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HomeMy Public PortalAbout5517 NOEL DR_Mechanical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0806090003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 9180 PHONE (626) 285 0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS 5517 NOEL DR ON FILE FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802318 ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET BROADWAY 5387 026 003 101 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY Cl 102 COMPRSR < 100 KBTU 1 00 COM 27 00 TENANT TOTAL FEES 54 75 JISSUED ON PROCESSED BY PLAN BY EXPIRES ON 06/10/08 SR 12/07/08 OWNER TEL NO FINAL DAW FINAL BY CODE lQUACH PHUONG (626) 712 3914 i I��%%'� p 5517 NOEL DR TEMP 917802318 IDDESCR PTION OF WORK REPLACE A/C UNIT APPLICANT TEL NO ICHEN (626) 712 3914 5517 NOEL DR ISPECIAL CONDITIONS TEMPLE CITY CA 91780 CONTRACTOR TEL NO JAPPROVALS DATE INSPECTOR SIGNATURE IJACKY CHEN (626) 712 3914 1 1 5517 NOEL DRIVE LIC NO JFAU/WALL FURNACE TEMPLE CITY CA 91780 NONE COMBUSTION AIR OPENINGS ARCHITECT OR ENGINEER TEL NO IDUCT WORK LIC NO JAC/COMPRESSOR THERMOSTAT �I FIRE DAMPERS SMOKE DETECTION DEVICES COMMERCIAL HOOD REPORT ID DPR264 ROUTE TO BS0508 WORKERS COMPENSATION DECLARATION APPLICATION FOR PERMIT I herAby affirm that I have a certificate of consent to self orsar erttir a ified coifscate of thereof Workers e38M Lob tion Insurance 76A3� HEATING VENTILATING AIR CONDITIONING PY ( ) CE 818(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 inspec FOR APPLICANT TO FILL IN BUILDING tion department (PRINT OR TYPE ONLY) ADDRESS J Y) r7 AW Date Appl icanf LOCALITY NO TYPE OF APPLIANCE OR EQUIPMENT FEE CERTIFICATE OF EXEMPTION FROM WORKERS NEAREST COMPENSATION INSURANCE 1 CROSS ST (This section need not be completed N the work involved by ABSORPTION UNIT BTU DISTRICT NO _/ PROCESS BY the permit is For one hundred dollars($100)or less) AIR HANDLING UNIT CFM V G I certify that in the performance of the work for which this permit is Issued I shall not employ any person in any manner BOILER BTU so as to become subject to the Workers Compensation Laws APPROVALS DATE I S ORSSIG TURE Date %" pplicant � 411�7 COMPRESSOR BTU ROUGH NOTICE TO APPLICANT If after making this Certificate of VENTILATION SYSTEM FINAL Exemption you should become subject to the Workers Compensation provisions of the Labor Code you must forth EVAPORATIVE COOLER VALIDA 1 N with comply with such provisions or this permit shall be deemed revoked FURNACE FAU GRAVITY LICENSED CONTRACTORS DECLARATION I FLOOR BTU I hereby affirm that I am licensed under provisions of Chapter 9 SUSPENDED-UNIT- (commencing USPENDED UNIT(commencing with Section 7000)of Division 3 of the Business HEATER WALL and Professions Code and my license is in full force and effect "OD 6V �`W License Number Lic Class rC/1�� V Contractor Date ❑ I am exempt under Sec 13 Plan check fee IL B 8P C for this reason in PERMIT ISSUING FEE$ Z Date Signature TOTAL FE ,_TT 8 4 211 A OWNER BUILDER DECLARATION PLAN CHECK APPLICANT # e • • • • 8 1 hereby affirm that I am exempt from the Contractor s License Poo Law for the following reason (Section 7031 5 Business and NAME e e 2(1 5 Q Professions Code) I as owner of the property or my employees with ADDRESS • • - 20509 wages as their sole compensation will do the work and the structure is not intended or offered for sale(Section CITY TEL NO ( 124-87 7044 Business and Professions Code) OWNER � 1L El as owner of the property am exclusively contracting MAIL C with licensed contractors to construct the project (Sec ADDRESS AY, tion 7044 Business and Professions Code) CONSTRUCTION LENDING AGENCY CITY f Lt �/ TEL NO '+ I hereby affirm that there is a construction lending agency for L , the performance of the work for which this permit is issued CONTRACTOR (Sec 3097 Civ C) ADDRESS Lender s Name jA L NO Lender s Address CITY STATE LIC I certify that I have read this application and state that the LICENSE NO CLASS above information is correct I agree to comply with all County ordinances and State jaws relating to building construction and bya re yEsentatives of this County to enter u tfi d r rty for inspection puurposes7 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date