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Home My Public Portal About9751 VAL ST_Mechanical__ ;II '° yuB" C§%818 - G JI APPLICATION FOR PERMIT f Ar HEATING - VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELES BUILDING 9�s'1 G S 1 DEPARTMENT OF COUNTY ENGINEER ADDRESS 7 13UILDING AND SAFETY DIVISION LOCALITY NEAREST CROSS ST FOR APPLICANT TO FILL IN OWNER (PRINT OR TYPE ONLY) MAIL NO TYPE OF APPLIANCE OR EQUIPMENT FEE ADORESS C yy - ABSORPTION UNIT BTU CITY -7 TEL NO CONTRACTOR AIR HANDLING UNIT CFM ADDRESS BOILER, BTU CITY TEL NO COMPRESSOR BTUMS� Q STATE LIC LICENSE NO CLASS VENTILATION SYSTEM Iso ISTRICT NO oRouP ZONE PROCESSED BY EVAPORATIVE COOLER Y FURNACE FAU GRAVI Y FLOOR BTU INSPECTION RECORD ca z HEATER SUSPENDED_UNIT_ WALL — 0 w d N 2 PI In check fee 25' of abo�c Scc rcNer+e PF II\II I ISSUING FEF S 3 Io l yu Fr PLAN CHECK APPLICANT NAME ADDRESS CITY TEL NO / I Hf REBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING HEATING VENTI APPROVALS AT S SIGNATOR! LAYING AIR CONDITIONING ROUGH HEREBY CERTIFY THAT AM NOT ACTING 1 V10 AT IOM OF CHAPTER THE 9 ATE OF 3 OF THE SUSINE49 ANp AL FINAL CODE OF iMf STATE OF C♦ IFOR NIA SIGNATURE PERMIT VALIDATION CK M G CASH OF PERMITTEE PLAN CHECK VALIDATION CK M G CASH I Ir. O s 9 473 r-ur 3 4 1 D 1 5,50 r SEE SACK OF APPLICATION FOR COMPLETE FEE SCHEDVL! WORKERSCOMPENSATION DECLARATION APPLICATION FOR PERMIT �h.reiry'gffirm that- have a certificate of consent to deli insare, or acertificate of Workers'Compensation Insurance HEATING - VENTILATING - AIR CONDITIONING r or a certifiedW .copy thereof (Sec 3800 Lab C ) 7eA3C , Policy No.afms"�01mpany CE 818(REV 10/81) 2�Cerf fieri copy is hereby furnished COUNTY OF LOS ANGELES BUILDING AND SAFETY Certified copy is filed with my building inspec- FOR APPLICANT TO FILL IN BUILDING Com/ tion department (PRINT OR TYPE ONLY) ADDRESS // Dotel/-/3 s1 AppI LOCALITY —�+r% PLO_ NO TYPE OF APPLIANCE OR EQUIPMENTFEE Jag4i CERTIFICATE OF EXEMPTION FROM WOR ERS NEAREST COMPENSATION INSURANCE CROSS ST (This section need not be completed 0 the work Involved by ABSORPTION UNIT BTU DISTRICT NO A SMD v the permit Is for one hundred dollars ($I00)or less) AIR HANDLING UNIT CFM 7f 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 become subject to the Workers Compensation Laws BOILER BTU APPROVALS DATE 5 OOR S 51DNATURe Date APPhcont COMPRESSOR BTU ROUGH 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 VALIDAT with comply with such provisions or this permit shall be deemed revoked FURNACE FAU—GRAVITY LICENSED CONTRACTORS DECLARATION FLOOR BTU I hereby affirm that I am licensed urder provisionsof Chapter 9 HEATER SUSPEND(D UNIT_ (commencing with Section 7000) of Division 3 of the Business WALL and Professions Code and my license Is In full force and effectS S z1 D y /� 4:r✓G v U O lia Licen r /�� Lc Class G ��, , V I K Cant Date 11'/3 -p1 (�—P'I O El I am exempt under Sec C Plan check fee 1116 B 8P C for this reason N Dote PERMIT ISSUING FEE $ 33457A Z s Signature TOTAL FEE OWNER-BUILDER DECLARATION PIAN CHECK APPLICANT # • • • • • 8 1 hereby affirm that I am exempt from the Contractor s License Low for the following reason (Section 7031 5 Business and NAME I • * 3C150 Professions Code) ' I as owner of the property or my employees with 'Ami * @93115050 El wages as their sale compensation will do the work and Cm TEL No 11. 13 -85 the structure is not intended or offered for sale(Section 7044 Business and Professions Code) r OWNER ❑ I as owner of the property am exclusively contracting with licensed contractors to construct the project (Sec =RESS bon 7044 Business and Professions Code) CONSTRUCTION LENDING AGENCYC !►sy u� G/� TEL NO I hereby affirm that there is a construction lending agency for ' the performance of the work for which this permit is issued CONTRACTOR C_V 5% (Sec 3097 Civ C ) -- ADDRESS J131 zlf ,, RSI Lander s Name C� Lender s Address CITY (C TEL !f4_ STATE �/ LIC I certify that I have read this application and state that the LICENSE NO % CLASS above Information Is correct I agree to comply with all County ordinances and State jaws relating to building construction areby authorize representatives of this County to enter upo the bove-men ed for ny for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applin nt or Agent Dore COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 IAS TUNAS ME 0508 1306240005 BUILDING AND SAFETY / LAND DEVELQPMiNT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT (LEGAL ID FEES PAID BUILDING ADDRESS ON FILE 9751 VAL ST IEEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917800000 (ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET I 15383-017-028 01 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE GRID LOCALITY TEMPLE CITY CAI 1 102 COMPRSR < 100 KBTU 1 00 COM 27 00 TENANT 08 FURNACE/HEATER <100 1 00 UNI 27 00 11SSUED ON PROCESSED BY PLAN BY 30 AIR INLETS/OUTLETS 10 00 UNI 44 00 106/24/13 SR 41 VENTILATION FAN 1 00 FAN 15 80 I I TOWNER TEL NO I TOTAL FEES 141 60 1FI FINAL Y CODE ITAING JOHAN (626) 236-2661- 19751 VAL, ST Il ITEMP 917800000 1 DESCRIPTION OF WORK 1 INSTALL A/C AND 14EATI14G SYSTEM, SO AIR INLETS AND VENTIIATIO N FAN (APPLICANT TEL NO i IMOSHE MAMAN (818) 618-6531- 12413 S 3RD AVE 1 SPECIAL CONDITIONS ARCADIA CA 91006 I C4�A _ _ I ) K k�C -y I CDNTRACTOR TEL NO APPROVALS wvINSPECTOR' NA RE IM F CONSTRUCTION AND DESIGN (818) 618-6531- 1 12413 S 3RD AVE LIC NO 1 IFAU/WALL FURNACE 1 ARCADIA CA 91006 762001 I 1 ICOMBUSTION AIR OPENINGS (ARCHITECT OR ENGINEER TEL NO (DUCT WORK I 1 LIC NO 1 AC/COMPRESSOR I THERMOSTAT 1 I FIRE DAMPERS I (SMOKE DETECTION DEVICES ICOMKERCIAL HOOD I I i I I I I I I I I I I I 1 I I I REPORT ID DPR264 ROUTE TO B50508 1 COUNTY OF IAS ANGELES TEMPLE CITY a 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC FORKS 9701 LAS TUNAS ME 0508 1309160037 BUILDING AND SAFETY / LAND DEVEWPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EAT (LEGAL ZD FEES PAID BUILDING ADDRESS ON FILE 9751 VAL ST FEE DESCRIPTION QUANTITY DDM AMOUNT TEMP CA 917800000 1 (ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 15383-017-028 101 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE GRID LOCALITY TEMPLE CITY CA 1 130 AIR INLETS/OUTLETS 5 00 UNI 22 00 1TENANT 141 VENTILATION FAN 2 00 FAN 31 60 ISSUED ON PROCESSED BY PLAN BY 1 I TOTAL FEES 81 40 09/16/13 SR 10WNER TEL NO (F QQ1,_ '1� PINAL BY CODE TAING dOHAN (626) 236-2661- ,rrSY'Al 19751 VAL ST 1TEMP 917800000 1 ID CRIPTION'OF WORK 1 I5 AIR INLETS AND 2 VENTILATI FANS FOR THE NEW ADDITION IAPPLICANI TEL NO IMOSHE MAMAN (818) 618-6531- I2413 S 3RD AVE 1 ISPECIAL CONDITIONS IARCADIA CA 91006 I 1CONTRACTOR TEL NO 1 JAPPROVALS DATE INSPECTOR SIGNATURE 1 1M F CONSTRUCTION AND DESIGN (818) 618-6531- 12413 S 3RD AVE LIC NO 1 1FAU/WALL FURNACE 1 1 1ARCADIA CA 91006 762001 1 1 1 I COMBUSTION AIR OPENINGS I IARCHITECI OR ENGINEER TEL NO I DUCT WORK H W ENGINEERING (702) 202-0061- 1V 1 10530 HOP E MILLS DR LIC NO I IAC/COMPRESSOR LAS VEGAS NV 89138 C72679 (THERMOSTAT IFIRE DAMPERS I I I I I ISMOKE DETECTION DEVICES I I i QQMMERCrnr. HOOD I I I I I I I I I I I I 1 I I 1 1 � 1 I I I I I I I I I 1 I I I I I I I I I I I 1REPORT ID DPR264 ROUTE TO BS0508 I I I I I