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0810A
u�oa�r.as•coa�rr.N �r�ii�or:c�..�R:,T�or: �r.A�eac ARPLICATI�f� FOR PERftRIT, I hrreAy affirm tha[ f hsret'a'ecrtificate nl cunsent to e�df CC-o13l2-fiD) , � ins�re.or�c�•rnti��teo�u'orl.rrs'Comp�•nsutionm�urance,oi H[/ATING•VENTILnTING•F�IR CONDITIONING ' ����nr�ed�o�r rt�e��•ar rsz�. �aoo,i,:,i>.c.� N„�;�r N,>265-80-18,mP,,,, State Ftmd I ❑ CerEitieJ copy is ne«i,r run��>nrd. COUFdTY OF LOS ANGELES BUILDIAG AND SAFETY � (lertified c�,py�.,filed a�ith!lu countS building insprctiun FOR APPLICAN7 TO FILL IN � �ui�owe ,era�t�"n� tP�rrvr oa ivre ov�vi nooaess_70S-Brea-Ganyo11-R.d-1t-5-6 Date App�icant - . LD�ALITY Wa�ut' CI:RTII'IC.4TF.01'F_XF;\1I'TIOV 1'RU11 l5'p1ikI:KS' No. �TYPE n�A�PLiANCL OR CQUIPME:NT FEE _ _ . C011Fi�:M1Sl�TIO^J ITSIJF2!1NC3: Nf:l�RE57 . �,� (Thie section need not Ge completeJ if q�e ��ork involved I.'�e50FlP7iOrd U��ir,nTu � ���oSS 5T. ��� �� � a 6y the permit is for one hundmd dallars (51001 or�c,s.) --- I oi;�nmrna. � � vAocesseoav", V 1 eenf[}' ll�at in Ihe perfutrtlsil�e uC[he��[�r4;fe�r��'liicli tlti� �A�R hil.NOLING UN17',CFn,1 v ,���/��f�� � permit i.isaued,f shall uut empinl':iny perc n in:my manncr —�---�— � - I ' �'�" " 'O sn�r tn become Suhj�'el to�he\V'nrkefs'C'uT��rnS:iti��n la��'s. IP.O�LEFl,FTV . , . f- APr'ROVALS DF1TC- I�ISPEC'1fi'S51'N4TURE �(� UUtc ApP����ni _ {COMPR[$SOFt,6TU—� ^� ROUGH ' � � NOTICL TO APNLiCAN'f:If.a�frr makin�;[hi.Crr[ificsir uf IvE�JTILATiO'J£YSTEM1t FINAL � � Z t:xemptlon, y�iu sl�nui� become cu6j�ct tn the b5'��rl:ers �_�„� compensution prori��ons at t1�e Lsb�n code,yn��mi�ct r�,rtn- �r-vallo�inTwE coo�e�t � VALIpAT ON ��,�' with romplY ��'ith suuh proti�isions ar this penni[ shall he . JeemeA revoAed. --- � � ; � FURNACE'. FAU___GFiAVITY__i ' , , , LICI:KSCDCONTkACTORSPF:CL.41�ATfOti J�FLOOFi� ` [�7V � � � ,. � , 1 hereb���tfirm that 1 am Iicen�eA undrr�+rnvisinns p(Ch�f'j�� li[A7EF: SUSPCNCE� UNiT I ' ' . � . � ' 9(commencing�vi[h Sectinn 7000)nt Divisi��n J uf tlir Aiui� � N'aLL � 4� � ness and Prnfessinns Code,anet my licenac i�m full foac and � J � I �rrr<i. _L_Bathxoom-fan S�Op I.icenac Numbcr Lic.Clasz ; i � � � � � c��„�.:�<«�� n,i�. � � � � � 1 am enemP� from the liccnsin�rcyuiremrnts as 1 am a � � � , . licensed architect nr a regirtxeA prufessional engincor PI�n check fPe 25°�0 of:ihove. � � � � aeting in my professiona{capacit)'(Sectinn ^OSL ❑n�- ------_--'------- y . '. �' .�'�� . ' iness and I4ofessinns Cndt). PERMIT ISSUING FEE S 8 Q � ', � � �, � i. , Lic.or tze�.No. Datc �— �_�� TOTAL FEE �_�-3 O � FIDAI6 OR"NCR-RI7tLUI'It D]�:CLAI2ATION pLaH Cli[Ct:APPUCAN7 ' ' G ��1��.�1 f��� —_ . ' . �� r le i�'', •.�', , � ' I hereby ❑tfirm that 1 um rxempt from thr (bntmct„r'x �NAM5 �, . '�;s �";�'��,��c�., License I,aw(e�r thr Coilo«�ing�ruson (Section 7031.<, liusi- --- ----' . . � �, I I '-..ly� .. ncss�nd Nrofessi��nc C��dr): �qDDFtCSS � {t�5�A I�; ��.:��I� . � 1, as���vner o(the�rnF��rtY.�.ill dn thc��orA ai�d Ilie CITY -- -- T[�.��n. ' a�j d:I�.���^i� � st�u.:�ure is nut intenUeel or�f(ereC lor sal� (S�ctl��n . 7oa4,Rusinrss and Professinns Code). - � , � � ,, � 1.as u�vner uf the propert5'.am �clusiuels cunGachng nwy�F; �ea_HC7fn-'S '� � � � { . � ' �an r«��s�a «���«.��w�., �� � �s«�<� :��� ,,��„�•,� �+A�� 655 Brea Can on P.d. (S�ctwn 7044,gusine���n11'rof�.. n.C��Sr). �'.DDRE55 _�_'__' y ., t , I CITV TEL.NO. . ' .. co�si'�cuc�ioti i,t:Nu�vc,�cE.ncti Walnut 5981841 1 hrrcbf �fLrm th�[ [hrrr i a �umvuction Icndmg agrnc� �-- -�— �� i ;�I� r�� me ��.r�����,,��r or u�r��,��:�: ro� ��t��i, u,+s v���n�� ;, coNrnncronO.C. Cllmate_Co11tro1,�1 + ' ; 'surd(Sec.7017,C.iv.C.1. ,v :� LenJer's I�'ame A�PF7E55 2�52 B. j^T111111� '�. , . , - , , Lendu's AAdr s. � ' CITV �t� TEL.NOo��'f�e� . . � ; ,.. , } 1 cer[if5' [h�t 1 h - d th's ap�,li�at���n and stste tl�� thc �7A7E LIC.O �}U O , ` . , !I �bo�e Infurnl�t� -C tf�CL.I BFree f9 Cutnrl����1[h Jil C��u�it)' Lff.FNSf �372593 CLl�S$C-GQ . , . . , l l. . . ordmances and Sta�� ls�t}rrguia�mg Ileet�ng.VentJ�nn;aud r � � .. . . Air Cunditioning,end hereb>nutAori�c reprexn[atnrs af tLis S1J:IttfVCRSP fnit f'XPLnNATOHY'1.ANGUAGF � , . � ,_. ... � CuuntS to ntcr upon the �bo�e�mentioned �vuprn> tnr �, ' r inspcct��n .pnse� �'' ' . � � ������ �d�'l_ , , � , E . . .. SignuturcuYPerminre Pale � . .. .,. � ....... .. ... ,. - INSPECTOR'S NOTES � O�YNEP.-FiUILDEf:DLCLAP.A7ION . I Irernc��affirm Uist 7 am cccr�pt Gom[I�c Contrsctot's - Licens^ Lair for the follnnine rrason(Seclior, 7031.5, � IIusinCss cnd ProJcssioita Co�lo�J: A�rr cin� nr rot:rtf}� , whith requires c P�'�n»� fo corzstr.rct, c�frer, im,^rorc, . - , �� � � ' l,en;ofis/r,or��pair a:v structure,j�rior tv irr irne;;iere, � � � �� � , � � clsa rcqurres JHe ppplrrm�t jor suclr pennrr ro filr a - ' �� � ti,qircd tmleni2rit tHor t:e ie lircased perrruartr ru t3ie � p�oriaiuiu o/ti:e Co��rra2rw's Lirci+.c:Lmv/Cl+apter 9 , (eonunencirrg ✓.ith Secliott 7000/ of Dir6ro!r J of�he Gusrieeas ci+d Psofc�siorrs Code/ or tl:c:�hc ir e_cempt .. � . . dremfrnm arrd d+C basit fU�dre a!(:,�ed ezenp�lion.,dry � ' � vinlction of Sec�rinir J031.5 b)�mr}�c,�pli;cnt for a pcnnrr .� sirhjrets die applirmrt fo a cirif p�nalrv ofiror r.�orc�l�an . • fevc 1u:ndreAdnllarr(5500J.: � ❑ 1,as o�nmr nf thc prnperp�will d�i thc�cork,and , . . .� - thr,s[ructurc ia nu[infcnded u�nlicmd fo�saic. � , ' /Scc. i0d�, Eiair:rss mn(!'rofccsiwa Code: T7tt Cun- -� � � ' ' trnciar's Liceiiac•J.oir d,-�es no: a,�plr' to ea o�>�irer nj � prupert}�rvltn Guilda or impro��ee tl+r,-.m:.an:f H�Ro dors � nrc3i w�ork hirnrclf prorided rlmr tucl� impra��e�r.rius err nar irtrerided nr ajf��red fur scic. If. i�owrrcr. [!ir hurlding or imp�orc�ncrr rs rol;! within onc Year of roi�tpletim;, !lte nrcrter-bt�ilder uiA lrm�e dre burden of proriuF tl:cr lrc did itar buill or ii�rprorc fnr rhr _ ; purvosc ojsale.) . , . ... . . � l. 2s ouncr nf lhc prupr.ry�.am c�cl�sivcly con� � Uactino+vith li_cn;cd runtracfo�s tu constnmt thc projecf /Srcrion 70J-i.Rm�iae.rs and f7nf��ssroiu Codc:Th�•Com . . varrar? Gicruse Lm��doc.c�rnr appli� ro ar. o�rner oJ praprrrp +aJio L�+i!ds or imprares thereon, mtd wko - conJrac7s fo�rncH prn%��cls icith e eoi+trcelos(s/lii•ensed , . �- purnrm�l!o d�c Coittrcclnr i Lkener Lm:y. 1 nm exempt undcr Sec. — � • G&P.C.fur[his rcasou ll�te , ,. ' O�a��cr ; INSPECTOR'SNOTES • � � - -��--- - • • - �