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Home My Public Portal About5745 RIO HONDO AVE_Mechanical__ ~ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0904280005 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID BUILDING ADDRESS: I ITR: 6561 IT: 1 UN: .005 I 1 5745 RIO HONDO AV 1 [FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917802433 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: WORKMAN 18587-003-007 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl 1 102 COMPRSR < 100 KBTU 1.00 COM 27.00 I 1 ITENANT: 108 FURNACE/HEATER <100 1.00 UNI 27.00 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I 130 AIR INLETS/OUTLETS 14.00 UNI 60.90 104/28/09 SR 10/25/09 1 1 TOTAL FEES 142.65 1 1 (OWNER: TEL. NO: I 1F AL E FIN BY: CODE: IALMOITE VIOLETA (626) 291-2449- I [ [ 15745 RIO HONDO AV I ITEMP 917802433 -DESCRtPTibN OF WORK I I I (INSTALLATION OF NEW CENTRAL HEAT AND AIR FURNACE IN ATTIC I I I (AND A/C UNIT OUTSIDE ON GROUND. I (APPLICANT: TEL. NO: [ [ 1 IRONS HEATING AND AIR CONDITIONING (626) 674-1650- I I [ 1367 N. JENITER AVE. (SPECIAL CONDITIONS: ICOVINA, CA 91724 I I I I ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1 IRON'S HEATING AND A/C INC. (626) 674-1650- [ 1 1367 N. JENITER AVENUE LIC. NO I 1FAU/WALL FURNACE I I ICOVINA, CA 91724 910446 C20 [ I I [COMBUSTION AIR OPENINGS [ I 1ARCHITECT OR ENGINEER: TEL. NO: 1 IDUCT WORK I I I - I I L [ I I LIC. NO: 1 IAC/COMPRESSOR I [ THERMOSTAT IFIRE DAMPERS I I I I I I I I I I [ (SMOKE DETECTION DEVICES 1 [ I I I COMMERCIAL 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 1 I I 1 I I I I I I I I I [ I [ I 1 [ IREPORT ID: DPR264 ROUTE TO: BS0508 1 I [ I [ [ I I JJ1Wr1- RKER'S COMPENSATION DECLARATION 200048 DPW 9199 APPLICATION FOR PERMIT <iE GREEN 79A394C that I have a certificate of consent to self Insure,f V&rker'3 Compensation Inssurrraannce, or a certified HEATING-VENTILATING-AIR CONDITIONING c.3800 Lab.�6ompany �`�'�.� ��l/✓ COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV. .a hereby furnished. Certified copy is filed with the county building Ins ection FOR APPLICANT TO FILL IN BUILDING dep rtmen g p (PRINT OR TYPE ONLY) ADDRESS •Date o Applicant R _ LOCALITY NO. TYPE OF APPLIANCE OR EQUIPMENT FEE CERTIFICATE OF EXEMPTION FROM WORKERS' NEAREST CROSS ST. COMPENSATION INSURANCE AB I / his section need not be completed If the work Involved b ASSESSOR R P Y the MAP BOOK PAGE PARCEL permit is for one hundred dollars($100)or less.) AIR HANDLING UNIT,CFM DISTRICT NO. PROCESSED BY I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to BOILER,BTU become subject to the Workers'Compensation Laws. ire-p I/�� ,ry/7�•[C// / �'�yj� COMPRESSOR,BTU D !Y"I �1pp"Chpt A, � 7F�.� APPROVALS DATE INSPECTOR'S SIGNATURE VENTILATION SYSTEM N ICE PPLICANT: If, a e-raking this Certificate of ROUGH Exemption,you should become subject to the Workers'Compensation EVAPORATIVE COOLER provisions of the Labor Code,you must forthwith comply with such FINAL provisions or this permit shall be deemed revoked. FURNACE: FAU GRAVITY LICENSED CONTRACTORS DECLARATION FLOOR BTU VALIDATION I hereby affirm that I am licensed under provisions of Chapter 9 HEATER: SUSPENDED UNIT (commencing with Section 7000)of Division 3 of the Business and WALL Professions Code,and my license is in full force and effect. �1 ''`` License Number4PI 4(-%P1-6 Lic.Class v ACCT ae.1D o � CContractorJ" yul ❑ I am exempt under sec. Plan check fee 1 ITEMS pc BAP.C.for this reason PERMIT ISSUING FEE$ ,+� TOTAL 53-90 Date: 2 TOTAL FEE a CHECK `3 e 90 a Signature /AiRA—A000 � CHANGE OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT I hereby affirm that I am exempt from the Contractor's License Law NAME , for the following reason (Section 7031.5, Business and Professions 0000-00011 ,3/2196 Code): ADDRESS uU ❑ I, as owner of the property, or my employees with wages 440 1 AM 9°SO 0 as their sole compensation, will do the work and the CITY TEL.NO. structure Is not Intended or offered for sale(Section 7044, Business and Professions Code). NER.J4& ❑ I, as owner of the property, am exclusively contracting MAIL with licensed contractors to construct the project (Sec- ADDRESS LW tion 7044,Business and Professions Code). - CONSTRUCTION LENDING AGENCY CITY /.e=7- TEL.NO. I hereby affirm that there is a construction lending agency for NTRACTOR1. l=c-� r , the performance of the work for which this permit Is Issued (' S (Sec.3097,Civ.C.). ADDRESS Lender's Name CITY �j TEL.N04`0 - �, 0 Lender's Address STATE I 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 fyJ� for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE SI NA U OFAPPLICANT.f.AGENT DA E t l V 1 WOthat I have a certiIONficate of consent to 2C-ooaC 9/89 APPLICATION FOR PERMIT LIME GREEN 76A364C I hereby affirm that I have a certificate o}consent to self Insure, or a certificate of Worker's Compensation ;nsurance, 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 ADDR SSS1C department. (PRINT OR TYPE ONLY) LOCALITY Date Applicant NO. TYPE OF APPLIANCE OR EQUIPMENT FEE NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' CROSS ST. COMPENSATION INSURANCE ABSORPTION UNIT,BTU ASSESSOR (This section need not be completed If the work involved by the MAP BOOK PAGE PARCEL permit Is for one hundred dollars($100)or less.) AIR HANDLING UNIT,CFM DISTRICT NO. PROCESSED BY I certify that in the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to BOILER,BTU ;7� become subject to the Workers'Compensation Laws. COMPRESSOR.BTU ' APPROVALS DATE INSPECTOR'S SIGNATURE Date Applicant VENTILATION SYSTEM NOTICE TO APPLICANT: If, after making this Certificate of ROUGH Exemption,you should become subject to the Workers'Compensation EVAPORATIVE COOLER provisions of the Labor Code,you must forthwith comply with such FINAL v provisions or this permit shall be deemed revoked. FURNACE: FAU GRAVITY LICENSED CONTRACTORS DECLARATION FLOOR BTU VALIDATION I hereby affirm that I am licensed under provisions of Chapter 9 HEATER: SUSPENDED UNIT (commencing with Section 7000)of Division 3 of the Business and WALL Professions Code,and my license is in full force and effect. • I License Number Lic.Class = 0 Contractor Date C Plan check fee ❑ I am exempt under Sec. D B.&P.C.for this reason PERMIT ISSUING FEE$ Sv F Date: TOTAL FEEa. Q (J G Signature OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT G 1 hereby affirm that I am exempt from the Contractor's License Law NAME `1 for the following reason (Section 7031.5, Business and Professions v M Code): ADDRESS cam. I, as owner of the property, or my employees with wages ;1 ? �^`� (t! as their sole compensation, will do the work and the CITY TEL.NO.• T i structure is not intended or offered for sale(Section 7044, ICLI - _ ; I L.V C Business and Professions Code). OWNER A N TOTAL 3 2 s 00 ❑ I, as owner of the property, am exclusively contracting MAIL 1 , �� with licensed contractors to construct the project (Sec- ADDRESS v,^ S �;�-jos -.L*.[_)Y tion 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY CITY TEL.NO. CHANGE 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 13131310-13-1301 11 / 1 1 Lender's Name �� j 1 Ph 1;�o t)r; 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 pro arty for Inspecti n pur es. SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE OF APPLICANT Oq AGENT DAIE