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HomeMy WebLinkAbout1483A �5'ORKIiitS'CO\ipPtiS:�T10\UtiCL:\RATIOV ' 76A964C ,qPPLICATION FOR PERMIT 1 herehy affirr.� Ih�t 1 have :i crrlificate o(consenf tn srlf CE��916(2-80) � inwre,ar a cernfic�te nt\t'orkers'Cnmpr�u:��ian Insurance,or � HEATING-V ENTILATING-AIR CONDITIONIMG � e•'(��+- ny t:�i��a( I^.�500.'/A�JJ�-)� I��•y Nu�� �� .�n,nanl'- -�iG�c��'/.�./� r Ccnitird cnpy iv��er���y n�ni�ih��d. COUNTY OF LOS ANGELES DUILDING AND SAFETY � Ccrtified cupy i5 filtd�cith Ihc rnunry�building insprc[ion dcp�rimcn�. FOR APPLICANT TO FILL IN BUILDING �� PRINT OR TYPE ONLV) AO�FiES$ �� /I/J�A� � �� I)�I� :1�flir:tnt ( - LOCALITV - l����.'�� _�. CERTI�ICATt.nf F:\F�:;.1f'TIO\I�ItO\1 5\'n1lf�T�itS' NO. TVP[OF APPLIANCE OR EC]UIPMENT FEE / _ CO\119:\SaT10\I\SUIi:1VC1�: NEAREST ,L • (This srction need nnf iie cnmplcted if ih0 a•o�k invakcS ABSORPTION UNIT,BTU CROSS ST. � �/� ��/��/ � O hy �I�e permil ic fur on^ hunJrcd do!l.+.r5 (SI00) or Iess.) OIS7RICThO. PFOCFSSE�BV (� 1 cerlifv ih.it in tl�o perfrirm^ni�e n(Ihe��'riri:fnr��!iich Ihis AIR HANDLING UNIT,CFM `O � prrmit ia iccued,1 sh�ll nm cmpinp anp persnn in any manner � si>as tn hte�ime siil�ject tn[Ire 15'e�rl;ers'C��m�+rns�linn L��.vs. Fi01�EIi,6TU - f- ' , APPROVALS DATE INSOECTOA'SSiGNATURE U I:a[r -\p��li:2nt_ COAAPq[SSOR,OTU �. FOUGH N .'�'OTICli TO.-1I^.'LIC.\.`:T:If,a1t.r making tl�is Certificah i�f V[NTILAT�ON SYSTEM Z f�:xemption. 5'���� shnuld hrcnmu ,�:bjrct [n the �l'nrAen' FINAL ,�,s � Q(]2.,.L� — ComOtns�tinn prn�isinne nf the I.�Pur('nde.}�nu mu�t fnrth. . �t;�n �omi,iy .��u, s„�n ����,�a,�„s „� �n�t ��•�m;< <n,n r>r EVAP0�7ATIVE COO�ER VALIDATION deemeJ revrikr�l. FURNACE: FAU—GFiAVITY LICliNS4:DC0\TItAC'T(1RSDPCL.IR:�TIOV IFLOOFtr 6TV ' 1 herrhy�affirm th:�t I am lic�n�cd undrr rIpY1�1005OPC1'�(�(Cf HEAT[R: SUSPENDED UNIT � � (cnmmencing�vith crclinn^.0!:0)rif Uisi�inn J of the I3usi- i� WAL G nrc�;md I'mfessi���d��mr licrncr,is in�irL..7� G� >_ =� I lilJ .. effecl. / � Licen�•Vumher. �/ I.ic.C!.i�v ���,�i�r[.uJ ��`�✓_Pa:iG��Z I � I am exeropt (rn^t IL•r li�rn�im�rrquirentrnis s f am� lirensed architect r r a rezi�terrd pmfrssion�l rn•;,inerr Plan eheek fee 2596 of�bOVC. ❑c[iop in !n�� pr��frssio.^.al a;::�iq� (S:ction ^.OSI. Ilus� iness�nd PrnFrs�innc c��de). PERh11T ISSUING FEE S � �.ic.��r�trs.Vo._ n�te TOTAL FEE 1 � fl0'dL OIC.`Ji�;It�f3L'fl,Uf;R D?iCLAI;AT10'+ pLAN CHECK A PLICANT I I�rreliy :�ffirin �hat I �m eremp[ frnm��he (;nntractor'c NAME ",� � ��j�� � I.iccncr I,?�v(ur[h^ GiIlmJnc re.non f5_cliou ;071.5. Ilusi� c nescanJPrnfc«inncCn-lr1: AD�RFS �� ��' !J n �. ,< �„�rr „��f,�� ..�..,,,��,{� ,�,�..,,.� ��,, .�.. -- y strur.[ure ic nni inicndrd nr ��f(rrrd (or x�le (Src[iun CITY TEL.NO. �� 4�.3�A 7�a4.I3u�inc�t and Prnfesci�m�Cu,le). — , ❑ OWNER ����� ����.�S 1,as o�rnrr nf the propert��,em exeWcively cvniraeting with licrnced cnnfractnra tn rmutruct the prn)ec[ h7AIL f...., �5 O (Scctinn 7044,ilusirr;s and IYufrs�ioe�Cndr). �1DORESS CITY TEL.NO. � 450� CONSTRUC�IIf)V I.L:�UTAG AGICVCY •�• • I hrreby affirm tlut Ihrrc i5 ;� eunstrurtinn Icnding zerncy - /� � � (�r [he G�rrfr�rm:ince <rf the «nrl; fnr �+�hicli IItiS Fe.�nit it CONTRACTOVi//�s�:�!/ A � � -- � O,z O C�Q� '�urJ(Se�.309 i.Civ.(;.). �77 ✓�� /� J O Lender's\'�i:ir AD�(�ESS �3�� /,j�},(j�,���f �� . !,," y I.endrr's AJdrrss CITY' � ,a�� TEL.NO.s r��'9L� � I eertift� th:rt [h,ce resd Ihis �.�p�•iic.rtinn :mJ Vate Ih�t thr gTAT[�� LIC. � �ho�'e infeirin�tiun ic c��rrect.I�;r,e tn c�m��l.���ifh.�II Cuunfy � LI��ENSF NC CLASS ' ordinanccs and St:rtr I�iws rra,ui:iting lleatinc.Vrntiiating and � . 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