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Home My Public Portal About5212, 5218 FARAGO AVE_Mechanical__ 1 76A °".100 BB �iTs APPLICATION FOR PERMIT HEATING - VENTILATING - AIR CONDITIONING a { BUILDING AND SAFETY DIVISIO P FOR APPLICANT TO FILL IN BUILDING (PRINT OR TYPE ONLY) ADDRESS 212 ar$ O ✓Q+-' LOCALITY Te le Cit NO TYPE OFAPPLIANCEOR EQUIPMENT FEE NEAREST CROSS ST ABSORPTION UNIT BTU OWNER AIR HANDLING UNIT CFM MAIL ADDRESS 5212 Farago BOILER BTU CITYTemple City _TEL NO 142-3640 1 COMPRESSOR BTU 36000 7.150 , CONTRACTOR All-C2.1 InC• VENTILATION SYSTEM ADDRESS 729- S. Glendale Ave. EVAPORATIVE COOLER �j�� CITY Glendale TEL NO 240-5574 FURNAZ STATE LIC FLOORCE FAU BTU RI5sbbo 1�7• 0 LICENSE NO 213283 T CLASS C 20 HEATER SUSPENDED UNIT_ DISTRICT NO GROUP ZONE �:;�CSSE0 BY WALL O C v INSPECTION RECORD � W v-- z Plan check fee 25% of above PERMIT ISSUING FEE $ Q TOTAL FEE 19. 0 PLAN CHECK APPLICANT NAME ' ADDRESS CITY TEL NO I HEREBY ACKNOWLEDGE THAT I 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 r I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION APPROVALS DATE INSPECTOR S SIGNATURE OF CHAPTER 9 DIVISION 3 OF THE BUSINESS AND PROFESSIONALROUGH UOF E OF THE STATE OF LIF NIA GNATURE +7 PERMITTEE FINAL 'S PLAN CHECK V IDATION cK M 0 CASH PERMIT VALIDATION cK M o cnsH I 5-Ir'-,Mt as 4h1 0 15.5 0-�A9t; I _ r /r 1d 76 A364 - CE 818 -1/75 APPLICATION FOR PERMIT HEATING - VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELES rNEAREST ILDING DEPARTMENT OF COUNTY ENGINEER DRESSf. BUILDING AND SAFETY DIVISION CALITY , ` OSS ST. FOR APPLICANT TO FILL IN OWNER (PRINT OR TYPE ONLY) "'�' -- (MAIL � " N0. TYPE&SIZE OF EQUIPMENT FEE ADDRESS SEE BACK OF APPLICATION CITY TEL. NO jC, 14 I FORCE AIR FURNACE, BTU f "k "":e 4trJ CONTRACTOR COMPRESSOR, BTU _ ADDRESS VENTILATION FAN CITY TEL. NO. LIST ALL OTHERS BELOW STATE LIC. LICENSE NO. CLASS 7'ISTRICT N0. PROCESSED B1' ati OL INSPECTION RECORD O U W J L a 0 -- - d w Plan check fee. See reverse. P;''Ii1lll i��Il\G F'F:F;S 3 hod PLAN CHECK APPLICANT NAME ] R' ADDRESS r._G" t ? !�° Li.•-p'"�:. CITY, y,1 ( TEL.NO I. HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY - WITH ALL ORDINANCES- AND LAWS REGULATING HEATING, VENIN- APPROVALS DATE INSPECTOR'S SIGNATURE LAT IMG, AIR CONDITIONING. ROUGH iHEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION -- OF CHAPTER 9. DIVISION 3_OF THE BUSINESS AN.Q,PROFESSIONAL FINAL CODE OF THE STATE-O(' GA4YFORNIA. 1 SIGNATURE ,- PERMIT VALIDATION CK. 11+.0. CIS- OF P E R M I T T E E SI,<. +� .�! �.��,! 'F ''" r'1'C.•��` PLAN CHECK VALIDATION CK. M.0. CASH 76Q364-CC�8IB -1/70 j APPLICATION FOR �RM V HEATING - VENTILATING - AIR CONOITIONIN COUNTY OF LOS ANGELES FEAREST O !/ DEPARTMENT OF COUNTY ENGINEER BUILDING fND SAFETY DIVISION Y JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENIONS SUPERINTENDENT OF BUILDING P FOR APPLICANT TO FILL IN OWNER (PRINT OR TYPE ONLY) MAI L NO TYPE OF AP LIANCEOR EQUIPMENT FEE ADDRESS tjqAQXj CITY TEL NO ` ABSORPTION SYSTEM BTU � CONTRACTOR AIR HANDLING UNIT CFM a ADDRESS ` y BOILER HORSEPOWER Jo CITYTEL NO COMPRESSOR HORSEPOWER STATE LIC LICENSE NO Q CLASS VENTILATION SYSTEM DISTRICT NO CLASS GROUP ZONE L,PROCESSED BY EVAPORATIVE COOLER FURNACE FAUGRAVITY INSPECTION RECORD FLOOR BTU HEATER SUSPENDED-UNIT- WALL USPENDED UNIT_WALL a Q � v O H U W a NEW —ADDITION— PERMIT $ 3 00 Z ALTER—REPAIR— TOTAL FEE $ PLAN CHECK APPLICANT ti NAME ADDRESS CITY TEL NO I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING HEATING VENTI APPROVALS DATE NSPECT 5 GNATURE LATING AIR CONDITIONING ROUGH 1 HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF CHAPTER " ON 3 OF THE BUSINESS AND PROFESS NAL FINAL CODE OF T TE OF CALIFORNIA SIGNAT JACK R ALLEN, UP OF PE M ERVISI HANICAL ENG R PERMIT VALIDATION cK M o CASH PLAN CHOK VALIDATION NrsdLd,e2 2 4. O 1�/ — cu C SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE w WORKERS'COMPENSATION DECLARATION 76A364C � o Ef0 0 0 I hereby affirm that I have a' certificate of c TION to self CE -818 (2-80) !n1 I� If— L� C A T ll O��l FOR R If-- h R M M insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec. 3800,Lab.C.) - Policy No. Company COUNTY OF LOS ANGELES /�--- � BUILDONGv AND SA[ E7Y ❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the county building inspection BUILDING 9 d.partment.�` /J ®R APPL�CANTT® FILL IN ADDRESS Dates 7 /tom. a rG (PRINT OR TYPE ONLY) LOCALITY � CERTIFICATE OF EXEMPTION FROM WORKERS' NO. TYPE OF APPLIANCE OR EQUIPMENT FEE COMPENSATION INSURANCE NEAREST G� } (This section need not be completed if the work involved ABSORPTION UNIT, BTU— CROSS ST. O by the permit is for one hundred dollars ($100) or less.) DISTRICT NO. PROCESSED 3Y 0 I certify that in the performance of the work for which this AIR HANDLING UNIT,CFM _ (/ / cr permit is issued, I shall not employ any person in any manner d O so as to become subject to the Workers' Compensation Laws. BOILER, BTU I— p APPROVALS DATE INSPECTOR'S SIGNATURE W Date 1=Q.'Wpplicant_ COMPRESSOR, BTU ROUGH ��Z P N NOTICE TO APPLICANT: If, after making this Certificate of VENTILATION SYSTEM FINAL �� Z z Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- EVAPORATIVE COOLER VALIDATION 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 under provisions of Chapter HEATER:. SUSPENDED UNIT 9 (commencing with Section 7000) of Division 3 of the Busi- WALL. ness and Professions Code, and my license is in full force and �J effect. !C/f License Number Lie. Class Contractor_ Date ❑ I am exemp from the licensing requirements as I am a licensed architect or a registered professional engineer Pian check fee 25% of above. acting in my professional capacity (Section 7051, Bus- iness and Professions Code). PERMIT ISSUING FEE $ Lie.or Reg.No. Date TOTAL FEE S HOME OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT I hereby affirm that I am exempt from- the Contractor's NAM License Law for the following reason (Section 7031.5, Busi- ness and Professions Code): ADDRESS /o o ❑ 1, as owner of the property, will do the work and the TEL.CITY NO., 0 5 2 Q&A structure is not intended or offered for sale (Section �' 7044, Business and Professions Code). l # ofo 0 o o ❑ OWNER I, as owner of the property, am exclusively contracting with licensed contractors to cohstruct the project MAIL 2.o,o.1 ,6 5 0 (Section 7044,Business and Professions Code). ADDRESS CONSTRUCTION LENDING AGENCY CITY TEL.NO. ° ° 0,1;6 5.0.6 I hereby affirm that there is a construction lending agency CONTRACTOR c,pf 0 7 2.7.8 2 for the performance of the work for which this permit is a� issued (Sec. 3097,Civ.C.). Lender's Name ADDRESS Lender's AddressCITY TEL.NO. I certify that I have read this application and state that the STATE LIC. above information is correct.I agree to comply with all County I LICENSE NO. CLASS ordinances and State laws regulating Heating, Ventilating and Air Conditioning, and hereby authorize representatives of this SEE REVERSE FOR EXPLANATORY LANGUAGE County to enter upon the above-mentioned property for JpeLtio�nturof Permittee Date