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Home My Public Portal About5665 ROSEMEAD BLVD_Mechanical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0606150028 BUILDING AND SAFETY / LAND DEVELOPMENT - TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: BK: 62 PG: 2 PC: 5665 ROSEMEAD BL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801804 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5387-031-059 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: 94 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: K-MART 30 AIR INLETS/OUTLETS 3.00 UNI 13.05 06/15/06 JK 12/12/06 35 ABU < 2000 CFM 1.00 ABU 12.90 OWNER: TEL. NO: 47 ALTER EXIST DUCT SYS 1.00 SYS 27.00 FIT D TE FINAL BY: CODE: ELTINGE GRAZIADIO;SAMPSON DEV CO - TOTAL FEES 134.70 5665 ROSEMEAD BL CCJJ yO TEMPLE CITY 91780 DESCRIPTION OF WORK REWORK SUPPLIES INSTALL 1 2 TON HEAT PUMP AND ALTERATION OF EXIST DUCT SYSTEM APPLICANT: TEL. NO: GARRY ROBERT (714) 484-9600- 10880 WALLEN ST. SPECIAL CONDITIONS: CYPRESS, CA 90630 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE TALENT AIR (717) 484-9600- 10880 WALLEN STREET LIC. NO FAU/WALL FURNACE CYPRESS, CA 90630 702568 C20 COMBUSTION AIR OPENINGS ARCHITECT OR ENGINEER: TEL. NO: DUCT WORK PLUMP, RICHARD (714) 385-1835-103 914 E. KATELLA AVE LIC. NO: AC/COMPRESSOR ANAHEIM, CA 92805 702568 C20 THERMOSTAT FIRE DAMPERS SMOKE DETECTION DEVICES COMMERCIAL HOOD * ADDITIONAL DATA ON FILE REPORT ID: DPR264 ROUTE TO: BS0508 76 A364- CE B_I8-1/75•- APPLICATION FOR PERM HEATING - VENTILATING --AIR-.CONOITIONING COUNTY OF LOS ANGELES ADDRESS t Q F/ ' DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY Te le City, California NEAR EST CROSS ST. Rosemead Las Tunas Drive FOR APPLICANT TO FILL IN' OWNER (PRINT OR TYPE ONLY) EGSmetro Construction + IL NO. TYPE&SIZE OF EQUIPMENT FEE ADDRESS P. 0. Box 92959 SEE BACK OF APPLICATION FORCE AI FURNACE BTI"clU -- CITY Los Angles TEL. No. 649-3850 ` CONTRACTOR Ciara Corporation 5 COMPRESSOR, BTU- -- ADDRESS 10913 Venice Boulevard 6 VENTILATION FAN - CITY Los Angeles, CA TEL. NO.836-4322 LIST ALL OTHERS BELOW LICENSE NO. 285542 CLASS C-20 Unit 1 it Handlin Vnit DISTRICT NO. GROUP ZONE 0CESSED BY -- L v /�► �� INSPECTION RECORD Zoom Atnox- gods V-0 0 Plan check fee. See reverse. ��`l " (f l� .e � L :' f•'�,. j. r`� IIE11011T ISSUING FI''9..6 t' t r r��•an�� i.. �L�"`�•P."'?� 7-5- l•0'I'A1. I"I., PLAN CHECK APPLICANT NAME ' ADDRESS10913 Venice Boulevard CITY Los Angeles TEL.No836-4322' I-HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION - S AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING HEATING, VENT]- APPROVALS DATE INSPECTOR'S SIGNATURE LATING,AIR CONDITIONING. 171 L I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION ` a '+"t�� •,^' r' 1-'•� OF CHAPTER 9, DIVISION 3XF B 5 AND PROFESSION FINALCODE OF THE STA F CAL •b'~ - SIGNATURE PERMIT VALIDATI CKy M.O.I CASH OF PERMITTE PLAN CH V (DATION CK. ( M.0. CASH \ ��•" ,I 5 91;�013 5.4 2 -- •1_ 9.2_ 5_ �� /UI -r 8 4 6rSEP 24 4 2 U A1. 2.5 Ori' 5 NMAR 15 41 1) 1 5 6.7 5_ n�� ION W hat I have a certificate of consent to 20-0046 DPW PW 91139 APPLICATION FOR PERMIT LIME GREEN I hereby affirm that I have a certificate of consent to self Insure, or a certificate of Worker's Compensation Insurance, or a certified HEATING-VENTILATING-AIR CONDITIONING .,copy thefeof(Sec.,�80Q Lab.C.) Policy No.WCad Companys'N A- 1�Neype d a Co COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV. Certified copy is hereby furnished. B DING ❑ Certified copy is filed with the county building Inspection FOR APPLICANT TO FILL IN ADDRESS �� department. PRINT OR TYPE ONLY) Date 3 —�r5�9 Applicant C NO, TYPE OF APPLIANCE OR EQUIPMENT FEE LOCALITY NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' CROSS ST. 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. �D pO D O`,t COMPRESSOR,BTU V 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 HEATER: SUSPENDED—UNIT— (commencing USPENDED UNIT n (commencing with Section 7000) of Division 3 of the Business and WALL IJD Professions Code,and my license is in full force and effect. to !2, $O DD'O PAC a UwiT / �- 4 a License Number " N �at(® Lic.Class y q �^S Q , ' Contractor v• �- 0,&.*d,&C Date :a` 1 /3 D ElI am exempt under Sec. Plan Check fee 9Vgo 0 0 a B.&P.C.for this reason PERMIT ISSUING FEE$ 15 C Date: TOTAL FEE Q/ p p u- f 0. Signature N PLAN CHECK APPLICANT OWNER-BUILDER DECLARATIO I hereby affirm that I am exempt from the Contractor's License Law NAME , for the following reason (Section 7031.5, Business and Professions I --- Code): Fi?:+:I 0 ADDRESS ❑ I, as owner of the property, or my employees with wages .'-i( .1T I-, as their sole compensation, will do the work and the CITY TEL.NO. structure is not Intended or offered for sale(Section 7044, TLl CI Business and Professions Code). OWNER ❑ 1, as owner of the property, am exclusively contracting MAIL T I-�AL 10 1 .00 with licensed contractors to construct the project (Sec- ADDRESS ?JI'LI=iiiSj1� tion 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY CITY TEL.NO. C�i tIGE I hereby affirm that there is a construction lending agency for CONTRACTOR L, , the erformance of the work for which this permit Is issued ci C A/.S (Sec.3097,Civ.C.). - ri : , ADDRESS m vim- r � � II,;s,l=-I_I,I?� w! ':'!a.:1 Lender's Name ?� CITY STEL.NO. / 9 _ J ' I A 01 10 21 Lender's Address STATE LIC. I certify that I have read this application and state that the above LICENSE NO. / �� CLASS C v 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 prop r for Xinection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 3 N RE OF P ICANT OR AGE DATE WORKER'S COMPENSATION DECLARATION nAA36CPW9re9 APPLICATION FOR PERMIT LIME GREEN I hereby affirm that I have 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 co is filed with the count buildingInspection FOR APPLICANT TO FILL IN BUILDING copy y department. (PRINT OR TYPE ONLY) ADDRESS Date Applicant LOCALITY NO. TYPE OF APPLIANCE OR EQUIPMENT FEE 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 PAGE PARCEL permit is for one hundred dollars($100)or less.) AIR HANDLING UNIT,CFM DISTRICT NO. PROCESSED BY I certify that in the performance of the work for which this permit rel' is Issued, I shall not employ any person in any manner so as to BOILER,BTU become subject to the Workers'Compensation Laws. COMPRESSOR,BTU APPROVALS DATE INSPECTOR'S SIGNATURE Date Applicant VENTILATION SYSTEM NOTICE TO APPLICANT: If, after making this Certificate of ROUGH Exemption,you should become subject to the Workers'Compensation EVAPORATIVE COOLERp provisions of the Labor Code,you must forthwith comply with such FINAL /011 1 provisions or this permit shall be deemed revoked. FURNACE: FAU GRAVITY LICENSED CONTRACTORS DECLARATION FLOOR BTU VALIDATION I hereby affirm that I am licensed under provisions of Chapter 9 HEATER: SUSPENDED—UNIT— (commencing USPENDED UNIT(commencing with Section 7000)of Division 3 of the Business and WALL Professions Code,and my license is in full force and effect. 2 1 lop License Number Lic.Class ACCTALr, 3307 513.00 EL Contractor❑ Date a ii: C Plan check fee I' iTE: I am exempt under Sec. � CCB.&P.C.for this reason PERMIT ISSUING FEE$ TOTAL _ 0 a OC Q Date: TOTAL FEE �AIN 5_l JO ( W Signature �nf'GE .013 0. Cr OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT 1 hereby affirm that I am exempt from the Contractor's License Law NAMEr + for the following reason(Section 7031.5, Business and Professions � [I€ 011—�,I1ILI j ��y51?j Code): ADDRESS 5.1)13 1 f p 1�{f 141°a 133 ElI, as owner of the property, or my employees with wages 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 ❑ 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 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 I�� K and State laws relating to building construction,and hereby authorize -eG ®/L representatives of this County to enter upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LA UAGE SIGNATURE OF APPLICANT OR AGENT DATE