The URL can be used to link to this page

Home My Public Portal About5417-5429 ROSEMEAD BLVD_Mechanical__ + COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1106150010 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID 1 BUILDING ADDRESS: ON FILE I 5429 ROSEMEAD BL IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( SGAB CA 917762212 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: BROADWAY 15388-024-041 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY, Cl I 130 AIR INLETS/OUTLETS 11.00 UNI - 47.-80 1 1 ITENANT: 141 VENTILATION FAN 2.00 FAN , 31.60 IISSUED ON: PROCESSED BY: PLAN BY: 1 (YUAN LUNG HUNG 147 ALTER EXIST DUCT SYS 1.00 SYS 27.00 106/15/11 SR I I I TOTAL FEES 134.20 1 1 (OWNER: TEL. NO: I IF��e/'y�D.ArTTE• FIN B CODE: YUAN LUNG HUNG I (`//�" 5429 ROSEMEAD BL. �-�� fl ISAN GABRIEL 91776 IDESCRIPTION OF WORK I ITENANT IMPROVEMENT MECHANICAL FOR DENTAL OFFICE I I I I (APPLICANT: TEL. NO: IJEFFREY DY (626) 523-6071- I I I 1216 S. GRAND AVE #17 (SPECIAL CONDITIONS: I I I I I I I I I I I I I ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE ISAN LUIS BUILDERS, INC. (626) 945-5725- 1 1 I 11422 LEMON AVE LIC. NO I IFAU/WALL FURNACE I I I IBRADBURY, CA 91008 556398 * I I I I I ICOMBUSTION AIR OPENINGS 1 1 I I I I I (ARCHITECT OR ENGINEER: TEL. NO: I IDUCT WORK I I I I LIC. NO: IAC/COMPRESSOR I I I I I I 1 I ITHERMOSTAT I I I - - - - IFIRE DAMPERS I I I I I I ISMOKE DETECTION DEVICES I I I I I I I 1 1COMMERCIAL HOOD I I I 1 I I I � I Ali � ��> �' mat Y�c. PL F 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 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 1 Ix ADDITIONAL DATA ON FILE I I I I I I I I I I I I I IREPORT ID: DPR264 ROUTE TO: BS0508 1 1 1 I I I I I I r COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1201120014 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1 1 ON FILE I 1 5423 ROSEMEAD BL 1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 SGAB CA 917762212 I (ASSESSOR INFORMATION NUMBER: I - I NEAREST CROSS STREET: 15388-024-041 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY CAI 1 _102 COMPRSR < ,100 KBTU 1.00 COM 27.00 1 I (TENANT: 108 FURNACE/HEATER <100 1.00 UNI 27.00 11SSUED ON: PROCESSED BY: PLAN BY: 1 I 130 AIR INLETS/OUTLETS 3.00 UNI 13.00 101/12/12 SR 1 141 VENTILATION FAN 1.00 FAN 15.80 1 I (OWNER: TEL. NO: 154 NO PERMT $224.70 MIN 257.00 257.00 IFINAL DATE FINAL Y: CODE: 1 IA & M ENTERPRISES (805) 910-8926- 1 TOTAL FEES 367.60 1 11227 FLYNN RD 301 1 I�� ICAMARILLO CA 93012 1 ID S�CION OF WORK 1 I IREPLACE HVAC UNIT ADD 3 AIR INLETS AND ONE VENTIALTION FAN 1 (APPLICANT: TEL. NO: I I IBAO, ZHEN (626) 416-9267- 1 1 I 118037 LA PUENTE RD I ISPECIAL CONDITIONS: ILA PUENTE CA 91744 I ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1 IDIVERSFIELD MECHANICAL SPECIALTIES (310) 549-8777- 1 1 I 11661 E. 218TH STREET LIC. NO I IFAU/WALL FURNACE I I ICARSON, CA 90745 805156C-20 I I I I I I ICOMBUSTION AIR OPENINGS 1 I (ARCHITECT OR ENGINEER: TEL. NO: 1 IDUCT WORK I I LIC. NO: 1 1AC/COMPRESSOR 1 1 1 ITHERMOSTAT I IFIRE DAMPERS 1 I I I -ISMOKE DETECTION DEVICES 1 I ICOMMERCIAL HOOD 1 I 1 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 I I I I I I I I I I I I IREPORT ID: DPR264 ROUTE TO: BS0508 I I I I I I WORKERS'COMPENSATION DECLARATION APPLICATION FOR PERMIT I :hereby affirm that I have a certificate of consent to self insure! o{<a certificate of Workers' Compensation Insura4ce, HEATING - VENTILATING - AIR CONDITIONING or a c:fir' spy thereof (Sec. 3800, Lab. C.) 76A364C rr, CE-818(REV. 10/81) Policy No. Company Certified copy is hereby furnished.. COUNTY OF LOS ANGELES B ILDING AND SAFETY .Certified copy is filed with the county building inspec- FOR APPLICANT TO FILL IN BUILDING / �J tion department. (PRINT OR TYPE ONLY) ADDRES� Date Applicant LOCALITY pp NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ( i CERTIFICATE OF EXEMPTION FROM WORKERS' NEAREST COMPENSATION INSURANCE CROSS ST. (This section need not be completed if the work involved by ABSORPTION UNIT, BTU DISTRICT NO. PROCEED e the permit is for one hundred dollars ($100)or less.) 71 AIR HANDLING UNIT,'CFM' � C/ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner BOILER, BTU so as to become subject to the Workers' �C�ommp�ensaation�Laws. APPROVALS DATE ISP TOR'S SIGNAT RE D 7 Applicant � � L�L��,�GCti' l COMPRESSOR, BTU � r Oc ROUGH NOTICE TO APPLICANT: If, after making this Certificate of VENTILATION SYSTEM FINAL , Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- EVAPORATIVE COOLER VALIDA ON with comply with such provisions or this permit shall be deemed revoked. FURNACE: FAU_.QRAVITY D(J LICENSED CONTRACTORS DECLARATION FLOOR Br r V hereby affirm that I am licensed under provisions of Chapter 9 HEATER: SUSPENDEDUNIT '(commencing with Section 7000) of Division 3 of the Business WALL and Professions Code,and my license is in full force and effect. � License Number�3_l U/-12_ Lic. Class �-- �� " , kp Itg Contr ate�' � O 1m ❑ I am exempt under Sec. u Pian check fee 916 VIA B.&P.C. for this reason 44 Date: PERMIT ISSUING FEE $ O z T ° Signature OTAL FEE OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT .98 1 hereby affirm that I am exempt from the Contractor's License #•,o 0 0 0;:00 ► 7 3 Law for the following reason (Section 7031.5, Business and NAME Professions llCode): 1, as owner of the property, or my employees with ADDRESS 14 87 wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section CITY TEL. NO. 7044, Business and Professions Code). OWNER ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec- MAIL tion 7044, Business and Professions Code). ADDRESS CONSTRUCTION LENDING AGENCY CITY TEL. NO. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued CONTRACTO �jyli� , (Sec. 3097, Civ. C.). ADDRESS D Lender's.Name LI Y TEL. LUSO Lender's Address ✓ STATE // LIC. 1 certify that I have read this application and state that the LICENSE NO 3„ CLASS Z above 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 t bov -menu rted property for insp ction pu poses. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Dote - WORKERS'COMPENSATION DECLARATION APPLICATION FOR PERMIT 'I l;eraby affirm that I have a certificate of consent To self insure, or a certificate of Workers' Compensation Insurance, 7eAsb4c HEATING - VENTILATING - AIR CONDITIONING or a certified ca�'y thereof (Sec. 380 L b..C.) CE-818(REV. 10/81) Policy No. / Company N� C itied copy is hereby furni ed. COUNTY OF LOS ANGELES BUILDING AND SAFETY Certified copy is filed with the unt 71ding inspec- FOR APPLICANT TO FILL IN BUILDING Certified epart ent. (PRINT OR TYPE ONLY) ADDRESS / _fy✓ /�°' Date 1 Applicant LOCALITY . TYPE OF'APPLIANCE OR EQUIPMENT FEE (�✓V C RTIFI ATE OF EXEMPTION FROM WORKERS' NEAREST COMPENSATION INSURANCE CROSS ST. (This section need not be completed if the work involved by ABSORPTION UNIT, BTU 'DISTRICT NO. PROCESSED the permit is for one hundred dollars($100)or less.) AIR HANDLING UNIT, CFM . 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 become subject to the Workers'Compensation Laws. BOILER, BTU APPROVALS DATEs OR'S SIGN TORE Date Applicant COMPRESSOR, BTU ROUGH NOTICE TO APPLICANT: If, after making this Certificate of VENTILATION SYSTEM FINAL Exemption, you should become subject to the Workers' Compensation provisions'of the Labor Code, you must forth- EVAPORATIVE COOLER VALIDATION with comply with such provisions or this permit shall be deemed revoked. FURNACE: FAU GRAVITY LICENSED CONTRACTORS DECLARATION FLOOR BTU I hereby affirm that I am licensed under provisions of Chapter 9 SUSPENDED UNIT '(commencing with Section.7000) of Division 3 of the Business HEATER: WALL and Professions Code,and my license is in full force and effect. �� 5 License Number Lic. Class U 701 S ONL , eG Contractor Da"A3,1C."k Date O F ❑ I am exempt under Sec. I w Plan check fee h B.BP.C. for this reason — ;97826A� PERMIT ISSUING FEE $ Z Date: Signature TOTAL FEE $� o o,o •'o $ OW DER DECLARATION PLAN CHECK APPLICANT 1 ° ® 1 9.25 I hereby affirm that am exempt from the Contractor's License ' y Law for the following reason (Section 7031.5, Business and NAME �� o 0 o 1 9.2.5 5 5 Professions Code): I, as owner of the property, or my employees with ADDRESS c L 8 V�,L P' 1 0 9,02,-87 El wages as their sole compensation,will do the work and T TEL. NO. the structure is not intended or offered for sale(Section CIT!5)�, / 7044, Business and Professions Code). OWNER ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec- MAIL tion 7044, Business and Professions Code). ADDRESS CONSTRUCTION LENDING AGENCY . CITY TEL. NO. I hereby affirm that there is a construction.lending agency for , the performance of the work for which this permit is issued CONTRACTOR (Sec. 3097, Civ. C.). ADDRESS Lender's Name CITY TEL. NO. ' Lender's Address � STATE / r� LIC. i I certify that I have read this application and state that the LICENSE NO. ( J � CLASS fb f - abov information is correct. I agree to comply with all County or i antes and State laws relating to building construction, a he by authprize representatives of this County to enter u n e a e Q entioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY.LANGUAGE SIgnature'of Applicant or Agent Date ' WORKERS'COMPENSATION DECLARATION -7yAPPLICATION FOR PERMIT C� �, ,I hereb;;-�ffi•rm that I have a certificate of consent to self klA iosure, or a certificate of Workers' Compensation Insurance, HEATING - VENTILATING - AIR CONDITIONING CE-81 or a certified copy thereof (Sec. 3800, Lab. C.) C CE 618(REV. 10/81) Policy No. Company Certified copy is hereby furnished. COUNTY OF LOS ANGELESBUILDING AND SAFETY ❑ Certified copy is filed with the county building inspec- FOR APPLICANT TO FILL IN BUILDING tion department. (PRINT OR TYPE ONLY) ADDRESS " USS Date Applicant LOCALITY �� C -/ NO. TYPE OF APPLIANCE OR EQUIPMENT FEE , CERTIFICATE OF EXEMPTION FROM WORKERS' NEAREST COMPENSATION INSURANCE CROSS ST. / d BTU DISTRICT NO. / PROCE SED BY (This section need not be completed if the work involved by ABSORPTION UNIT, the permit is for one hundred dollars ($100)or less.) ` AIR HANDLING UNIT, CFM I certify that in thee work for which this permit is issued, I shall not employ any person in any manner BOILER, BTU so as to become subject to the Workers'Compensation Laws. APPROVALS DATE NSP CTOR' IGN TURE Date - Applicant a :�� COMPRESSOR, BTU ROUGH _ J \1 NOTICE TO APPLICANT: If, after mal ing this Certifi to of VENTILATION SYSTEM FINAL ) ' Exemption, you should become subject to the orkers' -,& Compensation provisions of the Labor Code, you must forth- EVAPORATIVE COOLER / VALI ATION '1 ',�� with comply with such provisions or this permit shall be / , " C/ f deemed revoked. FURNACE: FAU GRAVITY LICENSED CONTRACTORS DECLARATION FLOOR BTU I hereby affirm that I am licensed under provisions of Chapter 9 HEATER. SUSPENDED UNIT (commencing with Section 7000) of Division 3 of the Business WALL and Professions Code, and my license is in full force and effect. 10 o License Number Lic. Class ► 67 n � Contractor Date _ -2 8 9 3.8 A ❑ I am exempt under ec. U • Plan check fee •# a o a .;® $ H B.BP.C. for this reason Date: PERMIT ISSUING FEE-$ ;I o e 5 a 0 0 TOTAL FEE Signature o,o a 5&0 0 5 �} /) OWNER-BUILDER DECLARATION PLAN CHECK,APPLICANT id _ /� 1 hereby affirm that I am exempt from the Contractor's License SJ oil. 9 8 8 Law for the following reason (Section 7031.5, Business and NAME Professions Code): ❑ I, as owner of the property, or my employees with ADDRESS wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Section CITY TEL. NO. 7044, Business and Professions Code). OWNER Q � ` ❑ I, as owner of the property, am exclusively contracting - with licensed contractors to construct the project.(Sec- MAIL - , r tion 7044, Business and Professions Code). ADDRESS CONSTRUCTION LENDING AGENCY CITY TEL. NO. I hereby affirm that there is a construction lending agency for , the performance of the work for which this permit is issued CONTRACTOR (Sec. 3097, Civ. C.). 40 y /J/� / ,�� J ✓ Z,4 L'ALLender's Name ADDRESS ?� - .r 4 , CITY TEL. NO. / L �ia aLender's Address/'2� L"i>Al/ � rJ L' •3 STATE LIC. n 6 I certify that I have read this application and state that the LICENSE NO, 6 CLASS i[ above 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 pro or inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE i Signatur Applicant or Agent _ Date