HomeMy Public PortalAbout6243 RENO AVE_Mechanical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0502160009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
EG ES PAID BUILDING A DR SS:
TR: 5904 LT: 56 6243 RENO AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801535
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
5384-001-021 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, C
09 FURNACE 101 500 KBTU 1.00 UNI 52.20
TENANT: TOTAL FEES 79.95S 0 : PROCESSEDB L B EXPIRES 0 :
02/16/05 JK 08/15/05
OWNER: TEL. NO: FINAL7E E FINAL BY: CODE:
MEDINA ARMANDO;MARGARET M (626) 285-4867-
6243 RENO AV 2 2 Z c-
TEMP 917801535 D SCrIPTION 0 0
WALL HEATER CHANGE OUT
AP L. O:
RUIZ (323) 249-7279-
3205 INDEPENDENCE SPECIAL CONDITIONS:
SOUTH GATE 90280
CONTRACTOR: TEL. NO: APPROVALS ATE INSPECTOR SIGNATURE
TONY'S HEATING (323) 249-7279-
3205 INDEPENDENCE AVENUE LIC. NO
SOUTH GATE CA 90280 B/L30242 IL
COMBUSTION AIR OPENINGS
ARCHITECT O EER: TEL. NO: C OR
LIC. NO: AC/COMPRESSOR
THERMOSTAT
FIRE DAMPERS
SMOKE E C O DEVICES
COMMERCIAL HOOD
* ADDITIONAL DATA ON FILE
REPORT ID: DPR264 ROUTE TO: B90508
I
I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1305020008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ITR: 5904 LT: 56 I I 6243 RENO AV 1
I [FEE DESCRIPTION: QUANTITY: DOM: AMOUNT:[ TEMP CA 917801535 [
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LONGDEN
15384-001-021 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY CAI
1 141 VENTILATION FAN 2.00 FAN 31.60 I I
ITENANT: TOTAL FEES 59.40 ISSUED ON: PROCESSED BY: PLAN BY: 1
1 105/02/13 SR [
1OWNER: TEL. NO: 1 IFINAL DATE FINAL B CODE: 1
IMEDINA ARMANDO;MARGARET M (626) 452-1807- 1 I
16243 RENO AV 1 1
ITEMP 917801535 I IDESCRIPTI N OF WORK
1 [
1
2 VENTILATION FANS 1
(APPLICANT: TEL. NO: I I I
ILUDWIG, KIRK W (626) 434-0362- 1
2615 BASHOR ST [ [SPECIAL CONDITIONS: 1
[DUARTE CA
I I I
ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE I
(ACTIVE CONTRACTORS (626) 434-0362- 1 1 I
IPO BOX 692 LIC. NO 1 IFAU/WALL FURNACE
1
�WILDOMAR CA 92595 932342 I I
I ICOMBUSTION AIR OPENINGS I I I
[ARCHITECT OR ENGINEER: TEL. NO: - [ [DUCT WORK I I I
[ LIC. NO: I IAC/COMPRESSOR I I I
[ [THERMOSTAT I I
I 1 IFIRE DAMPERS
I I I
I I ISMOKE DETECTION DEVICES I I I
ICOMMERCIAL 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 I I
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1 IMPORT ID: DPR264 ROUTE TO: BS0508 I I I I
I I I I I I
ION
WORKER'S have
a certificate
of consent to 76A346DPW9le9 APPLICATION FOR PERMIT LRAE GERM
76A3fi4C
I hereby„i�m that,l have a certificate of consent to self Insure,
ora certificate of'Worker's CApensation Insurance, or a certified HEATING-VENTILATING-AIR CONDITIONING
copy thereof(Sec.3800 Lab.C.) "d
?AU 453Oid0liompany COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV.
Certified copy is hereby furnished.
Certified copy is filed with the county buildinginspection FOR APPLICANT TO FILL IN BUILDING
department. ( 2 O
p PRINT OR TYPE ONLY) ADDRESS J
�
Date Applicantc��1 NO. TYPE OF APPLIANCE OR EQUIPMENT FEE LOCALITY ^
CERTIFICATE OF EXEMPTION FROM WORKERS' NEAREST
CROSS ST.
COMPENSATION INSURANCE ABSORPTION UNIT,BTU
ASSESSOR
(This section need not be completed If the work Involved by the
permit Is for one hundred dollars($100)or less.) AIR HANDLING UNIT CFM MAP BOOK PAGE PARCEIj
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 r D
become subject to the Workers'Compensation Laws.
COMPRESSOR,BTU
APPROVALS DATE INS; TORT SIGNATURE
Date Applicant VENTILATION SYSTEM
NOTICE TO APPLICANT: If, after making this Certificate of ROUGH 11-71-6137
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
I hereby affirm that I am licensed under provisions of Chapter 9 SUSPENDSUNIT
HEATER:
(commencing with Section 7000)of Division 3 of the Business and WALL c7'tea' d
Professions Code,and my license is in full force and effect.
License Number LIC.Class a
9
t,-Yr:a /k
Contractor— Date `301.3 i -.,14 C.
� \(
❑ I am exempt under ec. Plan check fee i 1 TE MM:
B.&P.C.for this reason PERMIT ISSUING FEE 101 AL 52 a 95 f
r iz I, ocr I
Date: TOTAL FEE '�� y�j K _ �
CHECK
Signature CHANGE
r R '
OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT
I hereby affirm that I am exempt from the Contractor's License Law NAME
for the following reason(Section 7031.5, Business and Professions
Code): ADDRESS C13,00-003 2/14 ;5
❑ 1, as owner of the property, or my employees with wages qr,,-. .1 Am 11:0
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 a
❑ 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).
CONSTRUCTION LENDING AGENCY CITY &i__ TEL.NOa
I hereby affirm that there is a construction lending agency for CONTRACTOR dkti-
the performance of the work for which this permit s issued
(Sec.3097,Civ.C.). f�
ADDRESS V�
Lender's Name
CITY ,lf TEL.NO. ?do
Lender's Address STATE V(O LIC. 4.
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 i �pection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
SigN4TUPEPKAPPLICANT OR A EI 44/E�Lr_