HomeMy Public PortalAbout6402 SULTANA AVE_Mechanical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0806270001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
I ON FILE 1 1 6402 SULTANA AV I
IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:1 SGAB CA 917752034
1ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LONGDEN
5382-019-023 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl
1 102 COMPRSR < 100 KBTU 1.00 COM 27.00 I 1
ITENANT: 108 FURNACE/HEATER <100 1.00 UNI 27.00 TISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
1 30 AIR INLETS/OUTLETS 8.00 UNI 34.80 06/27/08 SR 12/24/08 1
1 1 TOTAL FEES 116.55 1
10WNER: TEL. NO: I FINAL DATE FINAL BY: CODE:
ILIN, ANTONY (626) 287-9898-
16402 SULTANA AV I 1 00 1
1SGAB 917752034 I ` E ID S RIPTION OF WORK
1 1
lAlb
5 TON SLIP AIR CONDITIONING 1
I
(APPLICANT: TEL. NO: 1 1 I
ITSAI (626) 483-2857- I 1
179 W. MAGNA VISTA I ISPECIAL CONDITIONS:
IARCADLA, CA 91007 1 1 1
I I I I
1CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
IJAMES TSAI CONSTRUCTION, 6264832857 (626) 483-2857- 1 1
179 W. MAGNA VISTA AVE LIC. NO I FAU/WALL FU
I
RNACE I
IARCADIA CA 91007 B C10 C20 * 1 I 1
1 1 ICOMBUSTION AIR OPENINGS 1 1 1
(ARCHITECT OR ENGINEER: TEL. NO: II IDUCT WORK I I I
I - I I
1 LIC. NO: 1 lAC/COMPRESSOR
ITHERMOSTAT
I I I
1 1 1FIRE DAMPERS 1 1 1
1 1 ISMOKE DETECTION DEVICES 1 1 1
1 jCOMMERCIAL HOOD I I I
I I I I I I
I I I I I I
I 1 I I I I
I I I 1 I I
I I I I I I
I* ADDITIONAL DATA ON FILE I I I 1
1 I I I
IREPORT ID: DPR264 ROUTE TO: BS0508 I I 1 1
I I I I 1 I
WORKER'S COMPENSATION DECLARATION 0046DPW9189
MAPPLICATION FOR PERMITLIME GREEN
• 76A364C
1 hereby affiftn that I have a certificate of consent to self insure, �7
or a'bertificate of Worker's Compensation Insurance, or a certified HEATING-VENTILATING-AIR CONDITIONING rylLl�
copyAherdW(Sec.3800 Lab.C.)
5.
Policy No. Company COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV.
Certified copy is ereby furnished.
❑ Certified copy is filed with the county buildingIns eotion FOR APPLICANT TO FILL IN BUILDING Z
de artment. p (PRINT OR TYPE ONLY) ADDRESSAl
Date Applicant LOCALITY
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
CERTIFIC E OF EXEMPTION FROM WO ERS' NEAREST
COMPENSATION INSURANCE CROSS
ABSORPTION UNIT,BTU ASSESSOR
(This section need not be completed if the work Involved by the MAP BOOK ?j 8 PAGE PARCEL QZ
permit is for one hundred dollars($100)or less.) AIR HANDLING UNIT,CFM DISTRICT NO. PROCESSED BY
I certify that in the performance of the work for which this permit
is issued, I shall not employ any person in any manner so as to BOILER,BTU r
become subject to the Workers'Compensation Laws.
COMPRESSOR,BTU
APPROVALS DATE INSPECTOR'S SIGNATURE
Date Applicant VENTILATION SYSTEM •
tv
NOTICE TO APPLICANT: If, after making this Certificate of ROUGH
Exemption,you should become subject to the Workers'Compensation EVAPORATIVE COOLER
provisions of the Labor Code,you must forthwith comply with such FINAL ?>.S
provisions or this permit shall be deemed revoked. FURNACE: FAU GRAVITY
LICENSED CONTRACTORS DECLARATION FLOOR BTU VALIDATION-
I hereby affirm that I am licensed under provisions of Chapter 9 HEATER: SUSPENDED UNIT
(commencing with Section 7000)of Division 3 of the Business and / WALL ✓
Professions Code,and my license is in full force and effect. 52.'-5
.l S Erl-
License Number LIC.Class 52 -05
I i_l i iL
Contracto 12
r - • Date 9 CHI EC t 52.I-l'; C
F] I am exempt under Sec. Plan Check fee c
t_���i�`3fa� �i�l= D
B.aP.C.for this reason PERMIT ISSUING FEE$ iC-
TOTAL FEE �+. ✓ C100.r(—.3li i i +I °tt: c n
Signatu15,V
OWNER-BUGER DEC RATION PLAN CHECK APPLICANT 'd-W!
G
1 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
❑ 1, as owner of the property, or my employees with wages
as their sole compensation, will do the work and the CITY I TEL.NO.
structure is not intended or offered for sale(Section 7044,
Business and Professions Code). WNER41 im C. J3 y0.
�-
❑ I, as owner of the property, am exclusively contracting MAIL
with licensed contractors to construct the project (Sec- ADDRESS —2— 4
tion 7044,Business and Professions Code).
CONSTRUCTION LENDING AGENCY CITY 14% a TEL.NO.
I hereby affirm that there is a construction lending agency for + ,
the performance of the work for which this permit Is issuedCONTRACTOR
(Sec.3097,Civ.C.).
ADDRESS .2� S
Lender's Name
CITY _ TEL.N
Lender's Address STATE LIC.
I certify that 1 have read this application and state that the above LICENSE NO. CLASS
information is correct. I agree to comply with all County ordinances IF
and State laws relating to building construction,and hereby authorize
representatives of this County to enter upon the above-mentioned
opeypurpos s. SEE REVERSE FOR EXPLANATORY LANGUAGEpryDSIGUp