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Home My Public Portal About5945 TEMPLE CITY BLVD_Mechanical__ -COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1210310020 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FBES PAID I BUILDING ADDRESS: ON FILE I 1 5945 TEMPLE CITY BL [FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[ TEMP CA 91780 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: WOODRUFF [ 18587-014-007 101 PERMIT ISSUANCE FEE 27.80 [ THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY CAI 1 147 ALTER EXIST DUCT SYS 1.00 SYS 27.00 [ I (TENANT: I TOTAL FEES 54.80 ISSUED ON: PROCESSED BY: PLAN BY: VISTA IT CONSULTING/TRAINING 1 110/31/12 SR I I I [OWNER: TEL. NO: [ (FINAL ATE FIN BY: CODE: 1 ITEMPLE CITY PLAZA (626) 289-4088- I [ / [ [238 S. ATLANTIC BLVD 1 1 I� I I IALHAMBRA, CA 91801 1 ID'NqCRIPTI N OF WORK I 1 I IT/I ALTERATION OF EXIST DUCT SYSTEM 1 APPLICANT: TEL. NO: I I I 1LAI, BILLY (626) 512-5748- 9173 SOUTHVIEW RD I ISPECIAL CONDITIONS: I ISAN GABRIEL CA 91775 I [ I ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1 IS B L CONSTRUCTION INC (626) 512-5748- 1 1 [ 19173 SOUTHVIEW ROAD LIC. NO I IFAU/WALL FURNACE I I [ [SAN GABRIEL CA 91775 754301 i [COMBUSTION AIR OPENINGS I [ I (ARCHITECT OR ENGINEER: TEL. NO: I IDUCT WORK I I [ I LIC. NO: I 1AC/COMPRESSOR I I I I I I 1 1 I I [THERMOSTAT I 1 I FIRE DAMPERS I I I I ISMOKE DETECTION DEVICES I I I 1 1 ICOMMERCIAL HOOD 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 1 I I I I I I IREPORT ID: DPR264 ROUTE TO: BS0508 1 I I I I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1211020007 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I ON FILE I I 5945 TEMPLE CITY BL IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 91780 (ASSESSOR INFORMATION NUMBER: I INEAREST CROSS STREET: WOODRUFF 18587-014-007 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY CAI 1 147 ALTER EXIST DUCT SYS 3.00 SYS 81.00 I ITENANT: TOTAL FEES 108.80 (ISSUED ON: PROCESSED BY: PLAN BY: VISTA IT CONSULTING/TRAINING 1 111/02/12 SR (OWNER: TEL. NO: I IFINAL DATE F14AL BY: CODE: TEMPLE CITY PLAZA (626) 289-4088- I 1238 S. ATLANTIC BLVD I IALHAMBRA, CA 91801 DALS-CRIlPTION OF WORK I I IT/I ALTERATION OF EXIST DUC SYSTEM 1APPLICANT: TEL. NO: I I I ILAI, BILLY (626) 512-5748- I I 19173 SOUTHVIEW RD ISPECIAL CONDITIONS: (SAN GABRIEL CA 91775 ICONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE I IS B L CONSTRUCTION, INC. (626) 512-5748- 1 1 I 19173 SOOTHVIEW ROAD LIC. NO I 1FAU/WALL FURNACE I I I SAN GABRIEL CA 91775 754301 COMBUSTION AIR OPENINGS I II I 1ARCHITECT OR ENGINEER: TEL. NO: I [DUCT WORK I LIC. NO: i JAC/COMPRESSOR I I I I I (THERMOSTAT I I IFIRE DAMPERS I I I I ISMOKE DETECTION DEVICES I 1 (COMMERCIAL HOOD I I I I i I i I I I 1 I I II I I I I I I 1 I I I I I I I I I I I I IREPORT ID: DPR264 ROUTE TO: BS0508 I I I I 1 1 I I I I ! R ECOMPENSATION DECLARATION hereli'Wj�? th tha'U I have a certificate of consent to self APPLICATION FOR PERMIT ins ru e, or o-tertificate of Workers'Compensation Insurance, 76A964C HEATING - VENTILATING - AIR CONDITIONING or a certified copy thereof(Sec. 3800, Lab. C.) CE-818(REV. 10/81) Policy No. Company Certified copy is hereby furnished. COUNTY OF LOS ANGELES BUILDING AND SAFETY ❑ Certified copy is filed with the county building inspec- FOR APPLICANT TO FILL IN BUILDING tion department. ADDRESS cf'J (PRINT OR TYPE ONLY) Date Applicant LOCALITY - � (! NO. TYPE OF APPLIANCE OR EQUIPMENT FEE re CERTIFICATE OF EXEMPTION FROM WORKERS' NEAREST t�g�`�pyf_ COMPENSATION INSURANCE CROSS ST. �7! (This section need not be completed if the work Involved by ABSORPTION UNIT,BTU DISTRICT NO. PROCESSED BY the permit Is for one hundred dollars($100)or less.) AIR HANDLING UNIT I certify that in the performance of the work for which this CFM J L(J t permit is issued, I shall not employ a person i ny manner BOILER,BTU ��• �$ �r� SO a5 to be Om subject to th� Or e ' m aflOn � _ APPROVALS DATE IN ECT 5 SIGNAT a COMPRESSOR,y�tJ !*/' O ROUGH r ' Date—!?,2 pplica ' NOTICE TO APPLICANT: If, after making this Certificate of• VENTILATION SYSTEM FINAL r Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- EVAPORATIVE COOLER VAII1nAT1FiM with comply with such provisions or this permit shall be deemed revoked. FURNACE: FAU GRAVITY LICENSED CONTRACTORS DECLARATION FLOOR BTU I hereby affirm that I am licensed under provisions of Chapter 9 HEATER: SUSPENDED—UNIT— '(commencing USPENDED UNIT'(commencing with Section 7000)of Division 3 of the Business - WALL ? and Professions Code,and mhy license is in ful force and effect.' 7 f:3d d Lic. Cl S31-20 V License Num:r• ► Contractor✓ l e-V 4{Date9///,o ❑ I am exempt under Sec. LU V Oan check fee B.&P.C. for this reason' 9 PERMIT ISSUING FEE$ z0 r7$7,9 A Sigel ', TOTAL FEE , OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT o'0 0 0 0 $ I hereby affirm that I am,exempt from the Contractor's License , ( 'o 0 3 G5 0 Law for the following reason (Section 7031.5, Business and NAME Professions Code): ❑ I, as owner of the property, or my employees with ADDRESS 4— ' X'7-CR`74 f ojr�V st y q o 0 .3 0 5 0 wages as their sole compensation,will do the work and CITY Y[� 4 TEL.N .t�� the structure is not intended or offered for sale(Section ! �S 709,09-87 7044, Business and Professions Code). �j- OWNERCrBGO„�t• ❑ 1, as owner of the property, am exclusively contracting MAIL ll'' �^ with licensed contractors to construct the project (Sec- ADDRESS s�T+ / ��'I�"L `�` L N�v� tion 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY CITYe eJe C► i TEL. � `g w I hereby affirm that there is a construction lending agency for /' the performance of the work for which this permit is issued CONTRACTOR D,�e,� 5 dj K M >r/ ► (Sec. 3097, Civ. C.). . /pp ADDRESS f 6r.7 v® �f�T Al Al- � Ave, , Lender's Name a eA `• Lender's Address CITY aid e N y., it t, TEL. Nd Wad STATEf LIC. l � I certify that I have read this application and state that the LICENSE NO.�/ �v 9. CLA h" above information is correct. I agree to comply with all County ordinances and State laws relating to building construction, an by a t orize epresentatiyes of this County o enter pon b - one p p for inspe tion poses. SEE REVERSE FOR EXPLANATORY LANGUAGE fl r r Signature of Applicant or Agent Efate WORKERS'COMPENSATION DECLARATION VI( I k.= affirm that I have a certificate of consent to self APPLICATION FOR PERMIT 'i Lre, &a certificate of Workers'Compensation Insurance, HEATING - VENTILATING AIR CONDITIONING a certified copy thereof(Sec. 3800, Lab. C.) 76A364C p 501-1 IV j/f_•' CE-818(REV. 10/81) Policy No. Company`�/!� 6 /'�//J COUNTY OF LOS ANGELES I Certified copy is hereby furnished. BUILDING AND SAFETY ❑ Certified copy is filed with the county building inspec- I FOR APPLICANT TO'FILL IN 'BUILDING gyp' tion department. ADDRESS S /� 6,4' .�1 �e (PRINT OR TYPE ONLY). Date v �V, 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 the work involved by ABSORPTION UNIT,BTU DISTRICT NO. PROCESSE Y the permit is for one hundred dollars(;100)or less.) AIR HANDLING UNIT,CFM I certify that in the performance of the work for which this l ' permit is issued, I shall not employ any person in any manner BOILER,BTU l 1 so as to become subject to the Workers'Compensation Laws. i APPROVALS DATE` SECTOR'S SIGN TURE Date Applicant I 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- I EVAPORATIVE COOLER VALIDATI with comply with such provisions or this permit shall be deemed revoked. FURNACE: FAU GRAVITY LICENSED CONTRACTORS DECLARATION FLOOR BTU I hereby affirm that I am licensed under provisions of Chapter 9HEATER: SUSPENDED UNIT WALL '(commencing with Section 7000) of Division 3 of the Business � and Professions Code,and my license is in full force and effect. ' JD ^ i ( oo License Number Lic. Class I � ��• �� , LJ Contractor Date O ❑ I am exempt under Sec. 8 2 IL 5 A 2 Plan check fee o o a 0.0 8 BAP.C. for this reason' PERMIT ISSUING FEE$ a o411,50 Date: Signature TOTAL FEE •o o o 4 4 5 0 0 OWNER-BUILDER DECLARATION I PLAN CHECK APPLICANT I Q30-1-87 I hereby affirm that I am exempt from the Contractor's License I I ► Law for the following reason (Section 7031.5, Business and ' NAME Professions Code): ❑ I, as owner of the property, or my employees with ADDRESS wage's as their sole compensation,will do the work and CITY TEL.NO. the structure is not intended or offered for sale(Section 7044, Business and Professions Code). 1 I OWNER ❑ I, as owner of the property, am exclusively contracting I Q with licensed contractors to construct the project (Sec- MAIL g3 I� / j re s tion 7044, Business and Professions Code). ADDRES I FW v CONSTRUCTION LENDING AGENCY . CITY !V Z' TEL. N1 I hereby affirm that there is a construction lending agency for s the performance-of the work for which this permit is issued CONTRACTOR' A/p (Sec. 3097, Civ. C.). �r Lender's Name ADDRESS 1 eL._/'•c/�^^/r"_nn � , I v CITYTEL. N Z—XW Lender's Address STATE LIC. I certify that I have read this'application and state that the LICENSE NO. CLASSS, above 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 upon a above-me tioned property for inspection purposes. SEE•REVERSE FOR EXPLANATORY LANGUAGE 1 Signature of Applicant or Agent Date