The URL can be used to link to this page

Home My Public Portal About5302 NOEL DR_Mechanical_4/30/1985_ • V 76A3rj4, - CE9% - 3-69 APPILkATION FO ERMIT HEATING - VENTILATING - IR CONDITIO ING 101. DEPARTMENT OF COUNTYUNTY OF LOS ENGINEER ADDR $X 02 NOEL DR. BUILDING AND SAFETY DIVISION JOHN A LAMBIE COUNTY ENGINEER LOCALITY E CITY COLEMAN W JENKINS SUPERINTENDENT OF BUILDING NEAREST CROSS ST OLIVE FOR APPLICANT TO FILL INTAYLOR (PRINT OR TYPE ONLY) MAIL OWNER ZORA L. NO TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS 5302 NOEL DR. ABSORPTION SYSTEM BTU CITY TEMPLE CITY TEL NO 286-50 88 AIR HANDLING UNIT CFM CONTRACTOR L. M. HAMM INC. ADDRESS 42 W. . MAIN ST. BOILER HORSEPOWER 282-2151 CITY ALHAMBRA TEL NO 5 COMPRESSOR HORSEPOWER STATE LIC LICENSE NO 1719 8 CLASS c16 VENTILATION SYSTEM DISTRICT NO GROUP ZONE PRO SSED BY EVAPORATIVE COOLER OL FURNACE FAU GRAVITY FLOOR BTU 1 PECTION R!#ORFad HEATER SUSPEND UNIT 00 WALL ' _ } a O V oc O F- U w CL NEW—ADDITION— PERMIT $ 3 00 Z ALTER--REPAIR_ TOTAL FEE $ 00 PLAN CHECK APPLICANT NAME ADDRESS CITY TEL NO IHEREBY 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 I P CTOR S S NATURE LATING AIR CONDITIONING IHEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH 4 Zoe CHAPTER 9 DIVISION 3 OF THE PUSINESS AND PROFESSIONAL FINAL O CODE OF THE ST ALIFN SIGNATURE JACK R AL EN SUPER G ECHANICAL ENG R OF PERM ITTE PERMIT VALI A ION cK M o CASH PLAN CHKCK VALIDATION •� 1 1 6 '3 3 14 A YD 8.0 OA EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE f , _ WQRKERS COMPENSATION DECLARATION APPLICATION FOR PERMIT I hereby affirm that I have a certificate of consent to self Insure or a certificate of Workers Compensation Insurance - HEATING - VENTILATING - AIR CONDITIONING or a certified copy thereof(Sec 3800 I pb C � 76A364C , /� ` Policy No 65G�SZ 2Company CE 818(REV 10/81) Certified copy is hereby furnished COUNTY OF LOS ANGELES BUILDING AND SAFETY X-C..rtified copy is filed with the cou building inspec FOR APPLICANT TO FILL IN BUILDINGO2 n depporrtment� Izea (PRINT OR TYPE ONLY) ADDRESS Da4/—36 8 J Appllcont LOCALITY r NO TYPE OF APPLIANCE OR EQUIPMENT FEE CERTIFICATE OF EXEMPTION FROM WORKERS NEAREST COMPENSATION INSURANCE CROSS ST (This section need not be completed if the work involved by ABSORPTION UNIT BTU DISTRICT NO PROCESSED BY the permit is for one hundred dollars($100)or less) AIR HANDLING UNIT CFM I certify that in the performance of the work for which this 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 DATE INS CT S SIGN TURE Date Applicant COMPRESSOR BTU + ROUGH NOTICE TO APPLICANT If after making this Certificate of VENTILATION SYSTEM FINALM Tv Exemption you should become subject to the Workers ✓ Compensation provisions of the Labor Code you must forth EVAPORATIVE COOLER If "IDATI N with comply with such provisions or this permit shall be deemed revoked FURNACE FAUGRAVITY LICENSED CONTRACTORS DECLARATION FLOOR BTU STD At .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 d r� �� 195�OA O License Number /Q Lic Class_(�BL�-- Poll. # e • • • e 8 0 Contractor Date �3� t77 O . . a W ❑ I am exempt under Sec IU Plan check fee • • • 3 0 5 0 cm H B 8P C for this reason PERMIT ISSUING FEES Z Date 0 p430-85 Signature TOTAL FEE (� OWNER BUILDER DECLARATION PLAN CHECK APPLICANT 1 hereby affirm that I am exempt from the Contractor s License , Law for the following reason (Section 7031 5 Business and NAME Professions Code) ❑ I as owner of the property or my employees with ADDRESS wages as their sole compensation will do the work and CITY TEL NO the structure is not intended or offered for sale(Section 7044 Business and Professions Code) OWNER ❑ I as owner of the property am exclusively contracting MAIL with licensed contractors to construct the project (Sec ADDRESS tion 7044 Business and Professions Code) ADD CONSTRUCTION LENDING AGENCY CITY TEL NO Tr-3ZZZ3 I hereby affirm that there is a construction lending agency for Poo performance of the work for which this permit is issued CONTRACTOR (Sec 3097 Civ C ) COE Lm ADDRESSAW, Lender s Name CITY 46 TEL NO W370 Lender s Address TATE 40"4" LIC 1 certify that I have read this application and state that the LICENSE NO 44 32 70 CLASS above Inform correct I agree to comply with all County or I nces a d Stat laws wilding construction and re tho e r e ntatives of this County to enter u th b e ntio roperty for ii pectionw purposes SEE REVERSE FOR EXPLANATORY LANGUAGE i gnoture of Applicant or Agent Date • WORKERS COMPENSATION DECLARATION APPLICATION FOR PERMIT I hereby affirm th6t'I have u certificate of consent to self l,• -ins U �Jr a certificate of Workers Compensation Insurance CHEATING - VENTILATING - AIR CONDITIONING r� or a certified co (Sec 3800 Lab C 76A3aeC� CE 818(REV 10/81) Policy No Company _ COUNTY OF LOS ANGELES BUILDING AND SAFETY Certified copy Is hereby furnished Certified copy is filed with the county building inspec FOR APPLICANT TO FILL IN BUILDING �30� tto epartment/ (PRINT OR TYPE ONLY) ADDRESS Date 704 S Applicant NO TYPE OF APPLIANCE OR EQUIPMENT FEE LOCALITY tt-1 CERTIFICATE OF EXEMPTION FROM WORKERS NEAREST COMPENSATION INSURANCE CROSS ST (� (This section need not be completed if the work involved by ABSORPTION UNIT BTU DISTRICT NO PROCESSED Y the permit is for one hundred dollars($100)or less) AIR HANDLING UNIT CFM I certify that in the performance of the work for which this ✓ � permit is issued I shall not employ any person in any manner BOILER BTU so as to become subject io the Workers Compensation Laws APPROVALS DATE IN OR S SIGNATURE Date Applicant COMPRESSOR BTU ROUGH L IF 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 VALIDATION with comply with such provisions or this permit shall be deemed revoked FURNACE FAU V GRAVITY LICENSED CONTRACTORS DECLARATION FLOOR BTU AW11 0A I hereby affirm that I am licensed under provisions of Chapter 9SUSPENDED UNIT (commencing with Section 7000) of Division 3 of the Business HEATER WALL and Professions Code and my license is in full force and effect - License Number 9V3Z7o Lic Class�lf�� ► }�;11 = 3 a'3 0 Contractor Date • - 30505 0 ❑ I am exempt under Sec Plan check fee 0 4 V 3 0—$5 V B 8P C for this reason PA PERMIT ISSUING FEE$ Z Date Signature TOTAL FEE Q (� OWNER BUILDER DECLARATION PLAN CHECK APPLICANT I hereby affirm that I am exempt from the Contractor s License ► Law for the following reason (Section 7031 5 Business and NAME Professions Code) ❑ I as owner of the property or my employees with ADDRESS wages as their sole compensation will do the work and CITY TEL NO the structure is not intended or offered for sale(Section 7044 Business and Professions Code) OWNER ❑ I as owner of the property am exclusively contracting with licensed contractors to construct the project (Sec MAILADDRESS SZS^ L tion 7044 Business and Professions Code) CONSTRUCTION LENDING AGENCY CITYAqATEL NO 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 ) 3 Lender s Name ADDRESS 44 Lender s Address CITY EL NO 2-f 7 STATEy LIC I certify that I have read this application and state that the LICENSE NO 32-70 CLASS r 26 above information is correct I agree to comply with all County ordinances aJeention laws relating to building construction n hereby arepresentativ County to enter up the bo roperty for in pection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE qgn ure of Applicant or Agent /Date