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Home My Public Portal About10124 NADINE ST_Mechanical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0107190001 BtU LDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 • PHONE (626) 285 0488 EXT LEGAL ID FEES PAID BUILDINC ADDRESS CR 22438 LT 9 10124 NADINE ST FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802725 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET DAINES 8586 925 010 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID 63 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 BY PLAN BY EXPIRES ON 30 AIR INLETS/OUTLETS 3 00 UNI 13 05 07/26/01 UT 01/22/02 TOTAL FEES 94 80 OWNER TEL 0 F PARKS DANIEL E COLLEEN (626) 575 3068 10124 NADINE ST �214 11 11 rlllv_712� TEMP 917802725 UESURIFT1 OF WORK FINALIZE EXPIRED PERM T #7 APPLICANT _ML NO TORKIAN CONSTRUCTION (310) 478 0666 11805 MISSISSIPI SPECIAL CONDITIONS LOA NAGELES 90025 CONTRACTOR TEL NO- APPROVALS N E TORKIAN CONSTRUCTION INC (310) 478 0666 C G 11805 MISSISSIPI LIC NO fFAU7WALL FURNACE LOS ANGELES 550877 A86COMBUSTION Alff-WOMr ARCHITECT OR ENGINEER TEL NO DUCT WORK LIC NO I c PRESSOR1'11111 L L K 0 m"wmg--- COMMERCIAL HOOD5I r Aa_ !7 0 �,t, 0 Servlc REPORT ID DPR264 ROUTE TO OS0508 1 I 76A364 - CE8118 - 3 69 APPLICATION FOR PERMIT HEATING - VENTILATING - AIR CONDITIONIN COUNTY OF LOS ANGELES 7LOCALITY �1 DEPARTMENT OF COUNTY ENGINEER v BUILDING AND SAFETY DIVISION JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS SUPERINTENDENT OF BUILDING FOR APPLICANT TO FILL IN (PRINT OR TYPE ONLY) OWNER MAIL NO TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS ABSORPTION SYSTEM BTU CITY TEL NO AIR HANDLING UNIT CFM CONTRACTOR BOILER HORSEPOWER ADDRESS 114 CITY& 494, COMPRESSOR HORSEPOWER STA LIC LICENSE NO CLASS VENTILATION SYSTEM DISTRICT NO GROUP ZONE OCESSED BY EVAPORATIVE COOLER FURNACE FAU GRAVITY V FLOOR BTU INSPECTION RECORD HEATER SUSPENDED UNIT WALL AddS o 0 V 4,5 ad0 W d NEW—ADDITION PERMIT $ 3 00 Z ALTER_REPAIR_ TOTAL FEE $ PLAN CHECK APPLICANT NAME ADDRESS CITY TEL NO IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCESAND LAWS REGULATING HEATING VENTI LATING AIR CONDITIONING APPROVALS EykTE IN PECTOR S SIGNATURE IHEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH CHAPTER 9 DIVISION 3 OF THE BUSINESS AND PROFESSIONAL I FINAL CODE OF THE STATE OF CA ORNIA SIGNATURE ,,� JACK R ALLEN SUPER NG CHANICAL ENG R OF PERMITTEE onwii PERMIT VALIDATION CK M 0 CASH PLAN CHECK VALI ATION 1 1 0 973 my 14 4D 5.00- E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE _� WORKERS COMPENSATION DECLARATION herAby affirm that I have a certificate of consent to self APPLICATION FOR PERMIT Insure Or a certificate of Wbrkers Compensation Insurance or ce e/d�c�oppy�thhereof (Sec 38000 Lob C) 76A364C HEATING VENTILATING AIR CONDITIONING , Po My 01/0712J A- M/ ��4046 DPW 9/88 ❑ Certified copy is hereby furnished COUNTY OF LOS ANGELES BUILDING AND SAFETY Certified copy is filed with the county building Inspec / • _y+��It�� /� ` FOR APPLICANT TO FILL IN BUILDING ! . Ng � ionFOR ADDRESS N Date • � Applicant 0 (PRINT OR TYPE ONLY) LOCALITY /f NO TYPE OF APPLIANCE OR EQUIPMENT FEE 7-v CERTIFICATE OF EXEMPTION FROM WORKERS NEAREST COMPENSATION INSURANCE CROSS ST ABSORPTION UNIT BTU (This section need not be wmplefed if the work involved by DISTRICT NO � PROCESS BY the rpey that is For one hundred dollars work or less) D / 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 so as to become subject to the Workers Compensation Laws BOILER BTU APPROVALS DATE INSPECTOR S SIGNATURE Date Applicant COMPRESSOR BTU 1220 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 VA TION with comply with such provisions or this permit shall be deem i r��—��✓ — ed revoked FURNACE FAU VITY LICENSED CONTRACTORS DECLARATION FLOOR BTU A j hereby affirm that I am licensed under provisions of Chapter 9HEATER SUSPENDED—UNIT— (commencing USPENDED UNIT WALL (commencing with Section 7000)of Division 3 of the Business �- and Professions Code and my license Is In full force and e/fffecctp to rW �� / ?S License Number 120373-C Lic Class;`&.. a 0 Contractor - �0 +y`Date y 3O `� -t940 U oe Elam exempt under Sec X)IC �!N �l 0O B&P C for this reason Plan check fee W IL Date PERMIT ISSUING FEE $ (� p Z Signature TOTAL FEE 7 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) v ❑ I as owner of the property or my employees with ADDRESS ��T■aa wages as their sole compensation will do the work and the structure Is not Intended or offered for sale(Section CITY TEL NO — 7044 Business and Professions Code) OWNER 3307 35.75 ❑ I as owner of the property am exclusively contracting 1 ITE�1S with licensed contractors to construct the project (Sec MAIL w� tion 7044 Business and Professions Code) ADDRESS /b! /N f TOTAL 35.75 CONSTRUCTION LENDING AGENCY CITYof .� TEL NO S7S 3�� GCKe I hereby affirm that there is a construction lending agency for Le" (� 75 the performance of the work for which this permit Is issued CONTRACTOR (�p,�� )✓G , CIS ,00 (Sec 3097 Civ C) 42 ADDRESS / /v t 'UN Lender s Name F �.�y��+y/gyp CITY le t4,, TEL NO b�`��7 000D-0001 ii/12 a7 Lender s Address STATE LIC 7474 ! IH 3:54 j certify that I have read this application and state that the LICENSE NO yO37 CLASS L�(J above information is correct I agree to comply with all County d32 I ordinances and State laws relating to building construction and hereby authorize representatives of this County to enter upon the above menti property for inspection purposes // 3 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date JfON/VCR AP& 6�l/c � Q A✓G ®: