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Home My Public Portal About9129 OLIVE ST_Mechanical__ ` COUNTY OF LOS ANGELES TEMPLE CITY # 0508CHfI PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS C-Mi-0508 99 O7 0222u BUILDING AND SAFETY / LAND DEVELOPMENT r TEMPLE CITY CA PHONE: (818) 285-0488 EXT: . LEGALPAID I �, ES TR: 11218 LT: 12 BL: D (�f2�i"OLIVE ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: \NTEMP CA 917803008 ASSESSOR r EAR[ST-CROSS-S7R T: LOMA 5388-005-012 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE:596 GRID: H4 LOCALITY: TEMPLE CITY 130 AIR INLETS/OUTLETS 2.00 UNI 8.70 TOTAL FEES 36.45 ISE 0 : PROCESSED B E R S O : 07/NW TC 07/08/98 OWNER: TEL. NO: FINALIDATE FINA BY:� DE: OKAMOTO, WESLEY (626) 286-1342- 9129 OLIVE ST TEMP 917803008 iDESCRIPTION OF WORK EXTEN� TWO DUCTS FOR ADDITION APPLICANT: E O: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. 0: APPRO ALS DATE INSP CTOR SIGNATURE SAME AS OWNER LIC. NO U ► FURNACE COMBUPION AIR OPENINGS- ARCHITECT P NINGSRC C OR E 0: � '. F'� •y��71� - 1 , 1,`t; r) CT FORK LIC. NO: �Y; i ._p i IN ff�I i = - 1; `1�1, AC/ IPRESSOR THERMOSTAT FIRE DAMPERS r -- -- -- -- -- - — - - SMOKE; E C 0 Cl ` �R, /'sr/'4r �`_• COMMERCIAL HOOD vices � I - I ' . I REPORT ID: DPR264 ROUTE TO: BS0508 7GA364C CE-818(REV.6/78) ®s APPLICATION FOR PERMIT HEATING VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING I^ (PRINT OR TYPE ONLY) ADDRESS C Nti ' LOCALITY W! NO. TYPE OF APPLIANCE OR'EQUIPM ENT FEE NEAREST 1 CROSS ST. ABSORPTION UNIT,BTU > •� OWNER AIR HANDLING UNIT,CFM MAIL ADDRESS BOILER,BTU CITY TEL. ONS i COMPRESSOR,BTU CONTRACTO. ` VENTILATION SYSTEM ADDRESS 6N, I ICN CI EVAPORATIVE COOLER CIT e TEL.N ` FURNACE: FAU GRAVITY STATE LIC. FLOOR BTU LICENSE NO. CLASS HEATER: SUSPENDED UNIT_ APPROVALS • DATE INSPECTOR'S SIGNATURE WALL ROUGH FINAL INSPECTION RECORD L� Plan check fee 25%of above. PERMIT ISSUING FEE$ Z. TOTAL FEE PLAN CHECK APPLICANT PLAN CHECK VALIDATION NAME ADDRESS CIT NCO I HEREBY 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. PERMIT VALIDATION 9 3 0 a 6 A I HERREBYEBY CERTIFY THAT'I AM NOT ACTING IN VIOLATION OF CHAPTER P DIVISION 3, OF THE BU INESS AND PROFESSIONAL COM OF THE ST �FCAUF��ORN # 0 0 0 0 (�SIGNATURE OFPERMIT'f• J► Jy g, J�►C,y�A 2 p p 2 O!� li DISTRICTN-O``l PRO EDB o 7 `�'�' 03,02'-79 10-9 WORKERS'COMPENSATION DECLARATION APPLICATION FOR PERMIT �JI F ereb�taffism that I have a certificate of consent to self insure, or a certificate of Workers'Compensation Insurance, HEATING - VENTILATING - AIR CONDITIONING or a certified copy thereof(Sec. 3800, Lab. C.) 76A364C 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 BUILD ADDRIN ESS / � tion department. (PRINT OR TYPE ONLY) Date Applicant LOCALITY NO. TYPE OF APPLIANCE OR EQUIPMENT FEE CERTIFICATE OF EXEMPTION FROM WORKERS' NEAREST AV COMPENSATION INSURANCE CROSS ST. . �� s (This section need not be completed if the work involved by ABSORPTION UNIT,BTU DISTRICT NO / PROCESSED BY the permit is For one hundred dollars($100)or less.) (juti/ AIR HANDLING UNIT,CFM � I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner BOILERBTU so as to bec0 subject to the W tzkors O sation aws. , APPROVALS DATE INSPECTOR'S SIG TURE � r Date �� / pplicant / COMPRESSOR, BTU ROUGH NOTICE TO APPLICANT: If, after making this Certificate of VENTILATION SYSTEM FINAL Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- EVAPORATIVE COOLER VALIDAT ON with comply with such provisions or this permit shall be deemed revoked. FURNACE: FAU GR VITY LICENSED CONTRACTORS DECLARATION FLOOR BTU I hereby affirm that I am licensed under provisions of Chapter 9 HEATER: SUSPENDED UNIT (commencing with Section 7000) of Division 3 of the Business WALL and Professions Code,and my license is in full force and effect. O License Number Lic. Class , V Contractor Date O to Ell am exempt under Sec. ;90 7 0.6 A LU Plan check fee y B.&P.C. for this reason PERMIT ISSUING FEE$ # 0 0 0 0 0 8 Date: Signature TOTAL FEE I a - 3(150 OWNER-BUILDER DECLARATION PLAN CHECK APPU T 0 3060.500 1 hereby affirm that I am exempt from the Contractor's License Law for a following reason (Section 7031.5, Business and NAME 0 9. 9-88 Prof... ons Code): I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and CITY TEL. NO. the structure is not intended or offered for sale(Section 7044, 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 CI r TEL. NO. I hereby affirm that there is a construction lending agency for , the performance of the work for which this permit is issued CONTRACTOR' (Sec. 3097, Civ. C.). ADDRESS Lender's Name CITY TEL. NO. Lender's Address IN 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 laws relating to building construction, and hereby authorize representatives of this County to enter upon the above-mentione;!.prop rty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE fP� Signature of Applicant or Agent Dc4d