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HomeMy WebLinkAbout1018A (5) �.«��h,�{� <.�,,.t,��tis,�T,�,��-��,�xq���h 76A364C APPLrCATiOt+9 FOR PERMIT � I h:.rch�� :.f7i:n: thar I Oa�r a ccrtificate o(consent to self CE-81812-80) , � . , -•.orac.•riiii�:.�n.of�vorker,'compens�tion�nsurance,or HEATING-VENT1lATING-AIR CONDITIONING a corrif'i�..J cop�:hrrcof(ticc.3800,I.ab.CJ � • l�uli.•r:Vo.�_��ComDany_._ . . �I c.r,ir,d o�nv�s hrreny tbrnished. COUNTY OF I.OS ANGELES BUILDIN�AND SAFETY � t'r,rtitied copy in fiicd x�ith the county huiiding inspection � FQR APPLICANT TO�FILL IN BUILDING�PO� /�"'��,IC-+ J�,;+::•.m�nt. AOORESS � . . il�ylt___Ap�;lir.:�nt (PRINT OR TYPE ONLVI � LOCALITY . , (:I�kT-ft'(l':1Tf_OI�F�kk;M1il'TION 1�ROP1 W'ORKERS' NO. TYPE OF APPLIANCE OH EQUIPMENT FEE CO?1)'i���5:1TION IM1SI7R,ANC6: ' NEAREST � (This s:rction rt:cr. r.ot b^ rnmplered if the work involved ABSORPTION UNIT,BTU cRo5557. �. 6y ti��., perr:,it i:. for or.e hundmd dollars ($10�)or less.) DISTRICTNO. PqOCESSEDBV ; � (,� f c�riif�� [h�,�[i:�[!:e p'er(urmA�i�e nf Lt�e wurk for which this AIR HANOLING UNIT.CFM� � � � . 1'�•r;:ii!i�.i.,su�:3.I si�.�ll n��:rmpl��r�nr.y�person in anl'm nner �� ��� �L.. ct�;iv It�I�i�i���f��SUI�j�C[[t)(fl�/l'�-�:erc'Compens: x•s. BOILEq,BTII qPPROVALS ❑ATE INSVECTOR'SSIGNATUAE V � f:atc�__'__'.\{]�li::ant�l�� _ COMPRES50ft.8TU_ ROUGH � " \�, faA . h(J�I'1('F:"f0:�F'vl.[C:A°�i:If,,�fter r.:�king thi. Certificate of VENT�LATION SYSTEM FINAL q ? , Fx;:m.ptinr,. Y;,u til�nuid hecome suhJ�ct [o tlie Wnrkerv' o�,-�2 . Cor.iper.s:��i,;;�� rua:ri.iun;uf[he I.ahnr f��dz,yai�must for[h- . . ��'i:l� cu��,�ty- aiti:- ��.ich �rovision. or thi� petmit .shall he EVAPORATIVE C004ER � �(A���AT��N '. dcer•..dre�nkrd. —' — .. • � FURNACE: FAU_GRAVI'fV—. ���. , LICF.'�'SI�:OCO":TRACTORSDI:('I,AIEATION FLOOR� BTU___ ' . t 1!cr.�n���ii;�n:tL+;rt I am licen,ed und�rprovisionsotChap[er HfiA7EA: 9USPENDED UNIT � ' � `1 i<'nn�imenciug,wifii.Srction^U00)of Divisinn 3 uf the Busi- VL'ALL '. , nrss a�d 2'ruf'c.,s:rn:.<<'ndc.and my lic.ns�is in full force anA � - �o�y ef�rn. w[�.L.[� d UV �. Llcc'nSe'.'�ir,l'�ef ,_ I.ic.C1�Sti I � . . � Cc��ntr.:cinr____:_" Da[e�__ _— . � � � 1 a . mpi Bom tlir liceasin�2quirements�s I um a � _ tic�nu,at archit�.�ct e r a r .istered professionul engineer Plan cheek fee 25°/u of aDovc. uzting. in m> prufe>s'ronulc�.cupacity (Siction 7051, Bus- - � ir„•t,,�nu��rot.s.i�>ns cnde7. PERMIT 15SUING FEE$ �,i�.or K�„.!v�.--,--.---v�te� __' 70TAL FEE Q !f0'4fF;Ol1'VI�.!•�81i11.1)[;f2 D]:CF.AR.ATION PLAN CHECK APPLICANT- ' � � ���0.���A��. � f iierrhy rm th�.n 1 a ., mpt fror,i`the Contractor's NANfE - #:�.�,�'�,�.��8 ' Licrnsc L:rc���fpr �h„ fnitr,ming r.ison (Seuion 7031.5,Busi- . . . nexsen„Prnrce.,ir,n:Cud_): APORES6 .���•���,�1J�Q I . ❑ r. :�� �,,, ��� nF tht vr�>p,•���,�u�u a�tne.;��k a�a tnr 1 b 50�' s!n�c[ure`�i� nnt intrnd�•d or offen•d for salc (Sectior, CITY TEL.NO. ,���.• � -n�a.»,,,�n�•.,������,-,r�•,,,;,��,c�,de>. owN�a /^ �.�"� 1 21 5=.8�1 f `.�ic v:ner of lhr Property.am ezclusively contracting C.� _�� ' +,i�!! �•�.•�+r�J i•.r>ntracln:s [o e<�nstruct the Drolecf MAII . f5�•�'ii„nr'10�i�.Ausinr�s art�i'fof�ti.+ions Code). ADDRE55 .$ � ("(7NST]iUC'f'InN 1.I�,:NU7V(:AGLICY CI7Y TEL.NO. 1 I�i�•reiri� arf'�;m ih:,t tlirn: i, a e�n:[ructii�n Ie�iding xgency � ---"- � �� � t��r th� E�erform:�n�e uf the u�orA�for which [his prrn�it is CONTRACTOR � � is:tued 1`��c.3J97�Ci��.(:.j. . � . - l.cndar�',\.r�ne_—____._ ADDRESS � . . . , l.cnd.s'sAd;Le�s_ CITV . TEL.NO. � 1 ci�rtit�� ttiat[h:��e reati tl:is ap��licuti��n and s[at�that the STATE IIC, ' �nf�� ec[.f aEree to rnmply H�itle all Coun[y I.ICENSE NO CLASS . � � . u:dinmxes un��Sfate��l�ws rcgularine Heating,Ventilating und . _ 4ir t'or�,diri�ii�in;:,;mJ hernc�uuthoriiz representativas of[his SEF.AEVliRSE P'OR EXYLANATOR4'LANGUAGP: � '� � < h� to t p [I ve-mentiu+ied property for � � / , ' S-�3..�i1 I�'"��'r;�rc .��' ��l-_.lr� . . . . . �� � � � � -� � � � � INSPECTOR'S NOTES ! 1; , ' O�VNER-BUILDER DECLARATTON . . � I hereby affirm that 1 am exempt fcom the Cont:actor's � � � � . License Law for the following ieason/Section 7031.5, ��� � � � � . -: . . . Bustness arrd Professions Code�: Any ciry or caunty �� � . �. � � . . - � which requires n permit to cottsiruc[, alter, improve, j . ' � . ..- . � . . � . .. �". - demolish,or repair any struciure,priar to its isruance, , � ' � ptso requires Jhe applicant jor such permit ro fife a . � � � - � � � � . � � - . - � afgned stntemenr thnr he is licensed pursuant to ihe� � ��� � � provisions of the ConirQ2ror's License Law/Chap�er 9 � . : . (c�mmen;rng n��irh Secxiu+t 7000J of Diursion 3 of the � , . � �- � &usittess and Yrofessions CodeJ or Jhat he is exempt � '. � � � . � therefrom and ihe 6¢sis jor the nlfeged exemptiott.Any , , � , violetion dj Section 7031.5 6y atty upp(icant Jor a permit � � - - � � . subjeets the applicanr to a eivi/penalty ojnot more than � �� � � � ' � . -�'rvp huRrjred dollar.r(.�fd9�: � � �, ' � ' i�[}i;�-as owqec of,the p}operry will do the wock,and � � . - � � � � � 'fhesttuctureis nof�GiteriSed oi offered for sale. � - . . . . � � - � � /Sec. 7044, Businesa attd Professtons Code: The Com ' ' - �� , � - - rractar's Ltcense Law dces rcot apply to an owner aj �. �, � � , , � � praperty who 6uilde�or improves thereon,and who does � �. � � . such work himselj provided thar such lmprovements � , � � . � are not intended or ojfered fot sa(e. If, however, the ' . � � � � buitding or improvemertt is sold withir, one year of ` � � ' � , . �tnmpletion, the owner•builder will haoe the 6urden . � � of proving�thut he did not 6uild or improve for the . � . � ' . . .., .. _ . .. �. _.. . .._ . PurPoseujsale.) . � [� I,as ownei of the propecty,am exclusively con- � . � _ . . tiacting with licensed contcactors to constmct the pioject �. �, . � � � lSertion 7044,Bu,siness and Professions Code:The Con- ' � . rracior's Lirense Law does not apply to an owner oj �, �� � � . � propeny �who builds or improues thereon, nnd who - � � � , contracfs for such projec7s wirh a contmcior(sJ licettsed � ; � � � � � � pursumu to the Contracror's Lrcense LawJ. � A$,�0 f� ' � I am exect�pt undec Sec. �:. .. .'� B&Y.0 Sor this reaso� pt',25I• + 1 � �� t8—� �;: l Data Owner �R. �' � INSPECTOR'S NOTES - � � � � � I � , .,.� ! � . , .i . - � � {