HomeMy Public PortalAbout9854 VAL ST_Mechanical__ • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0911300001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID I BUILDING ADDRESS:
ITR: 12368 IT: 9 1 9854 VAL ST
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801441 [
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: BALDWIN 1
5383-023-019 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY, Cl
I 141 VENTILATION FAN 2.00 FAN 31.50 + 1
ITENANT: 147 ALTER EXIST DUCT SYS 1.00 SYS 27.00 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
I I TOTAL FEES 86.25 111/30/09 SR 11/30/10 1
(OWNER: TEL. NO: I IFINAL DATE FINAL BY: CODE: 1
JHIGUCHI JOHN (626) 292-1246- I 1
19854 VAL ST I I� r
TEMP 917801441 [ IDEtCRIlIrION OF WORK
IREMOVE AND REPLACE 2 BATHROOMS VENTILATION FANS, RELOCATE
I I 1EXISTING KITCHEN + 2 BEDROOMS A/C DUCTING 1
[APPLICANT: TEL. NO: I I I
IJJ HERMAN HOME IMPROVEMENT (626) 202-5481- I 1 I
111232 WILMOT ST. I ISPECIAL CONDITIONS:
(OAK HILLS, CA 92345
[CONTRACTOR: TEL. NO: I [APPROVALS DATE INSPECTOR SIGNATURE I
IJJ HERMAN HOME IMPROVEMENT, INC. (626) 202-5481- 1 1 [
111232 WILMONT ST. LIC. NO I IFAU/WALL FURNACE I I I
(OAK HILLS, CA 92345 870022 B I I I I I
COMBUSTION AIR OPENINGS
I I II I
1ARCHITECT OR ENGINEER: TEL. NO: I IDUCT WORK I I I
LIC. NO: I IAC/COMPRESSOR I I I
I I [THERMOSTAT
I I I I I I
I IFIRE DAMPERS I
I (SMOKE DETECTION DEVICES I I [
I I (COMMERCIAL 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
I I I I I I
[ IREPORT ID: DPR264 ROUTE TO: BS0508 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 1004060005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ITR: 12368 LT: 9 I 1 9854 VAL ST 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:] TEMP CA 917801441 I
]ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: BALDWIN ]
15383-023-019 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY, Cl
1 141 VENTILATION FAN 1.00 FAN 15.75 I I
(TENANT: TOTAL FEES 43.50 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
104/06/10 SR 04/06/11 I
(OWNER: TEL. NO: I IFINAL DATE FI Y: CODE: I
1I JOHN (626) 212-1246- 1 1
9854 V17 0
ITEMP 9801441 I ID SCRI TION OF WORK I
I 1VENTILATION FAN FOR POOL HOUSE 1
I
]APPLICANT: TEL. NO:
1JJ HERMAN HOME IMPROVEMENT (626) 202-5481- I I I
111232 WILMOT ST. ISPECIAL CONDITIONS: I
]OAK HILLS, CA 92345 I I I
ICONTRACTOR: TEL. NO: I 1 1
APPROVALS DATE INSPECTOR SIGNATURE
IJJ HERMAN HOME IMPROVEMENT INC. (626) 202-5481- ] 1
111232 WILMONT STREET LIC. NO I IFAU/WALL FURNACE I I
]OAK HILLS, CA 92345 870022 B I I I 1
I 1COMBUSTION AIR OPENINGS I I
1ARCHITECT OR ENGINEER: TEL. N0: I (DUCT WORK I I I
I LIC. NO: 1 IAC/COMPRESSOR ] I I
I ]THERMOSTAT I I I
I
] ]FIRE DAMPERS
I
I I
(SMOKE DETECTION DEVICES I I I
ICOMMERCIAL HOOD 1 I I
] ] I I I I
I I ] I I
I I I I I I
1 I I I I
I I I I I 1
I I I I
II I I I I ]
i
I I I I ]
I
IREPORT ID: DPR264 ROUTE TO: BS0508
I I I I I I
76 A364- CE 818- 5.73- �OPERMIT'
- ' APPLICAT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF-LOS ANGELESBUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS "g t al--• • reet
BUILDING AND SAFETY DIVISION LOCALITY Temple•City
NEAREST
CROSS ST
FOR APPLICANT TO FILL IN. OWNER
(PRINT OR,TYPE ONLY) Blake Wilson
MAIL
ADDRESS 9854 Val st.e.
NO. TYPEOFAPPLIANCEOR EQUIPMENT FEE ADD ,
CITY Temple City TEL. NO. 445-0536
ABSORPTION UNIT, BTU
CONTRACTOR
Owen-Bros. Plumbing
AIR HANDLING•UNIT. CFM ADDRESS 4265 N. Baldwin Ave.
BOILER, BTU CITY El Monte TEL. NO. '443-0078
COMPRESSOR, BTU STATE LIC.
LICENSE NO. 2 31 V41, CLASS C36--20
VENTILATION SYSTEM i DISTRICT NO, GROUP ZONE CESSED BY
EVAPORATIVE COOLER 6 �1
FURNACE: FAU_GRAVITY INSPECTION RECORD
FLOOR —BTU
/ HEATER: SUSPE, D UNIT_ '�.�-�(� ��r F�.�i��ry, ,)
WALL a
C.:
• c
LL
a
f!,
Plan check fee 25% of above.. See reverse.
PERMIT ISSUING FEE111
TOTAL FEE
PLAN CHECK APPLICANT �•e.0
NAME
ADDRESS
CITY TEL-.NO.
I HEREBY ACKNOWLEDGE-THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND-LAWS REGULATING HEATING, VENTI- APPROVALS ,DATE INSPECTOR'S SIGNATURE
LAT
ING,AIR CONDITIONING.
ROUGH >�
1 •HEREBY CERTIFY THAT 1 AM NOT ACTING IN VIOLATION
\0F CHAPTER 9, DIVISI 3 TXE BUSINE D PROFESSIONAL FINAL
CODE OF THE STATE 0 IFO NIA.
SIGNATURE PERMIT VALI A IO.N' cK: .0. CASH
OF PERMITTEE
PLAN CHECK VAL DATION CK. M.O. CASH
18 A
)a . 00
crc A—V nv eooi WAY-MD m ci ere ere epurn—r
ION
WORKER'S I have
a certificate
of consent to 20-0046DPWAPPLICATION FOR PERMIT LIME GREEN
I.hereby affirm that I have a certificate of consent to self insure,
br a certificate of Worker's Compensation Insurance, or a certified HEATING-VENTILATING-AIR CONDITIONING
copy thereof(Sec.3800 Lab.C.)
Policy No. /OY2963 Company �s/��' COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV.
Certified copy is hereby furnished.
EJB UILDING
Certified copy is filed with the county building inspection I ADDRESS
department. (PRINT OR TYPE ONLY)
Date 5� Applicant �"�^�^�'' LOCALITY
�eQ`�, NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
CERTIFICATE OF EXEMPTION FROM WORKERS' I NEAREST
COMPENSATION INSURANCE CROSS ST. (C)CR�'�
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($100)or less.) AIR HANDLING UNIT,CFM
DISTRICT NO. PROCESSED BY
I certify that in the performance of the work for which this permit
is issued, I shall not employ any person in any manner so as to BOILER,BTU
become subject to the Workers'Compensation Laws. !/!i
I COMPRESSOR,BTU
APPROVALS DATE INSPECTOR'S SIGNATURE
Date Applicant VENTILATION SYSTEM
NOTICE TO APPLICANT: If, after making this Certificate of ROUGH
Exemption,you should become subject to the Workers'Compensation EVAPORATIVE COOLER
provisions of the Labor Code,you must forthwith comply with such FINAL �(
provisions or this permit shall be deemed revoked. FURNACE: FAU GRAVITY
LICENSED CONTRACTORS DECLARATION FLOOR BTU _ VALIDATION
I hereby affirm that I am licensed under provisions of Chapter 9 SUSPENDED UNIT
(commencing with Section 7000)of Division 3 of the Business and HEATER: WALL
Professions Code,and my license is In full force and effect. OC
License Number �lb«� Lic.Class
ContractDate
ElI am exempt under Sec. Plan check fee Q
B.BP.C.for this reason PERMIT ISSUING FEE$ C
F-
Date:
TOTAL FEE U
Signature
PLAN CHECK APPLICANT (l
OWNER-BUILDER DECLARATION s
1 hereby affirm that I am exempt from the Contractor's License Law NAME 49 �(//c�, > ' ACC
for the following reason(Section 7031.5, Business and Professions T'tCCUr
Code): ADDRESS/4,S32_ 5+•' 4�Y/�F�kO
El I, as owner of the property, or my employees with wages 3303 3Se74
as their sole compensation, will do the work and the CITY TEL.NO. 1 ITEMS
structure is not intended or offered for sale(Section 7044,
Business and Professions Code). OWNER �f�dG� !ted/ TOTAL 35.70
❑ 1, as owner of the property, am exclusively contracting AIL _+T
with licensed contractors to construct the project (Sec- ADDRES f_3 CKEIC111. ��'�i�,
tion 7044,Business and Professions Code). CITY ��� TEL.NO.��y��-� CHANGE .00
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for CONTRACTOR 1*itl��eV Glc. �
the performance of the work for which this permit Is issued 11110.
(S 3097,Civ.C.). 4000-0401 3/ 6/9'6
ADDRESSl6�`� .5-011L,/ / �.v 5 167 1 RN11 0-3u
Lender's Name CITY �•����� TEL.NO. v/I��
Lender's Address STATE LIC.
I certify that I have read this application and state that the above LICENSE NO. c7 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 upon the above-mentioned
property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
aL+AZL
'5-6--f&
SIGNATURE OF APPLICANT OR AGENT DATE