HomeMy WebLinkAbout1828A (11) �1'pRI:F.KS'CO."4PF'.NSATIOVUGCI.ARATION 76AJG4C r' � I hereby aflirni �tiat [ h�ee a certifica[e of enn.ent to srlf CE�01II 12-EO) f"�P P L IC AT I O f�! FO R P E R f'+�I�f" insur,orace�tificateot��brkcrs'[:ompans:itionlnsurance.or HEATING-VENTILATING-AIR CONDI710NING a cc•�i�Q�'��SU�360D,lah�.C^.),,� ,1���'(� Puli�) ,�u.0 _ _Com in}��-i�l,�..+Y_!. �� ❑ Ccrtif���d a�p>i����rrn>turnish�d. COUNT2F LOS ANGELES BUILDING AND SAFETY <«t;f;��� 1 38�o Lo�T � cnpy is(iled with cor ty/'�din 'ispectl�;n � •�-„�p•�t/� ((�/) FOR APPLICANT TO FILL IPJ aui�oiNc Datr��V�'Al'�licant _ . V� IPFINT OR TYPE ONLV) ADDRESS 1244 C�AR GZ�C _ LOCALITY��AMc�NC�_f�A2 CI'.ItT[I�ICATF�.OI'EXF:AII'710N l'It0�114'pILI�l:KS' NO. TYPE OF APPLIANCE OR EQUII'MENT FEE � CO\ti'1;15q1�10Y1NSUIL\ti(:1; ' NEAR[ST } (Thic seclion nCcQ nOt bc �nmpleted iC 111C wOrl: irlYolVed ABSORPTION UNIT,6TU CF7G5^ST. p„ 11}' 1��C permit IS [pI OIIC liun�rrd doll�ts (��0�� Vt �C}.5.� I ❑ISTG+ICT.NO. PROCE55'_DPv V 1 eer(ify tli�t in [hc P�•rf��rm;lnc�nf tl:c x'urk fur NhlCh[hiS AIR HANDLING Uf�:IT.CFM � [1PfR:l(IS I�.Stlt'l���t�l:tl1 fll�I Pfil[���>1':111)'�CIS��fI II1:If1V fil]IIf1Pf ' �O O so us tu neeome subject lo[he rAer'C � pe����tion L���s. noILER,CiTll �! - � n� '^ � APPROVALS ATE ini5vEc10�"SiGuaiuRE 'U Uat�-"i'���'licsn _ ___ � COMPRESSOF,RTU�—.v I��I ROUGH �) y�_p,,,_ y NCY'�1:Tp.qP1'I,IG\KT:I!.after making thic Cer[ific�te uf — --- �a���- - - Z ye,u sliuuld heci�m: suhj��ct ti� [li� \�'urkers' VENTILATION SYSTEM � � f'.r .ion, I fINAL c�mv�•��1�����n p����-�si�m�ut ti�r t�bo�c�>d�,r�,u must farth� EVAPORATNE COOLER ( VA IDCIT UN �ailh comply �rith sueh proti�isiuns ar this permit shall t�c j � �icCntcA fernkc�. —� FURNACE: FAU_ \Li.T.i—�'� � . LIC'I:*:Sf:U C'vYTItAC'TnfiS Ili�:('I.ARAT10\ FLOOn� k3TV�����•N ]herel���affirm th�i 1 am Ii��en.cJ un�er�+rorisir�ns�fCli��[ir HEATER: SUSPENO[D UNIT I , 9 (commencing r��ith Sr�ii��n^,00�)n(t)i}�isir�n 3 of[he}3usi� � WALL ness anJ Prnfrssions Co:le,and my licence ic in fuil forec anJ r �rr��t. �2��'�lcp C.'}-2� -�� IN�C�_l��c CtJ3_l..Cj-CS 1� �.A License Numbir Lic.Class_. � Contr�etnrCll-y�l-�-�y_ I)ate 2'C�.=B� ��� � 1 am erempt Gom Ihe Iiccn;inE requiremrnts as�JRI a licensed arehitect or a re„istrred professional engineer Plan Check 1ee 25Sb Df�boVe. actin;: in my prof..sional capacily (Sec[ion 7051, Uus- - --- int•.s;�nd��roecssion�Cnd�•). PERMIT ISSUING FEE S �V SQ Lic.or lic�.No. Uate TOTAL FEE � � Fln\fI:01`.'NI:I��Blllf.11f:lt U!:('LAlt,q'r{p1� pLAN CHECK AAPLICANT 1 hcrcbr affirm [hal 1 �m cxemrt frum�ihi• C�>ntr�cl��r's NAh1E License l.a�c for thc follnwinF reason (Sectinn 7031.5. pusi- � �:ancl Profcsci�rnx C'r,�c): nODRESS -J �. �s ��„-��< <>r�i�r F<<,���n,.„�u a�, u,< «o��: and �t�r �1 8 2 8 A stru<[urr is nnt intencl�•cl r r c�ffi�ri� fur s�lc (S�ctiun CITY 7EL.NO. 7044.�u.inr>v�nd Pr��f�csians Cude). •.• • • � I,�c o�vner e�f�hc {+ra`eril'.am erclusie��lY eontractine OINNEP��t ^ �'^—�\�� / , �' ' •� �t•'t11211 }1 U n'ith licensed contractors to construct th�• �roj�:c[ h1AIL � • •4 a�Q (Section 7U4a,pusinccx and 17ofcssiuns Codc). AODRFSS P,�p��,�N_�Ct,x.3N_T_R�' . covsrititcnox�irvumca.ceNce aTvOKZ� re�.No. ,•,• •4&0.0� 1 horeb5" �ffinn that Ihare i� a cunstruc[ion Iendin;;agency 0�O' `8 4 (ur the perfurin�nce f thi� ���or4: f�>r �ehicli ll�is ��i•rmit is CONTFlACTOFt(�A C'7 fJ 1e,�'� 1 �-T(�-. sued(Sec.7097.Cic.C.). 1 N_U�,1��_�� t��./ � Lender's Namr ADDRESS' �♦ � Lender'sAdlrrs} ���� ���rv�O�� CITY TEL.NO. . I c��riif)� tl�at I liavc re:iil this a�+l'lic:�ti�� and st�te [li�t [I:e i --���I�� STATE v_��r- - LiC. �=�0 aFuve inf��rmutiun i�cnrtecL I azrer[u i'��n1pl)'��,ith nll Co�lnty UCFN$F NO. CJ �7� eLA55 _ oNin�ncus and St�tr la�cs rcpmPatine fleatin�,Vrntilating:ind Air Conditionin�.ond hercl�y au�horiie represen�atives of ihis SCL R1:VCILSI;1'Dii i:XPLAN:,TORy LA�GUAGI. C [y rn u on tha abovr-incntioned propcn)' Cur �cti� � i i � 2_29-�9 �r,n:rture uf 1'rrmi� Date � INSPECTOR'SPdOTES OWNEF:-L'UILDER DLCLARAI IO�V , , . 1 hcrc6y�sffirm�ihsi 1 am e�empt from d:c Contractor's , . _ Liccnsc i.aw for thc fotlo���ing rcason/Srctinrt iO3/.5, " � � �' � - lTusiiress m�d Arofcs.cionr CodeJ: ,4i�y city or counlp , � , iviricfe rer{uires a pern�it ro conrtnret, eher. Lnprorr,� � _ - ..i-..�• . � - � � � � - - . . - � demolislr:�ar rePai�a�tv str,'rcnuc,prinr to irs�icsnancr, . cico reGiiirrs d:c cpplicarei for sucli perrrtir to fi(c c � ' � ' -. � ' - . .. . � si;ned s7afr�rreil7 lh.ef hc h liceirred pursimnt to the p�orrsioits aJ 17:c ContrnMor's liccasc Lnw(Chaptcr 9 . (rorr.virn�•ii�g iritA Sec�io�r :000) o(Dirisiori 3 of the � 17u.tincis mrd fYuJ"cssioru Coa�e/ or diat he is c.xempt �, � - 7!!erefrorn mrd!!�c hcrrs fnr IGe e!lt,rd c.ernljui0r7.Art�' , � ', , er�dalionoJSecrroc703l.SLva�i�'aPVli.mujn.•cPernirt - �- � � � ' subjerts thc apnlicar,t io a cirr!pcnal{r of nor�rrorr tlim� • � firc Auriclrrd tlollms($jOC/.: . . , �. -,.. � � 1.as mtir�r nf thc pra�rty�cill do'�hr��ork:ard , . ILc stcuc[urc is nnt intcndcd or of(crcA Cnr salc. - ' ' . (Sec. IO�1�F. f3utinrsa erid Frofr.ssiuns Code: Tlre r ' � �� , �,' tre:lor's I.iceiat l.aiv doer nnt app!}� ro an owa�. �f � prcr�crtl'�rho burf�l.s or i+�rp>rores d�ereon.an;l xd�o does srecl� wor� hinuelf prorided thar suclr inr,vrnrerrre•nts ' ... ' -. .. - , , are nof irue+zdc�d or offered f<ir scle. IJ, houerer. thr . . buil�fiir, o� intpruremerr� is sald �ritltir: ortr year of . • tonrpfetinit, 1lre o�rie�r-burldrr �si11 l�a�'e the LrerJrii � nf proring dmt he d%d nof 6uifd or in:pmre for N�e `. ' --.. . ,. . , _ . .. ., Furporcofrcic.J . . . � 1. aa�ov,ncr uf thc {noperly.am c�clusiccly cun- . � , - �racting acith licenccd con[ra;torc tu cunstruct thc projccl /Setrion 70:�1,Busrrtcss m�dJYofcsrionsYbd�•:7'he C'on- Iioclor's Licen.re Lmr docs noi eppl�• to ar! on'rrer of - propC�l}• �rh,o bi�i!ds or irnprorcr thereor�. mxl irhn romracts for surli F�rojects�arrli a cur�trarlor(s//irrnred - -� picrrucrrt�o dre Coarrcrror's Liccr�sc I.mcJ. 1 am ecempt tinder Sec. F3 k P.C.for thit rea�uii i, � , . , . . Datc � _ . . ., � _ Owner INSPECTOR'SNOTES � �'I ;-. .- ,�,-,'� ' � . :r' �. --.., . � .. �_ . ✓,. . ,