HomeMy WebLinkAbout1559A1NOIt KP.RS' CU",1 }'i `:S ATI(i'v DI CLARA LION
I berohr aftinn that I 1 _ _ nth_.t:z ut .non t to Self
i n.,ure. or a ea rtifica R! n; r;.!,rh_•r . Compa!,ztion lnsuran;e, or
o tartilied "w,, •- fIS. .: 3eGa, 1_ti•. U.)
Polk, No. 306-$OCo:npau, St. Comp. ins. Fund
❑ certified ci,p;, i:. t:_rel•y f:umsilr
Lhl (.wired copy: I, file:l v iih [I'd _. ".� •.. 'f,:irf it;spec[it,t,
J; partlirzr i. _B
Cayrs�/):�.,,(,./.
CERTIFICATE: OF CORKERS'
COMPLNSAFION 11C-I:RANCI.
(This section uecl i..)tr.. n: t!rreJ it' III— hark involved
b) the permit is for a!l'.' himuua doiia:rs (SI(i01 ar less.)
I Lcnif) that in th:, !;crto: u:.:::_.::,: aror:. G:; •..hiJl thi.
permit Is issue,:, i Barr not milli- .t•�;' p: ni:n in ;.I•: mannzr
sa a; p, be,.omc auhiccr,,rtnrrS� C,ar pa n Laaa S.
Date_-.-__-.--
NOI'IC'E. TO APPI i, 1. III;, Cznifica:¢ of
Cnmpertsatior pri. _:::. nt tl-_- ' ' _: L'• - ..:u. f:rrih-
asirh r„mC}',' .Itt ,... 0— p-odt .ii.tl
dc.n:,:J rcc,d.ea.
LICI 7L1)t+ - !!iIC' 11!.i'I.,F a'HON
_.
tlUmmen Ct^_'.::L:: � ,. ,I tin:,;:;;•. 011 t1.!. PP:
,nd Pnlf.,... ... a..__. ........ -_.-. fu.. _..
eftert.
Li__e `.ors,,r 195932.. r C-43
Summit 3-31-81
c-Itractnr_-__--
i am ca to C. t%e i;% ;air: rr_ar: S I ,m t
liven<rd �,arcl: itedt ;:r '
. � rnr:,:ioa�f ra'nai:
actir;: in 111y' pn,!v..:;..:-. t'•. 7051. Buz.
L.. • .rt I'r...... . H. . .....
Lit. or Reg. NII._-
IiO',.� Cii: .r ,. i::.li -,- • „_ C.1. i. li �i i iG;"r
LiLetlSa L;a .`o; lira .... _ c[r ., 70 I._. B'aSi-
ness and Fmfcssrrn, ('„ ie)�
1tr J:f Ur !1 I;,,. ;.1; r. ',I' fG,: e[ion.
❑ I. as nacner of fit, I-,; .rip. on ..,,.fuaice!c runlraa tiny:
with Iicens.:J _unilaa n::. I," Can:;trr:Lt the prof-t
(S-1—n 704", Fu__, Prot, .r.:n C�oJal.
Ci ;: is C Ili):. Li -NIA.,!, .1:i 1 N(
11—chv affirm rest th.•reLo!:iln-ctiu!! I..ndh, ay: nL,
for the p::rt,t!.r—n .• •t!' tho •a c;rn 1,.r %%:ikh thi, pernik is
Lend cr'S Nam �._.._.__ _... .. ....... ........ _......
Lender's AJJn•!..,
1 certify at I It— r::..! I1J, ... rid n:c that t1;,
abuae intoth, rzion is ci,rrraa
_ I s�,rar'!to c'umpl} faith :III ('ounty
urdinau.:a� .:I star hv.s ma.L:i: r: }lv_tint. Ventilating and
Air Cun.fiiionir.• J hr, r!, L,rti,-u. e:a.+tiae, of this
Count} to :111- uvon th,, dUOr2 .R otv,n d p!operta for
CEA 818(2-80) APPLICATION FOR PERMIT
HEATING -VENTILATING -AIR CONDITIONING
Tr.# 33636-B Lot # 70
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN
IPRINT OR TYPE ONLY)
ADDRESS 1130 Red Muff Tn
NO.
TYPE OF APPLIANCE OR EQUIPMENT I FEE
LOCALITY Row. $ta
EAREST
ABSORPTION UNIT, BTU_ I
CROSS ST. Co ima br Lemon
DISTRICT NO.
PROCESSED 61
!AIR HANDLING UNIT, CFM
I
BOI LE R, BTU
j
APPROVALS
DATE
tNSPEC OR'S SIGNATURE
COMPRESSOR, BTU_—
ROUGH
I VENTILATION SYSTEM
FINAL
EVAPORATIVE COOLER
t
VALIDATION
_.... .; FURNACE: 1
ACE: FAD_ GRAVITY I
I —
#— IFLOG BTU i
I
' HEATER, SUSPENDED UNIT `
I
$ WALL
Plan check fees 25". of above.
I PERMIT ISSUING FEE $! $ 50
TOTAL FEE 23 50
f� PLAN CHECK. APPLICANT
ADDRESS 21811 Belshire Ave.
CITY Haw. Gdns TEL. NO. 527-8863
OWNER Presey
of So. Calif.
MAIL P.O. Box 4600
ADDRESS
CITY
New
TEL. NO.
540-0500
CONTRACTOR
Summit Sht. Mtl.
ADDRESS
1I
same as above
CITY
TEL. NO.
SEE REVERSE FOR EXPLANATORY L.ANGUAGF
fi • Y • • /� 1
I .'.2z: c
i.:p `4-� 1
(L
a
U
Q.
co
co
Z
of
ri