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Home My Public Portal About6047 CAMELLIA AVE_Mechanical__ COUNTY OF IAS ANl3EL TEMPLE CITY / 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1004120014 BUILDING AMID SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: lJPGAL ID: FEES PAID BUILDING ADDRESS: TR: 29610 UN: 12 6047 CAMELLIA AV L FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802057 A99E830R INFORMATION NUMBER: .NE RBST CROSS STREET: 5385-014-035 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCAL=: TEMPLE C-=, C 02 CCKPRSR < 100 KBTU 1.00 COM 27.00 THNANT: 08 FURNACE/HEATER <100 1.00 UNI 27.00 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 81.75 04/12/10 SR 04/12/11 OWNER: TEL. NO: F DATE FTIPLL BY: CODE: 040U, LEO (626) 757-5502- 6047 CAMELLIA AV TEMP 917802057 D&9CRIPTION OF WORK REPLACE EXTRTTTI7 ROOF-TOP PAC:16M AIR CONDTIONING AND HFJLTING U= APPLICANT: TEL. NO: NORMAN LID SERVICE CORP. (626) 579-1559- SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVAIB DATE INSPECTOR SIGNATURE NORMAN LSU SERVICE CORP. (626) 579-1559- 4901 ARDEN DR LIC. NO FAU FURNACE TENPLE CSTY, CA 91780 559374C-20 COMBUSTION ASR OPBZEINOS ARCHITECT OR EAOINERR: TEL. NO: DUgT WORK LIC. NO: AC ,COI�RCIR TE0104(STAT FIRE DAMPERS SMOKE DETECTION DEVICES CC69ERCIAL HOOD REPORT ID: DPR264 ROUTE TO: B20508 7e "54--C�e Ia- 5-721KATION PERMIT HEATING - VENTILATI - AIR CONDITIONS G , . COUNTY OF LOS ANGELES BUILD O DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY NEAREST CROSS ST. FOR APPLICANT TO FILL IN OWNER (PRINT OR TYPE ONLY) MAIL Qp No. TYPEOFAPPLIANCE OR EQUIPMENT FEE ADDRESS ABSORPTION UNIT, BTU CITYTEL NO. A CONTRACTOR AIR HANDLING UNIT, CFM ADDRESS _ BOILER, BTU CITY TEL. NO. COMPRESSOR, BTU a STATE IC. LICENSE NO.• CLASS VENTILATION SYSTEM DISTRICT NO. GROUP ZONE [2EBBED BY EVAPORATIVE COOLER FURNACE: FAU GLIA I INSPECTION RECORD FLOOR TU HEATER: SUSPENDED UNIT_ ALL t� 0 w DL cn Plan check fQe 25?6 of above. See reverse. z PERMIT ISSUING FEE S s Oo TOTAL FU PLAN CHECK APPLICANT NAME ADDRESS CITY TEL.NO. I HERESY ACKNOWLEDGE THAT I HAVE READ THIS ARI•LICATION AND STAT[ THAT THE ABOVE IE CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND,LAWS REGULATING HEATING, VEKTI- APPROVALS DATE 1-98MECTOR'f,3I6IiATURK LATI-NG, AIR CONDITIONJNG. RO UG H I HERESY CERTI THAT jAOT ACTING I VIO IOF CHARTER 9, DI I S, OFINE15 AMD FCD L FINAL CODE OF TH[ ST AL \ SIGNATURE PERMIT VALIDATION CK. M.O. CASH OF PERMITT LA , PLAN CHECK VALIDATION CK. M.O. CASH GEE SACX Of A"LICATK)N FOR COMPLETE FEE GCHEDULE X76 A364.^CffS1St baa APPLICATION FOR PERMIT HEATING - VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELES FDR _ DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN (PRINT OR TYPE ONLY) MAI L NO. TYPEOFAPPLIANCE OR EQUIPMENT FEE ADDRESS CITY TEL NO. / p ABSORPTION UNIT, BTU CONTRACTOR AIR HANDLING UNIT, CFM ADDRESS BOILER, BTU CITY TEL. NO. COMPRESSOR, BTU STATIt /ti L C. LICENSE NO.--4Z (J CLASS VENTILATION SYSTEM DISTRICT MO. GROUP I ZONE,--FcaaaEo eY EVAPORATIVE COOLER �� —7-- G)--Q FURNACE: FAU GRAY T INSPECTION RECORD FLOOR BTU Q HEATER: SUSPENDED UNIT_ WALL E3 0 H U C/7 Plan check fQe 25% of above. See reverse. z PERMIT ISSUING FEE S s 00 TOTAL FEE 3 PLAN CHECK APPLICANT NAME ADDRESS L'.TD TEL.NO. REBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ANDATE THAT TH[ ABOVE Il CORRECT AND AGREE TO COMPLY LL ORDINANCES ARD LAWS REGULATING HEATING, VENTI- APPROVALS DATE DO T011b SIGNATURE AIR CONDITIONING. ROUGH[R[eY CERTIFY THAT I AM ROT ACTING IN IOPTERfl, DVI110 OF THE a [SS AMD PR SSIO FINALFTHE !TATE 0 TURE PERMIT VALIDATION CK. M.O. CASH RMITTEE PLAN CHECK VALIDATION CK. MAO. CASH - 5-.9 4. A 43.0.0d98 IEE SACK OF APPLICATION FOR COMPLETE FEE SCHEDULE r � 76 1364 "c1= 1l,a"— 9-71 �ACICATION PERMIT HEATING - VENTILATIN - AIR CONDITIONING COUNTY OF LOS ANGELES ADIDRESS DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY G� �1T �— NEAREST _ CROSS ST. FOR APPLICANT TO FILL IN OWNER (PRINT OR TYPE ONLY) J I NO. TYPEOFAPPLIANCEOR EQUIPMENT FEE ADDRESS x CITY 7��'�� TEL NO. ABSORPTION UNIT, BTU CONTRACTOR �. AIR HANDLING UNIT, CFM ADDRESS BOILER, BTU CITY ��/ TEL. NO. COMPRESSOR, BTU STATE �" p LIC. /� LICENSE NO. /YO a Z� CLASS el Y� VENTILATION SYSTEM DISTRICT N0. GROUP UNe [pa[D BY EVAPORATIVE COOLER +� FURNACE: FAU BTU RA ITY INSPUCTION RECORD CD HEATER: SUSPENDED-UNIT- WALL USPENDED UNIT_WALL w a. z Plan check fee 25% of above. See reverse. PERMIT ISSUING FEE S 3 00 TOTAL FEE PLAN CHECK APPLICANT NAME ADDRESS CITY TEL.NO. 1 HEREBY ACKNOWLEDeE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TQ COMPLY WITH ALL ORD INAMCES AND LAWS REGULATING H[ATINO, VENTI- APPROVALS DATE MP[CTOIIb 81GNA7URr LAT IMS, AIR CONDITIONING. RO UG H ALT CERTIFY THAT I AM NOT ACTING IN VIOLATI I OF CHAPTER D, DIVISION OF THE BLU aS AND PR ESSIO INAL1/,— ODE r}- COF TH[ 1TATE OF FOR SIGNATURE PERMIT VALIDATION CK. M.O. CASH OP PERMITTEE PLAN CHECK VALIDATION CK. N.O. CASH 5 4 1 3 3.0 0 A!)a DEE BLACK OF APPLICATION FOR CDM PLETE FEE SCHEDULE l �ICE�S'COMPENSATION DECLARATION I1Ifeteby afflrin tea) I have a certificate of caruent to self APPLICATION FOR PERMIT Insul'e, or a certiflcatepf Worke Compensation Insurance, HEATING - VENTILATING - AIR CONDITIONING or a certified copy thereof (Sec. 9800, Lab. C.) �-� CE-818(REV. 10/81 P❑oll ) cy N Co t/� /6 11 Certified copy Is hereby furnished. COUNTY OF LOS ANGELES BUILDING.AND SAFETY Certified copy Is flied with th my bul(ding In FOR APPLICANT TO-FILL IN BUILDING r tion partm nt. IN OR TYPE ONLY) ADDRESS PR .� 'i LOCAllTY .Date Appllc NO. TYPE OF APPLIANCE OR EQUIPMENT FEE CE IFICATE OF ON FROM WORf3 R5' NEAREST COM ON INSURANCE CROSS ST (This sedion need not by completed If the-work Involved by ABSORPT}ON UNIT, BTU DISMCT NO. PROCESSM BY the permh is for one hundred dollars (:100)or less.) AIR HANDLING UNIT, CFM I certify that In the performance of the work for which this V r permit Is Issued, I shall not employ any Person In any manner BTU so as to become subject to the Workers Compensbtlon Laws, B0IU72 ArQnovus DATE i SC,14ATurAE COMPRESSOR, BTU ROUGH Dgte Ilcant NO O CANT: If, after making tf to of VENTILATION SYSTEM FINAL /L Exe-ri1ption, you should become subjef9 to the Workers' Compensation provisions of the Labor Code, you must forth- EVAPORATNE COOLER VALIDATION with comply' with such provisions or this permit shall be deemed revoked. . FURNACE:. FAU GRAVITY LICENSED CONTRACTORS.DECLARATION FLOOR BTU 1 hereby affirm that I am licensed under provisions of Chapter HEALER: SUSPENDED-UNIT '(commencing with Section 7000) of Division 3 of the Business WALL and Professions Code,and my license Is In full force and effect. License Number Ic. Class _ OC _ Contractori-I O0 ❑ I am exempt under Sec. d Plan check fee h B.BP,C. for this reason' PERMIT ISSUING FEE ; D Z Date. TOTAL FEE 2 2 57.2 A Signature OWNER-BUILDER DECLARATION PLAN CI ACX APPLICANT # 0.0 • 0 0 8 1 hereby affirm that I am exempt from the Contractors License , Law for the following reason (Section 7031.5, Business and NAME ,1 o 01 5.5 0 Professions Code): ❑ I, aADDRESS 1 5 5 0 2s owner of the property, or my employees with o 0 0 wages as their sole compensation,will do the work and CITTEL Y TNO the structure Is not Intended or offered for sale(Section 07.30-85 7041, Business and Professions Code). OWNER ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec- MAIL Ilan 704, Buslneand Profawlons Code).' ADDRESS ss CONSTRUCTION LENDING AGENCY crt-Y TEL NO. I hereby affirm that there Is a construction lending agency for ' the performance of the work for which this permit Is Issued CONTRACT (Sec. 3097, Clv. C_). r ADDRESS Lenders Name CTfY TEL NO. Lender's Address STA U C. I ceftlfy that I have read this application and state that the LICENSE N9 CiA55 above Information Is correct. I"r ply with all County ordinances and State laws r ng to g construction, reby authorize re entail County to enter upon a above-menti ed pr n tion pu SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent e "WbAKER'8 COMPENSAT01N DECLAMATION ?aDW DPW 9/89 I hereby affirm that I have R oerthlcate of oonsent to self Insure, '°" `C - ARPLICATION FOR PERMIT LIME GREEN; or a cotdfloate o1 Worker's Compensatlon Insurance, or a certmed HEANG-VENTILATING-/IIS f:ONDMONINO 24 0o th reef(sec.3800 .C.) ZI L! Company COUNTY OF LOS ANGELES DEPT OF PUBUQ WORKS BUILDING AND SAFETY DIV. Certtfled oopy Is hereby ttmfstied. Certtned ropy is flied with the I FOR APPLf6MT TO FILL IN � - - (PROD-r OR TYPE ONLY) ADOR1=88 v Ave . Data Aplaken_ rt - LocAIJrY No. TYPE OF APPLIANCE OR EQUIPMENT FEE . CERTIFICATE 01=E)(E)APTION FROM VVOFtKDW "E'er` COMPENSAT}ON INSURANCE CROSS 8T ABSOAPTJON UNIT BTU ASSESSOR (TFila section need not tie completed K tha.arork Invohrad by the MAP BOOT( PAGE PARCEL permtt Is for one ht,ndred dolfar1t($11 GO)or lees.). AIR FLA DLING UNIT,CFM oETfVcT Ma Pn CMR:)BY . I oerdfy that In the performanos of the work for which this permit Is Issued, I shall not employ any person In any manner ito as to BOILER,BTU become subject to the Workers' Compensation Laws _ Qf ^t r. COM BTU p i �SYL p _ . u PFUVALe .-DAn .sure®w,tUFM Date icant VENT]LATION SYSTEM NOTICE TO APPLICANT: 11, aftir making this CortHloste.of ROU(3lI Exemption,you should beoome subject So the Workers' Compsnsaildh EVAPORATIVE COOLER; FINAL pr"elons o1 the Labor Code, you must forthwtth cgmpiV Wtth such provisions or thls p"tt shall be deemed revoked. FURNACE, FAu (3RAVrry LICENSED CONTRACTORS DECLJAAATfON FL Obs BTU ' Q VI TION I hereby affirm that I am licensed under provisions o1 Chapter 9HEATER. SUSPENDED—UNIT— (commencing USPE DED UNR(commencing wfth Section 7000) of Division 3 of the Business and WALL Profmalons Code,and my Ilcehee Is In full force and effect - .L . Llcerue Number LkL Cites .Z _ _ ... _ ► _ ACCT.* >- y 3307 1� 75.45 77 i 0,. I am exempt u sec. Plan check fele �, 11 Gl r5 0: S.BP.C.for this reason PERMrr ISSUINGFEE; —- TOTAL ' x'45 Date TOTAL FFF Q{{ ; 7`a,4 OWNER-BUILDER DECLARATION PLAN CHECK APPL`C!N f Ma Z I Hereby attfrm that I am exempt from the Contractor's Lloense Lew NAME for the following reaoh (Section 7031.13, Business and Profewldns 11, o Code): 0000— W1 3/10/7} .� ADDF;ESS .. , ,. I, a owner of the property, or Any employees with wage 01151 1 �s�1 r�6 as'their sole compenbatlon,,.WIII do;the work and the CITY TEL NO. _ ___. FA 1 J','1 -L7 structure Is not Intended or offered for sale (8eotlon 7044, Bualfteee and Professlons Code). OWNER 1, as owner'of the property, am exclusively contractingr with licensed cohtrpdtors to construct the project (8eb- ADDRESS Uqn 7044, Business and.Profe"Ions Code)_ CONSTRUCTION LENDING AGENCY CITY IOTri NO. I hereby affirm that there Is a construction lending apendy for the pertorfnance o} the work for which this perm II Is Issued OR _. -.,_r (Seo.3097;Cty. C•)• !' ADDRESS Lenders Nie CITY Lender's Address ,STATE. LIC. I certify that I have reed this appllcaeW6h and state that the above i rr m NO. 7 7CLASS Informatiorl In correct. I agree to.comply twfth allCoYnty ordlnancee and Stade laws relating to bullding conatucbon,and hereby audxxtze repreeeFr.[7iCtI of thla my enter upon the above-rnerttioned pu ea. SEE REVEFt8E'I�EXPLANATORY LANQUAGE (7, DATE