HomeMy WebLinkAbout1833A F '�A384` �PF'�..i�ATE�f� F'OR PEF�{V�DT
V�O. c.RS�C� (.?A ,nl-ON
� P }era6} aff'irm fhat 7 r a4c�s: t i u,3Ye- c f conse�il tn xeIf � CE-81fi i2-$�;
� :��w�e,:�r a cert_ticat„�°49o,Kr,s ��f ase'�un Insuian��,or HEATlNG-VENTiLATiNG-A(Ft G'�PlD1TI�NING �
i a certified topy tlaereaf(-�ec.38�a I aC C.) �
( I
PnliCy No. Co�npany�:._. ,
❑ cerriticd c�ny:a heretsy furnishe�i. � COUNTY OF!OS ANGELES BtJI LDING APi1D SAFETY
� ..�.._ �
;erfiP�ed copy is kxlad with the cu;i,}•h aiiding in�pection BUIL�ING
depariment. FOR APPLICAN7 Tp FILL IN � � i.�.,
� llat� AFP i�art .___. . . (PRINT OR TYPE ON�V) �ADDRESS ,�i �� �_... _/�/��C/_J�L,�
- ��. � � _...-.._._ ,._
Q . �. . LOCALIT" ��(�� �-� .
� CF{RTiFiC�ATF.OF lXEMYTI7�Q I'kU'id�N�ORKF.RS' i NO. TYPE OF APPLIRNCE OR EQUIPPAENT FEE ._ �$i L�d,�,�..._�
1 C(3MPI:NSa'EION 1Tv4UR�1NCF, ; - — _ �NEAREST
} f���his sectian read nof trz�comp}�?et! i9�thr,work i�vi�ived �� qB5ORWl'ION uNiT,eTu________— I �cctOSS ST. - ��. 3-
liy the permit is fw�eae hundred d�.??;us ($lf�tll ar-4ess.) -- � — . � � i . oisrRicr rv3. va�cEssEo ev �'. �
I certify that m ihe perfo*ttunc�• t he .�ork fn,which Lhis � � Alfi HAN[]I�ING UN1T,CFM ,(q �
parmit is isssed,I�haiY r E earuln} n p��sc y ma i irr i - � �� t� y�J Lt�[.t-L�f./ � �7-
�r -
so as to bec�me sui�ject o �.ar.50. ���'C„m r tion I a tic _� BO�LER,B'rU � — � �` �7
/� .,. - 1 ,r, ) ' APPROVAIS DATE ini<PEr.roa'ssic�vnruRe - �
F)2te_� '�PPltcan �/"w _ .._ :, COR9PRESSDR,BTU � ' £�U ROIJGH __ . ..- . I — �
— _—.._ 1 -. �'��. 0.
' _ ._ _'� . _._. _._._._ ._..— :
'vO1�iCE TO�APPi iCAh1 lt aite �king Ckiis Leriificate o£ VENTILATiOt4 SYSTEM " � �`� �
}.xem tion, ,ou shoud h�c;::�� „ FIN/�L
p a:��ect �a the LVorkers'
6
�� � =VAPORATIVECOOLER �
Compensa:ion pmvisir is f t ir.i bo Coue.you muat Y'orth `. �
with comply ueth sue1� -��ivo� c_ #.Fi� fi�rnxit sha27 be � �` � /�L1D�VT��� �
deemedreY�oked. ' � pg FURNACE:� PAV�—GRAVi Y
Ll{_FNSe:d.'.CONTftACTOR",EltiCLAR.�TFON � �'! ��FLOOR�____. _BTU — �?d Cd E�
I herebt�affirm chae I ae*�]i:,�er.sed ur.d�..�r p����;sioa;ofChapter HEATER: SUSPENDED UNIT �
+;ConSmettcing witu Sec�io�7�JOUj<,ff't.7i�isinn 3 of Yhe Rusi- WALL
12ss ond P��fess' ns C;nde,znd n7 F[�-noa 15 in Yul'for� nd '
rs��� y.� j /�k�C� t9 d
i j��:3��'^'�' �yr. `z�-/u , -
ccnse*;ui t, Ly ....sss_4. � �
Con�racicra��K/�-°4_ . ._ - �—��,�/_,�Z. j�-- _. ._.. . _._------ . .
� � � ! ._---
I a�r, e e�a�t fro t � t:;. r-� �ero�.nt< zp !a�r a
iree��5ed �t-c�aiteet o r� r-d p-�c ic�,u- cngm r � {�(aR Ct72C�C fP.P.��J�0�8bOV0�
actmy n m=.pr�fev � ,t ;,i�s.ih (S�rf on 7G51, Bus- � � - `
;:ess�nd Prof'essions t_cd�). f pERhRIT ISSUING FEE S � "
tic.or Keg �,o---- - ----- --.1'�ute .--`--- - 1� I '�TRL FE� � �� 8 3..3;'y
i - �� .
� HORqFOIb"�tit,2SiIi,.I)tRD}C�LARaTdON � � � - � • •.• •��
. PLAIJCHEGKAPPI.ICANT � •.H
S hoeeby fl r iiiat r �n� .�c ,rt P.m ihe Cos�tca tnz s NqME - � �� • •7�5iQ
i,mer.s� l,ex I�or :kir� £o� .cx�ug�r. ,aa (Seotion 7031.5 Husi .
aessa�d 7'rafessiors Cnt�E): � - ADDRESS . - � - �t• •��j,5,0 U
� 1, ns nwncr ot the peoperty,wi33 de itre �wri and the .
Structure is not intended or offared Ppr sale (9eciion CtTY � TEL.NO. O�� 2"8 Z
7044,Ausiness ncu?T.'sofesseona C�del. �
� � � � � 01NNER �eu��-�,._�"� �+�'i-t"' l�.
7,as�wner of tl e nroper[y, ain zx�lu ivaly cvntre�t�,g j _ �L (_ 1
with licensed �e�n*rac.ors to cnnsfruct the pro�ect �� MAIL *�
{Section 7044,Bvsen�4s aR�F Fr�t'r,ssi�r�v Code). A[��RESS �` � ��.,������_���*���
(.ONST1tULTIVN LuYtHP t. �GEI4CY � GTV /')� ���NO. -
1 ncrehy :ffv thut t iere is a «ns rt c:�an Ien��ng�garrcy � �
for [Yar p rferm-nav of The wock ro- wAicii this permii is � CONTR"C7JN [�7/''� /y�f�-
isc�_ed(Sec.�iJ9,,Civ.C.). i �- � �_'-_�`-��' �
L nder's Na ne _ _ _ _._ , qDDRESS� 7"'l '] �f,-,�.n ./:ll��`�^�"
i ' ! G� ��.s'/Cll d�
Lender's Addrecs ...._ . - j c;�Tv fL.� �F lC tT/t��,���'-��'�.tF t..NO�►t_! �l3�n
S etafY t3 t i h ivc rna�this upp cntcun��and staee that tht � STAT� � 1 �C. �.
abo�c lnfor n t sn�s c e�t T xgr e �comply tt�iYh.�Il Coun[y , - LICENSE NO. l���� CLASS � � .
oi dinn�cvs an d S tate tws rega lat�nf,Hra tmg,Ven tr la ting an d f `����� �� � ` � �
Air('uniit on ug,and .rFby auth_ize repie eaia4rres of this 1 � SEE RCVERSF -�OA k'.XYLANATORY LANGU0.GF
County to e�=ter u n ihe ub� emenhoned p�opexty Yor f - -
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