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Home My Public Portal About6456 TEMPLE CITY BLVD_Mechanical__ 76A662 CE992 6/7I ,COUNTY APPL�ICATIION FOR OCCUPANCY INSPECTION LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING HARVEY T BRANDT, COUNTY ENGINEER ADDRESS COLEMAN W JENKINS, SUPT OF BUILDING LOCALITY F OR P NEAREST (Print or type only) CROSS ST BUILDING q^ ( 1. , h�� •` DISTRICT NO P ES ED BY ADDRESS F 6 W n M 5 p LOT NO Toa. BLOCK USE ZONE I MAP NO TRACTIAICAibij /� ^ .(V SSIZ.E` O�}F-LOT - X� C ON01TIONS OWNER 1.Hc1�5fl II �A egjg6IO NOL N/_�JI ADDRESS J 2G WAP.Mhg BLDG SET13ACK FROM FRONT PROP LANE OF (STREET) TYPE OF EXISTING 9ETpACK HIGHWAY } YARD = TOTAL CITY HIGHWAY WIDTH FROM C L SIZE OF NO OF EXISTING BLDG STORIES } - PRESENT USE OF BUILDING BLDG SETBACK FROM S1DE PROP LINE OF (STREET) TYPE OF EXISTINp SETBACK HIGHWAY } YARD = TOTAL HIGHWAY WIDTH FROM C L NO OF EXISTING BUILDINGS ON LOT AND USE } _ Y CORNER CUTOFF YES❑ NO ❑ O NO PARKING U SPACES PROVIDED CD OCCUPANCY GROUP CD W PROPOSED USE OF BUILDING 7 y OCCUPANT LOAD z_ EXIT HARDWARE No Spec Knowl ❑ Panic Devices ❑ PROPOSED MAX OCC NO OF EXITS PARKING REO'0 PR (DEO I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS S CES APPLICATION AND TATE THAT THE ABOVE IS COR- , RECT SIGNATURE J 11�� A PLICANT OF ^ (pY /t/l 1-7 Z- t� ADDRESS Q 4 I I7/II / /� �inPLF C17-4y �/1G �V INSPECTOR'S ZIP /780 APPROV GATE SIGNATURE PHONE / FINAL DVA /vJ JOH,K F LEWIS, INCIPAL SSTRU URAL ENGINEER APPLICATION I'DATION CK M 0 CASH tnt o 0 0 5 9"1 t(0 2 A 1 8,00- a 17W�£ ct7y 7a AEa<-ceela-ilio APPLICATION FOR PERMIT HEATING - VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELES ADDRESS yb Q Usr DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGIN EBR NEAREST COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING CROSS ST 7 FOR APPLICANT TO FILL IN OWNER - (PRINT OR TYPE ONLY) MAIL A NO YPE O F APPLIANCE OR EQUIPMENT FEE ADDRESS,'5 y Ye CITY TEL NO ABSORPTION SYSTEM BTU CONTRACTOR n AIR HANDLING UNIT, CFM ADDRESS BOILER, HORSEPOWER CITY TEL NO COMPRESSOR, HORSEPOWER STATE LIC LICENSE NO CLASS VENTILATION SYSTEM DISTRICT NO CLAD! URDU mZONE C55 EVAPORATIVE COOLER �•{V � /1 FURNACE FAUGRAVITY INSPECTION RECORD FLOOR BTU HEATER SUSPENDED—UNIT— WALL Ce D_ Iyd jee aeCD CD 0 NEW—ADDITION— PERMIT S 3 00 H z ALTER_REPAIR_ TOTAL FEE S PLAN CHECK APPLICANT NAME ADDRESS CITY TEL NO I HEREBY ACKNOWLEDGE THAT I HAVE READ TNID APPLICATION AND STATE THAT THC ABOVE ID CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING HEATING VEYTI- APPROVALS DAT[ INSPECTOR 3 SIGNATURE LATINO AIR CONDITIONING ROUGH I NEP!BT CERTIFY THAT E NOT ACTINO IM VIOLATION / OF CHAPTER G DIVISION 9 OF THE BUSINESS AND PROFEl910NAL FINAL OF C OF THE !TATE OF CALI MIA OF PESIGNATURE JACK R ALLEN,SUPERVISING ME NICAL ENG• OF PERMITTEE PERMIT VALIDATION cM o CASH PLAN CHECK V/pL T AOIy�j /j_�- Ujo ', 7 7 g � DEC 2 7 4 1 D 8.0 0~ !EE BACK OF APPLICATION FOR ' COMPLETE FEE SCHEDULE TB Ai(,. - CES IB - 9 TI APPLICATION FOR PERMIT .%HEATING - VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELES BUILDING3 DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY NEAREST CRDSS ST FOR APPLICANT TO FILL IN OWNER (PRINT OR TYPE ONLY) MAIL NO IT VPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS }' 7 !N CIT TEL NO .� ABSORPTION UNIT, BTU CONTRAC O AIR HANDLING UNIT CFM ADDRESS BOILER, BTU CITY TEL NO COMPRESSOR BTU STATE vLIC LICENSE NO CLASS VENTILATION SYSTEM DISTRICT NO anouP OHE ESSED BY EVAPORATIVE C09,LER , 0 - FURNACE FAU_GRAVITY FLOOR BTU o 00 - D0 INS TION RECO D HEATER SUSPE EAp_UNITC) WALL-1 0o U 4 ii N 3 � z Plan ohe,k Icc 2S% o f aboT c S(( rc,cr,e PCR\ll l ISSUING FFF S 3 100 IOIAI I'll Q PLAN CHECK APPLICANT c NAME I ADDRESS CITY TEL NO IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION y AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY WITH ALLORDINANCES AND LAWS REGULATING HEATING VENTI APPROVALS DATE I TOR 3 8 NATURE LATING AIR CONDITIONING ROUGH I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF CHAPTER G DIVISION 3 OF THE BUSINESS A PROFESSI AL FINAL CODE OF THE STATE OF C RNIA SIGNATURE PERMIT VALIDATION cK , MO CASH OF PERMITTE PLAN CHECK VALIDATION CK M 0 CASK LACo0572d, .w11641D 3.0, 0— 1 SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ' \ Ta gSaA — CE eIe - G T' APPLICATION OR PER/_M'_ / IT{yJ HEATING - VENTILATING - AIR CONDITIONING I 1 COUNTY OF LOS ANGELES TADDRESS 64 6 Temple DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LITY Temple City EST S ST FOR APPLICANT TO FILL IN RSmith (PRINT OR TYPE ONLY) MAIL NO TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS 6456 Temple City Blvd. ABSORPTION UNIT, BTU CITY Temple City TEL NO 446-1347 CONTRACTOR AIR HANDLING UNIT, CFM ADDRESS 1350 E. Las Tunas Drive BOILER BTU CITY San Gabriel TEL NO 286-1141 1 COMPRESSOR, BTU 4-ton 5 00STATE LIC LICENSE NO 221751 CLASS C20 VENTILATION SYSTEM DISTRICT NO GROUP NE EDSCD eY EVAPORATIVE COOLER I 1 FURNACE FAU GRAyl FLOOR BTU 1LJ1V1 — 7 50 INSPECTION RECORD CC HEATER SUSPENDED—UNIT_ o WALL U W C0 Z PITn rhe,k fce 2S' of abo%e Ccc rc%vr.c PER\III ISSUIl1F FFF 8 3 oD I01 AI I I-L 15 50 PLAN CHECK APPLICANT NAME ADDRESS CITY TEL NO ol` le 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ANp STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY Jr WITH ALL ORDINANCES ND LAWS REGULATING HEATING VENTI- APPROVALS jMPE5 BIOIM URE LATINO AIR CONDIT' IM ROUGH HERBY CER IFY T O ACTINO IN VIOLA OM OF CHAPTER R DIV S OF BU !9S AND PROFESS NAL FINAL CODE OF THE STAT A N SIGNATURE PERMIT VALIDA ON CK M 0 CASH OF PERMITTE PLAN CHI ALIDATIO K M 0 CASH > .72�.iu1 1141 o rl 15.5v �� - r� - At SEE BACK OF APPLCATION FOR COyPLEjE FEE SCHEDULE I ' le h 36 - CE 616-1/75 APPLI ION FOR PERMIT HEATING - VENTILATING - AIR CON01110NING COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY NEAREST CROSS ST FOR APPLICANT TO FILL IN OWNER (PRINT OR TYPE ONLY) MAIL S6 NO TYPEa 512E OF EQUIPMENT FEE ADDRESS SEE BACK OF APPLICATION TEL NO / /3 FORCE AIR FURNACE BT ITV CONTRACTOR r COMPRESSOR BTU ADDRESSark V VENTILATION FAN CITY 1` TEL NO ,211 LIST ALL OTHERS BELOW STATE /� LIC LICENSE NO 5� CLASS No al' rauE ce SeeD by QG INSPECTION RECORD V1 Y a 0 U K O F- C.) W a Plan check fee See reverse I'I It\III Iti�l I\( III S 101 %1 I I I PLAN CHECK APPLICANT NAME ADDRESS C7N CITY 4Xq e� TEL NO I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALLORDINANCES AND LAWS REGULATING HEATING MENTI APPROVALS DATE INSPECTOR S SIGNATURE LATING AIR CONDITIONING ROUGH = I XEREBY CERTIFY THAT I AM NOT SS AND IN PROFESSIONAL OE CHAPTER B OIVUIO 3 0! THE BUSINESS ANO PRO ICSSIOMAL FINAL CODE OF TXf STAT ALIIOR OF PE URE - PERMITIVALIDATION cK M G CASH OF PERMITTEE PLAN CHECJVVALIDATION CK MD CASH N� �•Y , 83 49J 2741 I) 15.75 � a Q 1 -OD WORKER I have COMPENSATION Df consent , pf� APPLICATION FOR PERMIT LIME GREEN 1 hereby affirm that I have a certificate of consent to self Insure or a &MIficale of Worker a Compensation Insurance or a certified HEATING-VENTILATING-AIR CONDITIONING copy thereof(Sec 3900 Lab C I �/►��i PCIk;y NO� ` eCompanyfxT—� COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV r❑-l/ enrflod copy le hereby fumlahed Caaandiieeedcopy itssrefiled with the county building Inspection FOR APPLICANT TO FILL IN BUILDING r` (PRINT OR TYPE ONLY) LOORESS OCALRY Dale Applicant NO TYPE OF APPLIANCE OR EQUIPMENT FEE 4 CERTIFICATE OF EXEMPTION FROM WORKERS I R CROSS ST L SV COMPENSATION INSURANCE ABSORPTION UNBTU (This section nand not M completed If the work Involved by the MMAAPEOOK PAGE PARCEL permit Is for one hundred dollan($100)or leas I NR HANDLING UNIT-CFM or I cemty 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— become TU become subject to the Workers Compensation Lowe COMPRESSOR BTU O / .wrnius core w Rxnsscmm e Date Applicant VENTILATION SYSTEM NOTICE TO APPLICANT If alter making this Certificate of ROUGH 10-ID Exemption you should become subject to the Waken Compensation EVAPORATIVE COOLER provisions of the Labor Code you must forthwith comply with such FINAL 1-z 13 provisions or this permit shell be deemed revoked FURNACE FAU—GRAVITY LICENSED CONTRACTORS DECLARATION FLOOR BTU VALIDATION I hereby affirm that I am licensed under provisions of Chapter B HEATER SUSPENDED UNR_ (commencing with Section 7000)of Division 3 of the Business and WALL Professions Code and my license is In full force and effect Lxame Number��r-'-"T—Ln C7aesZl�j 0. Con CM Date O ❑ I aril exempt under Sac Plan check fee Q B aP C for this reason PERMIT ISSUING FEES O Date TOTAL FEE ACCT.: U Signature 31-07 39."5 d PLAN CHECK APPLICANT OWNER BUILDER DECLARATION 1 ITEPr. Z I hereby affum that I am exempt from the Contractor a License Law NAME for the following reasen (Section 7031 5 Business and Profes dons TOTAL jig - 65 Code) ADDRESS ❑ I as owner of the property or my employees with wages `HECI, 39.1 as their sole compensation will do the work and the CITY TEL NO .ul� structure Is not Intended or offered for sale (Section 7046 CHANGE Business and Profeaelons Code) OWNER -r ❑ I as owner of the property em exclusively contracting MAL r r1 with licensed contractors to construct the project (Sec ADDSS 'l �. 0DOC1-0001 10/103 tion 7064 Business and Professions Code) �M CONSTRUCTION LENDING AGENCY CRY TEL NO 9440 1 ryl 111)'131) I hereby affirm that there Is a construction lending agCONTRACTOR for the performance of the work for which this permit 4e Issued - - -- - - (Sac 3087 Civ C) ADDRESS �. v Lender a Nemo CRY TEL NO Lender a Address UC I certify that I have read this application and state that the above L�IC,.E.0 CLASS Information is cared I agree to comply with all County ordinances and State laws relating to building conatruction,and hereby authorize representet of title unty to enter upon the above mentioned r or inspect s SEE REVERSE FOR EXPLANATORY LANGUAGE a