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Home My Public Portal About10140 OLIVE ST_Mechanical__ A. 7GA364E ICE-8;1 BA)-9/77 '' i• APPLICATION FOR PERMIT HEATING - VENTIWNG -' AIR CONDITIONING- COUN F LOS ANGELES/ DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL INBUILDING q E. 0 u (PRINT OR TYPE ONLY)' ADDRESS LOCALITY NO. TYPE:O.F APPLIANCE OR EQUIPMENT FEE • NEAREST CROSS ST. _ ABSORPTION UNIT,BTU OWNER AIR HANDLING UNIT.CFM MAIL ADDRESS BOILER,BTU CITY TEL.NO. COMPRESSOR,BTU CONTRACTOR I VENTILATION SYSTEM ADDRESS EVAPORATIVE COOLER CITYzu TEL.N033 . 3� FURNACE: FAU_GRAVITY STATELIC. FLOOR BTU LICENSE NO. S CLASSNO HEATER:- SUSPENDED UNIT- y DISTRICT NO. GROUP �Z7ONE CESSED BY WALL INSPECTION.RECORD cc Plan check fee 25'/a of above. W rb PERMIT ISSUING FEE$ 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 ORDINANCES AND LAWS REGULATING HEATING, VENTILATING, AIR CONDITIONING. I HEREBY CERTIFY THAT 1 AM"NOT ACTING IN VIOLATION OF APPROVALS DATE INSPECW'SSIGNATURE CHAPTER 9, DIVISIOq 3, OF THE BUSIN S AND PROFESSIONAL CODE ,.ROUGH ' OF THE STATE OFC IFORNIA. SIGNATUREzli FINAL OF PERMIT7E ff ��, q �A PERMIT VALIDATION �slc= M.O. CASH PLNN 1=.d'� D4..O CASH POLICY HOLDER: C' 3;6 9'C*_MW h10'4 F1 ASS POLICY NUMBER: 75 47 Xdc- ®s RKER'�COMPENSATION DECLARATION 20.0046 DP�w 9/89 LIME GREEN � • �� 76A304C � APPLICATION FOR PERMIT I hereby affirm that I have a certificate of consent to self insure, cate of Worker's G )pensa�� ura cf copy thereof(Sao. 00 Lab.C.) e� `A49f�1'V GA or a gVQe e 0inHEATING-VENTILATING-AIR CONDITIONING , Vd4n Policyero. .(omP COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV. ❑ Certified copy is hereby furnished. ❑ FOR APPLICANT TO FILL IN BUILDING - d Certified copy is filed with the county building inspection ADDRESS department. p (PRINT OR TYPE ONLY) G I�6 A P4mm->L•Fve4&#C'�!►�fTaw7sAr LOCALITY Date —Applicant NO. TYPE OF APPLIANCE OR EQUIPMENT FEE CERTIFICATE OF EXEMPTION FROM WORKERS' NEAREST COMPENSATION INSURANCE CROSS ABSORPTION UNIT,BTU ASSESSOR (This section-need not be completed if the work Involved by the MAP BOOK PAGE PARCEL permit Is for one hundred dollars($100)or less.) AIR HANDLING UNIT,CFM DISTRICT NOPROCESSED BY I certify that in the performance of the work for which this permit /y is issued, I shall not employ any person in any manner so as to BOILER,BTU oY v become subject to the Workers'Compensation Laws. D �O f COMPRESSOR,BTU APPROVALS DATE INSPECTOR'S SIGNATURE Date Applicant VENTILATION SYSTEM NOTICE TO APPLICANT: If, after making this Certificate of ROUGH Exemption,you should become subject to the Workers'Compensation EVAPORATIVE COOLER provisions of the Labor Code,you must forthwith comply with such FINAL –, provisions or this permit shall be deemed revoked. URNACE: FAU GRAVITY LICENSED CONTRACTORS DECLARATION FLOOR BTU VALIDATION I hereby affirm that I am licensed under provisions of Chapter 9 SUSPENDED—UNIT— (commencing USPENDED UNIT(commencing with Section 7000)of Division 3 of the Business and HEATER: WALL Professions Code,and my license is in full force and effect. License Number 7/�2s,•3 Lie.Class O Contrforl110weal� Data AGCT°v C ❑ I am exempt under Sec. Plan check fee 3303 97.30 a B.&P.C.for this reason PERMIT ISSUING FEE$ ITEMS C Date: G TOTAL FEE TOTAL 97 .30 u Signature - PLAN CHECK APPLICANT 7(e 3G U WNER-BUILDER DECLARATION GHEfiY+ 6 I hereby affirm that I am exempt from the Contractor's License Law NAME ® CHANGE °GQ for the following reason(Section 7031.5, Business and Professions Code): ADDRESS ❑ I, as owner of the property, or my employees with wages QQQQ-QGQi 6/26/96 as their sole compensation, will do the work and the CITY TEL.NO. i structure is not intended or offered for sale(Section 7044, 7131 1 AM11-29, Business and Professions Code). OWNER ❑ I, as owner of the property, am exclusively contracting MAIL with licensed contractors to construct the project (Sec- ADDRESS tion 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY 44 CITY TEL.NO. 1 CONTR hereby affirm that there is a construction lending agency for ACT the performance of the work for which this permit Is issued G (Sec.3097,Civ.C.). ADDRESS Lender's Name / CI (� TEL.NO. _OL/D Lender's Address pp STATE /�/�✓ LIC. �� I certifythat I have read this application and state that the above LICENSE NO. !� ,•J CLASS L 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 upon the above-mentioned property for inspe tion purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF APPLICANT OR AGN S . DATE JAUNTY bF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ME 0508 9609120013 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGA ID: FEES PAID BUILDING ADDRESS: TR: 10558 LT: 24 10140 OLIVE ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803344 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8585-002-014 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY 30 AIR INLETS/OUTLETS 10.00 UNI 43.50 TENANT: TOTAL FEES 71:25 ISSUED ON: PROCESSED BY: PLA BY: EXPIRES ON: 09/12/96 TC 09/12/97 OWNER: TEL. NO: FINAL DATE FINAL Y: CODE: HUNG, KENNY (818) 579-9478- y�8�6 f 1 10140 OLIVE ST /� TEMP 917803344 DESCRIPTION OF WORK REINSTALL DUCT WORK FOR A/C UNIT INSTALLED 7/96 APPLICANT: TE O: G.W. AIR/COND. (818) 572-9338- SPECIAL CONDITIONS: CONTRACTOR: TEL. N0: �r //� ��~�- ry�� APPROVALS DATE INSPECTOR SIGNATURE G. W. AIR-CONDITIONING, INC. (818) 572-9338- 1544 S. GLADYS AVE. LIC. NO a ��, o//_„ FAU/WALL--FURNACE SAN GABRIEL, CA 91776 505565 ,f J, '� `• �"� COMBUSTION AIR OPENINGS ARCHITECT OR ENGINEER: TEL. N0: - i '�/ f+ �, !5,i" � �,`�,`! ` DUCT OR LIC. N0. a tom— I,i',—� AC/COMPRESSOR THERMOSTAT FIRE DAMPERS SMOKE- DETECTION DEVICES COMMERCIAL HOOD I REPORT ID: OPR264 ROUTE TO: BS0508