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Home My Public Portal About5715 NOEL DR_MECHANICAL_2/13/2019_M19-37493 (2)TEMPLE CITY PERMIT NO. M19-37493 City of Temple City 19701 Las Tunas Drive I Temple City, California 917801 (626)285-2171 1 www.templecityus Address: 5715 Noel Drive, Temple City, California 91780 Parcel: 5387-024-011 Permit No: M19-37493 �711� Type: Mechanical Subtype: Subtype: Residential Description: REPLACING WALL HEATER 30K Special Conditions: Issue Date: 02-13-2019 Expire Date: 02-13-2020 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 Marci Zuniga Applicant Felipe Gonzalez 5715 Noel Drive, Temple City, California 91780 (213) 3044034 2648 East Workman Avenue, West Covina, California 91791 (626) 482-3176 Contractor Temp Air System 2648 East Workman Avenue #3001-177, West Covina, Inc. California 91791 Mechanical Details Compressor/Fumace/Etc 1 Compressor/Furnace/Etc 0 Compressor/Fumace/Etc 0 up to 100k BTU 100.500k BTU over 500k BTU ApplianceVent 0 Ventilation Fan 0 Fireplace 0 Fees Total Air Handier up to 2,000 0 CFM Ventilation System 0 Plan Chock Fees $0.00 PermItFees $36.60 Mechanical Inspections Air Handler 2-10,000 0 CFM Kitchen Hood/Spray 0 Booth Approval I r Approval Date Inspector Combustion Air Thermostat 7 Openings Fire Dampers Duct Work t (213)3645659 807933 Air 0 Inlet/Outlet Qty Air Handler 0 over10,000 CFM Fire 0 Damper OR Floor 0 Area Evaporative 0 Cooler Duct 0 Alteration Approval Data r Inspector Smoke 30 /7�lrti Detectors Commercial Hood FINAL _ 1 , �dt/nit-F/'ifi- 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).): 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 Contrbor pursuant to the Contractors' State License Law). U: I am exe4 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 whicfI must have resided for at least one year prior to compietlo of the improvements covered by this permit, I c nnot legally 31 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: bfti)://www.leginfo.cEl,00vicalaw.html. Date: Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION 1 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 1! 7-0 License No. ftn 3 pate Contractor Signature Azv WORKERS' COMPENSATION DE ION 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 3708 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 16surence, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. My workers' co_mppensation Insurance cemler�td poli number are: Te6j" Y1Y1 -r 9-1 C/ arrier Policy Number Expiration Da e 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 provisions of Section 3700 of the Labor Code, I shall rthwith comply with those provisions c t 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 compli d and will continue to comply therewith through the applicetio es . fly? T_ (pd0, Nims) ca alure P RF Z— l 9 Company Name Date JOB ADDRESS L9CAU.TY HAZARDOUS MATERIAL DECLARATION WIII the applicant or future building occupant handle a hazardous matedal or a mixture containing a hazardous material equal to or :greater than the amount specified on the hazardous materials Information guide? Yes ❑ No ❑ WIII 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 ❑ r I have read the hazardous materials Information guide and the SCAQMD permitting checklist, I understand my requirernis 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 forthe performance of the work for which this permit Is Issued (Section 3097, Civil Code). Lenders Name Lenders Address By my signature below, I certify toleach 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-identi=wner erty for inspection purposes. Signature of P or Authorized Agent 51 ate 7 a T -r a