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HomeMy Public PortalAbout9953 LAS TUNAS DR_Mechanical__ 76Jk36tE- °ri°'ae- aiTS APPLIC TION FOR PERMIT HEATING - VENT_,IUTING - AIR CONDITIONING BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN BUILD (PRINT OR-TYPE ONLY) DDRES OCALITY NO TYPE`OFAPPLIANCEOR EQUIPMENT FEEEAREST ROSS'ST.ABSORPTION UNIT, BTU A' WNER AIR HANDLING UNIT, CFM t,m MAIL Ov ADDRESS ' BOILER, BTU CITY TEL'NO.• / i •COMPRESSOR, BTU , CONTRACTOR VENTILATION SYSTEM ADDRESS �. _ EVAPORATIVE COOLER CITY TEL. NO. FURNACE' FAUGRAVITY STAT � � A - LIC FLOOR BTU LICENSE NO. /�v �Z CLASS } HEATER SUSPENDED UNIT_ DISTRICT NoGROUP ZONE )CED BY �- `WALL = O 0a19 .2. INSPECTI ONRECO R w a • cr) Z Plan check fee 25% of above. PERMIT ISSUING FEE $ �6 TOTAL FEE O° PLAN CHECK APPLICANT ; NAME ADDRESS CITY TEL NO - I HEREBY AC KNOW LEDGE THATI HAVE READ THIS APPLICATION AND STATE THAT THE•ABOVE IS CORRECT AND AGREE-TO COMPLY WITH ALLORDINANCES AND LAWS REGULATING HEATING, VENTI- LATING, AIR CONDITIONING ' I HEREBY CERTIFY T I AM NO NG IN VIOLATION y APPROVALS DATE INSPECTOR'S SIGNATURE OF CHAPTER 9, DIVISIO OF THE BU ND.PROFESSIONAL CODE OF THE STATE CALIF0 1 ROUGH SIGNATURE // OF PERMIT-T FINAL PLAN CHECK VALIDAT N CK M CASH PERMIT VALI AT cK M 0. CASH 2 MAPA- 23 4.1 ® '1 '0, 7.00 76A964E'- C$8188-8/78• - APPLICATION-FOR PERMIT HEATING - VENTILATING = AIR'CONDI-TIONINjG . - BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL 1N- B,UILDING- y- (PRINT OR TYPE ONLY) ADDRESS _ • LOCALITY No TYPED F A PPL'IANC E'OR EQUIPMENT - FEE.*_ e NEAREST _ CROSS ST. - ^a 'ABSORPTION UNIT.,,BTU ; lz AIR HANDLING UNIT, CFM MAIL ADDRESS" BOILER,•BTU 1 Q CITY_ `i,,,,-TEL. NO. , COMPRESSOR; E,TU 77 CONTRACT,O rs VENTILATION SYSTEM ADDRESS EVAPORATIVE OLER oeax► CITY EL. NO .<c / FURNACE:: FA GR TY STATE r. LI,C R FLOOBTU• LICENSE NO _CLASS_ C 'ASS HEATER.-,SUSPENDED_ UNIT_ DISTRICT'NO. GROUP . ZONE -PROc SED BY y ' WAL �•� �� �,� d w� V- CD INSPECTION'RECO D " 1 Z Plan check fee'25% of above. -PERMIT ISSUING FEE $ r' r TOTAL FEE r , PLAN CHECK APPLICANT '37/0 NAME r ; aA DDRESS' CI,T,Y TEL�NO r "� I HEREBY ACKNOWLEDGE THAT, I HAVE READ THIS APPLICATION , AND STATE'T,HAT THE ABOVE IS,CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS -REGULATING HEATING, VENT-I-' LATING, AIR CONDITIONING I HEREBY CERTIR HAT I 'AM NOT TING IN VIOLATION- APPROVALS DATE INSPECTOR'S SIGNATURE OF'CHAP,TER 9,'DIVI 3,'OF 7HE' US AND PROFESSIONAL ROUGH•, �. �� ` -CODE-OF THE STAT CAL I'FO NIA :4 SIGN'AT URE FINAL OF PERMIT CASH PLAN,C,HECK ALID ION PERMIT VALIDATION CK. 0 CASH CK O 76A364-CE818-1-68 3; APPLICATION FOR PERMIT HEATING - VENTILATING - AIR CONDITIONING COUNTY-OF-LOS'ANGELES' DEPARTMENT OF COUNTY ENGINEER NG BUILDING,AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRE COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. (Print or type only) OWNE No TYPEIOFAPPLIANCE,OR EQUIPMENT FEE MAI L ADDRESS ABSORPTION SYSTEM, BTU CITY TEL. NO Lo AIR HANDLING UNIT, CFM C BOILER, HORSEPOWER ADDRESS COMPRESSOR, HORSEPOWER CITY �+� EL. / / STATE LIC VENTILATION SYSTEM LICENSE NO. ��/�L CLASSC. DISTRICT NO. ROUP ZONE SSED BY EVAPORATIVE COOLER GPO FURNACE: FAU GRAVITY . � FLOOR-BTUINSPECTION RECORCD U HEATER: SUSPENDED UNIT WALL O H U O W O_ NEW—ADDITION PERMIT $ 3 00 ALTER—REPAIR - TOTAL FEE $ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ' AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HEATING, VENTILATING, AIR CONDITIONING I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL CODE OF THE STATE OF CALIF NIA APPROVALS D/TE INSPECTOR'S GNA URE SIGNATURE ` ROUGH I IV OF PERMITTEE � uo FINAL OIDATION JA K ALLEN M O. CASH SUPERVISING MECHANICAL ENG'R. SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE_ 76A364C CE-81 8(REV 6/78) - _ - ©5 APPLLCATI'ON'FOR PERMIT HEATING' - VENTILATING% AIR CONDITIONING .,City of COUNTY OF LOS•ANGELES Temple City, - BUILDING•AND SAFETY FOR APPLICANT TO FILL1KBUILDING _ (PRINT OR TYPE ONLY) ' ADDRESS 99S 3 T LOCALITY / +-7- ' NO .TYPE OF APPLIANCE OR EQUIPMENT FEE �..•_"' 47 NEAREST CROSS ST ABSORPTION UNIT,BTU - _ OWNER nj AIR HANDLING UNIT,CFM MAIL ' _ - ADDRESS BOILER,BTU CITY TEL NO 2 — — HP COMPRESSOR,BTU 90 00 I CONTRACTOR T ' —Air Htcr & A VENTILATION SYSTEM -- ADDRESS 601—A W. 'Lambert Rd. ••' EVAPORATIVE COOLER - CITY La Habra (, TEL NO 69 — 4' FLOORFURNACE "FAUN_ A I gE_ 80 00 LICENSE NO 363290 ' CLASS •STATE LIC C-20 HEATER SUSPENDED UNIT_ - FGH DATE INSPECTORS SIGNATURE •WALL "�`• - INSPECTION RECORD V .O Plan check fee 25% of above- PERMIT ISSUING`FEE Z . TOTAL FEE 177 00' PLAN CHECK APPLICANT PLAN CHECK VALIDATION NAME - �7�y ,-7 ADDRESS 6,9 0. 1 A CITY TEL NO" T � � # 0 0 o*o'41, - IHEREBY ACKNOWLEDGE THAT'I HAVE READ•THIS APPLICATION AND. _ 2;0 17.7. STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL 0'0 ORDINANCES AND_LAWS'REGULATING HEATING, -VENTILATING.' AIR I� ' CONDITIONING jO o 1 7 7,V 0' - PERMIT VALIDATION I HEREBY CERTIFY'THAT I M NOT ACTING IN'VIOLATION OF , CHAPTER 9, DIVISION F TH USINESS'AND PROFESSIONAL CODE . - 9,2'6—7'9 - - OF THE STATE OF F NIA ' SIGNATURE OFPERMITT DISTRICT NO PRO D B - - ' WOR,1G�`RS'COMPENgATION DECLARATION °� 76A364C CE-818:(2,80) - APPLICAT" O �I.1' FQfZ--l�[�G�MM I reby,affix` rn that I have a''certificate,of consent to selfw- msur ora cIrtificate of Workers'Compensation Insurance,or ' ,r _ %- ' '' a certiti they f ;��ATING-NIE�YIL�►Y IRlCs-A16a COW®IYIOFVING, ' ed_copy eo (Secy X800;Lab.�.) UU Policy No.420-249- as state -Col(npensation '? p Y` 3 _ CQUiVTY.'O'F'L'OS AIVGELES �- BU,hL`DIiUG ARID SI�FETY, ; ��Certified copy is.hereby furnished. Certified_copylsfilAdwiYhthecounty�buildtngirispectiorl° � BUILDING de artment: ��Fog?, PLICQ 11 TO'FIL•L IN' � � ` ` 7 p2'9=80 APPhtarlt TeI11p�A1,r Ht<g• & (PRINT OR TYPE,O'NLY)' s��'y; :ADDRESS 9953 L`as'�TLlllas :Dri` Date A1C :•ITTC•. -. •�� > '` � � . _ „ � ST� Pleaa C` 1tLOCALITY Tt O ;FXEW ;RSYEOFAPLIANCE�OR EQULPMENTFE TtFIA ( ZvNOCERQCOM'-ENSATIPjX�SURA14CE NEAREST CROSS STRi (This section neednot'beCont leted.if,the work,in'VoNed ABSORPTION•UNIT, BTU " .' a ' •by, the,perTit�is'for one huiickei}...go1Iars,($100),or less.)' N '- DISTRICL'No',_ Prioce'ssF e O I certify,that.in`the per#pr_inance of the work'for whicrh-this „ AIR MANDI lt`iG'UNIT,CFM �` _1 permit is iss>led,•1 shall,.not employ`• any persop•�1n any,manner, '� ° �.``-`^ ;- �. �', , � _ •, _, -;..� O so as to�becoine subject to the Workers' Cdniper sation ILaws,' �OI,L'E R,'BTU ` �� r _ •• - l -n.• -r , . - - - APP DATE INSPECTOR'S SIGNATURE Date Applicant; ��'2, 'COMPRESSOR,,-BTU 4"HP` :20 00• - z v' ' ROUGH. 'W' r �IOTTCE TO APPi DANT; If fter mak n �th'is-Certificate of r - FINAL � Z $ ! g . V�E,NTILA .1A1V=SYSTEM: rn E3 i tion,'• ou'•shdtiltt Necome subject to `the Workers" a - _ Cdrtipensation provt5ions of`the Labor Code,you moist foithb` `� .` " EVAPORATIVE,COOLER '- ! j ^� _ VAL(CIAT�ON �. W rth comply with sii ' ptOv Ions or nthis.,permit`shall be ' deemed revoked.' .. ��, FIJRNACE'� -Fn37-n AVITY LICENSEDCONTR4CTORSbECL`ARATION FLOOR I'$erAy.affirm that I am'bcensad under prbvisiogs of Chapter. HEATER°. SU -UN_'IT,;9 (cbmmencmg with Section 7000)of Division,3 of,the-Buse=, Wmess•and Professions Code,,and my, license is in full foiceiand effect. NOte:_ Er`'Bldg':•License Nuniber_36329,- Lic.ClassTemp=Air Htg :7-28=8A CInp..Date rEl; I ain exempt from the licensing requirements as Iam ansa5chitect of a `°registered professional enguteer Plan Check feCacting in 'myprpfessional'capacity (Section 705`1`, Bus iness,and ProfessionsCede). PISSUINGFEE $ 7` 00 _ ` .Lie.or Reg.No. Date TOT�1�L-,FEE '27� '.���' '6ME'OWNER-BUILDER'DECLARATION PLAN CHwECK APPLICANT L�hereby affirm,that I hni exempt from- the Contcacfor's NAME' S License haw,for the follovnng reason•(Section 7031.5, Busi; nessagd'Profes�iopsCode):, •ADDRESS ti �'� T(i (j`8:� Hes owner of the property,'wil do the .woric.and'the '-- a� �� # structure is not -intended onoffeced for sale�(5ection; CITY,, �.o�� • 7,044 ;Business and Professions Code).•;„i `. �. e e,,-C3. ”' �• r, '' ' ' =� • > OWN'ER_TeIilp�.e. > s �� tZ'.•oT,� �, I, as owner'of'the-property, ani exclusively-contracting t 1LlZ C11=0f -azare11 O = -� y with licensed �ont.aato> - to 'egnstruct- Etie pt'oject- MAIL ;, -• 4. 3 e'a"•o x `r (Section 7044, Business,and-Pr4esstonsCbdei ADDRESS, 1 r, a `n. - �•i (, 2'TO,�=c�- . CITY TSL':-N O. _ f' t. WO=7,.2 9,:` '8 0 ` < " CONSTRUCTION LENDING AGENCY �' , . -I�hereby'athrm that'there is 8 con'slruction lending'agency �" P �' for the perform8n6e.,of the Work for Which -thts,,peimit- is = CONTRACTOATe�i AlZ"�HtCJ: issued(Sec 309T,Civ.C,) Lender's Name ` ADDRESS , :601-P,a'6�1.`-Lambert_ Lender's Address CITY � -TEL'>NO a -,.�:� 691=61`15. s I'certify that I haute read this and state that th" 'STATE �$ Ha}Jr t LIC, .. r _ above information is correct.I agree t0 comply with all County LICENSE- S ICENSE N0, • 363290 CLASS C-�� ordinances and State IawsiYegulating Heating, Ventilating and - Air Cond`itiomng,and hereby authorize representatives of this SEE,REVERSE FOR EX•PLAN•ATORY LANGUAGE Count�� lep :r upoq .the above-mentioned proPerty forInctrn pses. _.7. ig ature of.Permittee ,-,ate _ ' r ,q, _ i' WORKERS'COMPENSATION DECLARATION E, CEp 8 8 (2.80) { �, 8� B®� : FOR, [�[ �/i 81l I• hereby affirm that I have a certificate of consent to self •, insure, or,a certificate of Workers'Compensation Insurance,or r FIEATI�(s-V ENTILAT.ING-AIRS CONDITIONING a certified copy thereof(Sec 3800,Lab.C.) Policy No. `Company' El t - BUILDING SAFETY Certified copy is hereby furnished. COUNTY OF LOS ANGELES BUILDNG A - .m Certified copy is filed with the county building-inspection FOR APPLICANT TO FILL IN •BUILDING / department - GA- _7-Ut/- Date Applicant j ADDRESS(PRINT OR-TYPE ONLY) CERTIFICATE OF EXEMPTION FROM WORKERS' NO.` TYPE OF`APPLIANCE OR EQUIPMENT FEE LOCALITY : -COMPENSATION INSURANCE ? NEAREST v } (This "section need not be completed if the work involved, ABSORPTION UNIT, BTU CROSS ST 0 by the permit is for•one•hundred dollars ($100)'or less.) DISTRICT NO PROCESSFO BY U I certify that in the performance of the Work for which thisAIR HANDLING UNIT,CFM-�-I.LOO �0cc permit is-issued, I shall•not employ any person In any manner - O so as to become sublect'to the`Workers' Compensation'Laws BOILER,BTU' r / �., oO'l PROVALS - DATE INSPECT O SIGNATURE W Date 4 Applicant- COMPRESSOR,BT 601. U _ `+ ROUGH ,y_ "C' 'NOTICE TO APPLICANT If, after making-this Certificate ofVENTILATION SYSTEM -Exemption, you should xbecome -subject to the Workers' FINAL Compensation provisions,of the Labor Code, you must forth-• _ with comply -with such °provisions or this permit Shall be EVAPORATIVE COOLER VALIDATION r ,deemed revoked. FURNACE- FAU V1,TY ' ' LICENSED CONTRACTORS DECLARATION -)---FLOOR. BTU_ UCl Irhereby affirm that I am licensed under,provisions of Chapter HEATER SUSPENDED UNIT 7, 9 (commencing with Section,7000)of Division 3 of the Bust-_�, WALL y� ness and Professions Code, and"my license is in full force and U effect. ; Llcense,NUmber Lic Class /,A— ,_ I A Contractor Date I am exempt from the Incensing•requirements as I am a licensed ar`chrtect or.,a registered professional engineer Plan check fee 25%of above. acting in my professional capacity.,(Section 7051, Bus- I' iness and Professions Code) PERMIT'ISSUING FEE $/0 rV r, Lic or Reg.No Date nt TOTAL FEE HOME OWNER-BUILDER 'DECLARATION ; • � r PLAN CHECK APPLICANT F.hereby affirm that I; am exempt from "the Contractor's NAME License Law for the following reason (Section'70313, Busi- ness usiness and Professions,Code): ADDRESS 22 8 9,'5 A- M4, as owner of the property, will do the work and the / , structure is not intended or offered for sale (Section ' CITY �� L. NO #'a o o e•e•8' i 7044, Business and Professions Code). y - OWNER' Z °•� ,� 450 I, as owner.of,the.property, am exclusively contracting i with licensed :contractors to 'construct „ the project MAIL "' 2 (Section 7044, Business and.Professnons,Code). ADDRESS _ e�e"1 1 4,5025 CONSTRUCTION LENDING AGENCY CITY; STEL:-NO.. `-8 0 -� _8�3 I affirm that ,there is a cunstruchon lending agency" CONTRACTOR n 7- ,'�� agency— for the the perfocmance of the work for which'-this,permit is �rT issued (Sec 3097,Civ.C.) ' Lender's Name ADDRESS` / ' S64/I,h (% G Lender's Address CITY— 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 LICENSE NO - _� CLASS= —�� ordinances and State laws re uI ting Heating,,Ventilatmg and Air C nditio g, nd hereb authorize representatives of this SEE"REVERSE FOR EXPLANATORY LANGUAGE Co it t e er upon t e above-men/tion i prop rty for ms ei tio.t pun,o s. " r U, � J �� I - ' • _ .; T , Sign ure of Permittee Date _