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HomeMy Public PortalAbout4948 RYLAND AVE_Mechanical__ • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0008080001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: EGA I : FEES PAID BUILDING A DR S : TR: 17107 LT: 25 4948 RYLAND AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804037 ASSESSOR I FO TI N NUMBER: NEAREST CROSS STREET: LOWER AZUSA 8585-013-027 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: 84 LOCALITY: TEMPLE CITY 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: 30 AIR INLETS/OUTLETS 3.00 UNI 13.05 08/08/00 UT 02/05/01 TOTAL FEES 94.80 OWNER: TEL. NO: FINAL DATE FIN Y: CODE: LEI,KUO CHUN; PEI KUI PEI 4948 RYLAND AV TEMP 917804037 DESCRIPTION OF WORK HEATING AND AIR CONDITIONING AND 3 NEW DUCTS APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: �E-s co APPROVALS DATE INSPECTOR SIG ATURE SAME AS OWNER LIC. NO FAU/NAL FURNACE COMBUSTION AIR OPENINGS ARCHITECT OR ENGINEER: T L. NO: ` DUCT WORK L C T DESIGN GROUP (626) 285-3408 112 N. EARLE ST. LIC. N0: I 1111111 AC/COMPRESSOR SAN GABRIEL, CA 91775 NONE I/ THERMOSTAT G,U D n WG i n n FIRE DAMPERS J ILIA IL1�L;1 ILJK(�1 SMOKE DETECTION DEVICES e a COMMERCIAL HOOD ❑ 7 0 � q �5 El 46'�c Service'Cha��0, REPORT ID: DPR264 ROUTE TO: BS0508 ION ' y WORKER'S COMPENSATate of consent to 76A348DPW9/89 APPLICATION FOR PERMIT LIME GREEN I hereby affirm that I have a certificate of consent to self insure, 76A364C or a certificpe 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 copy is filed with the count buildin Ins ection FOR APPLICANT TO FILL IN BUILDING 11 department. y 9 p (PRINT OR TYPE ONLY) ADDRESS 7 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 ASSESS BOOKOR PAGE PARCEL permit Is for one hundred dollars($100)or less.) AIR HANDLING UNIT,CFM DISTRICT NO. PROCESSED BY I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as'toop BOILER,BTU yt� become subject to the Workers'Compensation Laws. & V n��O COMPRESSOR,BTU�� APPROVALS DATE INSPECTOR'S SIGNATURE Date J Applica VENTILATION SYSTEM NOT115E TO APPLICANT: If, afte mak g this Ce Ificate of ROUGH Exemption,you should become subject to the Workers'Compensation EVAPORATIVE COOLER provisions of the Labor Code, you must forthwith comply with such FINAL -9 ✓1T�� provisions or this permit shall be deemed revoked. i FURNACE:/1��FAU G VITY VALIDATION LICENSED CONTRACTORS DECLARATION ( FLOOR - BTU - I hereby affirm that I am licensed under provisions of Chapter 9 HEATER: SUSPENDED UNIT (commencing with Section 7000) of Division 3 of the Business and WALL Professions Code,and my license is in full force and effect. License Number. LID.Class Contractor `' Date IG C ❑ I am exempt under Sec. Plan Check fee C e.&P.C.for this reason PERMIT ISSUING FEE$ C Dat ?^1G TOTAL FEE1�0,71 00 a Signal a PLAN CHECK APPLICANT U, OWI R-BUILDER DECLARATION i s 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 7 � "I,C o V ❑ 1, as owner of the property, or my employees with wages 7 +'i �; ry� �p i as their sole compensation, will do the work and the CITY CTEL.NO. ,3,3_ a-'- structure is not Intended or offered for sale (Section 7044, i i��HQ Business and Professions Code). OWNER ❑ I, as owner of the property, am exclusively contracting MAIL l 1 5I)TAL 57 o 9:30 with licensed contractors to construct the project (Sec- ADDRESSCHECK 57.043 tion 7044, Business and Professions Code). r CONSTRUCTION LENDING AGENCY CITY ' TEL.NO. .5,5- 0 v7 'CHANGE e�(`I I hereby affirm that there is a construction lending agency for i _ the performance of the work for which this permit is Issued CONTRACTOR 1 j (Sec.3097,Civ.C.). ! �� _ ADDRESS (�[.— i.000-(ji3IS 1 121/ 3/90 Lender's Name CITY /o/� TEL.NO.b O `233 j P 112 e 102. Lender's Address ,+© LIC. I certify that I have read this application and state that the above LICENSE NO. .�,> (Ej 4 CLASS 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 n the above-mentioned roperty forinspec ion p e SEE REVERSE FOR EXPLANATORY LANGUAGE URE k2F APPLICANT OR ARENT DATE