HomeMy WebLinkAbout1161A (5) 7GA364C �
�tnur,r.iis�corai�r.r:s.3ric>�nrc�:�x:�i�ovi ce.a�n�s-eo� �PPLICATION FOR PERMIT
I hrrehy affirm Ihel•1 h:ire a crrli(i.�te �>f cnnsent to self �
in<ure,or s certifi.�tz nt�1'nrkers'Cnmpensa�inn Insur�nee,oi � HE�ITING•V ENTIL/�TING•AIR CONDITIONIN�i
�crrtifieJ cnp}�thrrenf(Sec.7c00.Lab.CJ
�'nlicy�n.F�4329 Compmy_Fd71'fl1011t.
❑ Ccrtifird rn�y ic hrrch�•furni:��r.f. COUNTY OF LOS ANGELES f3U1LDING AND SAFETY
� Certified enpy�v fikd«�ith the cnun�p huilJing ins ectinn
Jrpartmrnt. . � FOR APPLICANTTO FILL IN qOIDRE55 960 N. Golden Spl'ing5
Date A�;plic�nt (ARINT OR 7YPE ONLY)
cr.taTrnrc:�n:or rsi:��rnov rao�,t u•oiu:c�cs•
NO. TVPE OF APPLInNCE OR EQUIP�9ENT FEE LOCALITY p�amond_Bar Bldg,_8
CO`��PP:SS.\TION IVSU!t;1�'Cli NEAREST
(Thit section nccd not he cnmplMed if fhe wurk incolred a.t350RPTION UNIT,I37U CROSS ST. a
by thc p^rmit is for arc hundtc, LOII�tS ($1001 or Icss.) �ISTftICTNO. PROCESS• ov O
I crrtify th�t i:i thc ���rrfonn;mre of t!!?«�nrA fnr���hich this .41ti HANDLING UNIT,CFR1 'O
p^rmit is issurd.I sh�ll nn[empir�}'any percnn in any mannrr `�� �
so s�tn hrcume§uhjrct U�Ihc�Cnrkrrs'Cumpens��ian L���'S. �OILER,OTU �
APPROVALS DATE 145FECTOR'SSIGNATURE U
I),tfe :l���Iicant � COMPRESSOR,QTU_30�0�� 7 iiOUGH a
N071C1:7O APPLIC:INT:(f,aftrr rnaking tlii.Certifie�tr of �
ZO VENTILATION SVSTEh7 8O OO FINAL Z
h:crmp�inn. ynu �Lould Lccnm�_ cuhjrct �o thc llbrAers'
Cnmptnv�tioo prnridnns o(!he L�r•or Cad^,you must(nr�h� �CVAPCft:.��VC CCOLLR VALIDATION
�ith mply cilii ucii prn�'i:ionc nr tnrc prrmit chzll Fe
deemed reroked. � ' FURNACE: FAU_GRAVITY
LICL1'SPO COtiTRACT(lR5 D4:CI.:\IE:1Tf0� FLOOR: DTU_
7� 6�.;00 ZO 00
1 herrhy affirm tB:��1 am ti:enaed:�nd;r prnvi�ionso(Ch�pter IHEATEFt: SUSPEND[D UNIT
9(mmmenring�cith Sectinn^,OqO)of Uicisinn.l of the I3usi� L'lALL
nrsc and Profr<.ians(�nd�.s�d mv liren�•,ie io tull Lrrcr and
rrrr�t. 53 Registers @ 1.75 92 75
u�:•�«�yi�m���.�_380543 �.��.cns}_C-20
c�,��.,«��_Raneho_Air n„e__8-31-85 �� � �,� q
� I am rnrmpl Gom ihe licen�iny re,�uirrmcnts as 1 am a #� �y ��$
licrnsed arclii�ect ur � re�i<trreJ proCec�iunal rneinecr Plan ChC'Ck fCe 2590 Of 0bove. '
aetin^ in m�� rrofre<'on:il c:�;aritp (g,ctinn ;Ott. Dus� � � •32325
iness:md Pro�r==inns C��de). PERh91T ISSUING FEE S � � .
L�c.�r�ce..v�,._ __n,�� TOTAL FEE 323 25 •.•3 2�2 5�
tto�;r.o:�:^:r;rzrit;n.ur.itueci.:att.�nos PLANCHECKAPPLICANT 01.24�84
I hrrcfiy atfirm that I an; ecr�npt Yrnm�thc Conlracior's NAME
Licence 1,���� (nr thr fnllu���nyt rc::�nn (C��ction '031.5,Ilusi.
nrcc and Prnfr=�i����Co+^l: 11ODRESS
� I, n� n,..n.. �.f�!,..�.���,�.rc,..�q� ..�����...,.,.p ..;;d :':r YCITV TEL.NO.
shuchire i� nnt inlcnJrd nr n(fered (or snle (Srrtion
7oaa.�a��.�nrss,�-i r��re�.i„n:a,ar�.
❑ �,�5 mentr„r��,r ;,�,� OWNEF7 THE_ANDEN GROUP
�ertp.:im ^tNucively cunte�ctino
icith liernsed contractnrs In cnmtn�ct ihe prnject M1?AIL
(s�n���vo3a,n�����,•<s:�,,,irr.,r�:•��nccod�•1. nn�r�ess 629 Covina B1vd.
co�:srut:cnr��utr.u�sc:�cr.rcr O1T`' San_Dimas,_CA rE�."o.599-6864
1 hereh}• affirn� thst [herr is a con�truc[iun Irndinn;�ency CONTRACTOFi
fur the patnrm;inc, of the �oork Inr ��hich �his pennit is Rancho Air, I11C. _ .
issued(Sec.J07',Civ.C.).
Lrnder's�,�„� ADDRESS 8880 Benson Ave, Suite 118 �
�r"at�•S.w�«ss cirv Mo11tc1aiP, CA 7EL.N0. 981—QHOZ
t�z.c�r, ct��� �n��P��,,.i n,��:��rr��u������,d st�c� w:,c in� STATE 380543 uc. C-20
�1����'c infnrmatii�n i�ci�rrcrt.1^crre tn c��rn��ly'��-ith all Count)' IICENSF.NO. CLASS .
ordin�ncc= �nJ SI:+' �s rrgule�inP Hr�tinF.Ventilating and �
:1ir Cnnd,i �in� .,nd'errhy�:iuthnriie�[PlCS�'ilt9[IlYS qf fI1t5 SI�Ii RfiVF.RSIi I�OR F.XPLAN.4TORY LANGUAGF. �
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