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Home My Public Portal About9634 OLIVE ST_Mechanical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1103020013 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: I FEES PAID BUILDING ADDRESS: 1 I ON FILE I 1 9634 OLIVE ST I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917803249 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: TEMPLE CITY 1 18589-002-015 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl 102 COMPRSR < 100 KBTU 1.00 COM 27.00 1I ITT 08 FURNACE/HEATER <100 1.00 UNI 27.00 (ISSUED ON: PROCESSED BY: PLAN BY: 1 1 I TOTAL FEES 81.80 103/02/11 SR I I (OWNER: TEL. NO: I ]FINAL DATE FIN BY: CODE: IHOCCOM LAWRENCE D CO TR HOCCOM TRUS - ] I I 19634 OLIVE ST ] (TEMP 917803249 1 IDESCRIPTION OF WORK 1 1 ITO FINALIZED EXPIRED PERMI FOR ADDITION HVAC SYSTEM I I (APPLICANT: TEL. N0: IPFEIFFER, BRUCE L (626) 278-2187- 1 I 1409 MEADOW LN. ISPECIAL CONDITIONS: 1 IMOROVIA 1 I � I � ICONTRACTOR: TEL. NO: [ ]APPROVALS DATE INSPECTOR SIGNATURE 1 IPFEIFFER, BRUCE (626) 446-5999- ] 1409 MEADOW LANE LIC. NO 1 IFAU/WALL FURNACE I1 1 ]MONROVIA, CA 91016 NONE 1 1 I ICOMBUSTION AIR OPENINGS I 1 ] (ARCHITECT OR ENGINEER: TEL. NO: IDUCT WORK I I ] I _ I I I 1 LIC. NO: 1 1AC/COMPRESSOR ] 1 ITHERMOSTAT 1 I 1 1 [FIRE DAMPERS 1 I I I I 1 I ISMOKE DETECTION DEVICES 1 1 I 1 1 ]COMMERCIAL HOOD I 1 1 I I I I I I [ I I I ] � I 1 I I I I I I I 1 1 I 1 I I I I I I I 1 1 ]REPORT ID: DPR264 ROUTE TO: BS0508 1 1 1 I I I I I WORKERS'COMPENSATION DEGLARNPON - � APPLICATION FOR PERMIT �,��afEatm'ihat I have a certificate of consent to self s�ke, r a certificate bf Workers'Compensation Insurance, HEATING - VENTILATING - AIR CONDITIONING or a�tertified copy thereof(Sec. 3800, Lab. C.) CEEB--3618(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 �/ l tion department. (PRINT OR TYPE ONLY) ADDRESS C chi? Date Applicant LOCALITY NO. TYPE OF APPLIANCE OR EQUIPMENT FEE T CERTIFICATE OF EXEMPTION FROM WORKERS' CNEAREST ROSS ST. COMPENSATION INSURANCE (This section need not be completed if the work Involved by ABSORPTION UNIT, BTU DISTRICT NO. PRO ESSED Y the permit is for one hundred dollars($100)or less.). �C /f I certify that in the performance of the work for which this AIR HANDLING UNIT,CFM vv permit is issued, I shall not employ any person in any manner so as to become subject to the/Workers' ns 'on Laws. I BOILER,BTU APPROVALS DATE OR'S SIGNATUR Date pplicdrtf I COMPRESSOR, BTU V ROUGH NOTICE TO APPLICANT: If, after making this Certificate of I VENTILATION SYSTEM FINAL Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- EVAPORATIVE COOLER VALIDATION with comply with such provisions or this permit shall be deemed revoked. FURNACE: . FAU G TY LICENSED CONTRACTORS DECLARATION FLOOR BTU ( v N/ I hereby affirm that I am licensed under provisions of Chapter 9' I HEATER: SUSPENDED UNIT ` '(commencing with Section 7000)of Division 3 of the Business l - WALL `Jv and.Professions Code,and.my license is in full force and effect. I 4 -iAl O License Number Lic. Class /y go O � . , . . , . � Contractor Date I /� U ❑ I am exempt under Sec. I IL Plan check fee B.&P.C. for this reason H i PERMIT ISSUING FEE$ S z Date: Signature TOTAL FEE OWNER-BUILDER DECLARATION PFLAN CHECK APPLICANT Q I hereby affirm that I am exempt from the Contractor's.License Law for the following reason (Section 7031.5, Business and NAME Professions Code): ❑ I, as owner of the property, or my employees with I DDRESS wages as their sole compensation,will do the work and CIS, TEL. NO. the structure is not intended or offered for sale(Section- 1 ! 9 4 Q 9 A 7044, Business and Professions Code). i OWNER �P.r��P �Qi'� I, as owner of the property,am exclusively contracting # o '0 0 0 0 with licensed contractors to construct the project (Sec- MAIL / Tion 7044, Business and Professions Code). ADDRESS /� 41.0 0 CONSTRUCTION LENDING AGENCY CITY �t C TEL. NO. / 1 hereby affirm that there is a construction lending agency for 1 0 0 0 41.0 Q 5 the performance of the work for which this permit is issued CONTRACTOR (Sec. 3097, Civ. C.). ` , 4A 8.-: 8 ' ADDRESS Lender's Name CITY TEL. NO. Lender's Address 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 i ordinances and State laws relating to building construction, and hereb orize representatives of this County to enter u ove-menti erty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE -Z Signature of Applicant or Agent Date WOR RS'COMPENSATION DECLARATION CE-81 C A ftp I�p C AT�®gyp FOR PERMIT t CE-818(2-BO) I�I�L� ``s I �I N'6 I gaze firm that'I have a' certificate of consent to self insure, or a certificate of Workers'Compensation Insurance,or HEATING-VENT IL.ATING-Al R CONDITIONING `fl a certified copythereof(Sec.3800,Lab.C.) Policy No. Company Certified copy is hereby furnished. COUNTY OF LOS ANGELES BUILDING AND SAFETY Certified copy is filed with the county building inspection BUILDING department. FOR APPLICANT TO FILL IN Date Applicant (PRINT OR TYPE ONLY) ADDRESS LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' I NO. TYPE OF APPLIANCE OR EQUIPMENT FEE COMPENSATION INSURANCE NEAREST } (This section need not be completed if the work involved ABSORPTION UNIT, BTU CROSS ST. O by the permit is for one hundred dollars (5100) or less.) DISTRICT NO PRO ED aY V I certify that in the performance of the work for which this. AIR HANDLING UNIT,CFM U A Ir permit is issued, I shall not employ a erson in any manner U O so as to become subject to the W e Compe ws.. BOILER,BTU ��//�J,�./�� ///1 APPROVALS DATE IN C R'S SIGNATU E W Dated Applica COMPRESSOR,BTU v O ROUGH N NOTICE TO APPLICA 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 VALIDATION with comply with such provisions or this permit shall be deemed revoked. FURNACE: FAUBTU V Y O LICENSED CONTRACTORS DECLARATION I hereby affirm that I am licensed under provisions of Chapter HEATER: SUSPENDED UNIT 9 (commencing with Section 7000)of Division 3 of the Busl- WALL ness and Professions Code, and my license is in full force anti effect. 1 License Number Lic.Class Contractor Datej� ��// 5 0 S 7 A F1 I am exempt from the licensing requirements as I am a 0,000 grti /f �N� , licensed architect or a registered professional engineer Plan check fee 25%of above. # o 0 o e e 8 acting in my professional capacity (Section 7051, Bus- 1 • • 3'0,5 0 PERMIT ISSUING FEE iness and Professions Code). S� Lic.or Reg.No. Date TOTAL FEE 9j ° • ° 3 Q 5 0 U HOME OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT o7. 1 b=86 I hereby affirm that I am exempt from- the Contractor's NAME �� pGCPJ°7 License Law for the following reason (Section 7031.5, Busi- ness and Professions Code): ADDRESS i FI, as owner of the property, will do the work and theCITY�� TEL.NV structure is not intended or offered for sale (Section �v 7044,Business and Professions Code). �y OWNER fIY;''I I, as owner of the property, am exclusively contracting with licensed contractors to construct the project MAILS (Section 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY CITY TEL.NO. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is CONTRACTOR issuedSec.3097,Civ.C. Lenders Name - ADDRESS Lender's Address CITY TEL.NO. I certify that I have read this application and state that the STATE ' LIC. above information is correct.I agree to comply with all County LICENSE NO. CLASS ordinances and State laws regulating Heating.Ventilating and Air Conditioning,and hereby authorize representatives of this SEE REVERSE FOR EXPLANATORY LANGUAGE County nter upon a above-mentioned property for i n purposes. Signature of Pe tttee Date