HomeMy WebLinkAbout1164A (5) lt'C1RKI'RS'('p!.If 1:.':S:\i'ICJti n�CLAR:�TI(7;J 7fiA364C
� h�•«n>- �«,�m t},�� � ���,,. � �r<<;�,�,�e „e���Se„< <�self CL�F31Fi(2-80) A P P L IC AT I O N FO R P E R M IT �
insurc,or a crrtific:�e ot tt'nrkcrs'Comprnsstion ln<urance,or '
i certified cnpy t�mr��of(Sec.3uoo,�.:m.C.) HEATING•V ENTILATING-AIR CONDITIONING
,,,,,;�,•,;�,. F 04329.:�,,,r,�,._Fai rmont
❑ r�•n�riea��ry�s!,:�r�,y r������n�•a. COUNTY OF LOS ANGELES EiUILDING AND SAFETY
� CerlifirJ cup}�is fileJ«�ith�he cnvnh�huiiding inspeqinn 6UILDING
dep�rtmrnt. FORAPPLICANTTOFILLIN qDDRESS 970 N. Golden S rin S �P.
U�tr ApEli��crt � (PR�NT OR TVPE ONLY) P 9_—_
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE �OCALITY Diamond Bar Bld 7
CIiRTIFICA'il:ni'FiXh:11!'TIOV fRU`,11':OIiKICRS' g•.
CO\1Pi'V5:\TIO^7 115UR:\NCI: NEAREST }
(T)iis �ection neeJ not ne cnmplefed if the �rork im�oh�ed At3SORPTION UNIT.BTV CROSS 5T. d
by the permit i� far nn.^, hundrrd doll�rt (5100) or Irss.) OISTRICTNO. PFlOCESSEOBV �
t certify Ihat in t6e perfnrm�ance n(the�vnrk b�r uhich[his lUF7 HAN�LING UNIT.CFM / �
permit is iscurd.I s!nll not empin5'���)'persnn in:my manner . <�� �t/
sn as to herome<u6jec[tn[he\l'urY.era'Compensation Laws. BOILER,E1TU �
f)ite ;1r�li.-n[ �'P�OVAIS DATE IN.PECTOR'SSiGNATUrtE W
' 4 COP,1PtiGSSOR,BTU-�O_iOOQ I 40 � ROUGH y
tiUTICE TO:\PPI,IC,1V7: If,aftrr�naking ihis Cer[ifia[e nf lo VENTILATION SVSTEM FINAL z
1'vermption, pon chnuld I.renme .chjrct t� fhe 15'urkers' O .O
Cnmpens��tinn provi�inn�of th^Lahnr Cndc,you must forth-
uiih i��i�ri1' ��ilii � . . c.�nonnnTt:'E COO!ER
� i I ucn pra��i�innc or tnic permrt shsll ne —•••�� VALIDATIOiJ
JcrmeJ revnArd. FURNACE� FAU_ V V
i.u�r:tisen cov nz:�cToias neci.;�R.�rro� 4 F�oor�: oru_6I��p0�b— 40 00
1 here��)�a{firm(h::t 1�m licen.rif unJrr rrrn�isinnc nf(;hi�ter HEATER: SUSPENDED UNIT
( 9 (cammencin,r,�.�i�h Sectiun 7000)af lli�i�inn 1 of�he i3usi� WALL .
ness and Profes•inr.s Codr.�nJ mp Iicen�a is in(uli T�,rcr and
err���. 34. Reg_ister�_3L1_7_5 9
�.�«�r��z v„m���_380543_ ,,;�.c�.�«_C-20
c������«�rRancho_Ai.r �,t�_8-31-85
� 1 sm erempt frnm the lic,n+inr,reyuirmients�s 1 am a
licenccd �rchitect or a ra;i<tere.l prnL«ional rneincer Plan check fee 25`;0 of above.
.+.ctin:� in mv profe.�.ian:it c��.^.citp (Sccfinn 7057. 13us�
ine<c:�nd��rora.sinn�codr). PERMIT ISSUING FEE S Z� 50
I.ic.or P.c;.vn. U:�te TOTAL FEE ],90 QQ �1 1 6 4 A
fl0`,iF:OP:�CR�BI.'II,Df12 DiiCl.:�l::\TIOV PLaN CHeCK APPLICANT #• • • • •8 .
I h��rrhy affirm thii 1 em r�em�.[ frr�iii�Ihr L'un[r:�c��>r's NAME ��� � 9Q00
Liccnse I.,�w fnr thr falla�o�n!:r:�:!sun (Srction 70315, Ausi- .
n�•�s�nd r<<,r�,.a,��„c„a�): noonEss � . • •1 9 Q 0 0 c=i �
i, :�� ,,,, � �r,n� „�„� ., .;n ���,rt,,. ,�.,,.�. ,�,� ,,,_. ,
<«<,�a„r�„ �„c intrnJr:l rnr nfL•red r„� s�i� �st��ro� CITY TEL.NO. . 0.1,2 4�8 4
7044,liu�inrs�an�l I4�i(i•«i��ns C�idt).
❑ OWNER TNE_ANDEN_GROUP .
I,�s mcncr of ihc properq�, �r.i e�clucivrly con[roc[ing
�rith licrncr�� e���ntr:ict��rs tn et�nsttuct tlie �+r�jec[ h1A1L
csr�i���;oaa.ii��<���•.s,�a r,,,rr�t;o,�c�,ae�. nooness 629 COVj�d_61 Vd,
cnvsr��ocno:��.�:���,>:o:,cr�cv ��TY San Dimas, CA TE�."o. 599-6864
1 hrrcM1}� affinn �h:3t thrrc is :i cuncinirtirm Icnding agenc�� — �----
for [he perfnnnance nf the u�orA far �chich this pe•mit is CONTRACTOR Raneho Air, Ine, �
issutd(Scc.?U97.Cir.C./.
Lendrr's!�ar.ir AOOfiE55 ggg0 Benson Ave• Sll��e 118
``°`'"�``�di1r•" Montclai r, CA 981-4801
� CITY TEI.NO.
1 eertify thal 1 I�nce read Uiis�I`plic�liun and ctate that ihr �
,n�,����„r�rm����,��s��„�,�,•�.i,:�,•z��,�o,»i•ly�cith all County LTCENSE NO. 3HO543 c�nss C-20
ardi �mee<;md �tr 1���•s rceul�tin�Ifco[in�.Ventilating and
Air�inJiti��� �nJ hrreb�suthoriie representa�i��rs of ihic � SIfF,It]iVF.RSF GOFi F,Rf'I.ANATORY l.:1NGUAGE
G�n_y ent�..upnn ihr :iAncr-mrntiunrd prul`erl>' for
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