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Home My Public Portal About9705 OLIVE ST_Mechanical__ ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0607240006 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 9705 OLIVE ST FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917803253 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: TEMPLE CITY 5588-021-018 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C 41 VENTILATION FAN 1.00 FAN 15.75 TENANT: 47 ALTER EXIST DUCT SYS 1.00 SYS 27.00 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 70.50 07/24/06 JK 01/20/07 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: LOPEZ, EDGAR (626) 287-8323- 9705 OLIVE ST TEMP 917803253 DESCRIPTION OF WORK ALTERATION OF EXISTING DUCT SYSTEM & VENTILATION FAN APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO FAU WALL FURNACE COMBUSTION AIR OPENINGS ARCHITECT OR ENGINEER: TEL. NO: DUCT WORK LIC. NO: AC COMPRESSOR THERMOSTAT FIRE DAMPERS SMOKE DETECTION DEVICES COMMERCIAL HOOD REPORT ID: DPR264 ROUTE TO: BS0508 WORKERS'COMPENSATION DECLARATION , CE-81 C A P P A C id T�®N FOR P E R T 1 hereby affirm that I have a' certificate of consent to self CE-818 (2.80) Its dpi insure,or a certificate of Workers'Compensation Insurance,or HEATING-VENTILATING-AIR CONDITIONING a certified copy thereof(Sec.3800,Lab.C.) Policy No-WP 81139J"anyFremont Indemnity �J Certified copy is hereby furnished. COUNTY OF LOS ANGELS$ �! BUILDING AND SAFETY �C Certified copy is filed with the county building inspectionFOR APPLICANT TO FILL IN �../ BUILDING department. ADDRESS 9705 East Olive Date Applicant (PRINT OR TYPE ONLY) LOCALITY Temple City CERTIFICATE OF EXEMPTION FROM WORKERS' NO. TYPE OF APPLIANCE OR EQUIPMENT FEE COMPENSATION INSURANCE NEAREST d CROSS ST. (This section need not be completed if the work involved ABSORPTION UNIT,BTU PR ss ev C0 by the permit is for one hundred dollars ($100) or less.) DISTRICT NO. I certify that in the performance of the work for which this AIR HANDLING UNIT,CFM I �;� O permit is issued, I shall not employ any person in any manner V ri so as to become subject to the Workers'Compensation Laws. BOILER,BTU APPROVALS DATE INSPECTOR'S SIGN RE W Date Applicant 1 COMPRESSOR,BTU i ROUGH Z NOTICE TO APPLICANT: If, after making this Certificate of VENTILATION SYSTEM FINAL Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- EVAPORATIVE COOLER VALIDATION with comply with such provisions or this permit shall be deemed revoked. 1 FURNACE: FAU X GRAVITY LICENSED CONTRACTORS DECLARATION FLOOR: BTU I hereby affirm that I am licensed under provisions of Chapter HEATER: SUSPENDED UNIT 9 (commencing with Section 7000)of Division 3 of the Busi- WALL ness and Professions Code, and my license is in full force and effect. License Number 22M1 Lic.Class C20 Contractor Date I am exempt from the licensing requirements as I am a licensed architect or a registered professional engineer Plan check fee 25%of above. acting in my professional capacity (Section 7051, Bus- iness and Professions Code). PERMIT ISSUING FEE$ Lic.or Reg.No. Date I TOTAL FEE HOME OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT I hereby affirm that I am exempt from- the Contractor's NAME License Law for the following reason (Section 7031.5, Busi- ness and Professions Code): ADDRESS I. as owner of the property, will do the work and the TEL.NO. structure is not intended or offered for sale (Section CITY 7044,Business and Professions Code). ; OWNER Mrs. E. Emond I, as owner of the property, am exclusively contracting I f' with licensed contractors to construct the project MAIL (Section 7044,Business and Professions Code). ADDREC� CONSTRUCTION LENDING AGENCY � CITY � TEL.NO-Temple City- . I hereby affirm that there is a construction lending CONTRACTOR - agency for the performance of the work for which this permit is I .,o 4 S. issued(Sec.3097,Civ.C.). Lender's Name ' ADDRESS 13SQ R. T.as TunaS o 0 o CL ° :?C Lender's Address CITY San Gabriel TEL.N0286-1141 Q 5 07� 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 ordi nces and Sta laws regulating Heating, Ventilating and Air CoAndi ,a he y thorize representatives of this SEE REVERSE FOR EXPLANATORY LANGUAGE Cunt up a above-mentione property for Iu ctoses , 6SibWe of Permittee Date