Loading...
HomeMy WebLinkAbout12_20_1982 - 1817 PEACEFULL HILLS RD ,��aaK�:as���»+E�,.�S.�r��N�����:,��:,T,�v CEA819C�2-80) f#PPLICATION FOR PERMIT I hereb}• affirm that 1 havc a'cer[itica�e nf cnnsent to self � insure,nr a�c�e+.rtifica�eo 15brkers'Compensstirn Insurance,oi HEATING•VENTILATING-AIR CONOITIONING a certified� �' �Sec.3800 'i6.� C.) � � . � � �� Policy N� ompanp ��'�'L� ❑ Cer[i(ied copy is herchy Curnished, C UNTY OF LOS ANGELES n � DING AND SAFETY �Cer[i(ied cnp��i�f�.rd�cith th n '�u' .i� ,inspectinn r BUILDING e5�,-� �. FOR APPLICANT TO FILL IN Aoortess �8,�� �� Ilah_�.K� pplicant__ ___ �_ (PRINT OR TYPE ONLY1 LOCALITY CBRTfIICATF:OG FXFS11'T' 7 ,FRO}115'ORRTitS' NO. TYPE OF APPLIANCE Ofl EQUIPh1ENT FEE COVFLKS.ATION 'iUli;\NCE NEAREST (Tf4t SCCtlon nePd not bC COmplMed if ihe ��'ork im'oh'ed � ABSORPTION UNIT,BTU CROSS 5T. a b}• the permit is fm one handmd dollars (S10D) or tcss.) �ISTRICTNO. P cess oev U !certify ihst in the performance nf the�cnrk fnr which this AIF HANOLING VNIT,CFM ^ _ permit is icsued,I sh�ll nnt emnlog 3ny person in any manner �j� a�/�`��� O - su as to becnme suhject m the\5'nrkers'Cumpensn[ion Lsws. BOILER,BTU Datc Applicant l COMPRESSOR,BTU_�/.V"-�— 'O �PROVALS DATE isSPECTaq'S 3NnTuaE V � ROUGH N N! C TO AYPI.IC.WT:I4�fter making ihi<Certifitate oT VENTIlA710N SYSTEh7 FINAL Z fie� ,ion, ynu should becnme subjec[ [n the lt'nrAed' Compen�ation pru�idons of the Lahnr Cnde,ynu mus�forth- EVAPORATIVE COOLER VALIDATION ���ith comply ���i[h such provisions or tliis permit 5ha11 he ' ideemed re�okrd. FURNACE: FAU rP V�TY LIC}CNSEDCONTILACT[)14SDECLARATfON FLOOR: BTU_ ��� '� ^ T herehy nftirm ihof 1 sm li;en�eel��n�er��r���isions of Chs�ter � HEATER: SVSPENDED UNIT 9 (rommencinK w�th Srctinn 7000)nt 1)ivision 3 of Ihe Rusi- WALL � ness and Pmfessinm C�oJe,anJ mp licrnse is in full forcP anA - e(fecL �^ (/��'/�(7�//J'� • . . Licencr Vumbef.��}7. -.Y I�ss_�r�l_V - �� _ n_ ,_�O, � �_,j� � � llh.���� �..�i�o�r a /� w�_�c. C�nttsc[or���_�.._��)ate_/�r�—_ — - 5�� ��p � � 1 am exempt from �he Iicensing requirements as I am a #{• • • • •8 licensed architect or a regi=tered professional enginerr Plan cheek fee 25°'o Of aboVe. � aetin� in my prnfcssion3l ca7�city (Section 705I,Bus- . �'• •5 1.5 0 inecc and rrntessionc CoAe). PERMIT ISSUING FEE S Q • Lic.or lieg.No. D�te TOTAL FEE �1 •'O •5�•��� IIO�1G OtCNER�AIJILDf.R DF.C[.ARATION PLAN CHECK APPLICANT � � � �� O'��O 3-��J 1 herrby affirm that 1 am e.empt from-the Cuntraetor's NqMe � I.icNnse La�v for Ihc fnllo�ving rea�un (Sectinn 7031.5,Dusi• ` n� 1�11'rnfrssinnsCo�t): � AODRE55 � . �� O � , ac maner nt[he pruprrt5'•l�'ill dn[he�eork and the C�T,, TEL.NO. � structure is nol intendeA or o(ferod for e�le (Srctinn 7044,I3uainesc snd Pmfe«ions Cndr). , � ❑ OWNER I,as msner of 1lir proprrly,am exdusively con�r3c�ing �vith licensnd con�ractnrs [n a�nstrucl the project MAIL � (Secii�in 7044,Dnsinrssand Pr��frssionc Code). ADDRESS - CONSTIIUCTION LISVUINC)AGtiNCY CITY TEL.NO. 1 hereby affirm that Ihere is <�cn truc[inn Icndin_v. aFency - � . for the jierform:�nce of the ticnrl: for �chich tliis permit i5 CONTRACTOF �1�I) _ � . issued(Sec.3097,Civ.C.). � ��Vcc�� - LenJer's Namr AODRESS ��� �iy/������1 O - K1�� t� I,ender's Address ��Ty TE�.NO ^/ . 1 ecrtif•thst I hsve rrad [his i.ilic�liun and st�te Ihat Ihe ������ � • ) �I I STATE. IIC. a6m�e information is carretl.[eerte[n compiy«�ith all County UCENSE NO. CLASS o"''••V - ordinances and S[atr laws rrgulo�ing 1{cating,Vtntilafing snd . - Air Condit� ninc,anA herehy authoriie reprezentalit�rs of�his � SF.E REVERSF.FOR IiXPLANATORY LANCUAGE � Cnupt� � N t� r nn [he abm�mentione prupert� . iusp� �� ' re af P� .. D.ate - n � � _ : E r_ .. ' ' .::- , � � �, .r' � ' '`.=- � • � � '�'" �i . � � �� , ` � � � '� � �=;�,-, _, . -''� Z"NC � � , 4, M.�,.�.`�._ R� -`l � �� � ��� �r' ., � _ N � � i � :=-' ; �,' t""' 2 :y" .�, ; r. Nc ,-' � � ; ✓'; �' ....- .-� _ �.��� �«'; �✓l �,� O �, - . ". - .% , ,..�'� � y-�, �., ���� • 'i� ° J C � �M,,,,.. �� �.r'y � � � ,,.i l.+ ' :.f ✓ .✓ i`• ; . �.. r, __ �•- , .� �`% �+ ._ � �°,' [.- ;.i - � ,,...� : � �,. � �,<. � 'ti,,� ''� ` �._��.•1 .:- . �, r ,{� {ry '�` � � _.a C Co��G� 7,f..+��'C�J --; ` _— '- "Y�.p� " - ".Ni:-�Y� r� ` . 1'. ..' s: ��(a�, `�,� ° =.'� "` � � Q � � n r � C•� �. �`�. » � L . • �� \ � Y � G � f n � ._.]� •�¢h r v f_�^� 'O �� ��/r' C r`"' ��: � !M•� : t:.�y p r• �'fl„c o. ' � " �r.. G� � r r.. ^R•D,;.��.�"'.. :. .: i.}. . .i.-�'r�F' ✓' •-. -�'c�. �i..�:�s. „ r,�,�.r` C; � _ C �'=. ~^p; - G ;" r; t.�^ �� •-Y J �'~ :+'��v� ('.� '�� {�� ...`c" y�y' Y�L'C: `rJC�;•�'r 7 ",;,�p,�„«•���..q��� G f��.L^ n . ;r, �? ,G� . � - 7 c� n n V:p ;.�����;•'F �.:. %' C'' �,r �, :.`� �` .j'�.o e. � �.�: C ia�' �,C„ � o a v. rt r . ' p l i C' . _ " � c ti..-ro� _. z: _, �'C.,._-' c" c 'r.f F' r,:�, �. ' ' + F.. �J c�-. ,'�'y,,:..-.r � ��: �.,V,=*.' ''' r 'r'^ y:, N:`:�� �'?rc �a'� l�t .n 7� C � �: ^f.�p" p �-ti'� � tf�� 1 � (: ., � n `' :i �•'� i �C, p C. C'.P 1, .� (� � u'� C�N� l�� • ,�_",� Q � �G }: � � t:>, r: < �,. 'C , G � p --� .' O .. ,� . � � . z � e� �� F� n� r' n _ - '" o,o a•o'_� '�`: =,,��s �,c�� � P �, v �...,r 2 � :, _ _ �:c� �=-, ..:��._. . .. `41 '��c ^'•'� �, `-' a ry"•'r :�c� :-1� r,.- � � � `1 y� yf� p� '^~�.•��J��� �~ G.Ca.� O r�o �C,,.� �ra 4 p..C � R, R, `��'i^` n R��'� � �`- . � - R;o c` ,�,,,.. o ` `� ,.,,, .:.�- A A ;,^�-,:v c"'... ... i►r,:% . ��,;. �• � � :'�:G...� c� O U v p �' f f. Y�" �;� ...'`� _;o^�� f, ,.O . .i . � ..,, �� .M?��•` �. �C ., '�.� ;, `''G �n K ;';c' " �.' �� 7 l�"'�L q � a .�.K. �.^..:: y. � �' '�'`^ � ��y,:,*;' c'_f. �� �v c�"' c. "' :� �.-•. �' a+N'%' n o n G " � n �^ � h J o " � p c,�. ; ?,�--,� �. C�;."' o w.^ , +, -� � 'n d ' o ' n _. � 'i' �''� �"�-� � ,C.. ;�.� �G -o n ro �: ��� �=,_ �. ¢ '� r o �,c Y �,v c�s+ r- �.Jv.,r "" ' '" c, •_.. ... A .� . n�" -�Da =. c�'o m�! ' �• . . o » �- ��j, f 'O O �;.'o J O "� � � � ... p r O F t.:, " � -- ., Y=3 ^' � � --N_ C ^,i L C �� R. �. �� �' -... � �, ao ~T�""'- c o �,,� ,,, n .,� m c ='�"� w p:.�i . - r C �1" i �Q Q� � � G � �: O .- O . i •c � ,d,t ' r��., �.�-- � c,��C� y ���R "' �� . !/ . :. �.` t; /' . � _...q : '+ / ca �•_., • S+. t.- ,"�,-. .. 1� ,t�.+''' � • ; 'c !� ' . j l; i !