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Home My Public Portal About5370 EL MONTE AVE_MECHANICAL_1/5/2017_ (3)TEMPLE CITY PERMIT NO. M17-33457 Contacts Owner Barbara Loesby Applicant Meirav Eisenberg Contractor Mechanical Details Compressor/Furnace 2 /Etc up to 100k BTU Appliance Vent 0 Ventilation Fan 0 NRG Heating and Air Conditioning Inc. DBA NRG Clean Power 5370 EI Monte Avenue, Temple City, California 91780 31225 La Baya Drive, Westlake Village, California 91362 7008 Owensmouth Avenue, Los Angeles, California 91303 Compressor/ Furnace 0 Compressor/Furnace 0 /Etc 100-500k BTU /Etc over 500k BTU Air Handler up to 0 Air Handier 2-10,000 0 2,000 CFM CFM Ventilation System 0 Kitchen Hood/Spray 0 Booth Fireplace 0 Fees Total Plan Check Feas $0.00 Permit Fees $68.59 Mechanical Inspections Approval Daty��2 Inspect Filmaca8 �T�!�/G Pomace Combustion Air Openings Duct Work Approval AC/Compressor City of Temple City 1 9701 Las Tunas Drive I Temple City, California 91780 1 (626) 285-2171 1 www.templecity.us Address: 5370 EI Monte Avenue, Temple City, California Parcel: 8573-003-022 91780 Permit No: M17-33457 Type: Mechanical Subtype: Subtype: Residential Description: 3 TON PACKAGE UNIT CHANGE OUT ON ROOF Special Conditions: Issue Date: 01-05-2017 Expire Date: 07-04-2017 Extension: Extension: Permit expires on date shown if: 1) work does not commence, or 2) work is suspended or abandoned, or 3) applicant fails to obtain code required inspection. Contacts Owner Barbara Loesby Applicant Meirav Eisenberg Contractor Mechanical Details Compressor/Furnace 2 /Etc up to 100k BTU Appliance Vent 0 Ventilation Fan 0 NRG Heating and Air Conditioning Inc. DBA NRG Clean Power 5370 EI Monte Avenue, Temple City, California 91780 31225 La Baya Drive, Westlake Village, California 91362 7008 Owensmouth Avenue, Los Angeles, California 91303 Compressor/ Furnace 0 Compressor/Furnace 0 /Etc 100-500k BTU /Etc over 500k BTU Air Handler up to 0 Air Handier 2-10,000 0 2,000 CFM CFM Ventilation System 0 Kitchen Hood/Spray 0 Booth Fireplace 0 Fees Total Plan Check Feas $0.00 Permit Fees $68.59 Mechanical Inspections Approval Daty��2 Inspect Filmaca8 �T�!�/G Pomace Combustion Air Openings Duct Work Approval AC/Compressor Dat Ins ectp of �j/�� Thermostat Fire Dampers (626) 232-0363 (818) 732-7876 (818)735-7876 781353 Air 0 Inlet/Outlet Qty Air Handler 0 over 10,000 CFM Fire Damper 0 Approval Date Smoke _ Detectors Commercial _ OR Floor 0 Area Evaporative 0 Cooler Duct 0 Alteration Inspector Hood FINAL 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) Indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code): Any City or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): (_) 1, as owner of the property, or my employees with wages as their sole compensation, will do (J) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner - Builder will have the burden of proving that it was not built or improved for the purpose of sale.). U I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). (_) I am exemdt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year priorl to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner -builder ff it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site: httD://www.leainfo.ca.aov/calaw.html. Date: Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and e ct. -License Clas C Z d License No. .7Bate 77 -Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self - insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the JOB ADDRESS LOCALITY HAZARDOUS MATERIAL DECLARATION Will the applicant or future building occupant handle a hazardous material or a mixture containing a hazardous material equal to or greater than the amount specified on the hazardous materials information guide? Yes ❑ No ❑ Will the intended use of the building by the applicant or future building occupant require a permit for construction or modification from the South Coast Air Quality Management District (SCAQMD)? See permitting checklist for guidelines. Yes ❑ No ❑ I have read the hazardous materials information guide and the SCAQMD permitting checklist, I understand my requiremnts under the Los Angeles County Code Title 2, Chapter 220 Sections 220.100 through 220.140 concerning hazardous material reporting and for obtaining a permit from the SCAQMD. Labor Code, for the performance of the work for which this permit ASBESTOS NOTIFICATION is issued. P icy ❑ Notification letter sent to AQMD andfor EPA I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for ❑ I declare that notification of asbestos removal is not the performance of the work for whit this permit is issued. My pp I}'� bile to addressed project. worker ' ce ensati n'nefxan� r and poli number are: / ( / r / Cartie Polic Numbe Expiration Date' DECLARAT('ON REGARDING CONSTRUCTION LENDING '( fy - S1 o—:., 7]� AGENCY Name of Agent Phone Number 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 become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation ovisions of Section 3700 of the Labor Code, fort i dy with those provisions I shall 7' ,L I I =s::_/5 Sign ure of Applicant Date LOBBYIST ORDINANCE CERTIFICATION Complete this section for permits In Unincorporated Los Angeles County only This is to certify that I, as permit applicant, am familiar with the requirements of Los Angeles County Code Chapter 2.160 at seq., (relating to the Los Angeles County Lobbyist Ordinance) and that all persons acting on behalf of myself complied and ' 1 continue to ce therewith through the applicatio r fir/ App1j Pypt Name �/, Applicant Sign rre_ 7 Company Name I hereby affirm under penalty of perjury that there is a Construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lenders Name Lenders Address By my signature below, I certify to,each of the following: I am the property owner or authorized to act on the property owners behalf. 1 have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this county to enter the above -identified property for inspection purposes. Sign atur y Owner or Authorized Agent Att.Date / S x/;z_