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HomeMy Public PortalAbout5708 ROSEMEAD BLVD UNIT_MECHANICAL_2/6/2018_M18-35659TEMPLE CITY PERMIT NO. MIS -35659 City of Temple City 1 9701 Las Tunas Drive I Temple City, California 917801 (626)28521711 www.templecity.us Address: 5708 Rosemead Boulevard Unit 100, Temple City, California Parcel: 5387-013-031 91780 Permit No: MI8-35659 Type: Mechanical Subtype: Subtype: Non - Residential Description: CHANGE CONTRACTOR- TENANT IMPROVEMENT- Special MECHANICAL NEW HVAC (E)CORE & SHELL BUILDING. Conditions: REROUTING (5) TON DUCTING THROUGH OUT (E) BUILDING NEW TYPE II & TYPE 1 HOOD SYSTEMS issue Date: 02-062018 Fxpire Date: 02-06-2019 Extension: Extension: Permit expires an date shown M l) work does not commence, or 2) work is suspended or abandoned, or 3) applicant fails to obtain code required inspection. Contacts Owner Randy Wang Applicant Jaime Zeledon Contractor Architect Mechanical Details Compressor/Furnace/Etc 3 up to 1001, BTU ApplianceVeru 3 Ventilation Fan 2 Fireplace 0 The Gateway LP 1005 East Las Tunas Drive, San Gabriel, California 91776 (626) 9059142 Detectors 14037 Ploner Blvd., Norwalk, California 90650 (562)412-5307 554524 FINAL 792204 Econstruct, Inc. 8447 Wilshire Boulevard Ste. 401, Beverly Hills, California 90211 (310)740-9999 964015 Compressor/Furnace/Etc 0 Compressor/Furnace/Etc 0 Air 0 OR Floor 3300 100-501 over 500k BTU Inlet/Outlet Area OH Air Handler upto 2,000 2 Air Handler 2-10,000 1 Air Handler 0 Evaporative 1 CFM CFM over Cooler 10,000 CFM Ventilation System 0 Kitchen Hood/Spray 2 Fire 0 Duct 1 Booth Damper Alteration Fees Total Plan Check Fees $337.18 Permit Fees 5674.37 Mechanical Inspections Approval Date Inspector Approval Data Inspector FAU/Wall "! • Furnace/.(,�C/{A�/{,�J(�� AC/Compressor Combustion Air Thermostat Openings Fire Dampers Duct Work (}r �/1ClY>/L9/� s/3a/o8 Approval Date Inspector Smoke Detectors Commercial S Hood FINAL OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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).): 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 ContrAr(tor pursuant to the Contractors' State License Law). U, 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 whit I must have resided for at least one year prior to completion of the improvements covered by this permit, Innot legally sell a structure that I have built as an owner -builder f 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: hftp://www.leginfb.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. License Class V License No. 11 452,4 - Date 21L -IV Contractor Signature Ca ill— WORKERS'COMPENSATION DIVCLARATION 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 workers' compensation insurance carrier and policy number are: Carder Policy Number Expiration Date 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 Callfomia, end a ree that, H I should become subject to the workers'timl��rt atlon provisions of Section 3700 of the Labor Code, Iithcomply with those provisions 2 -(-- Ig Signature f A licent 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 actingon behalf of myself compiled and will continue to comply therewith through the application process. Applicant (Print Name) Company Name Applicant Signature Date 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 ❑ N o ❑ r i 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. 1 authorize representativ of this county to enter the above -identified property for I spection purposes. Signature of Property Owherl r Apthorized Agent Date 2 -L -U