The URL can be used to link to this page

Home My Public Portal About5139 GOLDEN WEST AVE_MECHANICAL_11/9/2017_M17-35194 (2)TEMPLE CITY PERMIT NO. M17-35194 Contacts Owner Mike Machhs Applicant Carra Contreras Contractor • Mechanical Details Compressor/ Furnace 2 /Etc up to 1001, BTU Appliance Vent 0 Ventilation Fan 0 Fireplace 0 Fees Total Plan Check Fees $113.60 City of Temple City 1 9701 Las Tunas Drive I Temple City, California 91780 1 (626) 285-2171 1 www.templecity.us Address: 5139 Golden West Ave, Temple City, Parcel: 8589-010-007 Compressor/ Furnace 0 Compressor/Furnace 0 Air 30 OR Floor 0 California 91780 /Etc over Book BTU Inlet/Outlet Area Permit No: M17-35194 Type: Mechanical Subtype: Subtype: Residential Description: INSTALL NEW A/C - HEAT SYSTEM & Special Ventilation System 0 Kitchen Hood/Spray 0 Fire Damper 0 Duct 0 DUCTING Conditions: Issue Date: 11-09-2017 Expire Date: 05-08-2018 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 Mike Machhs Applicant Carra Contreras Contractor • Mechanical Details Compressor/ Furnace 2 /Etc up to 1001, BTU Appliance Vent 0 Ventilation Fan 0 Fireplace 0 Fees Total Plan Check Fees $113.60 Permit Fees $125.59 • Mechanical Inspections Approval oat In a Approval )OJaj)a / 17ap,ec//qr/ FAU/Wall �i!i AC/Compressor ��['�(�:—aSs $ter►— Furnace Thermostat Combustion Fire Dampers Air Openings Duct Work Approval Date Inspector Smoke Detectors Commercial Mood FINAL ' 5139 Golden West Ave, Temple City, California 91780 (626) 203-8791 4931 Encintta Avenue, Temple City, California 91780 (626) 286-3157 Connor Air Conditioning 4931 Encinita Avenue, Temple City, California 91780 (626) 286-3157 403735 Compressor/ Furnace 0 Compressor/Furnace 0 Air 30 OR Floor 0 /Etc 100-SOOk BTU /Etc over Book BTU Inlet/Outlet Area QtY Air Handler up to 0 Air Handler 2-10,000 0 Air Handler 0 Evaporative 0 2,000 CFM CFM over 10,000 Cooler CFM Ventilation System 0 Kitchen Hood/Spray 0 Fire Damper 0 Duct 0 Booth Alteration Permit Fees $125.59 • Mechanical Inspections Approval oat In a Approval )OJaj)a / 17ap,ec//qr/ FAU/Wall �i!i AC/Compressor ��['�(�:—aSs $ter►— Furnace Thermostat Combustion Fire Dampers Air Openings Duct Work Approval Date Inspector Smoke Detectors Commercial Mood FINAL ' 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 Llcense 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 (_) 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 Con"or pursuant to the Contractors' State License Law). ft I (_) 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 completiogi of the Improvements covered by this permit, I nnot legally sell a structure that I have built as an 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: http,//www.loginfo.ra.cov/calaw.htm]. 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 A P f ' Code and m r JOB ADDRESS LOCALITY Division 3 of the Business an ro essions y license is in full force and effect. 7T�HAZARDOUS MATERIAL DECLARATION Licens Clas ense No. V Will the applicant or future building occupant handle a hazardous tedal or a mixture containing a hazardous material equal to or Date , �1 Contractor Signature greater than the amount specified on the hazardous materials information guide? WORKERS' COMPENSATION DECLARATION Yes ❑ No 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 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 wor cptngen ati i Iare,garrl¢r apqI .tkumbe e 1 lt Cartier Po icY NumberPo icY Number L�Expiration bake ` 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' co pensation provisi f Section 3700 of the Labor Code, I sh II y with those provisions in Signature of Applicant Dam 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 coply therewith rough the application Applican (Rjrlt Ngm� �(�t}�„` Icant Sign r Company\ � Y% \ -1 \` Date 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 rklist for guidelines. Yes El /L[J 1 have read the hazardous matedals informatlon guide and the SCAQMD permitting checklist, I understand my requirem nts under the Los Angeles County Code Title 2, Chapter 20' Sections 220.100 through 220.140 concerning hazardous material reporting and for obtaining a permit from the SCAQMD. ASBESTOS NOTIFICATION E] Notification letter sent to AQMD and/or EPA 2/'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 Lender's 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 authorize representatives of this county to enter the above -identified per for inspection purposes. Signature of Prop t5w er r Au'ILonza Agent Date