HomeMy WebLinkAbout1165A (5) R'DKKIiRS'COliPi:ti5AT101I7lCLARATION CEAD18(2-80� ApPLiCATION FOR PERMIT I hrrchy affirm th�t 1 h�ca ,r crrtificatz of conaent tn sclf � insure,ur a ctr[ific�lenf�1',�rkert'Cnmp_•ns�tion insu��ncc,or HEATING-VENTILATING-AIR CONDITIONING a ernifi:d enp}�therenf(tiee.t¢p0,I.ah.C.) . ���r�>•,��._F_04329•�,,,,,,n,_Fai rmont ❑ c���ur:•d�•���,y�s n:•,�n} n�n,�snr;i. COUNTY OF LOS ANGELES BUILDING AND SAFETY � Ccr�ificd cnpy is filyd�cith U�r cnunh�buildine insp:ction drp:irtmrnt. FORAPPLICANTTOPILLIN Aooness 1160 N. Golden Springs Dr. fJ�[e Appli!"mt ' (PpINT OR TYAE ONLYI NO. TYP[OF APPLIANCE Oit EQUIPMENT FEE LOC�IL�TV Di amond Bar Bl d 11 CIFtTIPICATl:01'i�Rif.`.11'TIO^�I�RO`d1':Oi2RiiftS' --9'--' CO�1PCti5ATIOV I\SI!li:\\CI: NEAREST } (This srctinn need nnt he compLte�,1 if(lie work involved ABSORPTION UNIT,6TU CROSS ST. d by fhe permit is tnr onr himdrrd doll�rs (51001 or IessJ nisTnicrNo. rRecesseoev � 1 eer�ify tha[ in Ihe prrfnrr�a�io�of the�curk fnr nhich[his AIR HANOLING UNIT,CFM / � permi[is i¢surd.1 ch��ll nol rmpinq any peraon in.�n}•m�nner � ��i,Q.�,u.�� � sn sa to hecome�uhjec[In[hc 15i�rAers'Cnmprnsation La��•s. AOIL[R,[iTU I F- 7 APPFiOVAL$ �ATE INSPECTOR'SSiGV4TUAE U [73te :1p�`li�,+nt _ � COAIPF7[SSOR,6TU 3�f�0� /O oo qOUGH 'fp2 / � y�,, � NOTICC TO AI'!'I.IC:\.":7:1(,aitrr a���4:ing tliic Crrti(iculc of � ZO VENTILATION SYST[M 80 QO FINAL "� � / '� z @xemptinn. }�nu chnuld hecnm• �.c`�ject tn the 1CnrAerS' — ComPcns��inn prnciciar.a of th;I.al�m Cndr.�uu must fnrlh. - - - �vith c�t`t��ly� ���iih s:�c!t ;+rm'i:i��n� ur ihic �+trmil chitl !�C EVAPORATIVE COOLFii VALIDATION JcemeA rtrnkeJ. pURNACEa FAU_^ A' V L1C'1:151fD COXZRACTcIItS DI:CI.:\R,1TIOti � ! 7 F�oon• sTu_60�,dbb— �o 00 � I herrhy�ffirm that I am li;^nc��d undrr prc���isinns of Cha�ter HEATER: SUSPENDE� UNIT 7 (cnmr.iencinn�sith�zction 7000)of Ui��i�ion J o(thc Ilusi- WALL necs and Prnfes•inna C%1c.�nd r.is licrnao i.in fuli fnrcr sn:l `'f``'" 53�egisters @_1_.75 92 75 L���•�«•v��mne�_380543� ,;,..�i,�s_C-20 c�„�.:,<��,._Rancho_Ai r_,_Inc._8-31-85 � I am eaemp[ from the licemin,,rryuirrmrnls as I am a ' ,Q„ Q 5 p licrncad archin•ct r r � rr�isr�.rrt pm(r«ion�l ror����r .Plan check fee 25°0 of abave. �rtinr in mr �rufe<.inn�+l c:,:�cih, (c^.ction 'Osl, 23us� � #� • • • .8 inecs and Prnfe«ionc Cedr). � PERMIT ISSUING FEE S 10 �j� . i.ic����tr5.:.�, u,re TOTAL FEE 23�25 f,•3 2 3 2 5 �io�.�r,o.cxrr..�3oic.urr:n�.c�:vi,�rtav P�AN CHECK APPLICANT � 1.3 Z�G S� 1 hrrtby nffinn Ihnt i :u� e rmpt hnm�Ihr Canir�etor's �NAM[ 0,�.24yS�1. l,icense la�r fnr[he follm�inc�rri�nn (�ection 70J1.5. Ilusi- nrcc�nilf'ro(rs�inn�('�Ar): ' �ADORfSS � � 1, a� ���ncr n(thr i•rorrrt��.��ill Jn thr�nrk anA fhr a � �tructure c n�t intrnJed nr offrrel for s��lt ($ection CI7Y TEL.NO. �044,Au<inr�c and 1'r"fr��innc C�+de). ❑ o`""Er� THE ANDEN GROUP I.]5 owner of tl�r property.am r�cluvieefy conirsetinn w�ilh Iicrnsrd cnntracturs Io con}Iruct the prujec[ htAIL (src��on�o-ia,nu�iec<c,nd r���r.:<�<,,,�Code). /�DORESS 1074 Parkvi ew co�sntucnosi.rvui�c,�crscv CITY COV_i11d ($j$��."o.g67-9541 1 hrrcby .�ffinn ❑nt ihrrc ia r� ennstruction Icndin;a,^,ency Rancho Air, Inc. fnr tlie rrrfnrm:�nce nf�I�r u�iirt: liir ��I�icli Iliis �,e�mi[ is CONTRACTOR ' ued(Sec�n77.Ci��.CJ. Ixm7cr'SVamr __ /�DORESS ggg0 Benson Ave. Suite 118 - Lender'c,�JJrcx "TY Montc_1 ai r,_CA LI4') NO� 981_4801 1 crrtify [hat [hai�e rr.iJ Ihi�.ipi`lii�atinn �anJ �istr Iha[ �he "Tl�TE L 1 C. ahoce in� rmstian ic rnrteeL 1�-«��•m emn���y��itti;�u euunty ue�Nse No. 3HO543 CLASS C�2� . urdinar �,:md �. • I.iu�s rcr.uletin�Heatin;�.�'rntil.iting anA � Air C•a ,ti� .nc,a�d here6y:unhuri�r r.presen�ati��ec af this S}:}:kEVGIiSF.PON EXP[..4N.4TORY L.ANGUAGE Cnu�� t, •nl�r ;pnn thr :ihocr�mrmiuneJ �ul'�'r: for �� ��. . �,. .s. ���i� -sienaivrc nr rr�ni��re u��c ,J , ' " r . u :l' . . - .. , • „ • i �S . � ` _,, ,1 r . c ' . � � .� � - . z " b m • a o . • � � ,J N � � O � N ' 2 N . � m a O ' � _ � „ tA . 2 , O a m . �, % pf,.� -•� - �^ �. � ^ v " � � � �y� �C^� - . r v~ an .�'..' ! r. a.C. ?. n �. N O^.. �^ 'n � .. �L^ n V � !. 'C",C, r; � C C - p .... .. % Y7'„'1 ' � n r V .ao" �--' . ��` pn � �-N c � "- �=', " � �r.'.~ ���. 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