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Home My Public Portal About9945 LOWER AZUSA RD_Mechanical__ COUNTY OF LOS ANGELES TEMPLE CITY 00508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0108140009 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL 10: FEES PAID BUILDING BK: 17 PG: 52 PC: 1 19945 LOAiER AZUSA:RD FEE DESCRIPTION: QUANTITY: LION: AMOUNT: TEMP CA 917804041 NEAREST CROSS STREET: BALDWIN 8589-025-045 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY 02 COMPRSR < 100 KBTU 2.00 CON 54.00 TENANT: 31 AIR INLETS/OUTLETS 5825.00 So 222.30 . . TEMPLE CITY ARTIFICAL KIDNEY CENTER 42 VENT SYSTEM (OTHER) 2.00 SYS 67.80 03/21/02JK 09/17/02 . 46 FIRE DAMPERS 2.00 DAN 21.60 47 ALTER EXIST DUCT SYS 3.00 SYS 81.00 . AMMAD, BASHIR - 75 ADDITIONAL PLANCHECK 6.00 HOU 656.10 717 W. FOOTHILL BLV TOTAL FEES 1,130.55 MONROVIA CA 91016 =4 OF WORK T.I., ADD 2 NEW HVAC UNITS, REDUCT EXISTING UNIT, NEW EXHAUS T FANS APPLICANT: TEL. NO: GOLDEN CONTRUCTION (714) 549-9309- P.O. BOX 1872 SPECIAL CONDITIONS: CAOSTA MESA CA 92628 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR simamw— GOLDEN CONSTRUCTION (714) 549-9309- P. 0. BOX 1872 LIC. NO " FAU/WALL FURNACE COSTA MESA, CA 603827 B COMBUSTION AIR OPENINGS ARCHITECT OR ENGINEER: TEL. NO: DUCT WORK KINCANMON ARCHITECH (714) 730-5995- 13691 REDHILL AVENUE LIC. NO: TUSTIN CA 92680 C10523 THERMOSTAT FIRE DA08tS SMOK5 DETECTION DEVICES COMMERCIAL HOW i i i REPORT ID: DPR264 ROUTE TO: BSO508 t WORKERS'COMPENSATION DECLARATIONAPPLICATION FOR PERMIT ` // / .14 hereby affirm that I have &-ctrtifIT a of consent to self tnsure,r o certificate of Workers'Compensation Insurance, HEATING - VENTILATING - AIR CONDITIONING or a certifiCE-81 C ed copy thereof(Sec 3800, Lab C ) CE 81 B(REV 10/81) 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 / `_-�� 14 714, �� tZon department (PRINT OR TYPE ONLY) ADDRESS '7 4—C*4� Date Applicant LOCALITY NO TYPE OF APPLIANCE OR EQUIPMENT FEE CERTIFICATE OF EXEMPTION FROM WORKERS' NEAREST ,/ COMPENSATION INSURANCE CROSS ST ldielm? (This sedion need not be completed If the work Involved by ABSORPTION UNIT,BTU DI5TRICT NO PROU55ED BY the permit Is for one hundred dollars($100)or less) AIR HANDLING UNIT,CFM I certify that in the performance of the work for which this ( v permit is issued, I shall not employ any person in any manner BOILER,BTU so as to become subject to the Workers'Compensation Laws APPROVALS DATE IN CTOR s A RE Dgte Applicant 06 � COMPRESSOR BTU ROUGH NOTIX TYAPPLItANT If, after making this Certificate of VENTILATION SYSTEM FINAL Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- EVAPORATIVE COOLER VALIDAT N with comply with such provisions or this permit shall be deemed revoked FURNACE FAU GRAVITY LICENSED CONTRACTORS DECLARATION FLOOR BTU I hereby affirm that I am licensed under provisions of Chapter 9 HEATER SUSPENDED—UNIT— '(commencing USPENDED UNIT'(commencing with Section 7000)of Division 3 of the Business WALL and and Professions Code,and my license is in full force and effect O d License Number 3 3 Lic Class �� J ► V OL Contractor 060 Date ❑ 1 am exempt under Sec d Plan check fee B&P C for this reason W DaPERMIT ISSUING FEE$ 1.0 Z te TOTAL FEE Signature OWNER-BUILDER DE RATION 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) 06 El 1, 1, as owner of the property, or my employees with ADDRESS �(.� b 7 5 wages as their sole compensation,will do the work and CITY `�(�/�(,/ �/f y� L NO �� C�Z.s the structure is not intended or offered for sale(Section p.!C �� 7044, Business and Professions Code) ....�.��vvv�v OWNER 1 IT MC ❑ 50 I, as owner of the property, am exclusively contracting n w1 L iG1+� with licensed contractors to construct the project (Sec- MAIL ADDRESS TOTAL 40.50 tion 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY CITY TEL NO CWCK 40.50 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued CONTRACTOR ,'� , CHANE (Sec 3097, Civ C ) ADDRESS ��C 'r' Lender's Name ��y wry txtnr►_Afll'11 � 5/� CITYAO&QtiJ/ QED ,6 * � LWRIWW__�+�t++�� Lender's Address STATE LIC 0115 1 AM 9.2, 1 certify that I have read this application and state that the LICENSE NO CLASS Aa 7+d above information is correct I agree to comply with all County ordinances and State laws relating to building construction, and hereby nze repre tatives of this County to enter upon ti v one roperty for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent &te