO FILL IN BUILDING department y (PRINT OR TYPE ONLY) ADDRESS Date ApplicantLOCALITY NO. TYPE OF APPLIANCE OR EQUIPMENT FEE we NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' CROSS ST. COMPENSATION INSURANCE ABSORPTION UNIT,BTU (This section need.not be completed if the work Involved by the ASSESSOR MAP BOOK O PAGE/7' PARC permit Is for one hundred dollars($100)or less.) AIR HANDLING UNIT,CFM DISTRICT NO. PROCESSED BY I certify that in the performance of the work for which this permit Is Issued, I shall not employ any person in any manner so as to BOILER,BTU 4,e m ap become subject to the Workers'Compensation Laws. /? �O .COMPRESSOR,BTU �� ®D O _1110 APPROVALS DATE INSP 'S SIe E' Date Applicant VENTILATION SYSTEM • NOTICE TO APPLICANT: If, after making this Certificate of ROUGH (1�N Exemption,you;should become subject.to the Workers'Compensation EVAPORATIVE COOLER provisions of the Labor Code,you must forthwith comply with such FINAL provisions or this permit shall be deemed revoked. FURNACE: FAU GRAVITY VALIDATION LICENSED CONTRACTORS DECLARATION d� FLOO BTU F hereby affirm that I am licensed under provisions of Chapter 9 HEATERSUSPENDED UNIT : (commencing vgith Section 7000)of Division 3 of the Business and. WALL Professions Code,and my license is in full force and effect. License Number LID.Class Contractor Date C El am exempt under Sec. Plan Check fee v C B.&P.C.for this reasonPERMIT ISSUING FEE$ !�� 4C(m g F Date:• TOTAL FEE' 333103 1 E ,3 2051A' 5 U • ��••��,,tI L�•- Signature PLAN CHECK APPLICANT } i Gt i V OWNER-BUILDER DECLARATION 2 1 hereby affirm that I am exempt from the Contractor's License LawNAME ' TOTAL 205 m 95 for the following reason (Section 7031.5, Business and Professions ,-CK,,1U•.••� ,-, Code): ADDRESS .� CHECK 205.9, ❑ 1,_as owner of the property, or my employees with wages t H`AME .1313 as their sole compensation, will dd the work and the CITY TEL.NOAj structure is not Intended or offered for sale (Section 7044, r Business and Professions Code). OWNER ❑ I, as owner of the property, am exclusively contracting r l.Vir/Y4 MAIL .001010-011111 with licensed contractors to construct the project (Sec- ADDRESS 7733 1 PM 6e04 tion 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY CITY TEL.N I hereby affirm that there Is a construction lending agency for CONTRACTOR , the performance of the work for which this permit s Issued (Sec.3097,Civ.C.). ADDRESS 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 Information is correct. I agree to comply with all County ordinances and State laws relating to building construction,and hereby authorize represent tiv f this County to a on the above-mentioned proC.p pact' n pu pose SEE REVERSE FOR EXPLANATORY LANGUAGE G SIO RE OF AP I R ADEN DATE '