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Home My Public Portal About9926 DAINES DR_Mechanical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0905050003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT ILEGAL ID FEES PAID BUILDING ADDRESS, ITR: 13805 LT 86 I I 9926 DAINES DR I IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917802638 I (ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET BALDWIN 18588-018-018 101 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 597 GRID A3 LOCALITY TEMPLE CITY, Cl 102 COMPRSR c 100 KBTU 1 00 COM 27 00 1 ITENANT 108 FURNACE/HEATER <100 1 00 UNI 27 00 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON I 130 AIR INLETS/OUTLETS 9 00 UNI 39 15 105/05/09 SR 11/01/09 1 I 136 AHU 2001-10000 CFM 1 00 AHU 38 85 1 1 TOWNER TEL NO- 1 TOTAL FEES 159 75 IFIAL DATE FINAL 13Y. CODE 1 IMALDONADO JOSEPH R,ALICIA (626) 286-8257- 1 1 I 19926 DAINES DR I � (TEMP 917802638 I IDESCRIPTION OF WORK . . 1 1 I 11NSTALL NEW AIR CONDITIONING AND HEATING SYSTEM I (APPLICANT TEL NO I I 1 SAME AS OWNER I (SPECIAL CONDITIONS I I I I ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE 1 ISAME AS OWNER - I I I I LIC NO I IFAU/WALL FURNACE I 1 (COMBUSTION AIR OPENING I I I 1ARCHITECT OR ENGINEER. TEL NO 1 IDUCT WORK I _ 1 1 1 LIC NO: i 1AC/COMPRESSOR I I I ITHERMOSTAT I 1 I IFIRE DAMPERS I I I I I 1 ISMOKE DETECTION DEVICES I I ICOMMERCIAL HOOD I I I I IA I I 1 I I I I I I I I I I I I I I I I I I 1 I I I I I I I I I I I I I I I I I IREPORT ID DPR264 ROUTE TO BS0508 1 I I I I 1 I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0704200010 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID I FEES PAID I BUILDING ADDRESS- ITR: 13805 LT 86 1 1 9926 DAINES DR I I IFEE DESCRIPTION: QUANTITY- UOM AMOUNT I _ TEMP CA 917802638 (ASSESSOR INFORMATION NUMBER. I 1 NEAREST CROSS STREET: 1 18588-018-018 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID A3 LOCALITY TEMPLE CITY, Cl I 108 FURNACE/HEATER <100 1.00 UNI 27 00 I I ITENANT I i TOTAL FEES 54 75 (ISSUED ON- PROCESSED BY: PLAN BY EXPIRES ON 1 I 104/20/07 JK 10/17/07 I I I I 1OWNER• TEL. NO 1 1FTNA.L.�{D�ATI F CODE: 1 IMALDONADO JOSEPH R,ALICIA (626) 286-8257- 19926 DAINES DR ITEMP 917802638 1 ID SCRIPTIO OF WORK 1 I I ICHANGE OUT WALL FURNACE I I I I I (APPLICANT- TEL NO I I I ICOMMERCIAL & RESIDENTIAL (562) 908-0006- I I I 18644 NORWALK BLVD 1 ISPECIAL CONDITIONS: 1 1WHITTIER, CA 90606 I 1 I I I I I ICONTRACTOR: TEL NO 1 (APPROVALS DATE INSPECTOR SIGNATURE 1 ICOMMERCIAL & RESIDENTIAL SERVICES (562) 908-0006- 1 1 I 18644 NORWALK BLVD LIC NO 1 IFAU/WALL FURNACE I 1 I IWHITTIER CA 90606 854890 C20 I I I I I I 1 ICOMBUSTION AIR OPENINGS I I I I I I I I I (ARCHITECT OR ENGINEER TEL, NO- 1 IDUCT WORK I I I I - I 1 1-1 1 I LIC. NO 1 IAC/COMPRESSOR ITHERMOSTAT I I I I I 1 1-1 1 I I IFIRE DAMPERS I I 1 0 1 I I I ISMOKE DETECTION DEVICES I I I I I I I I I I I ICOMMERCIAL HOOD I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I IREPORT ID DPR264 ROUTE TO: 13S0508 1 WORKERS' COMPENSATION DECLARATION APPLICATION FOR PERMIT .I�^Ilereby"affirm-affirm that I have a certificate of consent to self - ' insure, or a certificate of Workers' Compensation Insurance, - HEATING - VENTILATING - AIR CONDITIONING or a certifie copy thereof (Sec 3800, Lab C ) 76A364C CE-818(REV 10/81) Policy No coIT? �Company it-mel-,T Certified copy is hereby furnished COUNTY OF LOS ANGELES BUILDING AND SAFETY Certified copy is filed with the county building inspec- FOR APPLICANT TO FILL IN BUILDING tion par Int (PRINT OR TYPE ONLY) ADDRESS Date J Applicant( �'� '"'o' +4 LOCALITY e_1 -7.7 CERTIFICATE OF EXEMPTION FROM WORKERS' NO TYPE OF APPLIANCE OR EQUIPMENT FEE NEAREST )?��/� r� - 11 1 COMPENSATION INSURANCE CROSS ST J (This section need not be completed if the work involved by ABSORPTION UNIT, BTU DISTRICT NO PROCESSED BY the permit is for one hundred dollars ($100)or less.) I certify that in the performance of the work for which this AIR HANDLING UNIT, CFM ,permit is issued, I shall not employ any person in any manner 1-4- so as to become subject to the Workers'Compensation Laws BOILER, BTU APPROVALS DATE INSPECTOR'S SIGNATURE Date Applicant COMPRESSOR, BTU ROUGH NOTICE TO APPLICANT If, after making this Certificate of VENTILATION SYSTEM FINAL Exemption, you should become subject to -the -Workers' Compensation provisions of the Labor Code, you must forth- EVAPORATIVE COOLER dLIDATI N with comply with such provisions or this permit shall be deemed revoked I FURNACE FAU GRAVITY LICENSED CONTRACTORS DECLARATION FLOOR BTU 4` — I hereby affirm that I am licensed under provisions of Chapter 9 HEATER SUSPENDED ' UNIT tiWALL. " (commenng with Section 7000) of Division 3 of the' i WALL Business ' and Professions Code, and my license is in fulHorce and effect d 1 O License Numbers L `�� v� Lic Class Z � U Contractor�L/l�(J /7/ /O Date / U EJI am exempt under Sec LUi Plan check fee w B&P C for this reason PERMIT ISSUING FEE $ z Date " Signature TOTAL FEE OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT 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) 8'8 G,3 A ❑ j, as owner of the property, or my employees with ADDRESS �e o 0 0 0 8 wages as their sole compensation,will do the work and CITY TEL NO i the structure is not intended or offered for sale(Section 7044, Business and Professions Code) I- 20.5 0 OWNER ❑ j, as owner of the property, am exclusively contracting MAIL n0 ° ° 2 Q 5 0-0 with licensed contractors to construct the project (Sec- ADDRESS ` 7 r7 �� tion 7044, Business and Professions Code) 0 ,10 6'-8 3 CONSTRUCTION LENDING AGENCY 'CITY" /rte � � TEL•'NO� � �" I hereby affirm that there is a construction lending agency for - ^� the performance of the work for which this permit is issued CONTRACTOR`/L� 1 � (Sec 3097, Civ C ) ►- - ADDRESS v Lender's Nameby CITYC��ic-c� f/.7 TEL NO �✓ �� z Lender's Address 77`� STATE LIC I certify that I have read,this application and state that the LICENSE NO (��y dj� CLASS -• above information is correct I agree to comply with all County ordinances and State jaws relating to building construction," and huthonze•representatives of this County to enter at?Ree ab e-mentioned'property for ins ection purposes SEE REVERSE,FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date