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Home My Public Portal About6149 RENO AVE_Mechanical__ i7_ ;,I_0 6 dYL �J-0_�A m 76A364 - CE818 - 3-69 APPLICATION FOR PERMIT HEATING - VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY COLEMAN W.JENKINS,SUPERINTENDENT OF BUILDING NEAREST x:.. CROSS ST. FOR APPLICANT TO FILL IN (PRINT OR TYPE ONLY) OWNER MAIL NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS ABSORPTION SYSTEM, BTU CITYTEL. NO. " CONTRACTOR � Y AIR HANDLING UNIT, CFM ADDRESS BOILER, HORSEPOWER CITY TEL. NO.,2 d COMPRESSOR, HORSEPOWER STATE LIC. LICENSE NO. CLASS VENTILATION SYSTEM DISTRICT NO. GROUP WE p CESSED BY EVAPORATIVE COOLERQ FURNACE: FAU GRAVITY FLOOR BTU INSPECTION RECORD HEATER: SUSPENDED—UNIT- 6 USPENDEDUNIT6 0 WALL II V NEW—ADDITION— PERMIT $ 3 00 ALTEREPAIR_ TOTAL FEEew $ PLAN CHECK APPLICANT NAME ADDRESS CITY TEL.N0. 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. APPROVALS DATE ly#ECTORfi S NATURE I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH / 1 CHAPTER 9, DIVISION 3, OF THE BUSINESS A D PROFESSIONAL FINAL r CODE OF THE STATE OF CALIFORNIA. 1 SIGNATURE .a JACK R. ALLEN, SUPERVI G MECHANICAL ENG'R. OF PERMITTEE PERMIT VALIDATION CK. M.O. CASH PLAN CHECK VAL60ATION � vj41kz cEc1041 D 7.00-- 4 SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE WORKER'S I COMPENSATION ate of consent to 7BA348DPWa/e9 APPLICATION FOR PERMIT LI M E GREEN, 76A364C APPLICATION��9 ht— fi`fi I hereby affirm that I Gave 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 COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV. ❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the county g inspection FOR APPLICANT TO FILL IN BUILDING / department. pection (PRINT OR TYPE ONLY) ADDRESS Date ApplicantLOCALITY NO. TYPE OF APPLIANCE OR EQUIPMENT FEE CERTIFICATE OF EXEMPTION FROM WORKERS' NEAREST CROSS COMPENSATION INSURANCE 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($100)or less.) AIR HANDLING UNIT,CFM DISTRICT NO. PROCESSED BY I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to BOILER,BTU become subject to the Workers'Compensation Laws. COMPRESSOR,BTU APPROVALS DATE INSPECTOR'S SIGNATURE Date Applicant VENTILATION SYSTEM NOTICE TO APPLICANT: If, after making this Certificate of ROUGH Exemption,you should become subject to the Workers'Compensation EVAPORATIVE COOLER provisions of the Labor Code, you must forthwith comply with such FINAL .� provisions or this permit shall be deemed revoked. FURNACE: FAU GRAVITY LICENSED CONTRACTORS DECLARATION FLOOR BTU VALIDATION •• 1 hereby affirm that I am licensed under provisions of Chapter 9 SUSPENDED—UNIT— (commencing USPENDED UNIT commencin with Section 7000 of Division 3 of the Business and HEATER: r ( 9 ) WALL Professions Code,and my license is in full force and effect. '=' 6M _ul�� License Number Lie.Class 1 1TE13 } I OTAL I. �'m 051[1 Contractor Date C ❑ I am exempt under Sec. Plan Check fee CHECKJ,7_°C a Q B.&P.C.for this reason PERMIT ISSUING FEE$ D I:EfiiNGE °;j13 Date: TOTAL FEE c, Signature PLAN CHECK APPLICANT 0101110-111091 9//1 L 193 U, OWNER-BUILDER DECLARATION t I hereby affirm that I am exempt from the Contractor's License Law NAME ��/ n \ t/ t6`�' { AM 0:452- for the following reason (Section 7031.5, Business and Professions L�� D CJLJ t rw� de)' ADDRESS ` [jJ]��` I, as owner of the property, or my employees with wages as their sole compensation, will do the work and the CITY Q�. TEL.NO. O0�� structure is not intended or offered for sale(Section 7044, Business and Professions Code). OWNER 464 JL ❑ I, as owner of the property, am exclusively contracting MAIL with licensed contractors to construct the project (Sec- ADDRESS tion 7044,Business and Professions Code). CITY TEL.NO. CONSTRUCTION LENDING AGENCY 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 Addr ISTATE 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 (property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE v x'93 p ? ATE + COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0604180014 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 ERT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 5904 IT: 49 UN: .002 6149 RENO AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801533 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ROSEMEAD 5384-002-026 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, C 02 COMPRSR < 100 KBTU 1.00 COM 27.00 TENANT: 08 FURNACE/HHATER <100 1.00 UNI 27.00 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 30 AIR INLETS/OUTLETS 10.00 UNI 43.50 04/18/06 JK 10/15/06 TOTAL FEES 125.25 OWNER: TEL. NO: FIN `D�T�� FINAL BY: CODE: GARCIA, ROBERT (626) 826-1446- 6149 RENO AV TEMP 917801533 DESCRIPTION OF WORK INSTALL AIR CONDITIONING AND HEATING SYSTEM APPLICANT: TEL. NO: HALLAM (909) 305-9933- 133 E. BENITA AVE SPECIAL CONDITIONS: SAN DIMAS, 91773 CONTRACTOR: TEL. NO: APPROVALS D TE INSPECTOR SIGNATURE GARCIA, ROBERT (626) 309-9776- 6149 RENO AVE LIC. NOFAU WALL FURNACE TEMPLE CITY, CA 91780 NONE � COMBUSTION AIR OPENINGS ARCHITECT OR ENGINEER: TEL. NO: DUCT WORK WESTWOOD DESIGN (909) 305-9933- 133 EAST BENITA AVE STE. 202 LIC. NO: AC/COMPRESSOR SAN DIMAS CA 91773 NONE THERMOSTAT FIRE DAMPERS SMOKE DETECTION DEVICES COMMERCIAL HOOD REPORT ID: DPR264 ROUTE TO: BS0508