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Home My Public Portal About6012 TEMPLE CITY BLVD_Mechanical__ 4 • M1hRKlr RS' IPE ION I > , I 76A364C I hereby affiFm that I have L,' certificate ot c%•,;scnt to self CE 818(2-80) &A-a P P U C AT I ON FOR P E R T insure,or a certificate of Workers'Compen.ation Insurance,or HEATING NTIL.ATING-AjRf�Tf WG a certified copy tC' thereof(Sec.3800,Lab. .) 4756 Policy No. 47-2698Corn STATE_MND /f2- Certified copy i%hereby furni a COUNTY OF L ANGELE UI ING ARID SAFETY �OC /—O•rTZ ® Certified copy is filed with the c my buildint,inspection FOR APPLICANT TO FILL IN BUILDING de�r�,t�inery t.�,, (012 TEMPLE CITY BLVD. Date�Appticant tM (PRINT OR TYPE ONLY) ADDRESS ,L LOCALITY TEMpLE �Y CERTIFICATE OF E :AIPTION WORKERS' NO. TYPE OF APPLIANCE OR EQUIPMENT FEE COMPENSATION INSURA'NCL NEAREST } (This section need not be completcu if the «ark involved ABSORPTION UNIT,BTU CROSS ST a0 by the permit is for one hundred dollars ($100) or less.) DISTRICT NO. PROCE U I certify that in the p^rformance of the worl, for which this __-AlR HANDLING UNIT,CFM permit is issued. I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws. BOILER, BTU t ` APPROVALS DATE INSPECTOR'SSIGNAT W 6 Date Applicant _ COMPRESSOR BTU 60.00 ROUGH CL cd NOTICE TO APPLICANT: If, after making this Certificate of VENTILATION SYSTEM FINAL Exemption, you Should become scblect to the Workers' Compensation provisions of the Labor Code, you must forth- EVAPORATIVE COOLER VA IDATION with comply with such provisions or this permit shall be deemed revoked. FURNACE: FAU_y__ GRAVITY— LICENSED RAVITY LiCTNSED CONTRACTORS ili.CLARATION 6 FLOOR- U 60.00 60,00 I hereby affirm that 1 am licensed under provisions of Chapter HEATER: SUSPENDED UNIT 9 (commencing with Section 7000)of Dbision 3 of the Busi- WALL ness and Professions Code, and rn) license is in full force and effect. t+y Jr�ry License Number 2JI 3 Lic.Class C-20 BARNES HPG. & AIR ' Contractor Date 22/80 7� 1 am exempt from the licenginl, requirements as I am a licensed architect or a registered professional engineer Plan check fee 25%of above. acting in my professional capacity (Section 7051, Bus- iness and Professions Code). PERMIT ISSUING FEE$ Lic.or Reg.No. _Date I TOTAL FEE 27 00 HOME OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT 1 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 structure is not intended or offered for sale (Section CITY TEL.NO. 7044, Business and Professions Code). OWNERH'B EDVAMS+ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project MAIL (Section 7044, Business and Professions Code). ADDRESS 6.6, CITY ARCADIA TEL.NO. W-3059 1 3 d c CONSTRUCTION LENDING AGENCY ' I hereby affirm that there Is a construction lending aPency } 0 0 0 0 4 j for the performance of the work for which this permit is CONTRACTOR BARNES HEATING & AIR COND. issued(Sec. 3097,Civ.C.). 2 0 1 2 7 C � Lenders Name ADDRESS 712 NORTH LOREN AVE. Lender's Address CITY AZUSA TEL.NO. 337-6732 0 0 I certify that I have read this application and state that the STATE �S7 CLASS 0--29-Jv 7.2 —8 above information is correct.1 agree to comply with all County LICENSE NO. J� ordinances and State laws revulating Heating.Ventilating and Air Conditioning,and hcreb� authorize representatives of this SEE REVERSE FOR EXPLANATORY LANGUAGE 4untyi, to enterupon the ;cbo�•e•utcntioned proper y fpeeot . Irnat e of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0403170019 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEG I S PAID BU LDING DRESS: TR: 6561 LT: 205 6012 TEMPLE CITY BL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802046 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS 5385-014-014 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, C 02 COMPRSR < 100 KBTU 6.00 COM 162.00 TENANT: 08 FURNACE/HEATER <100 6.00 UNI 162.00 ISSUED ON: PROCESSED B LAN BY: EXPIRES ON: TOTAL FEES 351.75 03/17/04 VG 09/13/04 OWNER: TEL. NO: FINAL DATE : CODE: BURK JACK D;WANDA L P. 0. BOX 519 Pffnl�� 62679683840519 D SC IPTIO UF-WORK HVAC CHANGE OUT APPLICANT: TEL. NO: TEMPO AIR CONDITIONING (626) 285-1218- SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE TEMPO AIR CONDITIONING AND HEATING (626) 285-1218- 5937 N. OAK AVE. LIC. NO FA /WALL FURNACE TEMPLE CITY, CA 91780 274880C20 COMBUSTION AIR OVER09- ARCHITECT OR ENGINEER: TEL. NO: DUCT WORK LIC. NO: AC COMPRESSOR THERMOSTAT FIRE DAMPERS SMOKE DETECTION DEVICES COMMERCIAL HOOD I i I , 1 'REPORT ID: DPR264 ROUTE TO: SS0508