Loading...
HomeMy WebLinkAbout1260 (6) i \5'(7RKI;RS'CO�II'I:'�Sr1T10Vnl�('Li\Ri1T10U 76A�64C I �E-a,a,z-eo, APPLICATIOI�I;FOR PERMIZ" � f herrhy nffirm tha� f h��'e :i crnifica[e nf consrnt tn srlf . ' incure,or a ctnificale nt W��rkers'Cnmprnsaiiu�Insurance,or ' n��s��/7 HEATING-VENTILATING-AIR CONDITIONING ❑certifi^�i{cnpy Ih��rclof(Scc.JflOD.I,ah.C.�� n � J��.�t�/A �}� /� Ll-O/y�/ CnmPs��/�—C"�/��� U��r �B`O �✓1�/%"^'U �/T/`� Pnlicy No._ ❑ Crreilted rnpy is nr�eny turnis�ied. COUN7Y OF LOS ANGELES FiUIL�ING AND SAFETY � �c-�y Certi(ie:l cap5'�s fi�ed�vitii the cnuntp huilJinR insprctian FOR APPLICANT TO FILL IN OUI�o�t�7e ��� � � c ^� I,,d i r ^t }�� �tA . AODRE55 / �I��LY✓v F-�� 1)�tr�J���.lpplic�nt��/.L��� ��_l� IPFi1NT OFi TVPE ONI.VI LOCAIITY -�-�y �f �t CIiI TIFIG\Tli OI'IiX1i�1PTlOti f�RU."d 15'ORKI:RS' NO. 7YPE OF APPLIANCE OFl EQUIPMENT FEE i+�/'�7�!��U�� CQVPT�tig;�Ti01 I!�SI;ItAVCI: NF.AREST a CROSS ST. (Thls SCC�ion nCeJ not bc CORlplefCd it ihe tvOrk involved AEfSORPTION UNIT,OTU O by the permi! is fof nn^ fiun:lrcd doll�u ($106)ni(css.) OISTFlI�TkO. PROCE°5yqosv U I cerlif)��ha[in the perfnrmance nf the��'orA f��r�chich Ihis AIR HANDLING UNIT,CFM , �d il L�{�J O permit is issued.1 sh:ll no�empiny any ptrsnn in an)'mannaf ��� , so ss to 6tcomt subjrct�o Ihe 15'nrkrrr'Comprnsation Lau's. f3011ER,BTU . APpROVAL$ DATE INSPECTOR'SSIGNATURE w Ua[e :�ppliczn[ COM1IPRESSOF7.6TU ROUGH Z �OTICE TO.�Nf'I.IC:�yZ:it,�f�er m�kinF������erlilic:ll"r�f VENTILATION SYSTEM FINAL lo aa,�'-�iC.. I{remption, S'nu thniJd hrcnme schjer[ [n [he 1\'urkers' Cnmpens:��inn prnci<in�a n(the I.sbnr Co.�r,ynu must farth- F.VAPDRATIVE COOLEII V LIDATIpN �cith romply ���ith such proeisions ur ihia p��rmit shall be dcemtJ revnkrd, � FURNACE: FAU_GRAVITV L1C1i^15L'bCOtiTlt:\C70RSDECL:\RATIO` F4�OR' 6TU � 1 herohy a(firm ih�t I am Iicenzrd undrr prm�isiuns oFChapter IHEATER; SUSPENOED UNIT � (mmmencing with Sec[inn'.000)af Di�itinn 3 of thr Ausi- WALL -st ' . , , , necc and Prnfec<.innc Cndr.snd my l�crna•i�in ntull fnrce and /�6'�T�O �/ /T ��� . . . rffe<t. �n f/l�'d L.��p2(� / 'a����ti�," ' , _�'�� - � Licrncr vumhrr_��"I Lic.Cia«___ Cnnlrsctrlii/�L=�l�/�le��/O v ! � 1 am e�empt ftnm [he licrnsin3 reyuiremenh as t sm a Iicent^A architect ur a rericterrd pmfc�sional enFinrrr Plan eheck fee 2590 of above. . � actin;. in m}• protrt:innat c:�pacitp (Scction v05�, flus- pERM111T ISSUING FEE S r� `��` n ines5 anJ Ikofessians Cade). � � _ Cic.or Itrg.Yn. D�te TOTAL FEE l�j�� �e�����s��V r� If0`.•ili O'd'\l[it�OCiLUf.lt DEC1..41iAT10V PLAN CNFCK APPLICANT t hrrel�y aifirN [hat { nm ecer�pt trnm-the Cqntr�Clo['a NAME ���L_� ��D_�f� ��•`'o �/' Licenae I.aw fnr the fn1lm��inF.*tas0�� (Srclinn 7011.5,I1usi- /� y /�I res and Priifes•ir�nc C�>i1z): � nODFiE,�,S/�2�h9�/.rf�-�1�//�H � ���3'x',i �^ [ /-K 1LL/ / ul I, 'Ic r���' ✓� nf fhn�r..n. ....II,1..�1.� ..:'l �::'.�. :�:: � ^ I,` / sltucfure^ia nat inlendrd,�+r r�ffered f�ir s:ilr'(SrCtion CITY /y�l�-�yy�rM TEL.NO.`,���j�/�� //i•' r�� �__ �t- 70AJ.Ru.inr+s and Prnfa<cionc Cudr). . DOWNf_R �}-/"� l,as o�anet nf ffin �ror��b•,:�m e�clu<ivAy contractin¢ _'!•.-r.� �/ �vi[h Iicensed enntracfnrc tn c�ncfr�ict ihr pttiJ"ct R1AIL �`/ �i-ll�N (see�ion�naa,nus;ee;s�nd Profrccinnti CUde). ADORESS���j��A_ ��� �'' COVSTRIJCTIO�I l_I'NDItiG AGICtiCY CITY f'�/�� �-y/ EL.NO. 1 hrreUp affinn fh�.it Ihrre is a cunttrucl4nn lrnding acrncy J//N !�/�� fnr the perfnrm�nee of the �ror4; f��r ���hich this permit is CONTRACTOR �I V�„���� Z'�� issued(Src.JD97,Civ.C-). 4J� — ' , Lrnder'S V.+.me ADDRE55 (�.�/.L�� .. ���� ^ i Lendrr's AdJrezs_ ��7Y �y�,�A� TFL.NO. `Q,�.f,�� � � J/! � 1 certifr thst f ha��e read u,�,,�rrr�:�r��� and state ihst Ihc STATE rl � UC. aho�•c infnrmulion ic cnrrctL I�cree I����nnply���ith nll Cuunty ,UCFNSE NO.�� - � .CLn55 � ,_ ordinanr•t snd S�atr lai�s reguiatin±i He�ting,Venti�:rting�nd Air t � ��ing,and herrbr:uuhnrite ret`rezentsti��es��f N�is SSi6 RF.VISR515 FOIi EXPLANATORY L.ANtiUAfrF. � Crr� � ^an � abn��e�m±ntiuncd propcny fnr in� �. �nn Ourp. . b _ G�l ' �C_��'-�= .,:�t���c�r�.�,,, izr n�� . t � . .. ! ` . ' . � /- . , . f• � ,�. ,_ , . • ." y � ; ' . :X - • .. .� ,. , , ; � , � • - y . _f , , . , � .. 2 ' q •�� i � . ' � �� ,i � � N h �� m N . � � Z� '� ; , m � � nt /i �'� .� , ,r � • N i '/ `' .'� /� p � ' �'' �l / �' tn , _ N r �i . .�-1 . �/ . '� / � �,,' .i , ! � 7' j • �- r, f ��� . ,' .� / �, ;/ , 4y z''.I�S;1 '; ../ r�� / p{.— .�� r v' v��G"S i, , ��; �" � � �.: , . �-- ��� �'?N;f��� G f�, � , i i �^ v c� �V ., `.-.. _ �.�. � "' Q. - �^•,'.`� 1 r. �� <<,.,'C.,/ :%. ; . , ...'"'i �. .l?:� n~ C v '� I. �'; �;c C � n�',Q;_ ^G C �' ���N'C -.�V- .�/,'�'' �t��o � ,., ^,r `= .. _. o = c " '-. v. c .. � � = " -� �G �'"=yc ^.' 'Y, -i !r ..y� ' 2^�.�_ �, � v vi�� � G�� v^ " �� �,y {.: o �i�.,r � ' h " U -'t - C � �. �a "i-� ,i, t, .� c � ^ i Q'^�F� . _ t"' i: � �. _�' n � ,,. .�':.. � ''c��G,,�: .it 4:. C I�- T G= �G'� C?,C�'.., � r'^c.,�.�`� C G w• +� -%� � . . � (M{'� � ' f�. ,,t' y� �� �/ C�~ `^ 1' '^ '� � � .» v. '3 ar u"�n J" _ �'V. C' G,`�- �t V�; = _'A r� � r f. y, N ' r. G �_ F'c^ n^'_"���. '��' �t�..��n' .' �.:i. .�,_ �, �!y � G p o `="�F�. "'f o� �, p �--a' = o r n�"' =� � � �, �. � G •�C��.V � C f, -• �v ^�,'� i�` G'� v� C� .�1 ���f.G �,r� � ' � ", ��' n'- c'!._. r.= =,;a'.c.,c = ^�i-� ' V=c'�N � � i ^ ^f. '.. < G .(,. O r,o _ i�- �� _�..-. � `�n„ � ;ij ~^;� n=o�.".�.. �'�yt. .. 9 �, I' � �, \ � � �. ...� � C; i fi'�� i G."'.. y .. �. .Q v p G O 1�=. "�. ;,,C�..�! -" �',.1�r� i _' �.. N ,� �..� _ � �� ` �.^ .. C. V: � ^ � '� .N y . G N .:t. '� p � ~ i 'L n. ' � ✓' 1� � G C+i � .C+ v�' '^ �?.'C� �- 'C t^. ' .�.�" � �. � i . n� i '� C. ! (^ �u C � •C �„v� tn.' G r t` . Ll'ft' ✓ C� '� �` _.'C C'' n �l,�': t.�,. • {r,. � ,_.n C � j i' �� �. -n, r�G .. 1 c'' ^. N G� c. ^.. I. o .. i�. �� v. =. _. �c G- �./ t. c.. •. ,.- r.� �a � ....'^.'<.Y -i t^�~ .ri �; r` � o c �� c.`. " ��"• nc '' _ � _ ;,� `^ ... • � �'> '/ c: � � � : c C ., f _ ..n:.�`.., � O n . . . / G (' " C` G v,'�� �� � ..-_ '":• p (y'�'. .� �p'p ,^n �„�V ''P�" G ,W,,,ti ,/ %.+ „� v' C.G �• .c � .n P �' �• ` ' �y G r. 0'C C i Y G tn N �...C �C y ^ �� n O�O'G F,G � G ry�-�N��'`� ='p� �. . �. �� C C'JC �. C .��.jp �Y r„�. jj 'f .�.. _..�~ �D C' . . 1 C �t"'" '- R r' v n C � n � P .�C .� C'�C � � = py � CCG L . � � �G � �yfc,o_� � n f+ G � p ..- G c' �.�1`• F o�� :: ' ', , ! .1. .. i ' i