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Home My Public Portal About9478 OLEMA ST_Mechanical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0111190006 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL D: FEES PAID BUILDINIG_ADDRCSS: TR: 14533 LT: 14 9478 OLEMA ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801341 ASSESSORNEAREST CROSS STREET: LONGDEN 5382-020-034 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY 02 COMPRSR < 100 KBTU 1.00 COM 27.00 08 FURNACE/HEATER <100 1.00 UNI 27.00 ISSUED 0 OC A B S TOTAL FEES 81.75 11/19/01 JK 05/18/02 . OWNER: TEL. N0: JFI L D TE FINAL BY: CODE: KOVACIC GREGORY A;FRANCES M (626) 285-2356- n E I 9478 OLEMA ST /lis^`, —^�– TEMP 917801341 S o �"iT0 REPLACE HVAC SYSTEM APPLICANT: , SAME AS OWNER - _ SPECIAL CONDITIONS: CONTRACTOR: TEL. N0: ,+��: + ;,�°��, APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO As r / "� FAU/WALL FURNACE COMBUSTION AlR OPENINGS ARCHITECT 0 TEL. 0: %/ ,-r- r _ DUCT 0 LIC. NO'. �' i AC/COMPRESSOR THERMOSTAT All 'i- 1 )�;, FIRE DAMPERS r , ` SMOKE DET5CTIoW3EVTEES COMMERCIAL HOOD REPORT ID: DPR264 ROUTE TO: BS0508 .76 A364- CE 818-1/75 - APPL ATION FOR. LT HEATING - VENTILATING - AIR CONDITIONING . COUNTY OF LOS'ANGELES 'BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY NEAREST CROSS ST. FOR APPLICANT TO FILL IN OWNER (PRINT OR TYPE ONLY) MAI L N'O. TYPE&SIZE OF EQUIPMENT FEE ADDRESS SEE BACK OF APPLICATION CITY TEL. NO. FORCE AIR FURNACE, BTU CONTRACTOR COMPRESSOR, BTU ADDRESS VENTILATION FAN CITY EL. NO. IST AL HERS BELOW STATE LIC. LICENSE NO. CLASS DISTRICT NO. GROUP ZONE ES ED BY 7 1 INSPECTION RECORD a. O V O f— • U W 0- N Plan check fee. See reverse. g PI:II11IT ISSUING FEE SO TOTAI. FEE PLAN CHECK APPLI NT NAME ADDR SS - CITY TEL.NO {p I HEREBY•ACKNO LEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALt ORDINANCES AND LAWS REGULATING HEATING, VENTI- 'APPROVALS DATE INSPECTOR'S SIGNATURE LATING,AIR CONDITIONING. 1 HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION ROUGH • ' s� . r /.y3�"-�.��. OF CHAPTER 9, DIVISION `OF THE BUSINESS AND P FESSIONAL ? FINAL CODE OF THE STATE 0 LIF RN SIGNATURE PERMIT VALIDATION CK. M.O. CASH OF PERMITTEE PLAN CHECK VALIDATION, CK. M.O. CASH 44.7NnEc 2.341 •U '12.006w I 7GA864C CE-6181REV.6/78) ®s APPLICATION FOR PERMIT HEATING - VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN1 ADDRESS ccJ (PRINT OR TYPE ONLY) , LOCALITY NO. TYPE OF APPLIANCE OR EQUIPMENT FEE : NEAREST CROSS ST. J ABSORPTION UNIT,BTU OWNER AIR HANDLING UNIT,CFM MAIL ADDRESS BOILER,BTU CITY TEL.NO. COMPRESSOR,BTU CONTRACTOR VENTILATION SYSTEM ADDRESS j O G EVAPORATIVE COOLER CITY C (kJ TEL.NO. FURNACE: FAU GRAVITYff �} FLOOR BTU LICENSE NO. I C9 v' O CI ASS HEATER: SUSPENDED UNIT APPROVALS DATE INSPECTOR'S SIGNATURE WALL ROUGH o 0-0 FINAL 0 INSPECTION RECORD 09 0 Plan check fee 25% of above. PERMIT ISSUING FEE$ � TOTAL FEE PLAN CHECK APPLICANT PLAN CHECK VALIDATION NAME ADDRESS CITY TEL.NO. IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING HEATING, VENTILATING, AIR 7 CONDITIONING. PERMIT VALIDATION 1 HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF o o,o o (J CHAPTER 9, DIVISION 3_CETHE BUSINESS AND PROFESSIONAL CODE OF THE STATE OF CARNI . 2 0 0 2 7 C C. SIGNATURE OFPERMITTEE sj P V DISTRICT NO. PROCESSED BY WORKERS C1.have A erti DECLARATION APPLICATION FOR PERMIT I,hereby affirm that I,have�a certificate of consent to self insure, or a certificate of Workersl' Compensation InsorancV, 76A364C I IR I�EA�PII�G - VENTILATING - AIR CONDITIONING or a certifjPdYopy thereof (Sec. 3800, Lab. C.) y 20-0046 DPW 9/88 Pcticy No. Company ❑ Certified copy is hereby furnished. COUNTY OF LOS ANGELES BUILDING AND SAFETY rtified copy is filed with the county building inspec- FOR APPLICANT TO FILL IN BUILDING tion department. (PRINT OR TYPE ONLY) ADDRESS 7 7 ! 6 / ` Date � Applicant l�/J�� LOCALITY NO. TYPE OF APPLIANCE OR EQUIPMENT FEE �< CERTIFICATE OF EXEMPTION FROM WORKERS' NEAREST COMPENSATION INSURANCE CROSS ST. ABSORPTION UNIT, BTU DISTRICT NO. PROC�SEDBY(This section need not be completed if the work Involved byY JJJ the permit is for one hundred dollars ($100)or less.) CFM I certify that in the performance of the work for which this AIR HANDLING UNIT, '51 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 DAIE N ECTOR'S SIGNATURE Date Applicant 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 441 D T with comply with such provisions or this permit shall be deem- ed 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 with Section 7000)of Division 3 of the Business WALL and Professions Code,and my license is in full force and effect. } '� �/ �� Lf�f yD 7 N CL License Number I1c. Class d W2�� L u Contractor Date O ❑ 1 am exempt under Sec. V Plan check fee W a B.&P.C. for this reason PERMIT ISSUING FEE $ � Date: O0 Signature � �.y� TOTAL FEE OW - L ER D CLARATION PLAN CHECK APPLICANT I hereby affirm th am exempt from the Contractor's License Law for the folANing reason (Section 7031.5, Business and NAME Professions Code): ❑ I, as owner of the property, or my employees with ADDRESS 1: wages as their sole compensation,will do the work and CITY TEL. NO. the structure is not intended or offered for sale(Section 3307 23.01_ 7044, Business and Professions Code). I,as owner of the property, am exclusively contracting OWNER ��Cf Cr i 1TEI with licensed contractors to construct the project (Sec- MAIL C 00 tion 7044, Business and Professions Code). ADDRESS L [tel '�I.�� o CONSTRUCTION LENDING AGENCY CITY r TEL. NO. CHECK i";_1= I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued CONTRACTOR — CHANGE ,vt_ (Sec. 3097, Civ. C.). ADDRESS Lender's Name CITY �� _t TEL. NO. I"IIS —I?I 1 4/�?/'�i Lender's Address STATE I certify that I have read this application and state that the LICENSE NO. L �� LIC 936Q 1 RIS 3°r'�: CLASS � '�' _�Li above information is correct. I agree to comply with all County ordinances and State laws relating to building construction, and hereby authorize representatives of this County to enter upontheabove entioned pr y for inspe tion purposes. `J SEE REVERSE FOR EXPLANATORY LANGUAGE Signa Applic nt or Agent Date