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0937A (5)
� �����ah��.�za�c���r,����r:�:,������, r,���;,,�en�,:>:: b�`s;8tz-eo, • /��f'PLIC/�,TIO(�li F=OR PERf��YiT I herc6y aftirm L'�!: 1 h:ive ❑ crrtifiavta of enme�v to self � ins�re,��r a c�•rtit�,;i��•��I�co��-,,r.•C�,mp._i�.;;nion I��sur�n�o,ur � HEATING•V EIVTILA7ING-AIR CONDITIONING u crrlificd cn;•y thscnC(ti.c.J`00.I.,�I�.l.) I'��li�y�To. C�,ml`�n)'� _ I ❑ C�rtiri_d c��ns�s t�erchy t.�rni='i�•+. COUNTY OF LOS ANGELES BUILDING AND SAFETY � (:arlif�ed e����;�i,(if?d�+itli[!�r c��i:nty I�uil�in,:ins�ect���n BUILDING c�•r,rr��,����. FOR�PPLICANTTO FILL IN AooaEss �}2�5�,�{�,P�t��s�.(Z(;`LJ Ua�e AI`:'i�::iit _ (PFiiNT OFl TYPE ONLY) _ �--� LOCALITY -� /,(SM�,,,(,(��.nr1 � CI�:RT[I�IC:\TI:Of��1�\1�.".i!"I IC)ti 1'f.()`.!1':()I.lil:[25' NO. I TVPE OF L.PFLIANCE Ofi EQUIPMENT FCE i/LY� Rr`1V 1�fG.� ('()'�.1!'I'..':5:1Ti:J.`:f';ti;;l:�\'�'c'I: CRO`SST.�Fj �VO ��D ��(2{ } (Tl:iti scction r.cd nu[ La co:t�,�fcd if tlic �rcd.insol��cd �ACSORPTiON UMiT,G7u d bp the p r t � fc ir lu � d Inlcra (SIGO)or Ics.) oisraicrNo. a���tesseoor O I iif[114 It�t tl t1 ��. 1. . 1 [ . t 4. t �h�1 [I i. I�IF'HANDLING UNIT,CFM V p:rm�ti. :s 1.1-.I i t i�l y t�� . )' � I 3 �„7T1 �� .�CC<.t�c� � si,, t i I����ii��c;i �.�I �n[I��1 n V:�.r� C .ns�tic�n L��+sr lU�.LER.QTU—���. (Jl.�� � � APPFOVALS �ATE INSP�:: fi'SSi.NATVRE U t>,�(—�1 �'�,, � ��(/��,-� �,.,{r�-.�_ ��,,PaE�so�,BT�, � � / , u, FlOUGN � h0T1('I� ICJ \I'1'LI -YI.II, i : Ilii�('��rtif�c:i[i�cif VENTILATION SYuTEM —��I .tt�' � ]�. em�t y'�u �f 1� I,����� �u,i.�,t tn tl c. \\'ur{:��r.;' I FINAL �` � � � / Z Ci�m�znc;itir�n rr���i,:�,��. i,f fli� I.:i��ur['n,to,S'nu mus[f�irih- - �.i�n «m i> v:�n: s.�.n p.�m�� ,n;�u �,�• evaaon�.nve coo��F� I VALIDATION r rro�:��::r��,�: �� cr.�, deemed rr����L:rJ, FURNACE: FnU—GRAV�TY—� � LICI:`:SI:I>CO.VTH.�('i�OR51)I�C7.:ARATIUV FLOOR: �TU 1 hir�h�'nffirm t�i;�t I��li_�r.+eu�in:l,r���,�:isi��n;��f Chu{�:cr HEATEFI: SUSPENOC� UNI7 9 (c�� :nci:��;v.itt�S�',ii�,ii i00�)i�f'I)i�i.ir�ei 3 of the Fli;si- WALL ness nnd prnlcainn:rnde,a��n�,y I�rens_is in full force anJ �� � effec[. Liccnsc Numper l,ic�.C:-�as Cuntractur _ 11�:c__ . � I u .amp� tn,m N�r Ifccn,i��; rcquircmentc us I an�.a � . . uccnud arahu��c< < � r�cl=icrr:l �rote::alonoi en nr��r Plan check fee 2596 of a6ove. � :�c��„�� �� �,,,� �,�,r.�s,�.��,:,< <�:�i,�:��.� ts�_�r���� �as�`��n�,�- inru.�nd r«�r��::����ti n�d:�. PERfs71T ISSUING FEE SI �p��/ ' i i;�.���it�•,-.u��._ u�r< TOTAL FEE 13� p �0 9 3,7 A I10'.1I'O',��1'P..ri1Jll,1l1'I,IJI�-C'I_AIiA7'1(J�� PLAN CNECK i1P?LICANT � ' � . #��� � �a • i i�«<•n,� ,�rr�m u��� � :��, z ,,;�� t�o,,, �t��- a,o���o�or� NAnne � • i3Q50 � Liccas�� I.u�v fnr thr 7�,Iluu�hi',:�rcu.on (Secti��n "031.5, f3usi- �����—�-�� . . ., . t r c � 1 �.00�ess��Zl�G�l2P+c`�r' �l�Ql� . . .3QSOc=i ❑l�n � ,� , „• � ��� u „��� ,�:,:� u��• 01.1 0�84 sa t t Jr 7 �ft rc 1 I :�il� Se.tinn dT1 TEL NO. • �o � �, ,,,r ,� �,, � ,, � �Di.�r�o��o �ri.—���`�7� Q I. n([I �r���c 1 . �cl�' ly cnntcac[�nS LOWN[R�r�,.��0� �� . � witli iic�•nv�•,1 c��nir��ti�r; t�i ccinctruct thc �+rnJ�•�'t MAIL � (Scctiur.7U,a.ffu;in,.�un�l I'r<,fi��cinriv Codr). ADpRESS �-�v�. , �i CO\S'CiiU(:'lIU`ll.l'.I':l)1.`�l;.a(;I�:VCY' CITY TEL.No. � f hrrthY uf(ir�n th:�t th.r. i �r r,�,tructian Ici��in_t o�;cnc) � fur tltc ��crCc�[nt�i��'i� ��f f:i,.���.��r4: f�,: t�'fii:li Il�i� ����nnit i� CONTFlACTOR � ued(Scc.307�.Cic.C) �������� Lrnder's N�r�c_._._ _ F.DDRESS Lend�r's�dclr�•s�,_ _ CITY � TEL.NO. ' 1 c�•rtii�� th:it 1 liu���� r��cl :I-i�:uf,�,li��ti�ir. :in�l.s��tr tl��� tli� �STATE LIC. ahi�.��inF��rmuti��n i} �•ct.I��•r��e t��r��m��t�����ith eli C'ount�� LICFN�E NO. CLA55 orAln�nccs:md S[�te I i"..,ru:�.�L�iny�H_;ninc.A'entil.�ting and Air CnnCitinninr.anJ hrrahy�:iuthnriir r�prcecnro[ires uf(hin Sl�;p:ILT:A'ER54:1-0R IiKPLANATORY LANGUAGI: C'<�unty 1�� ���iter tli: :�i��r�e-�:�:�nti��n�J i'ru��i•rty� ft,r � i�i., �-�• f�?�.,�`"'�---1�11��- - 5 ,�,�--��. ,�,.�.�-�.�,. ,,.,r� `�" L . INSFECTDft'S NOTES 01tiNLi:-GUILDEC UECL:\RATIOi� i hu��l�)'altirm Ih:.t 1 am e�empt from lhc Cnniraoior's _ I.ic��r.r. L�,•. fnc iLc fnllo�ci;.g rcasbn(Ser�ioq 7031.5. . , E;:sir:es�s cr,d lrnfcssions CodrJ: Arn� ci�y or cnmu�� . , . �ciricl; req:_i.-es n pe.r,iit lo eu�r.rrrurt. nLer. i»inrore. ' � � . - . . . . . � . . demo;is7�.r,r�epcir n�n•sr.-urt�:rc.prio;ro i;s issumim. . nLo rcqui:as tirc epp(ira�r( for sucf� pa.�rrni: !n file e . . . . , . � � . .� si�ncJ srairr,;ee� d:a: 1:e is liccr�scd pur.n�mu to the . . � . l�rorisio:6 uf f{:c.Cwotrcclnr'>' I.irensc Imc/C7m,�ter 9 . ' . , (conunci�rin; xitl� Scrtiai 70001 �I Dirisicu .3 oj dir - Fusir:ear ond' Prnjra�sioiu Cod=/ or that he i�r e.crrn.rf drerefrom mid:lie Lasts fnr d�e a(le,�zd cxer.iptiorr..in}� . , rioL7tinn of S,etinn 7091.5 t�t�r.rrp cppfiearet for c prrmr� - . . . . . . s�ieb,'errs r,',c ePp(.'ca�rt ru o ci��i!perto!:��of nor morc rl;cn - � .— fire lnu�<lrcd dn1lers(5.500f.: , . Q'i.:u n�a'n4r��if[he�•rppc:ty�cill do�ILc�cor4,.�nd �he.trin:tub:is not intev;ded�ir Ulle�ed fnr��lc. � � ' (Sec. 'O.ld, Ei�siaa:i�cnd frufc,sluia Code: Tl:c Cai- . . tracrur's l.icrrise f,a�r do;s�mt oP��!�' tn ar� awr�er of i properf)� �vku L�tild:r o-impru�'e5 tHrreat,mrd�vlto tfoes � sirr�i x'orA Ein�,sclf psorid:d dret surlr inrproa�errtenfs � nre noi irtteudar.' n•of/e�td fw s�(e. /J. I:o;o.rer. rhe � � Gui±di��, or i�izp�urcntarr is rofd r:itAin mtr vcar �,j cu»i;�l<��ion. 1%�^ r •,-r.i�r�bi�ilt/er ���if! hoi�r fhe buafeti of�,ruria,�; rl+cr he��NJ iror bieild or in�Prore fur dre pi«pn,v of s�fa J � � I, as o•;:rcr ui�hc propertr,am c�du;i��dy cun� Irm�um,uilh licen�i•J cuntra�i�tt.:tu cocstruct tl�^.prujec[ (S.ctinn 70�1. Grrs6rc�s c�id R�ofcs.ciunr G�dc: Th:Cnn� , tmctn�'s /.iceiisr l.cr:dnrs r�ut applv lo nr� nwncr of . proprrtl' u'fin bui!:fr or improrrs d�rrcon. m:d �.hn � conirorla•for s��rL p�oj,e�s�cith a CaiVC.tur(s,) licrn,cd p;�rsiecrtt tn tAr Cnrttrnc�ur's l.i�e�tsc La�.�J. ���1� . , W 1 ara c�cmpt under Sec. : t - 12 R P.C.fur ihis rca�un ` _ Dste . On'ner INSPEC70R'S NOTES � � ' � � � � ' �