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HomeMy Public PortalAbout9965 LOWER AZUSA RD_Mechanical__ 7GA364C CE 8181REV 6/76) ®s APPLICATION FOR PERMIT HEATING - VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING 99A� w92. ZIP (PRINT OR TYPE ONLY) ADDRESS `7 7 LOCALITY 4 �? NO TYPE OF APPLIANCE OR EQUIPMENT FEE NEAREST . CROSS ST ' ABSORPTION UNIT BTU OWNER /' / D AIR HANDLING UNIT CFM MAIL y pp /� ADDRESS fZ- � AA3 0 BOILER BTU CITY TEL NO COMPRESSOR BTU CONTRACTOR VENTILATION SYSTEM ADDRESSv U� ' EVAPORATIVE COOLER CITY v S jgHf d►Q TEL NO;Z FURNACE FAU GRAVITY STATE / LIC FLOOR BTU LICENSE NO L,�p CLAS5 c— HEATER SUSPENDED UNIT— APPROVALS DATE INSPECTOR551GNATU WALL ROUGH FINAL O INS16ECTION Rlke6RID V O Plan check fee 25%of above i + PERMIT ISSUING FEE>j — Z e TOTAL FEE 3 CXR PLAN CHECK APPLICANT PLAN CHECK VALIDATION NAME ADDRESS 1 CITY TEL NO 1 0 9 5 811 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND # 6 e 6 6 4 l STATE THAT THE ABOVE I C ECT,AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS R ULATING HEATING VENTILATING AIR 2 6 6 3 2 0 0 CONDITIONING PERMIT VALIDATION 3, I HEREBY CERTIFY H I AM NOT TING AN)VIOLATION OF - 33005 CHAPTER 9 DIVISION 3 F HE BUSIN 9 P SIONAL CODE OF THE STATE OF CA N SIGNATURE ' 1 (124-78 OF PERM ITTE e, DISTRICT NO PROCESS Y S0 AD 76AS64-CEB18-1/70 pppLICA FOR PE T HEATING - VENTILATING - AIR ONDITIONING COUNTY OF LOS ANGELES EBUIL7DING 9 E.Lower AZu$ Ave. DEPARTMENT OF COUNTY ENGINEERBUILDING AND SAFETY DIVISION JOHN A LAMBIE COUNTY ENGINEER nul�- COLEMAN W JENKINS, SUPERINTENDENT OP BUILDINBaldw� AVe• FOR APPLICANT TO FILL IN OWNER Pat BO (PRINT OR TYPE ONLY) MAIL NO TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS CITY Tample Cit TEL NO ABSORPTION SYSTEM, BTU CONTRACTORWestiern Sheet Metal Corp. AIR HANDLING UNIT, CFM ADDRESS 733 W-Wilson St. BOILER, HORSEPOWER CITYGlendale TEL NO 24.5-0269 COMPRESSOR, HORSEPOWER STATE LIC LICENSE 1%10o�Z / O CLASSC" VENTILATION SYSTEM DISTRICT NO I CLASS GROUP ZONE ICESSED BY EVAPORATIVE COOLER �Z , FURNACE FAU_GRAVITY FLOOR BTU INSPECTION RECORD HEATER SUSPENDED UNIT_ WALL © s 6xv 0 W a NEW-ADDITION- PERMIT $ 00 Z ALTER_REPAIR_ TOTAL FEE $ 27 90 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- APPROVALS DATE INSPECTOR'S SI=RE LATING,AIR CONDITIONING A ROUGH s' 1 HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF CHAPTER 9 DIVISION 3, OF THE B iESS AND PROFESSIONAL FINAL CODE OF THE STATE FCA IFOR! SIGNATURE 9ACFK FW Alk-EN,SUPERVISING MECHANICAL ENG'R OF PERMITT r No ill PERWQT MAI.146TION CK M 0 CASH PLAN CHECK VALIDATIO14 CO rV W • IV 1 -1 . 00 Z v O o Jib, 0- GJI� -7v- 30 � �'� CH SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE :•�• , -►{ T` ` ' t"1 fL','f,;'`tT ot�CotiyOetNit to self CEAB 8C(280) APPLICATION FOR PERMIT t n,;,,_nsatton Tnsurance or HEATING-VENTILATING-AIR CONDITIONING t r i.L L"a, , ,1 L _ Ck —an :1 C'NITc6211266851,Mar-y_land-Casualty Co. COUNTY OF LOS ANGELES BUILDING AND SAFETY si.J + ,_ r Lr'i , , u'Idi p^ ttpection r' t p BUILDING A&AFOR APPLICANT TO PILL IN ADDRESS 9965 Lower A uza Rd. -__t 3/6/85 `i�i' t- --- - (PRINT OR TYPE ONLY) LOCALITY L „ t (, 0 , %Olt WORKFRS' NO TYPE OF APPLIANCE OR EQUIPMENT FEE NEAREST rL3 ,t ,l'r2#til(L CROSS STS O 1- �`. i" C `,otlt tnvolved ABSORPTION UNIT BTU or less) DISTRICT NO PRO CES ED aV Q I t c• L_ ,+ h• Mirk fu*which this 1 AIR HANDLING UNIT,CFM 10 00 , /� CC r )lo; nN pLrson is anv manner (J« 0 t +. V u ',t rs 9 ompemation Las BOILER, BTUti APPROVALS DATE INSP CT sSI ATURE LlJ iL _ _-- COMPRESSOR,BTU a ROUGH y •' +"( i ` a'1 t # t 't t 1 m+ this Certificate ofZ 1•+e,i of +1 le -,r _�j__• to the Workers' 2 VENTILATION SYSTEM 0 00 FINAL - 1 •u (_our ,ou must forth ' L �+ 1 .t c Li',-', ti, tr+s ,i_rmit shall be 'l EVAPORATIVE COOLER 2_� 0 VAI N • I FURNACE FAU GRAVITY '1 _trt1l)_(y1R#TION FLOOR BTU suer lrovt,tons of Chapter HEATER SUSPENDED UNIT a SL t 'OCO) ti, Itnrciun 3 of the Bust- WALL ' J_ i. ,t ''L_,',L ', in full force and 47 25 L , till+ , 302133- 'iL (l.,s_C=2p_ 3 % 1 ,&49R 3��5rPlan Comm Hood # • • • • • 8 tr National-Air--Systems 50% , L. �� ,_uuvernents as I am a r u- L ,tt ,.n vrosLssional engineer heck fee=%of above 61 12 ,19,193,87 „` 11 p-ct y ;Section 7051, Bus r„c, ) PERMIT ISSUING FEE$ 10 50 r __ _ _ _____Ui• 66 TOTALFEE 193.8 • • 193187 L , . it, t, t RiL LARA I ION PLAN CHECK APPLICANT 0307-85 ' t+ in. from the Contractor's NAME I + ' r +..o in '%Lytic Y 1031 S, Bust r 1 ADDRESS n ru Il ao he t,oik and the , CITY TEL NO 1- ++n+ 1'$ rJu o' r .•Lr d for sale (Section 7r dt" OWNER Food Maker Inc. 1t, y :n, a cluti•veiy contracting +. t, T L o Lons'itLt thL project MAIL S' 4-•0 ,' O,L,tiiO.l Lode) ADDRESS 9040 Telstar VDINGAUl14CY CITYE1 Monte CA. TEL NO 571-7667 t .t Lunsuuction lend n., agency + ,I -, . , '•t �� r `or tthiLh this permit is CONTRACTOR National Air System " ', t ' L 111 _ _ _ - _ -- ADDRESS 1842 Flower1 ,., qt- 11L , '101 ` -- - + +-iluaiton end statL that the CITYGlen le CA TEL STATE LIC _',LL to,amply t+ith ail County LICENSE NO 302133 CLASS - _ t L^ul_trn ,I,jtin- Ventilating and 1, 1u rLr i+' u•-,3r iL rLnrL%entatives of this SEE REVERSE t[OR EXPLANATORY LANGUAGE t rvu u L 1,(, 1,, shoo regio/ed property for „i ,ACON= i --— �/v- -- AMANO D01 U.Leu56AI_- Fi G' 3/�f 7�rSt/-� L t t' OatL ��I/ou YY a�A �l101 ' t a1 tdK CRCGK. "As I F 'WOR fS COMPENSATION DECLARATION APPLICATION FOR PERMIT I`iiefeby Ca Prm irm that I have a certificate of consent to self insure, ora certificate of Workers Compensation Insurance, 76A3c HEATING - VENTILATING - AIR CONDITIONING or a certified copy thereof(Sec 3800, Lab C ) Policy No'IC72CE-818(REV 10/81) 11266@5„pany Maryland Casualty 1 Certified copy is hereby furnished COUNTY OF LOS ANGELES BUILDING AND SAFETY ❑ Certified copy is filed w +RORKERS' ng i pec- FOR APPLICANT TO FILL IN BUILDING tion department ADDRESS 9965 Lower Azusa Road Date 9/17/87 (PRINT OR TYPE ONLY) lic NO TYPE OF APPLIANCE OR EQUIPMENT FEE LOCALITY Temple City, CA CERTIFICATE OF EXEMPTI N NEAREST COMPENSATION INSCROSS ST (This section need not be completed if the work involved by ABSORPTION UNIT BTU DISTRICT NO / PROCESSED BY of the permit Is for one hundred dollars($100)or less) vj/ I certify that in the performance of the work for which this AIR HANDLING UNIT CFM •0 CV permit is Issued, I shall not employ any person in any manner BOILER BTU SO as to become subject to the Workers'Compensation Laws APPROVALS DATER S SIGN TORE Date Applicant 4 COMPRESSOR BTU 40 00 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 L VALIDA with comply with such provisions or this permit shall be deemed revoked FURNACE FAU GRAVITY LICENSED CONTRACTORS DECLARATION 2 FLOOR BTU 20 00 I hereby affirm that I am licensed under provisions of Chapter 9 HEATER SUSPENDED UNIT (commencing with Section 7000)of Division 3 of the Business - WALL and Professions Code,and my license is in full force and effect AL LI rise 02133Lic class C-20 O UNIT CHANGE-OUT ► u 1,f YWA# Dat9/17/87 p e ❑ lam Axe under S PREPLACEMENT OF [)NITS Plan check fee d B&P C for this reason to Date PERMIT ISSUING FEE R 10 50 Z Signature TOTAL FEE 70 .50 A 817.6 A OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT # • • • is • 8 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031 5, Business and NAME National Air Systema Inc. J • • 7 0 5 0 Professions Code) ❑ I, as owner of the property, or my employees with ADDRESS 1842 Flower Street • • • 7 a 5 0 C5 wages as their sole compensation,will do the work and CITY TEL NO 1 0,22-87 the structure is not intended or offered for sale(Section Glerld ale 91201 213/245-6611 7044, Business and Professions Code) OWNER❑ Foodmaker Inc.I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec- MAIL ADDRESS 9330 Balboa Ave. tion 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY CITY San Diego 92123 TEL NO 619/571-2121 1 hereby affirm that there is a construction lending agency for , the performance of the work for which this permit is issued CONTRACTOR (Sec 3097, Civ C National Air Systems, Inc. ) Lender's Name ADDRESS 1842 Flower Street Lender's Address CITY Glendale 91201 TEL NO 213/245-6611 STATE LIC I certify that I have read this application and state that the I LICENSE NO 302133 CLASS C-20 above information is correct I agree to comply with all County 'erammodels and State laws relating to building construction, an e b Lit prize representatives of this County to enter U=o th mention pro r for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE PF 9/17/87 Signature of tolicant or Ag Date