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Home My Public Portal About6037 ROWLAND AVE_Mechanical__ ti COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0701240009 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGA' ID: FEES PAID , BUILDING ADDRESS: {TR: 6561 LT: 30 6037 ROWLAND AV I IFEE DESCRIPTION: QUANTITY: UOM: 7MOU T:1 TEMP CA 917801721 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 15385-028-005 101 PERMIT ISSUANCE FEE 27,75 { THOMAS PAGE: 597 GRID: AZ LOCALITY: TEMPLE CITY, C 108 FURNACE/HEATER <100 2.00 UNI 54.00 T 1TENANT: 130 AIR INLETS/OUTLETS 13.00 UNI 56.55 TISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 141 VENTILATION FAN 2.00 FAN 31.50 101/24/07 JK 07/23/07 I 1 TOTAL FEES 169.80 I TOWNER: TEL. NO: (GASTRO JORGE;TERESA _ I FINAL DATE _ FINAL BY: CODE: l 16037 ROWLAND AV /lr ` !'bM-cslj$ , - 1 1TEMP 917801721 { 1DESCRIPTI0N OF WORK TINSTALL TWO FAU SYSTEMS AND 2 VENTILATION FANS 1 APPLICANT: TEL. N0: I 1 JOHN CABRERA (800) 283-6068- { T 11144 BALBOA BLVD. i SPECIAL CONDITIONS: GRANADA HILLS 91344 , 1 I 1 CONTRACTOR: TEL. NO: 11APPROVALS DATE INSPECTOR SIGNATURE I JAY CEE'S HVAC MECHANICAL (800) 283-3068- i 11144 RAT OA BLVD. SUITE 221 LIC. NO 1 1FAUI,WALL FURNACE GRANADA HILLS, CA 91344 550508 C20 I i 1 (COMBUSTION AIR OPENINGS { { ! I I I ARCHITECT OR ENGINEER: TEL. NO: I DUCT WORK LxC. NO: 1 AC/COMPRESSOR 1 THERMOSTAT 1 , FIRE DAMPERS 1 (SMOKE DETECTION DEVICES 1 COMMERCIAL HOOD I I I I I I 1 I ! 1 � 1 I i I 1 ! I 1 1REPORT ID: DPR264 ROUTE T0: BS0508 • .WORKER'S COMPENSATION DECLARATION ;s� �PW 9/89 APPLICATION FOR PERMIT LIME GREEN 1 he�ret)y aftir;p that 1 have a certificate of consent to self insure, or a�certificate of-VIjorher's Compensation Insurance, or a certified HEATING-VENTILATING-AIR CONDITIONING copy thprdof(mac.3800 Lab.C.) Policy ho� Company COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV. ❑ Certified copy is hereby furnished. ❑ Certified co Is filed with the county building inspection FOR APPLICANT TO FILL IN BUILDING copy g p 6f fd department. PRINT OR TYPE ONLY) ADDRESS Lo Date ApplicantLOCALITY NO. TYPE OF APPLIANCE OR EQUIPMENT FEE CERTIFICATE OF EXEMPTION FROM WORKERS' NEAREST CROSS ST. COMPENSATION INSURANCE Q 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.) F.erm 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 �D� 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 COOLER provisions of the Labor Code,you must forthwith comply with such FINAL provisions or this permit shall be deemed revoked. FURNACE: FAU V1TY `' VALIDATION LICENSED CONTRACTORS DECLARATION FLOOR BTU p 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. 461 O v _ License Number Lic.Class v l IC AI l-Toa IL Contractor Date 3303 '7 -?:C ❑ I am exempt under Sec. Plan check fee _TL.i!L I-I fee'' a`` Ix BAP.C.for this reason PERMIT ISSUING FEE 1 I Date: TOTAL FEE TOTAL 97. 3-1- CAEH Signature OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT CHANGE Ihereby affirm that I am exempt from the Contractor's License Law NAME , for the following reason (Section 7031.5, Business and Professions 'l/ /lQ y yi i ode): ADDRESS • K/'i v C� lJl �l-j-1��IJ L 4/21.11 - 1, as owner of the property, or my employees with wages 0369Z as their sole compensation, will do the work and the CI �r TEL.NO�'/� structure is not intended or offered for sale(Section 7044, Business and Professions Code). 6WNER ❑ 1, 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 and State laws relating to building construction,and here y au ho'ze represent ' es of this County to enter upon the ab a-ment' ned proper r inspectio rp as, SEE REVERSE FOR EXPLANATORY LANGUAGE SIGN P O ATE WORKERS'COMPENSATION DECLARATION AP P L I CAT' ION FOR PERMIT �•I ,thereby`affirm that I have a certificate of consent to self insure, or certificate of Workers' Compensatiq,7 Insurance, HEATING - !VENTILATING - AIR CONDITIONING or u,F r!f'l�copy thereof(Seib 3800, Lab. C.) 76A364C �' a 20-0046 DPW 9/88 Pokcy Ifo. _Company LrJT Certified copy is hereby furnished. COUNTY OF LOS ANGELES BUILDING AND SAFETY Certified copy is filed with the county building inspec- BUILDING tion department. FOR APPLICANT TO FILL IN ADDRESS ,9_3 -7 1411-41.20 lo. (PRINT OR TYPE ONLY) ' Date Applicant- LOCALITY • NO. TYPE OF APPLIANCE OR EQUIPMENT FEE CERTIFICATE OF EXEMPTION FROM WORKERS' NEAREST COMPENSATION INSURANCE CROSS ST. (This section need not be completed if ffie work involved by ABSORPTION UNIT, BTU DISTRICT NO. PRO ED BY the permit is for one hundred dollars($100)or less.) !/ I certify that in the performance of the work for which this AIR HANDLING UNIT,CFM n permit is issued, I shall not employ any person in any manner VVV I tl so as to become subject to the Workers'Compensation Laws. BOILER, BTU APPROVALS DATE INSPE R'S SIGNATURE 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 deem- ed revoked. FURNACE: FAU GRAVITY LICENSED CONTRACTORS DECLARATION FLOOR BTU I hereby affirm that I am licensed under provisions of Chapter 9 HEATER: SUSPE U (commencing'with Section 7000)of Division 3 of the Business WALL• and Professions Code,and my license is in full force.and effect. } � a License Number Lic. Classpop. O `/ r u Contractor Date W ❑ -1 am exempt under Sec. � Plan check fee u B.BP.C. for this reason y Date: PERMIT ISSUING FEE $TOTAL FEE Z Signature (� OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT I hereby affirm that I am exempt from the Contractor's License , Law for the following reason (Section 7031.5, Business and NAME Professions Code): I, as owner of the property, or my employees -with ADDRESS v wages as their sole compensation,will do the work and CIN - TEL. NO. (• �04 the structure is not intended or offered for sale(Section 7044, Business and Professions Code). OWNER. J 3307 Si ol:0 ❑ I, as owner of the property, am exclusively contracting v O �E ��S,i ST2 with licensed contractors to construct the project (Sec- MAIL 1 ITEM tion 7044, Business and Professions Code). ADDRESS 40-3 A4 1f0WLA1JD -A9- CONSTRUCTION LENDING AGENCY CITY EM �� TEL. NO. ,9592 TOTAL 37®03 0 1 hereby affirm that there is a construction lending agency for vH� �; 37.00 the performance of the work for which this permit is issued CONTRACTOR , (Sec. 3097, Civ. C.). CHAF46E .013 ADDRESS Lender's Name CITY TEL. NO. _ � Lender's Address STATE LIC. e/15/SL I 1 certify that I have read this applicatiorf and state that the LICENSE NO. CLASS 1814 1 Ali 7:4 above information is correct. I agree to comply with all County - 5 ordinances and State laws relating to building construction, and hereby authorize representatives.of this County to enter upon thea ve-mentio property for insp tion purposes.17 SEE REVERSE FOR EXPLANATORY LANGUAGE 957 ature of Applicant 0 r Agent ate