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Home My Public Portal About5708 ROSEMEAD BLVD UNIT_MECHANICAL_2/1/2018_M17-35042TEMPLE CITY PERMIT NO. M17-35042 City of Temple City 19701 Las Tunas Drive I Temple City, California 917801 (626)2852171 I www.templecity.us Address: 5708 Rosemead Blvd Unit 100, Temple City, California 91780 Parcel: 5387-013-031 Permit No: M17-35042 Type: Mechanical Subtype: Subtype: Non - Residential Description: TENANT IMPROVEMENT- MECHANICAL NEW HVAC (E) CORE Special B SHELL BUILDING. REROUTING (5) TON DUCTING THROUGH Conditions: OUT (E) BUILDING NEW TYPE 118 TYPE 1 HOOD SYSTEMS Issue Date: 02-01-2018 Expire Date: 02-01-2019 Extension: Extension: Permit expires on date shovm ifa) work does not commence, or 2) work is suspended or abandoned, or 3) applicant fails to obtain code required Inspection, - Contacts Owner Randy Wang The Gatewaylf 1005 East las Tunas Drive, San Gabriel, California 91776 (626)905-9142 Applicant Robyn Ellis 8447 Wilshire Blvd Suite 401, Beverly Hills, California 90211 (818)489-8891 Contractw Econstruct, Inc. 8447 Wilshire Boulevard Ste.401, Beverly Hills, California 90211 (310)740.9999 964015 - Mechanical Details Compressor/Furnace/Etc 3 Compressor/Fumace/Etc 0 Compressor/Furnace/Etc 1 Air 0 ORFloor 3300 upto100k BTU 100-500k BTU over 5001, BTU Inlet/Outlet Area Qty Appliance Vent 3 Air Handler up to 2,000 2 Air Handler 2-10,000 1 Air Handler 0 Evaporative 1 CFM CFM over Cooler Ventilation Fan 2 Ventilationsystem 0 Fireplace 0 Fees Total Plan Check Faes $1322.76 Permit Fees S674A9 Mechanical Inspections Approval Date Inspector FAU/Wall Fumace Combustion Air Openings Duct Work Kitchen Hood/Spray Booth Approval Date AC/Compressor Thermostat _ Fire Dampers Inspector 10,000 CFM Fire 0 Damper Approval Date Smoke Detectors Commercial Hood FINAL Duct 1 Alteration Inspector 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 items) (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 (_) 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 Contr9�tor 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 whicf I must have resided for at least one year priori to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner -builder l 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,/Avww.leoinfo.ca.00v/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 effect. License Class 12) License No. Date 7T I 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self - insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. !rNo. �. I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' co ens on i rence carrier and poli nu ar Q Vo5 ori 7ra,, , 2fr¢4/� ( ($ Gatri{p: Policy Numbp� .� FirtoiMq?-1 Name of Agent Agent �6Phone 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, H I should become subject to the workers' compensation provisions of Section 3700 of the tabor de, I shall forthwith comply with those provisions 'gnature of AppUant at 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 et 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 appl on process. A'pA�,. L Its t (brintSNpN plicant Signa re Company Name i Y�'� Dee 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 ❑ N o IR 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 ❑ N l 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 conceming 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 appllcable 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 owner's 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 property for inspection purposes. n. lure of roperty Owner or Mite "ant Date a I ( I I