HomeMy Public PortalAbout10668 OLIVE ST_Mechanical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0112040022
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL .
TR: 11290 LT: 01 10668 OLIVE ST .
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 91780
ASSESSORFO 0 NEAREST CROSS STREET:
8585-031-001 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY
02 COMPRSR < 100 KBTU 1.00 COM 27.00
TENANT: 08 FURNACE/HEATER <100 1.00 UNI 27.00 ISSUED 0 SS B S ON:
TOTAL FEES 81.75 12/04/01 JK 06/02/02
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
SALINA LEE (626) 378-1001- ���
10668 OLIVE AVE
TEMPLE CITY DESCRIPTION
C/O HVAC SYSTEM
APPLICANT: T N
T & L AIR CONDITIONING (626) 294-9888-
164 W LIVE OAK AVE SPECIAL CONDITIONS:
ARCADIA 91007 10 _
CONTRACTOR: TEL. O: Co�� APPROVALS DATE INSPECTOR SIGNATURE
Cj f�
T AND L AIR CONDITIONING (626) 294-9888-
164 W LIVE OAK AVE LIC. NO \ FURNACE
ARCADIA CA 91006 C10, C38 * \
\ COMBUSTION AIR OPENING$-
ARCHITECT OR ENGINEER: O: \ DUCT Lx
LIC. NO:�/ 1111111 AC COMPR SSOR
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* ADDITIONAL DATA ON FILE
REPORT ID: DPR264 ROUTE TO: BS0508
ION
WORKER'S I have
a certificate
of consent to I76A348DPW 9189 APPLICATION FOR PERMIT `IME GREEN
I hereby affirm that I have a certificate of consent to self insure, 176A304C
or a certiticate of Worker's Compensation Insurance, or a certified HEATING-VENTILATING-AIR CONDITIONING
"d
copy thereof(Sec.3800 Lab.C.) r // _ AA
� �cy No.11Company t /LI�110p COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV.
Certified copy Is hereby furnished. 1d`-- B DING
/
Certified copy is filed with the county building inspection FOR APPLICANT TO FILL IN ADDRE S Q�pS(, f r CJ
department. / (PRINT OR TYPE ONLY)
Date 10-1—9-Z Applicant NO. TYPE OF APPLIANCE OR EQUIPMENT FEE LOCALITY G
NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' CROSS ST.
COMPENSATION INSURANCE ABSORPTION UNIT,BTU
(This section need not be completed if the work Involved by the MAP BOOK PAGE PARCEL
permit is for one hundred dollars($100)or less.) AIR HANDLING UNIT,CFM
DISTRICT NO. PROCESSED BY
I certify that in the performance of the work for which this permit
is issued, I shall not employ any person in any manner so as to BOILER,BTU
become subject to the Workers'Compensation Laws.
COMPRESSOR,BTU
APPROVALS DATE INSPECTOR'S SIGNATURE
Date Applicant VENTILATION SYSTEM
NOTICE TO APPLICANT: If, after making this Certificate of ROUGH
Exemption,you should become subject to the Workers'Compensation EVAPORATIVE COOLER
provisions of the Labor Code,you must forthwith comply with such FINAL 23•-?/
provisions or this permit shall be deemed revoked. FURNACE: FAU GRAVITY
LICENSED CONTRACTORS DECLARATION FLOOR BTU VALIDATION
I hereby affirm that I am licensed under provisions of Chapter 9 HEATER: SUSPENDED UNIT Joe)O
(commencing with Section 7000)of Division 3 of the Business and WALL
Professions Code,and my license is in full force and effect.
A /'���
License Number L�1�� S V% Lic.Class VVJC1�+710
r
Contractor I Date d—Jk—J
❑ I am exempt under Sec. Plan Check fee
B.&P.C.for this reason PERMIT ISSUING FEE$
Date: TOTAL FEE
Signature
OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT
I hereby affirm that I am exempt from the Contractor's License Law NAME
for the following reason(Section 7031.5, Business and Professions
Code): ADDRESS I+t•L !s
I, as owner of the property, or my employees with wages
as their sole compensation, will do the work and the CITY TEL.NO. 37x.1 =•r,,iti'
structure is not intended or offered for sale(Section 7044, i ITEM':
Business and Professions Code). OWNER `
❑ I, as owner of the property, am exclusively contracting MAIL 1 G T A L 25 = 00 5 o 00
with licensed contractors to construct the project (Sec- ADDRESS . ()/IV -,_
tion 7044,Business and Professions Code). le_ ^� 1-t��1.•ti ;�`nlv��
CONSTRUCTION LENDING AGENCY CITY cliv TEL.NO. �Q/ OS3�
I hereby affirm that there is a construction lending agency for r vhiFil'�j�
the performance of the work for which this permit Is issued CONTRACTOR r �I Sc2V/Gi�J
(Sec.3097,Civ.C.). XXII
ADDRESS 4O S. 'GR•' Oi l?) �� j_l_l'JIJ-S_ IJ 1J.L ll i
Lender's Name r��/ _d p
CITY 1� TEL.NO. t�(J U p 0 J— 17 6 J. At�11�2 ,
Lender's Address 7'_
I certify that I have read this application and state that the above LICENSE NO. LIC.
C D C—36
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 f ins ti urpose SEE REVERSE FOR EXPLANATORY LANGUAGE
.49111tIoCrURE40F APPLICANYgTAENT DATE