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Home My Public Portal About10229 NADINE ST_Mechanical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ME 0508 9609300002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE (818) 285 0488 EXT LEGAL ID BUILDING ADDRESS TR 15862 LT 17 10229 NADINE ST FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802728 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET BALDWIN 8586 027 017 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID B3 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 6 00 UNI 26 10 09/30/96 TC 09/30/97 TOTAL FEES 107 85 OWNER TEL NO FINAL DATE,,, COD WYMA HARVEY R II CAROLYN M (818) 444 5638 10229 NADINE ST TEMP 917802728 0 NEW HEATING AND A/C SYSTEM APPLICA T -TEL NO DNB CONTRACTORS (818) 767 8074 SPECIAL D ITIONS -TEL NO CONTRACTORI _'� PPR DATE INSPECTOR D N B CONTRACTORS (818) 767 8074 11914 SNELLING ST LIC NO fFAU/WALL FURNACE SUN VALLEY CA 91352 B C10C20 * �/j COMBUSTION AIR OPENINGS ARCHITECT OR ENGINEER TEL NO L I C NO r I I _ � .�i`� THERMOSTAT VACC) % FIRE DAMPERS COMMERCIAL HOW C �� _ SCJ * ADDITIONAL DATA ON FILE REPORT ID DPR264 ROUTE TO BS0508 WORKFRS COMPENSATION DECLARATION CEA g6 g(2 BO) APPLICATION FOR PERMIT I hereby affirm that I have a certificate of consent to self ,insure or a certificate of Workers Compensation Insurance or HEATING VENTILATING AIR CONDITIONING d certified copy thereof(Sec 3800 Lab C) Policy Noxm 92Company.S iyk COUNTY OF LOS ANGELES BUILDING AND SAFETY 0 Certified copy is hereby furnished Certified copy is filed with the county building inspection FOR APPLICANT TO FILL IN BUILDING department ADDRESS 2.7 9 Na,2 Date Applicant (PRINT OR TYPE ONLY) LOCALITY CLRTIFiCATE OC I XEMPTION FROM WORKERS NO TYPE OF APPLIANCE OR EQUIPMENT FEE Tepr��e G'I COMPFNSATION INSURANCE NEAREST CRO SST J d (This section need not be completed if the work involved ABSORPTION UNIT BTU / rGie�7 O by the permit is for one hundred dollars ($100) or less) DISTRICT NO P ESSED Y U I certify th-it in the performance of the work for which this AIR HANDLING UNIT CFM ��^ permit is issued I shall not employ any person in any manner 6 O so as to become subject to the Workers Compensation Laws BOILER BTU APPROVALS -�D—ATTE— INSPECTOR S SIG URE W Date Applicant COMPRESSOR BTU ROUGH �"If—or/ CO) NOTICE TO APPLICANT If after making this Certificate of VENTILATION SYSTEM FINAL "�L7 «� � )exemption you should become subject to the Workers Compensation provisions of the Labor Code you must forth EVAPORATIVE COOLER VALIDATION with comply with such provisions or this permit shall be deemed revoked FURNACE FAU GRAVITY LICENSED CONTRACTORS DECLARATION FLOOR BTU I hereby affirm that I am licensed under provisions of Chapter HEATER SUSPENDED UNIT Oq 9 (commencing with Section 7000)of Division 3 of the Bust WALL Q ness and Professions Code and my license is in full force and effect License Number Lic Class Contractor Date F1 I am exempt from the licensing requirements as 1 am a licensed architect or a registered professional engineer Plan check fee 25%Of above acting in my professional capacity (Section 7051 Bus PERMIT ISSUING FEE$ iness and Professions Code) Lic or Reg No Date TOTAL FEE HOMEOWNER BUILDER DECLARATION PLAN CHECK APPLICANT I hereby affirm that I am exempt from the Contractors NAME License Law for the following reason (Section 7031 5 Bust ness and Professions Code) ADDRESS ® i as owner of the property will do the work and the CITY TEL NO structure is not intended or offered for sale (Section 7044 Business and Professions Code) a OWNER ��m I as owner of the property am exclusively contracting J with licensed contractors to construct the project MAIL / 9 3 5 7 8 A (Section 7044 Business and Professions Code) ADDRESS /G,22 /eZA H� —563 i CONSTRUCTION LENDING AGENCY CITY �/P �i�,[� TEL NO �/�i • • • * 41 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is dONTRACTOR 2 • • 1 700 issued(Sec 3097 Civ C) Lender s Name ADDRESS nA • • • 1 70 0 3 Lender s Address CITY TEL NO 131 -80 I certify that I have read this application and state that the STATE LIC above information is correct I agree to comply with all County LICENSE NO CLASS ordinances and State laws regulating Heating Ventilating and Air Conditioning and hereby authorize representatives of this SEE REVERSE COR EXPLANATORY LANGUAGE County to enter upon the above mentioned property for ection purposes Signature of Permits Date