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Home My Public Portal About5787 ROSEMEAD BLVD_Mechanical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1306070020 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 5787 ROSEMEAD BL IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 91780 ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LAS TUNAS 15397-012-043 IOW P.C. FEE $109.35 MIN 0.00 208.10 I THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY CAI I 101 PERMIT ISSUANCE FEE 27.80 I 1 (TENANT: 102 COMPRSR < 100 KBTU 6.00 COM 162.00 (ISSUED ON: PROCESSED BY: PLAN BY: 1 [MURATA (DAISO) YOSHIHIDE 130 AIR INLETS/OUTLETS 33.00 UNI 145.20 107/31/13 SR 1 1 135 AHU < 2000 CFM 6.00 AHU 77.40 1 1 OWNER: TEL. NO: 141 VENTILATION FAN 2.00 FAN 31.60 IFINAL DA3E FIIJAL B� CODE: LEW (S.LEW & ASSOCIATES INC), SUSAN (858) 565-8333- 1 TOTAL FEES 652.10 1 `J'1 13709 CONVOY STREET I IHII) 1 ISAN DIEGO CA 92111 1 ID S RIPTION OF WORK I1 I I ITENANT IMPROVEMENT - MECHANICAL PROJECT TO CONSTRUCT NEW 1 I I IRETAIL SHOP, OFFICES, STORAGE AND RESTROOMS I 1APPLICANT: TEL. NO: I I I IBLIZMAN, YOSHIKAZU (310) 768-2700- 1 1 1 1879 W 190TH STREET 1 ISPECIAL CONDITIONS: 1 GARDENA CA 90248 I I I i I ICONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE I ISATOH BROTHERS INTER., INC. (310) 768-2700- 1 1 1 1879 W. 190TH #935 LIC. NO 1 1FAU/WALL FURNACE I I 1 IGARDENA CA 90248 743636 * 1 1 1 1 1 I 1 ICOMBUSTION AIR OPENINGS 1 1 1 (ARCHITECT OR ENGINEER: TEL. NO: 1 IDUCT WORK I ISATOH BROTHERS INTERNATIONAL (310) 768-2700- 1 1 1879 W. 190TH STREET #910 LIC. NO: 1 IAC/COMPRESSOR IGARDENA,CA 90248 743636 B I I I 1 I ITHERMOSTAT I 1 I IFIRE DAMPERS 1 1 I 1 1 1SMOKE DETECTION DEVICES 1 1 1 1 I ICOMMERCIAL HOOD 1 1 1 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 1 1* ADDITIONAL DATA ON FILE 1 1 1 1 I I I I I IREPORT ID: DPR264 ROUTE TO: BS0508 I 1 I I I I I I I WORKER'S COMPENSATION DECLARATION 20-0046 6C PW 9189 APPLICATION FOR P E R d!!tl�T 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_��, IN r Policy N E r't'''!`1 Q v''1^/ompan ❑ COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV. Certified copy is hereby furnished. ® Certified co is hued with the count building Inspection FOR APPLICANT TO FILL IN BUILDING copy y g p department. , (PRINT OR TYPE ONLY) ADDRESS 5787 ROS EM AD BLVD ; LOCALITY TEMPLE CITY, CA Dat Applicant NO. TYPE OF APPLIANCE OR EQUIPMENT FEE 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 MAP BOOK PAGE PARCEL permit is for one hundred dollars($100)or less.) AIR HANDLING UNIT CFM DISTRICT NO. PROCESSED BY I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to BOILER,BTU dG become subject to the Workers'Compensation Laws. �D ��/�/ 1 COMPRESSOR,BTU QQQ 231-25 APPRovuS DATE INSPECTOR'S SIGNATURE Date 1/3/92 Applicant r—"'�?`� �� VENTILATION SYSTEM 4 NOTICE TO APPLICANT: If, after making this Certificate of ROUGH Exemption,you should become subject to the Workers'Compensation EVAPORATIVE COOLER provisions of the Labor Code,you must forthwith comply with such FINAL provisions or this permit shall be deemed revoked. FURNACE: FAU GRAVITY LICENSED CONTRACTORS DECLARATION FLOOR BTU VA I hereby affirm that-I am licensed under provisions of Chapter 9 HEATER: SUSPENDED UNIT (commencing with Section 7000) of Division'3 of the Business and WALL Professions Code,and my license is in full force and effect. License Number 390451 Lic.Class C20/08 / 10 Contractor PREF: ME CH. SERV.Date 1 3/92 C I am exempt under Sec. Plan check fee " a B.&P.C.for this reason PERMIT ISSUING FEE$ 24 75 ;: a F Date: TOTAL FEE 4$ 00 '{' .a T` '`=1�i LCI SignatureT EMS' PLAN CHECK APPLICANT r''' �) OWNER-BUILDER DECLARATION <<';�'.tiL �,F,�y m ��--}I� � I hereby affirm that I am exempt from the Contractor's License Law NAME for the following reason(Section 7031.5, Business and Professions CHEC-31 TI j�:�_' Code): ADDRESS 'U%r1,Jf r ❑ I, as owner of the property, or my employees with wages %4I'M,W" rJ`= 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 +(-1LI=1" 1 =:` �� •:�i ',: ❑ UNKNOWN _ I, as owner of the property, am exclusively contracting MAIL 09134 AM! i, with licensed contractors to construct the project (Sec- ADDRESS 5787 ROSEMEAD BLVD tion 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY CIN TEMPLE CITY TEL.NO. I hereby affirm that there is a construction lending agency for CONTRACTOR the performance of the work for which this permit Is issued PREFERRED MECHANICAL SERVICE. (Sec.3097,Civ.C.). 'ADDRESS 15544 CABRI TO ROAD Lender's Name CITY VAN NUYS, CA TEL.NO.($18)]8]-868 Lender's Address STATE I certify that I have read this application and state that the above LICENSE NO. 390451 CLASS C20/C38 information is correct. I agree to comply with all County ordinances and State laws relating to building construction,and hereby authorize representatives of this County to enter upon the above-mentioned property for ispa Ion purposes. I SEE REVERSE FOR EXPLANATORY LANGUAGE I�� Cr, 1/03/92 SIGNATURE OF APPLICANT OR AGENT DATE WORKER'S COMPENSATION DECLARATION 20 0046 DPW 9109 "� CGv Pi-'-R MIT IME G 7GA364C APLICATION I°OR I hereby affirm that I have a certificate of consent to self insure, N, or a certificate of Worker's Compensation Insurance, or a certified HEATING-VENTILATING-AIR CONDITIONING copy thereof(Sec.3800 Lab.C.)E106-?v-Policy Company$�� ❑ COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV. Certified copy is hereby furnished. I , Certified copy is filed with the count building inspection FOR APPLICANT TO FILL IN BDDRE33 15-7r7 12>c.SGS departme (PRINT OR TYPE ONLY). Date ` Applicantz NO. TYPE OF APPLIANCE OR EQUIPMENT FEE LOCALITY TQy,`�J CERTIFICATE OF EXEMPTION FROM WORKERS' NEAREST CROSS ST. S--ro4\&F3 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($100)or less.) AIR HANDLING UNIT,CFM DISTRICT NO. PROCESSED BY I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to BOILER,BTU ,Q become subject to the Workers'Compensation Laws. e5o e COMPRESSOR,BTU - APPROVALS DATE INSPECTOR'S SIGNATURE Date Applicant VENTILATION SYSTEM NOTICE TO APPLICANT: If, after making this Certificate'of ROUGH Exemption,you should become subject to the Workers'Compensation EVAPORATIVE COOLER provisions of the Labor Code,you must forthwith comply with such FINAL Z4i ex provisions or this permit shall be deemed revoked. FURNACE: FAU GRAVITY LICENSED CONTRACTORS DECLARATION FLOOR BTU VALIDATION I hereby affirm that I am licensed under provisions of Chapter 9 SUSPENDED UNIT (commencing with Section 7000)of Division 3 of the Business and HEATER: WALL Professions Code,and my license is in full force and effect. yy i l71 License NumberIVOOR •Q� LID.Class 612.0 Contractor 11�� Date l' L t C ❑ .I am exempt under Sec. Plan check fee �- D B.&P.C.for this reason PERMIT ISSUING FEE$ !� �j F Date: TOTAL FEE LL Signature PLAN CHECK APPLICANT U OWNER-BUILDER DECLARATION 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 ^` I "-T ❑ I, as owner of the property, or my employees with wages 3.3, 7 7 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 „_ =''• - }r0 MAIL aa.� tn7_ C with licensed contractors to construct'the project (Sec- ADDRESS lJ1 \'�+Jscm-� !`i Gl i% -:l ito tion 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY Cl P LL,C,1 TEL.NO. ISI , ° i.• I hereby affirm that there is a construction lending agency for CONTRACTOR �� I performance of the work for which this permit is issued (Sec.3097,Civ.C.). �j A ADDRESS I=1 Lender's Name CITY TEL.NO.Qj(�j2,,� j G�� Lender's Address Lt I certify that I have read this application and state that the above LICENSE NO.�� a LIC. 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 j;y for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE O APPLICANT OR AGENT DATE I