Loading...
HomeMy Public PortalAbout5335 CLOVERLY AVE_Mechanical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0209230006 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS ON FILE 5335 CLOVERLY AV FEE DESCRIPTION QUANTITY UOM AMOUNT- TEMP CA 917803106 ASSESSORNEAREST CROSS STREET OLIVE 8590-004-009 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY 02 COMPRSR < 100 KBTU 1 00 COM 27 00 TENANT TOTAL FEES 54 75 ISSUED ON. PROCESSED B PLAN BY EXPIRESON 09/23/02 JK 03/22/03 OWNER TEL NO FINAL DATE FINAL BY CODE CHIN,ELAIN (626) 281-9222- 5335 CLOVERLY AV TEMP 917803106 DESCRIPTION OF WORK NEW A/C UNIT APPLICANT TEL NO ECONO AIR (800) 503-2666- 3366 LA PALMA AVE SPECIAL CONDITIONS ANAHEIM 92806 CONTRACTOR TEL NO �, QD�1,,� APPROVALS DATE INSPECTOR SIGNATURE ECONO AIR (800) 503-2666- F U W LL 3366 E LA PALMA AVENUE LIC NO FURNACE ANAHEIM CA 92806 445220HIC COMBUSTION IR OPENINGS ARCHITECT OR ENGINEER TEL NO ! � UCWORK I -- LIC NO � � � � � � AC/COMPRESSOR 1111111 y - ---- - ' FIRE DAMPERS A1, ��L �` : �./�; CTION D V C COMMERCIAL HOOD J I _� LSyd * ADDITIONAL DATA ON FILE REPORT ID DPR264 ROUTE TO BS0508 WORKERS' COMPENSATION DECLARATION APPLICATION FOR PERMIT I hereby rffirm that I have a ceryrficate of-consent to self ' Insure, or a certificate of Workers' Compensation Insurance, HEATING - VENTILATING - AIR CONDITIONING ,6A364c i or a certified 4r ,copy thereof (Sec 3800, Lab C ) ' 260046 DPW 9/88, Policy No Company Certified copy is hereby furnished - COUNTY OF LOS ANGELES BUILDING AND SAFETY " ❑ Certified copy is filed with the county building mspec FOR APPLICANT TO FILL IN BUILDING ) tion departrnenT _ ADDRESS �' �j GLf� L� v� (PRINT OR TYPE ONLY) Date Applicant i LOCALITY NO TYPE OF APPLIANCE OR EQUIPMENT �- FEE r � CERTIFICATE OF EXEMPTION FROM WORKERS NEAREST COMPENSATION INSURANCE CROSS ST ,(This section need not be completed if the work*involved by ABSORPTION UNIT BTU DISTRICT NO rm�� the permit is for one hundred dollars ($100) or less ) (,certify that in'the performance of the work for which this AIR HANDLING UNIT CFMCe permit Is Issued, I shall not employ any person In any manner , astobeco/mJ}e/�sublect'}o the Workers ComjJenSOTiOn Laws' BOILER BTU APPROVALS DA IN ECTORS NAT)IRE ate �'v Applicant 4 COMPRESSOR BTU ROUGH CE TO`APPL CANT If, after making this Certificate of VENTILATION SYSTEM FINAL Alln Exemption, you, should become subject to the Workers ' Compensation provisions of the Labor Code, you AL must forth- EVAPORATIVE COOLER VIDPv with comply'with such provisions or this Perinit shall be deem- 1 ed revoked ' I .+ FURNACE FAU GRAVITY LICENSED CONTRACTORS DECLARATION FLOOR BTU x 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 WALL and Professions Code,and my license is in full force and effect " a License Number Llc Class0 , y, - C f I s'Y' A r ' Contractor Date 3307 isj11 '❑ 1 am exempt under Sec ' ' i ITENS V Plan check fee W - B&P C for this reason PERMIT ISSUING FEE TOTAL, 15 m060 Dare TOTAL FEE CNEC =,Zil� Signature OWNER-BUILDER DECLARATION _PLA_- ECK APPLICANT CHANGE I hereby affirm that I am exempt from the Contractor's License , Law for the following reason (Section 7031 5, Business and NAME Professions Code) I 5/111 JLI ❑ I, as owner of the property, or my employees with ADDRESS ' -0617 1 AN IUD:ry' wages as their sole compensation, will do the work and " CITY TEL NO the structure Is not Intended or offered for sale (Section 7044, Business and Professions Code) OWNER ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec- IL ADDRESS tion 7044 Business and Professions Code) CONSTRUCTION LENDING AGENCY CITY e C I `( TEL NO I hereby affirm that there Is a construction lending agency for , the performance of the work for which this permit is issued CONTRA (Sec 3097, Civ C ) i ADDRESS Lender s Name " CITY NO c Lender s Address STATE LIC I certify that I have read this application and state that the LICENSE NO CLASS above Information Is correct I agree to comply with all County J r ordinances and State laws relating to building construction, and hereby authorize representatives of this County to enter upon the above-mentioned property for Inspection purposes y SEE REVERSE FOR EXPLANATORY LANGUAGE - r Signature o—cant or Agent Date ©s