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Home My Public Portal About9906-9910 LAS TUNAS DR_Mechanical__ hereby eby+a/'prmEt of I have a c certificate DECLARATION APPLICATION FOR PERMIT I hereby"affrcm'that I have a certificate of consent to self ,insure;or a certificate of"W4rkers'.,Comfen'sation Insurance, _ VENTILATING AIR CONDITIONING 76A364C HEATING " or_,s ceriified copy thereof ($ec 3800, Lab C ) , CE-818'(REV 10/81) Polic),No � Company v.• C a T y, ❑ Certified copy is hereby furnished ;� �'COUNTY OF LOS'ANGELES BUILDING AND SAFETY ETCertified copy is filed with the county building'inspec- FOR-APPOCANT TO FiLI'`IN''�•' �'- BUILDING !!SS //Q "�",�/ (� tion department '•' i, 'ADDRESS MS�V � 7 "(��J y y'� (PRINT OR TYPE ONLY) `Date 'Applicant LOCALITY j NO TYPE OF APPLIANCE OR EQUIPMENT FEE CERTIFICATE OF EXEMPTION FROM,WORKERS' NEAREST COMPENSATION INSURANCE CROSS ST /Y (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.) AIR HANDLING UNIT, CFM �` Y I certify that,in the performance of the work for which this II perrrilt is Issued, I shall not employ any person In any,manner � BOILER, BTU �7 b` so as to become subject to the Workers' e n L W APPROVALS DATE N CTOR'S SIGNATURE • •�.� .� , ' COMPRESSOR, BTU ��) - � ROUGH Date pplica _ NOTICE TO APPLICANT If, after making this Certificate of VENTILATION SYSTEM FINAL Exemption, you should become•sublecf to•the Workers' Compensation provisions''of'the Labor Code,•you must forth- EVAPORATIVE COOLER V IDA with 'comply with,such provisions or,this•permit shall be deemed revoked FURNACE FAU GRAVITY+ r LICENSED CONTRACTORS DECLARATION FLOOR ' BTU I hereby offirm that I am licensed under provislons'of Chapter 9 HEATER SUSPENDED UNIT (commencing with Section 7000) of Divlsiont3•of the Business WALL and Professions Code,and my license is in full force and effect' g/ �J �c ,�j• n� d`i�y� p. License Number tic class��i �Q /�" �0 JltiT' J� AY 'S!u�i' 770,V oo Contractor Date U ❑ •1 am exempt under"Sec " d Plan check fee' H B 8P'C for this reason Z }PERMIT-ISSUING FEE $ v Date Signature " • TOTAL FEE S '' I1 OWNER-BUILDER DECLARATION,- . PLAN CHECK APPLICANT 9 8 3.5 A I hereby affirm that I am exempt from the Contractor's License ► Law for the following reason (Section 7,031 5, Business and NAME �};o e o to 0 8 'Professions Code) •I, as,owner of•the,p�operty, or my employees with ADDRESS, 2 5'7'5 1:1 wages as their"sole compensation,will,do the work andr the structure is not intended or'offered for sale(Section CITY' TEL NO e o °_ 2S75 U OWNER, {/ Af 7044, Business and'Profess(ons Code). _ S-Ms/E_,! - ❑ I, as owner of the property;am:exclusively,contracting O 6 O 9•-8 8 with licensed contractors to construct tKe project (Sec- MAIL /� - tion-!7044, Business and Professions Code)' ADDRESS/t/ , �� - (/ CONSTRUCTION LENDING AGENCY CITY 11L��` TEL �� •Z��G—�� I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued' 'CONTRACTOR 7LE iq (Sec,3097, Civ C) _ ADDRESS Lender's Name CITY TE Lender's Address ��77 • I certify that I have readti this applicaon'and state that the, STATE LIC LICENSE.NO L CLASS "� 2c/'• above information'is correct I agree to comply with all County ordinances and State laws relating to building construction, and here y auth r repres nt _v s of this County to enter upon a bone e for inspection p rposes SEE REVERSE FOR EXPLANATORY LANGUAGE _ Signature of Applicant or Agent Dat - '' i - c •- _ ., - - - WORKERS' APPLICATION-FOR PERMIT 'COMPENSATION DECLARATION r G �! heret5`y,afftrm that I`have a certificate of consent to self - Qif Insure, or a certificate of Workers' Compensation Insurance, 76A364C HEATING'-- VENTILA-T,ING - AIR CONDITIONING or a certified copy thereof (Sec,38Q0, Lab C ) !/l CE-818(REV 10/81) 6 mol,,cy No_Company 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 BUILDING7 Tion department ADDRESS �i�3r / (PRINT OR TYPE ONLY)' Date Applicant LOCALITY NO TYPE OF APPLIANCE OR EQUIPMENT FEE- CERTIFICATE OF EXEMPTION FROM WORKERS'. NEAREST 11 p COMPENSATION INSURANCE CROSS ST /7 ��//�.� ABSORPTION UNIT, BTU (This section need,not be completed if the work involved by DISTRICT NO I.PROCESSED BY -, the permit,is for one hundred dollars ($100),or less-.) AIR HANDLING UNIT, CFM (,certify that In the performance of the work for which this - J• V ,permit Is Issued, I shall not employ any pers `n In any,man.ner. BOILER,'BTU • so as.to become subject to the Worker CO 110 'L WS .• APPROVALS - DATE I CTOR'S SIGNATURE Date pelican COMPRESSOR, BTU 13 6 j ROUGH NOTICE 70 APPLICANT If, after making this Certificateof VENTILATION SYSTEM FINAL , Exemption, you should become subject to•the Workers' Compensation provisions of the Labor Code, you must forth- a EVAPORATIVE COOLER _ VALIDAT6N with, comply with such provisions or this permit shall be deemed revoked FURNACE FAU GRAVITY ' LICENSED CONTRACTORS DECLARATION FLOOR —BTU — I hereby affirm that I am licensed under provisions of Chapter 9 HEATER SUSPENDED—UNIT— ,(commencing USPENDEDUNIT_.(commencing with,Section 7000) of Division 3,of•the Business WALL and Professions Code,and my license is in full force and effect' IlL /'�/ , u License N��///� al� .Class`!� � - _ ► �. -Ci O ContractorA "" C'• Date ❑ I am exempt under Sec ' G s Plan check fee N B &P C for this reason_ Z Date PERMIT ISSUING FEE ;, 9 8 3 b A Slgndture - _ TOTAL FEE e o 8 OWNER-BUILDER,DECLARATION PLAN CHECK APPLICANT 1 hereby affirm that I am exempt from the Contractor's License ( ° •9 5 Law for the following reason (Section 7031 5, Business and NAME , Professions Code) - • °;°•� 9,5 7 5x� ADDRESS x ❑ .I, as owner of;the property, or my employees with- T 0 6 0 9,�8 8 wages as their sole compensation,will do the work and the structure Is not Intended or offered fog sale(Section CITY TEL`NO 7044, Business and Professions Code) v ' OWNER S'3 VL`�y �'• �. �/�/A ' I ❑ I, as owner of the property, am exclusively contracting /(�1 +)a/�J with licensed contractors to construct the project (Sec- ADMAIL (Sec- �s B X40 /1 V6 tion 7044, Business and Profess Ions`Code) // CONSTRUCTION LENDING AGENCY CITY /.A'r "_,TEL-N I hereby offirm.that there Is a construction`lending agency for the performance of,the work for which this ermit is issued` 46 / l P P CONTRACTOR /446 C ) �•. _ ADDRESS, ? Lender's Name CITY .TEL NCq Lender's Address' ot I certifythat I have read this a licatlon and state the STATE y . LIC '^ pp LICENSE NO Z CLASS G orf/ above Information Is correct I agree-to comply with all County ordinances and State laws relafing'to building construction, and hereby authorize re Entatves of this County to enter upon t ent p'erty for inspe ion p' s SEE REVERSE FOR EXPLANATORY LANGUAGE • � r Signature of Applicant or�Agent - ate - - ;• y COUNTY OF LOS ANGELES TEMPLE CITY # 0508 M1,: MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0308290001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 6561 LT: 411 BL: .001 9906 LAS TUNAS DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802200 INFORMATIONASSESSOR NEAREST CROSS STREET: AGNES 8587-030-028 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY 30 AIR INLETS/OUTLETS 1.00 UNI 4.35 TOTAL FEES 32.10 ISSUED ON: PROCEMED-BY: PLAN BY: EXPIRES ON: HANG-TE WU 08/29/03 JK 02/25/04 OWNER: TEL. NO: FI AL COW: LUI WAI YU ALBERT;LUK WAN YUN 1709 PALM AV ALHM 918032925 VIBE RELOCATE ONE A/C REGISTER APPLICANT: TEL. NO: JEFF WANG (626) 821-0572- 735 W DUARTE RD #203 SPECIAL CONDITIONS: ARCADIA 91007 CONTRACTOR: L. NO: APPROVALS DATE INSPECTOR SIGNATURE MIKE KHO (626) 572-0262- 2510 STRATHMORE AVE LIC. NO f` FAU/WALL FURNACE ROSEMEAD, CA 91770 674370 B COMBUMON AIROP5NINTS ARCHITECTDUCT WORK LIC. NO: AC/COMPRESSOR THERMOSTAT FIRE DAMPERS SMOKE DETECTION DEVICES COMMERCIAL HOOD REPORT ID: DPR264 ROUTE TO: BS0508