HomeMy Public PortalAbout9918 OLIVE ST_Mechanical__ COUNTY�OFIOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0101230007
BUILDING AND-SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
EGA ID: FES PAID BUILDING ADDRESS:
TR: 6755 LT: 7 9918 OLIVE ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803238
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BALDWIN
8589-005-002 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY
02 COMPRSR < 100 KBTU 1.00 COM 27.00
TE 08 FURNACE/HEATER <100 1.00 UNI 27.00 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
30 AIR INLETS/OUTLETS 4.00 UNI 17.40 01/23/01 UT 07/22/01
TOTAL FEES 99.15
OWNER: TEL. NO: FINTE FINA CODE:
BRODIE GEORGE H;RUTH M (818) 285-3269— 3 IC�122
9918 OLIVE ST
TEMP 917803238 DESCR TIOW OF
HEATING AND COOLING—SYSTEM FOR RES NCE
APPLICANT: TEL. NO:
JAMES WUKMIR CO., INC (626) 442-2148-
11500 RAMONA SPECIAL CONDITIONS:
EL MONTE, CA
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
JAMES WUKMIR CO., INC. (626) 442-2148—
11500 RAMONA BLVD. LIC. NO �! , �`�, FURNACE
EL MONTE, CA 91731 285626 C10 ;
COMBUSTION AIR OPENINGS
ARCHITECT OR ENGINEER: TEL. N0: c ;f I ''� rr n ! ~, '� ,-` ��re DUCT 0
LIC. NO:, ; Al
-- ; I AC/COMPRESSOR
THERMOSTAT
FIRE DAMPERS
SMOKE DETECTION DEVICES
COMMERCIAL HOOD
s .6'
REPORT ID: DPR264 ROUTE TO: BS0508
76A366E-'CE8168-f175 ce�.J APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
BUILDING AND SAFETY DIVISION
,x FOR APPLICANT TO FILL IN BUILDING G C/�� C- ��� u
(PRINT OR TYPE ONLY) ADDRESS 7 Gi
NO. TYPE 0FAPPLIANCE OR EQUIPMENT FEE LOCALITY rC-)11 ,DL 6 ? I;
ry
NEAREST np �
CROSS ST. _-00
ABSORPTION UNIT, BTU 77��
OWNER 13 j2�1/I� ,
AIR HANDLING UNIT, CFM MAIL
ADDRESS ! /17✓' � �ls�v�` q�
BOILER, BTU CITY TEL, NO. 7$,S 3C-2 I
COMPRESSOR, BTU CONTRACTOR �G 4- e C61/(J
VENTILATION SYSTEM ADDRESS/ :?,6
EVAPORATIVE COOLER CITY 00 1.0; 1 if
TEL. NO3�2�41 R4
FURNACE: FAU_GRAVITY STATEn LIC.
FLOOR BTU LICENSE NO. 2 CLASS
HEATER: SUSPE D UNIT_ DISTRICT NO, GROUP ZONE A�CEBY
a
WALL � J cCC
INSPECTION RECO
CL
Cf.
z
Plan check fee 25% of above.
PERMIT ISSUING FEE $
TOTAL FEE /a
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING, VENTI-
LATING,AIR CONDITIONING,
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION APPROVALS DATE INSPECTOR'S SIGNATURE
'i OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL � /•�? �`
' CODE OF THE STATE OF CAL IA. ROUGHSIGNA
OF PE URE n. �/j/ a_ FINAL
OF PERMITTEE �/,�,,L�l� (/j�/� f, L
PLAN CHECK VALIDATION CK, M.O. CASH PERMIT VALI tON CK. M,O, CASH
.J
1 4 5 JUN 22 41 1J 1 2.0 0 ,&--k3
WORKER'S COMPENSATIONDECLARAiION , 20oo46DPW 9/89 APPLICATION 1=0R PERMITLIME GREEN
I hereby-afhfm that I haft a uertiAcate of consent to self insure, 76A364C+ +
or a certificate of Worker's Compensation Insurance, or a certified HEATING-VENTILATING-AIR CONDITIONING
copy thereof(Sec.3800 Lab.C.)
Policy No. Company COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV.
Certified copy is hereby furnished. �+
❑ Certified copy is filed with the county building inspection FOR APPLICANT TO FILL IN BUILDING
SS
department. (PRINT OR TYPE ONLY)
Date. ApplicantLOCALITY
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
CERTIFICATE OF EXEMPTION FROM WORKERS' NEAREST
COMPENSATION INSURANCECROSS
ABSORPTION UNIT,BTU --ASSESSOR(This section need not be completed if the work involved by the MAP BOOK '7 PAGF PARCEL 11"
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. J o �J
/ COMPRESSOR,BTU 0
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. FURNACE: FAU GRAVITY
LICENSED CONTRACTORS DECLARATION FLOOR BTU Q V LIDA ON
1 hereby affirm that I am licensed under provisions of Chapter 9 HEATERSUSPENDED UNIT
:
(commencing with Section 7000)of Division 3 of the Business and WALL
Professions Code,and my license is in full force and effect. d i - � 6
/9
License Number Lic.Class 7726 1 RM 8050 }
® 0.
Contractor Date (Cr,
❑ I am exempt under Sec. Plan check fee
Q
B.&P.C.for this reason PERMIT ISSUING FEE C
Date: TOTAL FEE D U.
Signature a
PLAN CHECK APPLICANT V
OWNER-BUILDER DECLARATION
1 her by affirm that I am exempt from the Contractor's License Law NAME � �LpaQ� p olpJ ,c—
for te following reason(Section 7031.5, Business and Professions 4
Co ): ADDRESS /�/ L. C)IL il�
I, as owner of the property, or my employees with wages
as their sole compensation, will do the work and the CITY�� / C TEL.N �/ai S3
structure is not intended or offered for sale(Section 7044,
Business and Professions Code). OWNER r�
❑ I, as owner of the property, am exclusively contracting MAIL G
with licensed contractors to construct the project (Sec- ADDRESS O 0/1 V 57—
tion
Ttion 7044, Business and Professions Code). CITY .r I ei) TEL.N .�/8 26J'
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction Lending agency for CONTRACTOR
the performance of the work for which this permit is issued /
(Sec.3097,Civ.C.).
ADDRESS
Lender's Name
CITY TEL.NO.
Lender's Address STATE LIC.
I certify that I have read this application and state that the above LICENSE NO. CLASS
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 inspect' purposes. 6, SEE REVERSE FOR EXPLANATORY LANGUAGE
2- 9
SIGNATURE OF APVLICANT OR AGENT DATE