HomeMy Public PortalAbout5570 RYLAND AVE_Mechanical__ {
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1104250004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1
ITR: 16957 LT: 117 1 I 5570 RYLAND AV 1
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917802723 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: BOGUE
18586-017-013 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY, Cl
1 102 COMPRSR < 100 KBTU 2.00 COM 54.00 I I
ITENANT: 108 FURNACE/HEATER <100 2.00 UNI 54.00 (ISSUED ON: PROCESSED BY: PLAN BY: [
[ 30 AIR INLETS/OUTLETS 18.00 UNI 78.30 04/25/11 SR 1
141 VENTILATION FAN 3.00 FAN 47.50 1 1
[OWNER: TEL. NO: 142 VENT SYSTEM (OTHER) 1.00 SYS 33.90 IF AL DATE FIN BY: CODE: [
IWONG, SHAUN (626) 443-1832- 1 TOTAL FEES 295.50 1 \i
15570 RYLAND AV 1 1 /� I
ITEMP 917802723 [ [ SC IPTION OF WORK [
I (INSTALL TWO NEW HVAC SYSTEMS 1
(APPLICANT: TEL. NO: I 1 1
IWONG, SHAUN (310) 468-4914- I 1 I
15570 RYLAND AVE. [ ISPECIAL CONDITIONS: I
ITEMPLE CITY CA 91780 [ I 1
I
ICONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE 1
1KEN G CHAN CORP (626) 255-7578- 1 1 1
1310 W. RALPH STREET LIC. NO I [FAU/WALL FURNACE 1
[SAN GABRIEL, CA 91776 906406 1 I 1
1 I ICOMBUSTION AIR OPENINGS 1 [ 1
(ARCHITECT OR ENGINEER: TEL. NO: 1 IDUCT WORK I
ILEE, PETER (626) 280-9000- [ 1 1
18748 E. VALLEY BLVD. SUITE L LIC. NO: 1 1AC/COMPRESSOR I [
IROSEMEAD, CA 91770 906406 * I 1 I I
I I ITHERMOSTAT
I I
I IFIRE DAMPERS I I I
I I I
1 I ISMOKE DETECTION DEVICES [ I [
1 [ ICOMMERCIAL HOOD I I 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 II I I I I
I I I I I I
I I I I I I
I I I I I I
[ 1* ADDITIONAL DATA ON FILE 1 I I 1
1 [REPORT ID: DPR264 ROUTE TO: BS0508 1 I 1 I
I I I I I I
l
ION
I' WORKER'S I have
a certificate
of consent to 76A384 DPW9/89 APPLICATION FOR PERMIT LIME GREEN
76A384C
I hereby affirm that I have a certificate of consent to self insure,
or a/certificate of Worker's Compensation Insure , or a certified HEATING-VENTILATING-AIR CONDITIONING
copy thereof(Sec.3800 Lab.C.)
Policy N� , Comp ny I / COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV.
Certified copy is hereby furnished.
Certified co Is filed with the cou buildingInspection FOR APPLICANT TO FILL IN BUILDING
de art ntpy p (PRINT OR TYPE ONLY) ADDRESS
Date Applicant LOCALITY f
O. TYPE OF APPLIANCE OR EQUIPMENT FEE
CERTIFICATE OF EXE PTION M WO RS' NEAREST
COMPENSATION IN RANCE CROSS ST.
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($100)or less.) AIR HANDLING UNIT,CFM DISTRICT NO. PROCESSED BY
I certify that in the performance of the work for which this permit
is issued, I shall not employ any person in any manner so as to BOILER,BTU Ory
become subject to the Workers'Compensation Laws. n ��JJ
COMPRESSOR,BTU G
APPROVALS DATE INSP R'S SIGNATURE
Date Applicant VENTILATION SYSTEM
NOTICE TO APPLICANT: If, after making this Certificate of ROUGH
Exemption,you should become subject to the Workers'Compensation a EVAPO IVE CO. ER
provisions of the Labor Code,you must forthwith comply with such FINAL
provisions or this permit shall be deemed revoked. FURN
LICENSED CONTRACTORS DECLARATION FLOOR BTU 210 (2V n
VALIDATION
I hereby affirm that I am licensed under provisions of Chapter 9 HEATER: SUSPENDED UNIT
(commencing with Section 7000)of Division 3 of the Business and WALL
Professions Code,and my license is in full force and effect. f
License Number LIC.Class
EL
Osf r` Date 0
❑ Plan check fee 0
I am a mpt under Se I=
B. C.for this reason PERMIT ISSUING FEE$ 2-1 .N0 0
Date: TOTAL FEE
Signature IL
PLAN CHECK APPLICANT 0
OWNER-BUILDER DECLARATION z
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 g
❑ 1, as owner of the property, or my employees with wages ACCTA
as their sole compensation, will do the work and the CITY T%.N X03 101.70
structure is not Intended or offered for sale (Section 7044,
Business and Professions Code). OWNER 1 ITEMS
❑ I, as owner of the property, am exclusively contracting MAIL TOTAL 105 o 70
with licensed contractors to construct the project (Sec- ADDRESST CHECK c -7
tion 7044, Business and Professions Code). CI �. / TEL.NO. CHECK 105.r 0
CONSTRUCTION LENDING AGENCY CHANGE 00
I hereby affirm that there is a construction lending agency for CONTRACTORAAOCA ,
the performance of the work for which this permit is issued
(Sec.3097,Civ.C.). n n i n 9 ]
ADDRES ddgw 0000-1Jryu 1 10�1'(�(15
Lender's Name V rt
CITY r TEL.NO. � �}+ 1 AM11 V�
Lender's Address STA � 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
representatives of this County to ter upon the above-mentioned
propert nsp ion pu es. � ��` SEE REVERSE FOR EXPLANATORY LANGUAGE
SIGNATURE 0;rLIC9NT OR AGENT DATE
76AM4 c18 - 3-69 APPLICATION FOR PERMIT 9
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION r
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY
COLEMAN W.JENKINS,SUPERINTENDENT OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
ABSORPTION SYSTEM, BTU CITY TEL. NO.
AIR HANDLING UNIT, CFM CONTRACTOR
BOILER, HORSEPOWEW� ao ADDRESS
CIT TEL. NO�
COMPRESSOR, HORSEPOWER ST TELIC. �r
LICENSE N O� CLASSC •"�
VENTILATION SYSTEM DISTRICT NO. GROUP I ZONEPROCESSED BY
EVAPORATIVE COOLER
i v U i
FURNACE: FAU GRAVITY
FLOOR BTU INSPECTION RECORD
HEATER: SUSPENDED UNIT
WALL
F c
c
0
F
n
NEW_ADDITION_
PERMIT $ 3 00
ALTER REPAIR_ TOTAL FEE $
00,40 1
PLAN CHECK APPLICANT
NAME
ADDRESS a�
CITY 4 TEL. N` D`/ '
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING,VENTI- APPROVALS D E I P TOR'S SIGNATURE
LATING, CONDITIONING.
IHEREB RTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH
CHAPTER 9, D N 3 OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE ORNIA.
:f
SIGNATURE JACK R. AL'EN, SUPERVISING MECHANICAL ENG'R.
OF PERMITT
mmmmommmommmE PERMIT V LI ATION cK. M.O. CASH
PLAN CHECK' VA ATION
0 3 3 '.x'73 tiP� 2 41 D 10.5 Q � �1
=E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE