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Home My Public Portal About5305 ARDEN DR_Mechanical__ ION WORKER'S I ve.a certificate of consent to 76A346DPW9/89 APPLICATION FOR PERMIT LIME GREEN, 76A364C I hereby affirm that I have.a certificate of consent to self insure, or a certificate of Wo'rker's Compensation Insurance, or a certified HEATING-VENTILATING-AIR CONDITIONING copy thereof(Sec.3800 Lab. C.) u Policy No. Company COUNTY OF LOS ANGELES DEP i-411OF PUBLIC WORKS BUILDING AND SAFETY DIV. ❑ Certified copy is hereby furnished. ❑ Certified copy Is filed with the county building inspection FOR APPLICANT TO FILL IN BUILDING department. (PRINT OR TYPE ONLY) ADDRESS Date ApplicantLOCALITY N0. TYPE OF APPLIANCE OR EQUIPMENT FEE .CERTIFICATE OF EXEMPTION FROM WORKERS' NEAREST CROSS ST. , COMPENSATION INSURANCE ABSORPTION UNIT,BTU (This section need not be completed if the work involved by the ASSESSOR q OK PAGE PARCEL permit is for one hundred dollars($100)or less.) 7 . MAP AIR HANDLING UNIT,CFM DISTRICT NO. PROCESSED BY I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to BOILER,BTU become subject to the Workers'Compens io Laws. �[) COMPRESSOR,BTU `� APPROVALS DATE INSPECTOR'S SIGNATURE Datp Applicant VENTILATION SYSTEM NO I T APPLICANT: If, aft making this Certificate of ROUGH Exem tion,you should become subject to the Workers"Compensation EVAPORATIVE COOLER provisions of the Labor Code, you must for comply with such FINAL provisions or this permit shall be deemed revoked. FURNACE: FAU GRAVITY -- - LICENSED CONTRACTORS DECLARATION FLOOR BTU Q� f? VALIDATION I hereby affirm that I am licensed under provisions of Chapter 9 HEATER: SUSPENDED .UNIT . (commencing with Section 7000) of Division 3 of the Business.and WALL Professions Code,and my license is in full force and effect. 04 License Number Lia ClassC_12 0. A" 'T aH a - �:! ' =I3i 21JG.0 r•.i CL Contract Date `-S - ❑ I am exem der Sec. Plan.cheCk fee 1 -ITE.MSF B:&P.C.for this reason PERMIT,ISSUING FEE$. OTAI- 106 m 65 TOTAL FEE /n� _± .a Date: V'/ /, �s a✓Jo J. Signature (lJ (fes `_•Fi!'G ,lyfl OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT CLCL I hereby affirm that I am exempt from the Contractor's License Law NAME for the following reason (Section 7031.5, Business and Professions 1 1_I— 1001 51 / Code): ADDRESS 4 EJ t{hhiiiiy a;�x I, as owner of the property, or my employees with wages 96114' r7ft1J°''` as their sole compensation, will do the-work and the CITY TEL.NO. structure is not intended or offered for sale (Section 7044, Business and Professions Code). OWNER I, as owner of the property, am exclusively contracting MAIL with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY D CITY TEL.NO. I hereby affirm that there is a construction lending agency for CONTRACTOR V the performance of the work for which this permit Is issued r (Sec.3097,Civ. C.). ADDRESS Lender's Name �t / CITY TEL.N 4 m I p Lender's Address STATELIC. I certify that I have read this application and state that the above LICENSE NO. IS CLASS (J information is correct. I agree to comply with all County ordinances and•State laws relating to building construction,and hereby authorize '- representatives of this County to enter upon the above me tioned proper a f r inspe,tion rposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 1 REO T OR AG E - COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1112130019 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488' EXT: ILEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 11699 IT: 4 BL: .001 5305 ARDEN DR IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917803320 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1 18585-004-044 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl 141 VENTILATION FAN 1.00 FAN 15.80 (TENANT: I . TOTAL FEES 43.60 112513D ON: PROCESSED BY: PLAN BY: /11 SR 1OWNER: TEL. NO: 1 IFINAL DATE FINAL BY: CODE: 1 IWANG JINTING (626) 82373360- � 15305 ARDEN DR ITEMP 917803320 ID SCRIP ION OF WORK ONE VENTILATION FAN FOR RELO ATE (E) BATHROOM 1 I (APPLICANT: TEL. NO: JZHANG, KEVIN (626) 823-3360- 11105 SUNNY SLONE AVE SPECIAL CONDITIONS: PADADENA, CA CONTRACTOR: TEL. NO: IAPPROVALS DATE ' INSPECTOR SIGNATURE IWANG, JINTING (626) 823-3360- 1 15305 ARDEN DRIVE LIC. NO IFAU/WALL FURNACE ITEMPLE CITY, CA 91780 NONE COMBUSTION AIR OPENINGS (ARCHITECT OR ENGINEER: TEL. NO: I IDUCT WORK LIC. NO: IAC/COMPRESSOR I I I THERMOSTAT FIRE DAMPERS ISMOKE DETECTION DEVICES - 1 I I I I I . COMMERCIAL HOOD I I I I I I II � I II II I 1 1REPORT ID: DPR264 ROUTE TO: BS0508 1