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Home My Public Portal About8841-41 1/2 LAS TUNAS DR_Mechanical__ J6 A364- CE B I'6- 5-73 APPLICATION FOR PERMIT HEATING - VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY T NEAREST CROSS ST. FOR APPLICANT TO FILL INowNER (PRINT OR TYPE ONLY) MAIL (� �,, NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS 800 ,SO th Pal m SV it e 11 CITY I,.Q r TEL. NO.�7�,–r`..VG• ABSORPTION UNIT, BTU ISI O CONTRACTOR r- Q] l Bf AIR HANDLING UNIT, CFM ADDRESS ,' . N• C R P BOILER, BTU CIT pie ' i f . TEL. NO.L(Cj L�.– g$�)5 COMPRESSOR, BTU 25/00 �b STATE „ n l7I LIC. A/ 5 CLASS LICENSE NO. +2 –! O - VENTILATION SYSTEM DISTRICT NO. GROUP ZONE ESSED BY EVAPORATIVE COOLER U Lj 3 FURNACE: FAU GRAVITY FLOOR BTU U ' INSPECTION RECORD HEATER: SUSPENDED—UNIT_ WALL T CD O U C O U W d N Z Plan check fee 215' of above. See ree ers e. PERMIT ISSUING FEE S 00 'TOTAL FEE: PLAN CHECK APPLICANT NAME ADDRESS CITY TEL.NO. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIDN AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE LATING, AIR CONDITIONING. ROUGH HEREBY CERTIFY THAT I NOT ACTING IN VIOLATION OF CHAP TEP 9, DIVISION 3, OF THE E B' NE55 AND PROFESSIONAL FINAL CODE OF THE STATE OF ALIFORNIA. _ SIGNATURE PERMIT VALIDATION �' - CASH OF PERMITTEE - PLAN CHECK VALIDATION CK. M.O. CASH •` �� Z y y� X27 00 7 God //-s-�sr. s rF ea cK nr soot.r.��,..��,.e.,..,e��.<«<<....�,.,,�.- WOIidERS'COMPENSATION DECLARATION '- 76Aj64C APPLICATION py p� I� liierehy affirm that 1 have a* certificate of consent to self CE 818(2-80). - P'�Jf-.Ir' LICA 1. IO.N FOR PERMIT insure, or a certificate of Workers'Compensation Insurance,of HEATING-V ENT ILATI NG-AIR CONDITIONING a certified copy thereof(Sec.3800,Lab. C.) - - - - • - Policy No. Company - COUNTY OF LOS'ANGELE �. BUILDING AND SAFETY S 0 Certified copy is hereby furnished. - - � - -Certified copy is filed with the county building.inspection BUILDING department. FOR APPLICANT TO FILL IN ' ADDRESS Date Applicant _ (PRINT OR�TYPESy/ONLV) ��CERTIFICATE OF EXEMPTION FROM WORKERS' NO. TYPE OF APPLIANCE OR EQUIPMENT FEE LOCALITY �P Clry COMPENSATION INSURANCE NEAREST' - >_ (This section need not be completed if tlfe work involved ABSORPTION UNIT, BTU CROSS ST. I<A7 p'h�t a`»77 (L by the permit is for one hundred dollars ($100) or less.) - - DISTRICT NO. PROr'Sg FV U I certify that in the,performance of the work for which this AIR HANDLING ON IT,CFM 0 permit is issued. I shall not employ any person in any manner i O so as to become subject to the Workers' Compensation Laws. BOILER, BTU F' 1 - 'APPROVALS DATE INSPECTOR'" dIGNATURE L) LU Date Applicant COMPRESSOR, BTU ROUGH z�� y 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. withCOOLER VALIDATION with comply with such provisions or this permit shell he 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 andeffect -- - ness . License Numh(�-r-1 1770 Lie. Class_V:!_i GLUE to 2—S—Si/ri ��f11/7 �GtC'7 L/ Contractor. Date i am exempt from the licensing requirements as I am a J licensed architect or a registered professional engineer Plan Cheek fee 25%of above. - -' acting in my professional capacity (Section 7051, Bus- iness and Professions Code). PERMIT ISSUING.FEES Lie.or Reg.No.- Date TOTAL FEE HOME OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT I 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 r_I 1, 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). - I, as owner of the property,.am exclusively contracting OWN ERj5-�: ,p Z&� C i per/ wr,-G. z 3 9'&2 A. with licensed contractors to construct the project MAILIre' 1 L ,• (Section 7044, Business and Professions Code). ADDRESS ii3 •• 1 � `- �•.,i IY`r- # s m'e•e 41 CONSTRUCTION LENDING AGENCY CITY} 44 f TE L.NO. �,f"017� JJ YUL (.. - 2e`• 1 3.00 I hereby affirm that [here is a construction tending agency issued the performance of the work for which this permit is. CONTRACTOR ,m e - 13.00 6 issued (Sec. 3097,Civ.C.). _O _ _� Lender's Namz — ADDRESS '`Z�I f- LA-�, -�-�rV�I S _ 0 2,0:5--8 1 Lender's Address CITYL. NO.'"L yj DIL.Ij 1. certify that. I have read this application and state that the STATE L'IC. abovAl,aws i is correct.I agree to comr' .enLICENSE NO. LASSVito laws regulating Hw ,,ng,'Ven[ila[ing andAirand hereby author : representatives of this SEE RE�fFRSE FOR EXPLANATORY LANGUAGE Couu'o + ate .e-mention^d p .y _ LrGSignegj !rySignittee C.,te WORKERS'COMPENSATION DECLARATION CE -S 4C APPLICATION l� O R PERMIT R IVY 11 [� 1 hereby affirm that I have a certificate of consent to self CE 878 (2-801U insure, or a certificate of Workers'Compensation Insurance,or HEATING-VENT ILATI NG-AIR CONDITIONING a certified copy thereof(Sec. 38001 Lab.C.)L PolicyNctr� �Com pant " �� J�'—�V �7/F!'�- COUNTY OF LOS ANGE ES BUILDING AND SAFETY Certified copy is hereby furnished. l Certified e copy is filed with the county building jj(yinspection �/[J FOR APPLICANT TO FILL IN- BULLRING Dates ^ • Applicant �!ti='7�^" '__- _ (PRINT OR TYPE ONLY) ADDRESS LOCALIT CERTIFICATEOF EXEMPTION FROM WORKERS' NO. TYPE OF APPLIANCE OR EQUIPMENT FEE COMPENSATION INSURANCE NEAREST F, >_(This section need not be completed if the Work Involved ABSORPTION UNIT, BTU CROSS ST. �L�JG)I(.Y,�L,t f CL by the permit is for one hundred dollars ($100) or less.) DISTRICT NO. PROCESS •BY U I certify that in the performance of the work for which this AIR HANDLING UNIT,CFM permit is issued, 1 shall not employ any person in any manner any so as to become subject to the Workers' Compensation Laws. BOILER, BTU F APPROVALS DATE INSPECTOR'SSIGNA' E IU Date Applicant - COMPRESSOR, BTU— ROUGH N NOTICE TO APPLICANT: If, after making this Certificate of VENTILATION SNSTEM Z Exemption, you should become subject to the Workers' , � FINAL 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 1 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 effect. License Numbef✓ ��3 Lic.Class 43 ' Contractc�d.4/)jj0_6 Date�/W4�� 1 am exempt from the,licensing requirements as 1 am a /93F�VV 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 $ Lie.or Reg.No. Date TOTAL FEE HOME OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT I hereby affirm that 1 am exempt from the Contractor's NAME License Law for the following reason (Section 7031.5. Busi- ness and Professions Code): ADDRESS x'4(721 A 1, as owner of the property, will do the work and the , structure is not intended or offered for sale (Section CITY TEL. NO. # e�e'e o 4 1 7044, Business and Professions Code). ❑ 00 I, as owner of the property, um exclusively contracting OWNER 2 2 1,0 0 with'licensed contractors to construct the project MAIL I (Section 7044, Business and Professions Code). ADDRESS o e o 2 1'.0 0.6 CONSTRUCTION LENDING AGENCY CITY TEL.NO. 0 60 3-8.1 1 hereby affirm that there is a construction lending agency �• for the performance of the work for which this permit is CONTRACTOR 1/6 J�I2Y�` -•� issued Sec. 3097.Cie.C.). Lender s Name ADDRESS A" ^ A /] / Lender's Address C3TY TEL.NO^/��7--•�)I 1 certify that 1 have read this application and state that the STATE it LIC- above information is correct.1 agree to comply with all County LICENSE NO. . 2 - CLASS L J 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 ic-pe tion purposes. a �-�tjz/ax,/h. Q 10 1",ei Signa a of l.rn Ittee Dat WORKERS'COMPENS.4TION DECLARATION 76A364C APPLICATION pp1 I� A y'Opt COIF PERMIT I hereby affirm that 1 have a' certificate of consent to self CE -81812-80) A If— ` A 1 I V r R r G IVY Y insure, or a certificate of Workers'Compensation Insurance,or HEATING-VENTILATING-AIR'CONDITIONING a certified copy thereof(Sec.3800. Lab.C.) C Policy No. Compan n Certified copy is hereby furnished. COUNTY OF LOS ANGELES BUILDING AND SAFETY 13KCertifiedcopy is filed with the county building inspection BUILDING It FOR APPLICANT TO FILL IN rs )� 3 Date !� Applicant Cheryl Lombardo (PRINT OR TYPE ONLY) ADDRESS 8841 Lag 'hulas Drive LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO. TYPE OF APPLIANCE OR EQUIPMENT FEE Temple_City COMPEt%SATION INSURANCE NEAREST (This Section need not be completed if the work involved ABSORPTION UNIT, BTU CROSS ST. Rosemead Blvd. o by the permit is for one hundred dollazs ($100) or less.) DISTRICT NO. PROCESSED 6v '� 0 I certify that in the performance of the work for which this AIR HANDLING UNIT,CFM �- (J j- X permit is issued, 1 shall not employ any person in anv manner O 0 so as tp ome subject to theIV,rkers' Compensat�n Laws. BOILER, BTU /I '' 1�a�--,�/� APPROVALS DATE WSPECTOR'S SIGNATURE W /'Uate �' Applies LCL.C? %.� '�� COMP RESSOft.BTU p ROUGH y NOTICE TO APPLICANT: If, after`/m/aking this Certificate of A VENTILATION SYSTEM a z Exemption, you should become subject to the Workers' 1f FINAL 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 RAVITYLICENSED CONTRACTORS DECLAR ATION 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 C, effect. License Number Lie.Class-- Contractor— lass Contractor Date ff'' I am exempt from the licensing.requirements as I am a 1 Rood 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 $ 'J Lic.or Reg.No. Date TOTAL FEE 5 HOME OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT exemptL & B SHEET METAL MFG CO J`� 1 hereby affirm that 1 am ga from the Contractus'. NAME , License Law For the following reason (Section 7031.5, Busi- ,�\r rJ ) 1 ) A ness and Professions Code): ADDRESS 2001 N. MARIANNA AVENUE �~ 1� 1, as owner of the property, will do the work and the „�/ r # a e e e (( ) structure is not intended or offered for sale (Section CITY IOS ANGE�r CA TE L. NO. 222-01 -- I , 7044, Business and Professions Code). 2;-'- 2 5 0 0 ❑ L OWNER as owner of the property, am exclusively contracting Ie e e ?,�0 0 with licensed contractors to construct the project MAIL t (Section 7044, Business and Professions Code). ADDRESS CONSTRUCTION LENDING AGENCY CITY. TEL.NO. 05,05-81 f hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is ICONTRACTOR L & B SHEET METAL MFG CO issued (Sec. 3097,Civ.C.). { Lender's Name ADDRESS 2001 N. MARIANNA AVENUE Leader's Address CITY LOS ANGEIESz CA C TEL.NO. 222-0111 I certify that I have read this application and state that the STATE 321323 LIC• U43 above information is correct. 1 agree to comply with all County LICENSE NO. CLASS ordinances and Slate lases 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 . nispr o purposes- Signatureo ern tee Date