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Home My Public Portal About10924 DAINES DR_Mechanical__ COUNTY OF LOS ANGELES TEMPLE CITY k 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0506 1212260004 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 255-0488 EXT: ILEGAL ID: FEES PAID 1 BUILDING ADDRESS: 1 ITR: 10898 LT: 28 BL: B 1 10924 DAINES DR 1 I IFEE DESCRIPTION: QUANTITY: POM: AMOUNT: 1 TEMP CA 917002920 1 (ASSESSOR INFORMATION NUMBER: I. I NEAREST CROSS STREET: 18573-017-020 101 PERMIT ISSUANCE FEE 27.00 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY 1 1 108 FURNACE/HEATER 1100 1.00 UNI 29.00 TENANT: 130 AIR INLETS/OUTLETS 6.00 UNI 26.40 (ISSUED ON: PROCESSED BY: PLAN BY: TOTAL FEES 81.20 112/26/12 SR OWNER: TEL N0: 1 FINAL DATE FI BY: CODE: MARKOFSKI MARY A - 110924 DAINES DR � • � � I 1TEMP 917802920 1 DESCRIPTION OF WORK 4 1 FURNACE CHANGE OUT AND REDUCT I I ((APPLICANT: TEL N0: ADOLFO, IBANEZ - SPECIAL CONDITIONS: 0.LSE CONTRACTOR: TEL. NO: I 1APPAOVALS D T INSPECTOR SIG.ATUR1 IECONO AIR (800) 503-2666- 1 F 1 14915 E. HUNTER AVE LIC. NO IFAU/WALL ANAHEIM, CA 92807 445220HIC * I ICOMBUSTION AIR OPE NGS ARCHITECT OR ENGINEER: TEL. NO: IDUCT WORK LIC. NO: AC/CCAPRESSOR THERMOSTAT IFIRE'DAMPERS I I I ISMOKF DETECTION DEVICES COMMERCIAL HOOD I I 11 I 11 11 I I 111- I 111 I I I 111 I 111 I I I 11 I 11 I I I II111 I III11 I I I (III- I 1111 � ADDITIONAL DATA ON FILE I I I I I 111 I I I IREPORT ID: DPR264 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ME 0508 9712180005 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL D: FEES PAID BUILDING ADDRESS: TR: 10898 LT: 28 BL: 8 10924 DAINES DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802920 ASSESSOR INFORMATION NUMBER. NEAREST CROSS STREET: SANTA ANITA 8573-017-020 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY 02 COMPRSR < 100 KBTU 1.00 COM 27.00 TENANT: 08 FURNACE/HEATER <100 1.00 UNI 27.00 ISSUED ON: PROCESSED Y: PLAN BY: EXPIRES ON: 30 AIR INLETS/OUTLETS 1.00 UNI 4.35 12/18/97 UT 12/18/98 TOTAL FEES 86.10 OWNER: TEL. NO: FINAL OTE 1 A I CODE: MARKOFSKI MARY A (626) 443-5631- I� {d 10924 DAINES DR TEMP 917802920 DESCRI fi�I ON OF W ARK CHANGE OUT OF EXISTING (EATER AND ADD A/C APPLICANT: TEL. NO: AIR-TRO, INC. (626) 357-5311- - - - SPECIAL CONDITIONS: CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE AIR-TRO, INC. (816) 357-5311- 1630 SOUTH MYRTLE AVE LIC. NO iii r/T �6 ` F /WALL FURNACE MONROVIA, CA 91016 258228/C20 I-`-, :� COMBUSTION AIR OPENINGS ARCHITECT OR ENGINEER: TEL. N0: �� •1!� �I S I DUCT-WOWr- i LIC NO AC/COMPRESSOR THERMOSTAT FIRE DAMPERS 't :. V�� . J. � -..�`�-J - � --A�� -' SMOKE DETECTION DEVICES COMMERCIAL HOOD * ADDITIONAL DATA ON FILE REPORT ID: DPR264 ROUTE TO: BS0508 I WORKERS'COMPENSATION DECLARATION 76A364C APPLICATION Ip 1p p y p� �• p PERMIT p[1 4 ' I hereby affirm that I have a' certificate of consent to self CE.-818 (2-80) A 1— If� L IC PY 1 'O 1 tl 1— O R Ir E R M IY insure, or a certificate of Workers'Compensation Insurance,or . HEATING-V ENT ILATI NG=AIR CONDITIONING ¢'certified coo-,thereof(Sec. 3800,�Lab. ..CC..) �� . ¢ —f Policy COUNTY OF LOS ANGELES J BUILDING AND SAFETY G Certified copy is hereby furnished. , Certified copy is filed with the county building inspection FOR ABUILDING department. APPLICANT TO FILL 1N ADDRESS ?- ��1/✓� • r Date Applicant (PRINT OR TYPE ONLY) T • LOCALITY /��L•e-� CERTIFICATE OF EXEMPTION FROM WORKERS' NO. TYPE OF APPLIANCE OR EQUIPMENT FEE COMPENSATION INSURANCE NEAREST } (This Section need not be completed if the work involved' - ABSORPTION UNIT, BTU CROSS ST. C�jt<.r/T% CLO by the permit is for one hundred dollars ($IOQ) OI less.) DISTRICT N4 PROCESSE 8Y V I certify that in the performance of the work for which this AIA HANDLING UNIT,CFM permit is issued, I shall not employ any person in any manner O so as to become subject to the Workers' Compensation Laws. BOILER, BTU— h F Date Applicant r COMPRESSOR,BTU_>9LOO� �/ .�� APPROVALS DATE INSPECTOR'S SIGNATORE. N ROUGH c�Q NOTICE TO APPLICANT: If, after making this Certificate of VENTILATION SYSTEM -`v v — Z Exemption, you should become subject to the Workers' FINAL Compensation provisions of the Labor Code, you must forth- with comply with such provisions or this permit shall be EVAPORATIVE COOLERS VALIDATION deemed revoked. ✓ �R VITY_ pc FURNACE: FAU aa r �_ LICENSED CONTRACTORS DECLARATION I FLOOR:— BTU_�p�_OO.V— I hereby affirm that.I am-licensed under provisions of Chapter HEATER: SUSPENDED UNIT 9 (commencing with Section 7000)of Division 3 ofthe Busi- WALL l ness and Professions Code, and my license is in full force and effect. z ? (rl� License Number._39oJ Lic. Class ContractoflR_N>u7t�'/rfliTt.��c /�13�d'� m�rtHEu=4'r� I am exempt from the licensing requirements as I am a licensed architect or a registeredprofessional engineer Plan cheek fee 25%of above. acting in my professional capacity (Section 7051, Bus- iness and Professions Code), PERMIT ISSUING FEE $ 57 Lic.or Reg.No. Date TOTAL FEE ( Y •j9 HOME OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT / I hereby affirm that I am .exempt from the :Contractor's INAME 2 License Law for the following reason (Section 7031.5, Busi- ness and Professions Code): I, as owner of the property, will do the work and the structure is not intended or offered for sale (Section CITY7— PL`e TEL. NO. 3-7r63f 7044, Business and Professions Code). ❑ ,r ,// — I, as owner of the property, am exclusively contractingOWNER 1 .6 9, 1 A with licensed contractors to construct the project MAIL (Section 7044, Business and Professions Code). ADDRESS _ CONSTRUCTION LENDING AGENCY CITY - TEL.NO. /-�/ J 2 0�e ,3,8,5 Q I hereby affirm that there is a construction lending agency r for the performance of the work for which this permit is CONTRACTOR fTG issued (Sec.3097,Civ.CJ. � � 'e e.e•J 8 rj 0�6 Lender's Name ADDRESS Lender's Address - n •10,_2 6'-8 CITY /YI191wey//3- TEL. NO361`61�„?'y _ I certify that I have rend. this application and state that the STATE llarsa LIC �v// i above information is correct.I agree to comply with all County I LICENSE NO. T/VJ CLASS �Ze�> ' ordinances and State laws regulating Heating, Ventilating and , Air Conditioning,and hereby authorize representatives of this SEE REVERSE FOR EXPLANATORY LANGUAGE .. County to enter upon the above-mentioned property for c twr, purposes. Srgnature of Perm.ttee Date '