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Home My Public Portal About6002 RENO AVE_Mechanical__ WORKERS'COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self APPLICATION FOR PERMIT ` ,orsar er#4Irfied copyafherate oefSecer3s�'OCOompbr�gC jiom Ins�sance, 76A364C HEATING - VENTILATING - AIR CONDITIONING CE-818(REV. 10/81) ; I cy No. 738320 Company Ft, _ Mrfl Tmn2rIoa Certified copy is hereby furnished. COUNTY OF LOS ANGELES BUILDING AND SAFETY ® pertified copy is filed with the county building inspec- FOR APPLICANT TO FILL IN BUILDING tion department. (PRINT OR TYPE ONLY) ADDRESS 6002 P4EM AVE2117M Date 2-27-90 Applicant BEICOM CIrSt 0D.- IM. LOCALITY —`It•�rple CityNO. TYPE OF APPLIANCE OR EQUIPMENT FEE CERTIFICATE OF EXEMPTION FROM WORKERS' NEAREST COMPENSATION INSURANCE CROSS ST. (This section need not be completed if the work Involved by ABSORPTION UNIT, BTU DISTRICT NO. PRO14 ,Y the peit is for onehundred dollars($100)or less.) 0 t j�� I certifythat in the performance of the work for which this AIR HANDLING UNIT,CFM U permit is issued, I shall not employ any person in any manner BOILER, BTU so as to become subject to the Workers'Compensation Laws. APPROVALS TE I PE 5 SIGN RE Date Applicant COMPRESSOR,BTU ROUGH NOTICE TO APPLICANT: If, after making this Certificate of VENTILATION SYSTEM FINAL . Exemption, you should become subject to the Workers' i Compensation provisions of the Labor Code, you must forth- EVAPORATIVE COOLER VALIDATIO with comply with such provisions or this permit shall be deemed revoked. FURNACE: FAU GRAVITY LICENSED CONTRACTORS DECLARATION Fi00R BTU I hereby affirm that I am licensed under provisions of Chapter 9HEATER: SUSPENDED UNIT '(commencing with Section 7000) of Division 3 of the Business WALL and Professions Code,and my license is in full force and effect. 11 9L o4TE lJ License Number 425570 EL.00, B Lic. Class y Contractor BaCCEI v GZMt Cb.rllr fe 7-31-'91 ❑ I am exempt under Sec. V w Plan check fee °- B.&P.C. for this reason' ^� Date: PERMIT ISSUING FEE$ () Signature TOTAL FEE (� OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT I hereby affirm that I am exempt from the Contracto'r'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 ADDRESS AC T.g wages as their sole compensation,will do the work and CITY TEL. NO. the structure is not intended or offered for sale(Section 3307 ■ l 7044, Business and Professions Code). OWNER Mr. & Mes. C Fai.= 1 iTEi'!S ❑ I, as owner of the property,am exclusively contracting MAIL q d—t with licensed contractors to construct the project (Sec- ADDRESS 6002 T�ITr'� ��F tion 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY CITY TaTple CLty TEL. NO. 818-285-4305 CHECK 15.00 1 hereby affirm that there is a construction lending agency for , CHARGE .10the performance of the work for which this permit is issued CONTRACTOR O 1CB.1 t7Cb.JM. (Sec. 3097, Civ. C.). , Lender's Name ADDRESS 19760 E. Cb] a 0000-001 1 2/27/90 CITY �ldle-rd.Heights TEL. NO.714s598r1890 U 1 Lender's Address 916Ci 1 AM 11 `3" STATELIC. I certify that I have read this application and state that the LICENSE NO. 4255570 CLASS B above information is correct. I agree to comply with all County ances and State laws relating to building construction, nd ereby author' a representatives of this County to enter It o the aLve- a ibned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 4` 2-71-90 Signature of Applicant or Agent Date i COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0706190006 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1 ITR: 5904 IT: 145 I I 6002 RENO AV 1 [FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917801530 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: HERMOSA 15384-017-011 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl I 102 COMPRSR < 100 KBTU 1.00 COM 27.00 ITENANT: 108 FURNACE/HEATER <100 1.00 UNI 27.00 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I TOTAL FEES 81.75 106/19/07 SR 12/16/07 1 (OWNER: TEL. NO: I (FINAL DATE FIN CODE: I IFAIRMAN GEORGE D III CO TR (626) 285-4305- I [ 16002 RENO AV I [ ij::: ITEMP 917801530 1 IDES• IPTION OF WORK I I (]REPLACEMENT FURNACE & AIR NDITIONER ALL SAME CONDITION 1 (APPLICANT: TEL. NO: I I I (AAA GRANGER'S A/C CO. (626) 579-3680- 1 1 116336 ARROW HWY. I (SPECIAL CONDITIONS: 1 IIRWINDALE CA 91706 1 [CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE (AAA GRANGERS A, C AND HEATING (626) 579-3680- 1 I 116336 ARROW HWY. LIC. NO 1 IFAU/WALL FURNACE [ I I 11RWINDALE, CA 91706 273569 C20 I I I I I ICOMBUSTION AIR OPENINGS I I I (ARCHITECT OR ENGINEER: TEL. NO: I IDUCT WORK 1 1 I - ILIC. NO: I IAC/COMPRESSOR I I 1 I I ITHERMOSTAT I I \ �� I [FIRE DAMPERS [ I I C4, C(- I I I I I I � � � I (SMOKE DETECTION DEVICES I I I vvv I ICOMMERCIAL HOOD I I I [ [ 1 I I I I I I I I I I I I 1 I I I I I I I I I I (REPORT ID: DPR264 ROUTE TO: BS0508 I [ I COUNTY OF IAS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0902230003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: FEES PAID I BUILDING ADDRESS: I ITR: 5904 LT: 145 I 6002 RENO AV I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917801530 1 ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: HERMOSA 15384-017-011 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl 1 120 FIREPLACE < 100 KBTU 1.00 APL 27.00 1 I ITENANT: I TOTAL FEES 54.75 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I 102/23/09 SR 08/22/09 (OWNER: TEL. NO: IFI E FI Y: CODE: I 1FAIRMAN GEORGE D III (626) 285-4305- I � I 16002 RENO AV I II✓// ITEMP 917801530 I IDESCRIPTION OF WORK [ IFIREPLACE [APPLICANT: TEL. NO: I I ISAME AS OWNER I - I ISPECIAL CONDITIONS: I ICONTRACTOR: TEL. NO: 1 [APPROVALS DATE INSPECTOR SIGNATURE I ISAME AS OWNER - I I I I LIC. NO 1 IFAU/WALL FURNACE I 1 1 I I I I I I ICDMEusTIDN AIR OPENINGS w[ (ARCHITECT OR ENGINEER: TEL. NO: I IDUCT WORK 1 I I I LIC. NO: 1 IAC/COMPRESSOR I 1 [ I THERMOSTAT I IFIRE DAMPERS I I 1 1 (SMOKE DETECTION DEVICES [ ICOMMERCIAL HOOD I [ I I � I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I [ ]REPORT ID: DPR264 ROUTE TO: BS0508 I 1 I 1 I I I I I I