HomeMy WebLinkAbout1509AWWHK I: IRS, COMP Ns� 1 iO', Mi. ,1. 1 1 o.'s
'hN a ff"i'm tut; 1,31 , i —I -I! u, .,-I T
incur -, or a Cert i" of C oni :14'a I q q (,;, or
j certificd*U64'68-",ft�ifo INSURANCE
lolicv No.--( .,
. -GR0upp_j_NO-j7--
Certified copy is hereby tuiroili'd.
Cerlif—I copy I, filed -,o,Ij the !,u:Ijio, i_,
J,,pa,tmI.WELBIJ3 REFRIGERATION,DIF(I.
C_
GYRI IVICATTi OF LXE'4lTI ' )N 1 JW.1 Vw 011111 1(�;'
W
CII1T:NS,kTl()N INSURANCI
This section need not he completed if tk,
work involved
Y the permit is for one hundred Jlollaa 61001 OT less.) i
certify that io the "'mi-nanc, i,f the JI 01:n mil t
I
Qrrnit is issued, I �hall not emp:o, a I, n, r
. :)IA:Iri' ra
76
APPS CATION FOR PERM -111T
HEATING -VENTILATING -AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN
!PRINT OR TYPE ONLY)
TYPE OF APPLIANCE OR EQUIPMENT
TION UNIT
AIR HANDLING UNIT, CFTIA
u as to become subiect Lf� lh� kknr
BOILER, BTU --
"iddo
81000
)are
--TU
T()TWF TO 'Pio IC ,7 'f, 2`27
t") DF-, r S
x1raption, you sh o , 1—t:Inn, 'j,-_1 i'l
f VF.N_ILAT!ONSYSTEM
M pens:iti C u f ,f Itli
CITY
comply•ill with uu 1, loloj, I N, tixi,
EVAPORATIVE COOLER
eemed revoked.
,-) VV N FR
TCKS 1�7
j -e. ., C iF PAU_ GRAVITY.—._.
BTIJ - — — -- -------'--'
-------HEATER:
h1r,b "firl th:IT .1 ini ;,J,o,s ol Ch:t;it!,
riEATER:SUSPENDED UNIT
":j
AALL
ri 4
ff", 1, 31381.8
WELBil
or the performance of t lie II %0!!JI this ,Trait k
CONTRACTOR
,stied (Ser. 3097. Civ. 4.).
1-2. 0 i N
1, c.lepipt I Ira c.
__ L
A 0 D 1"21217 INDU
i:ec
"7
Mnn chock 'm• 25'b of above.
czatrimnnti
PER -'11T ISSUING FEE
I w. or Ret, No. .4,.
TOTAL FEE
certify that I ha%e read tI ipwi, !o(,, and tjjru 1!1:1, the
STA
ibooe information is correct. I a.1_ to—I-1, with :,Il ("'unt, LICf
,rdinance ' and St. lure, regolitme Hozit.;,�r _V,nW:,-m!_, and
air Conditioning. ;oul ;o1horile evr,rwnim-, �,l this
'Dun oent.;,upoqIll, ih-e ""WillneJ jlro;,��rtl ItISDCOlInll -
Daft
1.1
"LAN CHECK APPLICANT
C.
....... . ........
Nt
liccnle [,I,, for the. 101i s_
It— and Profession. Corr).
t") DF-, r S
o—er fit 0,,, prop_,,i,. !I do I-,
structure is rot inzend,J .tion
CITY
7044,
CROSS ST.
1, a% o sner of Ihe pportt2
,-) VV N FR
LL 11ll ic.-d ont,I(t"rS t" proi-i
lo- F 20349 B
(Se,tjou ",044, riiav,, arid 11.
A 0 D R r,-- S
":j
i,,TYWALNUT, CA
hl,rithv affirm that the"i !,W lurldin.,
WELBil
or the performance of t lie II %0!!JI this ,Trait k
CONTRACTOR
,stied (Ser. 3097. Civ. 4.).
1-2. 0 i N
.ender', Name
__ L
A 0 D 1"21217 INDU
.ender "s Address
I 'C.;TYLOS ANGELES
certify that I ha%e read tI ipwi, !o(,, and tjjru 1!1:1, the
STA
ibooe information is correct. I a.1_ to—I-1, with :,Il ("'unt, LICf
,rdinance ' and St. lure, regolitme Hozit.;,�r _V,nW:,-m!_, and
air Conditioning. ;oul ;o1horile evr,rwnim-, �,l this
'Dun oent.;,upoqIll, ih-e ""WillneJ jlro;,��rtl ItISDCOlInll -
Daft
1.1
50
TEL. NO.
L. NO.
7RIGERATION, 1,10
.AL STREET
TEL. NO. 213-622-0 5
LIC,_ C 38
'4E REVFRSI I OR I-XPLANA TORY LAN(WAG17
BUILDING 21000ODLINA ROAD
ADDRESS
FEE
LOCALITY DIAMOND BAR
NEAREST BREA CANYON.RD
CROSS ST.
DISTRICT NO
P OCFs ED BY
0
Cr
APPROVALS DATE I.NSPtCT0R'SSIGNATLJ9F
00
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IL
ROUGH
FINAL
Cn
z
50
TEL. NO.
L. NO.
7RIGERATION, 1,10
.AL STREET
TEL. NO. 213-622-0 5
LIC,_ C 38
'4E REVFRSI I OR I-XPLANA TORY LAN(WAG17
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