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Home My Public Portal About5564 ROBINHOOD AVE_Mechanical__ C ITY OF T�p ��yy 78ARe4-(]Ee1e-1-;e APP�-ICAT OR PERMIT HEATING - VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADQRESS b10od Drive JOHN A. LAMBIE, COUNTY ENGINEER COL¢MAN W. JENKINS, SUP<I INT=ND<NT or,,BUILDINO LOCALITY Temple Cit FOR APPLICANT T FILL IN NR'R� CROSS ST. (Print.or type or71y) OWNER No.. TYPE,OFAPPLIANCE OR EQUIPMENT FEE AOIDRESS 5564 Robinhood Drive ABSORPTION SYSTEM, BTU CITYTemple City TEL NO. AIR HANDLING UNIT, CFM CONTRACTOR BarT BarEngineipring,l BOILER, HORSEPOWER ADDRESS 1 5&42 Russell qt. COMPRESSOR, HORSEPOWER 4100 CITY Whittier 90603 TEL. NO. 6 _ 726 STATE LIC. VENTILATION SYSTEM LICENSE NO S 6 CLASS C 20 - DISTRICT NO. GROUP ZONE PROCESSED BY EVAPORATIVE COOLER FURNACE: FAU GRAVITY • , FLOOR RTU INSPECTION RECORD S HEATER: SUSPENDED UNIT WALL NEW--ADDITION PERMIT S 3 00 ALTER—REPAIR— TOTAL FEE f 7100 1 HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THEABOVE ID CORRECT AND AGR[[ TO COMPLY WITH ALL COUNTY ORDINANCE# ANP 4TAt[ LAW[ R[SULATING HEATING, VENTILATING, AIR CONDITIONING. IHERESY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF CHAPTI[R 9, DIVISION S, OF THK BUSINESS AND PROFESSIONAL CODE OF THE STAT[ OF ALIF A. APPROVALS DAT E OM CTOR'S YOMA 31GNATUR Vice Pr@S ROUGH OF PERM I FINAL DATION JACK R. ALLLN CK M.O. CASH SUPERVISING i MECHANICAL EN G'R. Ii �) 6 (590-t�s OCT 3 4 1 D 7.0 0 GQ RACK OF APPLICATION FOR COM PLKTE FE[SCH[IHJLE Wo PENSAIION DECLARATION APPLICATION FOR PERMIT I hereby affirm avc,,a certificate of consent to seFf Insure, or'b certlfi of Wdrkeri Compensation Insurance, HEATING - VENTILATING - AIR CONDITIONING or a certified copy t ereof (Sec. 3800, Lab. G) 76A,'�64C 23--0 DPW 9/88 policyNo • Company F1 Certified copy is hereby furnished. COUNTY OF LOS ANGELES BUILDING AND SAFETY ElADDRESScopy Is filed with the county building Inspec- FOR APPLICANT TO FILL IN BUS tion department. (PRINT OR TYPE ONLY) Date Applicant No. TYPE OF APPUANEQUIPMENT OR UIPMBJT FEf CERTIFICATF EX E OEhkP OI N FROM WORKERS' NEAREST COMPENSATION INSURANCE CROSS ST" (This section r»ed not be com tf the work Imrotved by ABSORPTION UNIT, BTU �TRJCT NO. permit the is for one hundreddollars ($100) or less.) 0� AIR HANDLING UNIT, CFM I certify that In the performance of the work for which this permit Is Issued, I shall not employ any n In any manner so as to become subject to the Workers pensation Laws. 00 BOILER BTU APPROVALS DATE oR5 > URE � BTU 0 ROUGH Date licont NOTICE TO A CANT: If, after making s Car ifi of VENTILATION SYSTEM FINAL Exemption, you should become sub] to the rkan Compensation provisions of the Labor Code, you must forth- EVAPORATIVE COOLER ALIDATION with cozy with such provisions or this permit shall be deem- ed revoked. ) FURNACE: FAU GRAvrry LICENSED CONTRACTORS DECLARATION 1 FLOOR BTU Ul I hereby affirm that I am licensed under provisions of Chapter 9 HEATER: SU5PNDED UNIT— (commencing with Section 7000)of Division 3 of the Business WALL and Professions Code,and my license Is in full force-and effect. r J , 0 Uterus Number Ic. Class C7_ O u Contractor04 6X O ❑ I am ei am nder Plan cheek fee C B.BP.C_ for this reason vai PERMIT ISSUING FEE $ Z TOTAL FEE Signature O ER-BUI RAN CHECK APPLICANT I hereby affirm that I am exempt from t Contractor's License Law for the following reason (Section 7031.5, Busineu and NAME - j Profeulons Code): ❑ I, as owner of the property, or my employees with ADDRESS V wages as their sole compensation,will do the work and � TEL NO _ — ACCT.i the structure Is not Intended or offered for sale(Section 7 '7.CI[I 706", Business and Profeuions Code). OWNER ❑ I, as owner of the property, am exclusivgly conf-odin9 1 1TEM with licensed contractors to construct the project (Sec- MAIL tion 70", Busineu and Professlons Code) ADDRESS — TOTAL. 37 —00 CONSTRUCTION LENDING AG CIT Ta- NO• 37. 00 I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is Issued CONTRACTOR N� , _ .. _ ,Cfl (Sec. 3097, Clv. C.)� — ADDRESS Lender's Name — / U CITY f TEL NO. _ 1 I�1.I �'r,� Lender's Address STATE UC WCL' 1 nt10:05 I certify that I have read this application and state that the LICENSE NO. CLASS Q — above Informatlon Is correct. I agree to comply with all County ordinances and State laws relating to building construction, and hereby authorize representatives of this County to enter n T above-m tion property for In Ion purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 519 of nt or �*