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Home My Public Portal About9127 LAS TUNAS DR_MECHANICAL_5/22/2017_ (2)Building Permits - TEMPLE CITY PERMIT NO. M 17-34226 Page 1 of 1 Contacts Owner Applicant Steven U Mechanical Details Compressor/Furnace 2 /Etc up to 1001, BTU Appliance Vent C Dynasty World Travel 9127 East Las Tunas Drive, Temple City, California 91780 122 Sandra Avenue, Arcadia, California 91007 (626) 705-8612 709193 Compressor/ Furnace 0 Compressor/ Furnace 0 /Etc 500-500k BTU /Etc over SOOk BTU Air Handler up to 0 Air Handler 2-10,000 0 2,000 CFM CFM Ventilation Fan 0 Ventilation System 0 Kitchen Hood/Spray 0 Booth Fireplace 0 City of Temple City 1 9701 Las Tunas Drive I Temple City, California 91780 1 (626) 285-2171 1 www.templecity.us Address: 9127 East Las Tunas Drive, Temple City, Parcel: 5387-016-017 Air Handier 0 pe Approval �-paste [3"P'.4/1 California 91780 FAU/Wall 1n'. AC/Compressor Permit No: M17-31226 Type: Mechanical Subtype: Subtype: Non - Air Openings Residential Description: REPLACE EXISTING PACKAGE A/C AND Special HEATING ON ROOF Conditions: Issue Date: 05-22-2017 Expire Date: 11-18.2017 Extension: Extension: Permit expires on date shown if: 1) work does not commence, or 2) work Is suspended or abandoned, or 3) applicant rails to obtain code required inspection. Contacts Owner Applicant Steven U Mechanical Details Compressor/Furnace 2 /Etc up to 1001, BTU Appliance Vent C Dynasty World Travel 9127 East Las Tunas Drive, Temple City, California 91780 122 Sandra Avenue, Arcadia, California 91007 (626) 705-8612 709193 Compressor/ Furnace 0 Compressor/ Furnace 0 /Etc 500-500k BTU /Etc over SOOk BTU Air Handler up to 0 Air Handler 2-10,000 0 2,000 CFM CFM Ventilation Fan 0 Ventilation System 0 Kitchen Hood/Spray 0 Booth Fireplace 0 OR Floor 0 Fees Total Area Plan Check Fees $113.60 Permit Fees $68.59 Mechanical Inspections Air Handier 0 pe Approval �-paste [3"P'.4/1 Approval Date FAU/Wall 1n'. AC/Compressor L-'- Furnace � Thermostat Combustion Fire Dampers Air Openings Duct Work Air 0 OR Floor 0 Inlet/Outlet Area QtY Air Handier 0 Evaporative 0 over 10,000 Cooler CFM Fire Damper 0 Duct 0 Alteration Inspector Approval Date Inspector Smoke Detectors Commerciale Hood FINAL https://templecity.quickbase.com/db/bkth7arp8?a=printr&rid=34226&dfid=l 1 5/22/2017 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 (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).): U I, as owner of the property, or my employees with wages as their sole compensation, will do (✓) all of or U 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 Contra or pursuant.to the Contractors' State License Law). (_) I am exempt 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 prion to completion, of the improvements covered by this permit, Innol legally sell a structure that I have built as an c� owner -builder If 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: htto://www.leginfo.ca.aov/calaw.htmi. 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 effect. JOB ADDRESS . LOCALITY niv iu�uvua mnr nuu. uca.a.rvw r rvn Will the applicant or future building occupant handle a hazardous License Class C _TO License No. 14 mated or a mixture containing a hazardous material equal to or Date 5 I n -1 contractor Signature greater than the amount specified on the hazardous materials oc information guide? 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 ATTORNEYS 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 Labor Code, for the performance of the work for which this permit is issued. Policy No. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carder Policy Number Expiration Data Name of Agent Phone Number T 1 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, a agree that, if I should become subject to the workers' co p sation provisions of Section 3700 of the Labor Code, I shall y wl ose provisions N,%gnature of cant 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 will continue to comply therewith through the application process. Applicant (Print Name) Applicant Signature Company Name Date Yes ❑ N o ❑ 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 requirements 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. ASBESTOS NOTIFICATION ❑ Notification letter sent to AQMD and/or EPA ❑ I declare that notification of asbestos removal is not applicable to addressed project. DECLARATION REGARDING CONSTRUCTION LENDING AGENCY 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). Lender's 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. I 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 authohz� representatives of this county to enter the above-id`gnW4ed pro _ purposes. Owner or Authorized Agent Date _ C_ /, t —