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HomeMy WebLinkAbout1380A 11'OItR}:ItS'CO!fI'l��5.1TI01 DCCLAR:\T101 76A764C � I hrrrby� affirm ��„� � ��„�z , ��r«,����,� �,�consent ��s���f �E-a,a�z-eo, A P P L IC AT 1 O N FO R P E R M IT � insurc,nr a ctrtificste of\\'u;kcrs'Cnr.iprns�tion Insuruncc,nr i ,r�rS�t��d����z�or(s��.?Roo,t..��r{yc�.i �a� HEATING-.:�NTiLATING•AIR CONDITIONING Palicg 10. / Cr,mpany—�J�f.��'^-]' T•l""�L � Cer[iflcd copy ic herehy furni�hed. �� COUNTY OF LOS ANGELES BUI DING ND SAFETJF �'�/ ��.�-�.�Fi:/�Y.c c u,+d.�s �Ceriified cap.�is(ilel���ith h-cm'ty 6uildine inspre�iqn ler�n rn. A ' FOR APPLICANTTO FILL IN F3UILDINGe� � AODRESS�C.�,'1�SL't$ �,Lc7 S/',E?1/►lG o,./_.��'-'E�y„r,;�„ti,_ /�,L�'�r�1�� (PRINTORTYP[ONLY) i CIiRTIIICATI:OI' Xh:.`dPT'J4 I'RO`,f 11'pRICLRS' NO. TYPE OF APPLIANCE OR EQUIPRAENT FEE LOCALITY����(�� �� CO'4PF`]`.�.�TIO`'iVSUR;\VC1: NEAREST } (Thit arctinn necd not ne cnmple[ed if the ���ork involred AE�SORPTION UNIT,�TU CROSS ST. O by !he permi[ i<. fin en^ hundreJ Jallars (5100) or IcssJ visTaierr:o. onoees« ar V f rrrtify Ihst in thc p^rfnrmanrr nf ihe�cnrk far nhieh this AIR HAN�LING UNIT,CFM � prrmit is issu:d,1 sh+ll not employ�mp pctsnn in any manner /y �/ ,l�! �� l�l� 0 so as M hrca�r snbjrct tn Ihc P:nrkets'C��mprns�tiun La�rs. uC I30ILER,[iTU�f'G��FK~' ,���� F- APPROVALS DATE NSPECTO�'$SiGNATUAE U U�Ic .tippli.ant C0�1PFtESSOR,OTU I i g�- d - (lOUGH � N6�1Cli TO,�NPI.IGIST:if,�ftcr makinc this Cer[i(icstr nf VENTILATION SYSTEM FINAL z l�:xrrnptinn, you ahnuW brcnmr a:bject t�� ihe Rbrkers' - Cumpanaalion pruci.iuns nf thc l.al•or Coue,f'nu must forth- ��;cn com�,iy •.�;rn t��ci, ,^ro���,�ns �,r rn�s pumit sh,u nc EVAPORATIVc coo�eR VALIDATION decmtJ rr��nkrd. FURNACE: FAU_GRAVITV_ � z`-0IC1Cti5CDl'OV'(!{A('l'(]!251)CC1..1N�\TIOV FLODR' RTU 1 herchp affirm th:rt f urs Ii:rnc>d und�r pro�icion�u(ChaPt<< IHEAT[R: SUSPENDED UNIT 9 (rnmmenring�cilh Src�inn'000)nf Uivi�inn 3 of the Ilnsi� LNALL necc'rod Yrnfc;sinnc CoJr,anJ mv license'is in fuli forct and eNcct. G Licrnse:�im'+ /�C�,J� I.ic.('I:��s �s^� � // Cont��y`.�'�������C_�l 7� �1 a ,eirmpt (rom thr Iicrn�ing requirrmrnts as 1 am a iice�seJ :rchihct ur a rc;i�tere:l pm(assio�el enzinerr p�an check fee 2545 of above. actinp in my prnfr;.inml .ip:icity (Sertion 70e1. ISua� . � inras�nd t��ofr«ionc c�rlr). PERh71T ISSUING FEE$ „§Q Lic.or ILeg.Vn._ D�tc TOTI\L FEE ,��rp �1 3 8�0 A If0`.1�:U'�t'.`:I:Jt-[1IiILL1(:I2 I)I:(;L.-lI2AT10V PLAN CHECK APPL�Cl1NT �•� �:�'� �V f hrreby affirm thnt 1 .im estmpt fmm th^ Cnn[raetor's �NAn1E //�[�jq �_�/ .�� ���� f f/ � � • •5�5� liccnae L:nv f�tt Ihc follm�;ng r.�cqn (crclion 703L5, IIusi- `-r--- ( . ��ss,�,�r���r�•„����,�c����•�: �no�ness S"36 ,�t�/�r=tf'_ •.• �58.50� Ui. „ �,,,���, �,r r:. i r„i���u. ,��a„ wr������,�i ii��• ar�i o � � TEL.N ��US�Cv 0 1�2 9—8 2 =tructiur is nnt intanded nr off•rreJ for saie geclion L �V�.y� � 7044.Dudnru�n:l ITufr;�innc Cudal. / !f n�/ ,�,/� . � I,�ti�����ner�i(Ilic OWNER C'f`/�m �l" ��iY y S �'Y�� J ❑roperty�, :an cxclusively contractiny � �cit6 Iicrnc,,J i�nnir.ictnrs �o cnnstruct fhc prnject �1AIL ,/ �/l_ /'��/y� (Cection^,Oii.Rucirr�cand 14nfresinn•('nde). AODFES�✓��7 /Ci'!� •-� CIT TFL.NO. C`1�%�/ CO:�STItCCTION Ll:,'SUIV(::1GGtiCY ����� �'1�L� ��f S^' 1 ticrtliy �ffiriii ttiat Ihrrr i . a iictr�ic•ti��n IenJine;:r,rncv - fnr Ihu perform�ncr nf ihrs��.ork fnr ��hich Ihis permit ic CONTRACTOR issucd(Sra 3077.Cir.C.). 4 LenJer's\sine ADDf7E5S /�y�/1' . � � Lender's AJJres�_ ��Ty TEL.NO. 1 ccrtif�� lh:�t f h:�rr ri•:i�,l t!�is��^��Iic:�tiun :incl st�lr Ih�� the STATE f LIC. C 2 :iFucc infmm�tinn ic rorrrcl.f�yrre tn cnmpl}��ith�11 County LI��ENSF NO.�� � ��� CLASS�`�� J ordins� �;mA Sta�r I:re�s rr,^.uI_itinc Hcatiny�.Yentilating and . " � - :\ir��r Ji'�ninc. �d i rehe:wihnrii�reprrcrn�a�iars ol'ihis SI{Ii IiEVtiRSE FOR fXPLANATORY 1..4NGUAGI�: Cn nt rn[r uP � thc m�r�mrntiancd pruperry• for t��:� u, r•.,,�, �Cc ,G S.;;n�turt nf P d �re Uatc � ` ' . . z � � � - ' N - . '7 • m . , •- c.t ' ' • o � ' 9 N 2 O� , N �� 2 . y m �..• °' : � _ o • � <' N 'L ', ' O ' N l "' • .• , `. . L � . � � ^ t .. C.r.�" " • � Y�C_`.� n .� � . 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