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Home My Public Portal About6166 RENO AVE_Mechanical__ 76A364E-CE81811k-975 APPLICATION FOR PERMIT HEATING - VENTILATING - AIR CONDITIONING BUILDING AND SAFETY DIVISION APPLICANT TO FILL IN BUILDING (PRINT OR TYPE ONLY) ADDRESS 6166 14- RM_ ffiM- FFOR PEOFAPPLIANCEOR EQUIPMENT FEE LOCALITY ZEIV�OLE �'I'Y NEAREST • CROSS'ST. ABSORPTION UNIT, BTU OWNER t AIR HANDLING UNIT, CFM MAIL ADDRESS SAM BOILER, BTU CITY JEWLE QTY TEL. NO. 207_5965 1 COMPRESSOR, BTU3_5 T:m 7 SO CONTRACTORTRANE H CC VENTILATION SYSTEM ADDRESS 2034.N, PECK RD, EVAPORATIVE COOLER CITY S. EL I,]=-, TEL. NO.579-7982 FURNACE: FAU GR26TSTATE LIC. 1 FLOOR BTU. 96 7 50 LICENSE NO. . 265094 CLASSC-20. HEATER: SUSPENDED UNIT_ DISTRICT N0. GROUP Z E C SED BY WALL '5 _T R INSPECTION RECORD w a �o- ��0�2•X0.7'- _Prt�^' �f/.�'� '��( Z I J Plan check fee 25%of above. w ci.Lr, �C.JL-,�. .,77�c ?9 PERMIT ISSUING FEE $ 4 50 TOTAL FEE I I 19 50 PLAN CHECK APPLICANT NAME -1 h� R ADDRESS n A&= ffil�-zz A /2✓l3Z. CITY TEL.NO. /A /5Itjjll . 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 T ACTING IN VIOLATION APPROVALS DATE INSPECTOR'S SIGNATURE OF CHAPTER 9, DIVISION 3, OF Tg5ES AND PROFE AL CODE OF THE STATE OF LI N ROUGH ry OF PERMITTEE FI AL Ig 4217 PLAN CHECK VALI ATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 7 4 7 *JUN• 1 4-1 1 9.5 0 A211 f~ WOiFKERS'COMPENSATION DECLARATION 76 CEA 818C(2-80) APPLICATION FOR PERMIT 1 hereby affirm that 1 have a' certificate of consent to self I insure, or a certificate of Workers'Compensation Insurance,or HEATING-VENTILATING-AIR CONDITIONING a certified copy thereof(Sec.3800,Lab.C.) Policy No. Company .` Certified copy is hereby furnished. COUNTY OF LOS ANGELES BUILDING AND SAFETY I I Certified copy is filed with the county building inspection FOR APPLICANT TO FILL IN BUILDING department. ADDRESS „110/ O�D Date Applicant (PRINT OR TYPE ONLY) CERTIFICATE OF EXEMPTION FROM WORKERS' I NO. TYPE OF APPLIANCE OR EQUIPMENT FEE LOCALITY:�' le.. COMPENSATION INSURANCE . NEAREST } (This section need not be completed if the work involved 0 p �' ABSORPTION UNIT, BTU CROSS ST. by the permit is for one hundred dollars ($100) or less.) DISTRICT NO. PROCESSED v '� U 1 certify that in the performance of the work for which this I AIR HANDLING UNIT,CFM �c— tL' permit is issued, I shall not employ any person in any manner J i0 00 so as to become subject to the Workers' Compensation Laws. ! BOILER, BTU 1I APPROVALS DATE INSPECTOR'S SIGNATURE W Date Applicant I COMPRESSOR,BTU4. ROUGH U) NOTICE TO APPLICANT: if, after making this Certificate of i. VENTILATION SYSTEM �I�- a' Z Exemption, you should become subject to the Workers' FINAL fi -L== Compensation provisions of the Labor Code, you must forth- EVAPORATIVE COOLER VALIDATIVN with comply with such provisions or this permit shall be I deemed revoked. FURNACE: FAU GRAVITY LICENSED CONTRACTORS DECLARATION FLOOR: BTU I hereby affirm that I am licensed under provisions of Chapter l HEATER: SUSPENDED UNIT ; 9 (commencing with Section 7000)of Division 3 of the Busi- l WALL ness and Professions Code, and my license is in full force and effect. ;I License Number Lic.Class Contractor Date I am exempt from the licensing requirements as 1 am a licensed architect or a registered professional engineer I Plan ClleCk fee 25%of above. acting in my professional capacity (Section 7051, Bus- i iness and Professions Code). PERMIT ISSUING FEE$ Q i� Lic.or Reg.No. DateI TAL FEE TO HOME OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT I hereby affirm that 1 um exempt from- the Contractor's NAME License Law for the following reason (Section 7031.5, Busi- ess and Professions Code): ADDRESS 1, as owner of the property, will do the work and the. j CITY TEL.NO. structure is not intended or offered for sale (Section 7044,Business and Professions Code). ❑ OWNER I, as owner of the property, am exclusively contracting Il t 2 6 Q 2 A with licensed contractors to construct the project II MAIL // �N (Section 7044,Business and Professions Code). I ADDRESS (D #t o 0 0 0 4 1 CONSTRUCTION LENDING AGENCY ! CITY �ei�_ /e TEL.NO. i I hereby affirm that there is a construction lending agency I CONTRACTOR 2 0 0 1 3.00 for the performance of the work for which this permit is I .. issued(Sec.3097,Civ.C.). 0 0 0 r,s , Lender's Name ADDRESS I Lender's AddressCITY TEL.NO. I 1 0 141 —8 0 I certify that I have read this application and state that theI STATE LIC. l above information is correct.I agree to comply with all County LICENSE NO. CLASS ordinances and State laws regulating Heating,Ventilating and Air Conditioning,and hereby authorize representatives of this I SEE REVERSE FOR EXPLANATORY LANGUAGE I County to enter upon the above-mentioned properly for ills rxTMnpurposes. ' la-/ I ignature of Permittee Date I WORKERS'COMPENSATION DECLARATION CEA 86 8(2-80) A F O Lam,QC A p Q ON FOR P E R T f� I hereby affirm that I have If certificate of consent to self insure,or a certificate of Workers'Compensation Insurance,or HEATING-VENT IL.ATING-Al l CONDITIONING acert' ied cslp�ths;reof(Sec.3800,L '� P c o. Company Certified copy is hereby furnished. COUNTY OF LOS ANGELES �` BUILDING ARID SAFETY 1 Certified copy is filed with the county building,inspection BUI L DING / / ! department. �_ J�_! FOR APPLICANTO FILL IN C@ (Oto Date 10-1—EZ—Applicant (PRINT OR TYPE ONLY) ADDRESS_ LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' VO. I TYPE OF APPLIANCE OR EQUIPMENT FEE _ COMPENSATION INSURANCE NEAREST a CROSS ST. (This section need not be completed if the Work involved II ABSORPTION UNIT,BTU by the permit is for one hundred dollars (SIUU) or less.) DISTRICT NO PROCESSED 9 (O, I certify that in the performance of the work for which this AIR HANDLING UNIT,CFM OW— a permit is issued, I shall not employ any person in any manner ✓ , 1WO so as to become subject to the Workers'Compensation Laws. BOILER, BT APPROVALS DATE INSPECTOR'S SIGNATURE W Date Applicant !COMPRESSOR,BTU d_0 CL ROUGH N NOTICE TO APPLICANT: If, after making this Certificate of VENTILATION SYSTEM a" 2 Exemption, you should become subject to the Workers' I FINAL — Compensation provisions of the Labor Code, you must fortis-. EVAPORATIVE COOLER VALIDATION with comply with such provisions or this permit shall be deemed revoked. FURNACE: FAURAVITY LICENSED CONTRACTORS DECLARATION FLOOR BTU _ f7 I hereby affirm that I am licensed under provisions of Chapter HEATER: SUSPENDED UNIT 9 (commencing with Section 7000)of Division 3 of the Busi- i WALL ness and Professions Code, and my license is in full force and I / •+� effect. _ L.iiccennsseNummb�e�r 7Q� Liic.Class � �7 Corhractorl"— ,71 C' `' al ate to F1 I am exempt from the licensing requirements as 1 am a licensed architect or a registered professional engineer i Plan check fee 25%of above. acting in my professional capacity (Section 7051, Bus- f iness and Professions Code). PERMIT ISSUING FEE $ (� Lic.or Reg.No. Date i TOTAL FEE AaL HOME OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT I hereby affirm that I am exempt from the Contractor's NAM License Law for the following reason (Section 7031.5, Busi- -7ness and Professions Code): ADDRESS 3 1, as owner of the property, will do the work and the 6 F 8 7 P structure is not intended or offered for sale (Section CITY TEL.NO.? 7044,Business and Professions Code). 0 0 0 0 0 to ❑ �� 1 �- I, as owner of the property, am exclusively contractingy � 0 0 2�t 5(� wiOWNER th licensed contractors to construct the project MAIL (Section 7044,Business and Professions Code). ADDRESS CONSTRUCTION LENDING AGENCY CIT TEL.NO. I hereby affirm that there is a construction lending agency 1 0 0 1 8 i for the performance of the work for which this permit is CONTRACTOR G� issued(Sec.3 Civ.C.). - Lender's Namee ADDRESS�"3-2 Lender's Address CIT TEL.NO.. I certify that I have read this application and state that the STATE �1QQ LIC. C��v above information is correct.I agree to comply with all County LICENSE NO. C/ t/ CLASS ordinances and State laws regulating Heating, Ventilating and Air Conditioning, and hereby authorize representatives of this SEE REVERSE FOR EXPLANATORY LANGUAGE. County to enter upon the above-mentioned properly for ins ction purposes Signature of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0601240003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 5904 LT: 67 UN: .002 6166 RENO AV PER DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801532 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN 5384-004-003 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/HEATER <100 1.00 UNI 27.00 ISSUED ON. PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 81.75 01/24/06 JK 07/23/06 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: QUACK, MONLEE - ^' 6166 RENO AV (w'-3- TEMP 917801532 DESCRIPTION OF WORK CENTRAL HVAC SYSTEM REPLACEMENT APPLICANT: TEL. NO: THERMAL AIR CONDITIONING CO. (626) 744-0309- 82 N. OAK AVE SPECIAL CONDITIONS: PASADENA, CA 91107 i CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE THERMAL AIR CONDITIONING, CO. (626) 744-0309- 82 N. OAK AVENUE LIC. NO FAU WALL FURNACE PASADENA, CA 91107 84509SC20 COMBUSTION AIR OPENINGS ARCHITECT OR ENGINEER: TEL. NO: DUCT WORK LIC. NO: AC COMPRESSOR THERMOSTAT FIRE DAMPERS SMOKE DETECTION DEVICES COMMERCIAL HOOD REPORT ID: DPR264 ROUTE TO: BS0508