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Home My Public Portal About5825 ROWLAND AVE_Mechanical__ COUNTY.OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0506010011 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 ERT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 6561 LT: 409 5825 ROWLAND AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802239 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS 8587-030-006 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C 08 FURNACE/HEATER <100 1.00 UNI 27.00 TENANT: 30 AIR INLETS/OUTLETS 9.00 UNI 39.15 ISSUED ON: PROCBSSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 93.90 06/01/05 JK 11/28/05 OWNER: TEL. NO: FIN�I�/DJ`ATFY� FIN BY: OWNER: BETTY M TR GEORGINO TRUST (626) 287-9213- b/N 11 5825 ROWLAND AV TEMP 917802239 DESCRIPTION OF WORK CHANGE OUT FAU APPLICANT: TEL. NO: GLOVER (951) 279-0604- 5030 VICEROY AVE SPECIAL CONDITIONS: NORCO, CA 92860 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE AIR TRO INC. (626) 357-5311- 1630 S. MYRTLE AVENUE LIC. NO FAU/WALL FURNACE MONROVIA, CA 91016 25822BC36 COMBUSTION AIR OPENINGS ARCHITECT OR ENGINEER: TEL. NO: DUCT WORK LIC. NO: AC/COMPRESSOR THERMOSTAT FIRE DAMPERS SMOKE DETECTION DEVICES COMMERCIAL HOOD * ADDITIONAL DATA ON FILE REPORT ID: DPR264 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENM OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0505240002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 6561 LT: 409 5825 ROWLAND AV FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917802239 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS 8587-030-006 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C 41 VENTILATION FAN 1.00 FAN 15.75 TENANT: TOTAL FEES 43.50 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 05/24/05 JK 11/20/05 OWNER: TEL. NO: FI ATE AL BY: CODE: GEORGINO BETTY M TR GEORGINO TRUST (626) 376-3052- y� L 5825 ROWLAND AV 9 TEMP 917802239 D S RIPTI N OF WORK VEN ILATION FAN FOR NEW BATHROOM APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO FAU/WALL FURNACE COMBUSTION AIR OPENINGS ARCHITECT OR ENGINEER: TEL. NO: DUCT WORK - s LIC. NO: AC/COMPRESSOR THERMOSTAT FIRE DAMPERS SMOKE DETECTION DEVICES COMMERCIAL HOOD REPORT ID: DPR264 ROUTE TO: BS0508 WORKER'S COMPENSATION DECLARATION 200048 DPW 9/89 APPLICATION FOR PERMITLIME GREEN 76A384C I hereby affirm that I tiave a certificate of consent to self insure, or a certificate of Workers Compensation Insurance, or a certified HEATING-VENTILATING-AIR CONDITIONING copy thereof(Sec.3800 Lab.C.) t Policy No. Company COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV. ❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the count buildin ins ection FOR APPLICANT TO FILL IN BUILDING 7 L department. y g p (PRINT OR TYPE ONLY) ADDRESS 5 (�5 �L-19�.valcvr. Date Applicant LOCALITY CC NO. TYPE OF APPLIANCE OR EQUIPMENT FEE CERTIFICATE OF EXEMPTION FROM WORKERS' NEAREST COMPENSATION INSURANCEABCROSS ST. SORPTION UNIT,BTU ASSESSOR '-7 (This section need not be completed if the work Involved by the MAP BOOK j / PAGE PARCEL b permit is for one hundred dollars($100)or less.) AIR HANDLING UNIT,CFM DISTRICT NO. PROCESSED BY I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to BOILER,BTU Lim become subject to the Workers'Compensation Laws. �D / COMPRESSOR,BTU s `dpi APPROVALS DATE, INSPE�R'S SIGNATURE Da4;,J!2, Applicants/ NTILATI !/ NOTICE TO APPLICANT:'If, after' making this Certificate of ROUGH `Z3' Exemption,you should become subject to the Workers'Compensation EVAPORATIVE COOLER provisions of the Labor Code,you must forthwith comply with such FINAL provisions or this permit shall be deemed revoked. FURNACE: FAU GRAVITY LICENSED CONTRACTORS DECLARATION `FLOOR BTU VALIDATION I hereby affirm that I am licensed under provisions of Chapter.9 HEATER: SUSPENDED UNIT (commencing with Section 7000)of Division 3 of the Business and WALL Professions Code,and my license is in full force and effect. 90 v r/G �y 4 License Number Lie.Class ACCT. ' 0. 3303 • I b r o•.1•. Contractor Date I i TIC n!j ❑ I am exempt under-Sec. Plan Check fee -29= 5 5 O e.ffP.C.for this reason PERMIT ISSUING FEE$ CHECK Date: TOTAL FEEdo HANGE o[Il to Signature PLAN CHECK APPLICANT O OWNER-BUILDER DECLARATION n y C I hereby affirm that I am exempt from the Contractor's License Law NAME ► 1701]IJ->il-tu j 6/22/9 for the following reason(Section 7031.5, Business and Professions Code: ADDRESS 0384 AM SO-W5 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 L -Cc Y- 1-,L to I, as owner of the property, am exclusively contracting MAIL with licensed contractors to construct the project (Sec- ADDRESS 542- . 1Zo,•V./ 'y/1C/J tion 7044, Business and Professions Code). CITYTr T r TEL2-T 7-9 z CONSTRUCTION LENDING AGENCY M IG 1 .NO. 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 and State laws relating to building construction,and hereby authorize representative$of this County to enter upon the above-mentioned yrop ty for spection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE NATUR OF APPLICAN AGENT DATE 76A364C3 CE-818(REV.1-1/78) ®> APPLIC ON R PERMIT HEATING, - VENTI ATING - AIR CON IONING COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING"^ (PRINT OR TYPE ONLY) ADDRESS LOCALITY NO. TYPE OF APPLIANCE OR EQUIPMENT FEE NEAREST CROSS ST ABSORPTION UNIT,BTU V OWNER p AIR HANDLING UNIT,CFM MAIL ADDRESS BOILER,BTU CITY ` TEL.N 1 COMPRESSOR,BTU CONTRACTOR ` 1 VENTILATION SYSTEM ADDRES L EVAPORATIVE COOLER CITY ., EL.N FURNACE: FAU GRAVITY STATE LIC. FLOOR BTU I LICENSE NO. CLASS HEATER: SUSPENDED UNIT APPROVALS DATE INSPECTOR'S SIGNATURE WALL ROUGH 17�,Z +(] FINAL" ` •- fj. - .ae.6ua U' INSPECTION RECO b 09 O u Plan check fee 25% of above. 06 uc PERMIT ISSUING FEE$ TOTAL FEE t PLAN CHECK APPLICANT PLAN CHECK VALIDATION NAME ADDRESS t CITY"--- TEL.NO. 29826A I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND ` 0 0 0 0 4 1 STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING HEATING. VENTILATING, AIR CONDITIONING. 'PERMIT VALIDATION 2 ° - 27,00 1 HEREBY CERTIFY THAT 1 AM NOT ACTING IN VIOLATION OF CH APT VISION 3, O �BUSINESS AND PROFESSIONAL CODE 0.0 0 2 7,C C;v OF THE STATE O LIFOR A.• SIGNATURE ! 1� G G, 1 l..-80 OF PERMI'1zEE� ^ DISTRICT NO. PROC BY