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HomeMy Public PortalAbout9662 CRAIGLEE ST_Mechanical__ 76 A364"- CE 818-t/75 ' - <'s` APPLICATION FOR PERMIT HEATING - VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELES "LIMIIsNG S 9662 ;E. CRAIGLEE _ DEPARTMENT OF COUNTY ENGINEER, ADDR BUILDING AND SAFETY DIVISION LOCALITY 1, 0TrrV NEAREST ' 'CROSS ST. •o. FOR APPLICANT TO FILL IN OWNER � 7777��7�� ���n7�-+ (PRINT OR TYPE ONLY) 1.ll7!-ASJR.E G' iA WGS TYPE&,SIZE OF EQUIPMENT MAIL N O. FEE . ADDRESS .SEE BAC.K`O F.APPLIC ATIO N p np _ CITY TL' IE CITY TEL. NO. _28S-L�798 FORCE ATR F.URNACE,• BTU CONTRACTOR- COMPRESSOR, HGC COMPRESSOR, BTU T 7 0 JV ADDRESS T VENTILATION,FAN r CITY � - TEL. NO. _�y G7Q=7 LIST ALL OTHERS BELOW LICENSE NO. 265094 CLASS C-20. OI S7 ift,v NO. - •LGROUP ZONE SSED BY INSPECTION RECORD O U F- U .. W Plari'check fee.. See reverse., ? PF It�NlIT ISSI,t\C FF.I; _ FOTA1, F'EL: PLAN CHECK APPLICANT NAME ADDRESS CITY TEL.NO. I HEREBY ACKNOWLEDGE THAT I H'AVE,READ THIS APPLICATION - AND STATE THAT THE.ABOVE15CORRECT AND AGREE TO.COMPLY T - WITH ALL ORDINANCES AND LAWS.REGULATING HEATING, VENTI-, APPROVALS - DATE .. INSPECTOR'S SIGNATURE LATING,`AIR CONDITIONING. ROUGH I .HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF CHAPTER 9,.DIVISION'3, OF THE BU SS AND PROFESSIONAL FINAL ,�f CODE OF THE STATE OF LIFOR A. SIGNATURE PERMIT VALIDATION cK. M.O. CASH OF'PERMITTEE AV 162 _ .,` PLAN CHECK VALID ION• K. M.O. CASH 9.Jc.Q Via 6 5 8`c-AFR, 13 $ d:. . , `'. WORKI?.RS'COMPENSATION DECLARATION 76A364C �g gL C p� t �g I hereby affiirn that I have a' certificate of consent to self CF 818 (2-80) Y" 1 S tl FOR PERMIT insurtifie c certificate of Sec 430 Compensation Insurance,of HEATING-VENTILATING-AIR CONDITIONING a certified crrc�v thereof(Sec X400,Lab C.) Policy Nm _. , f mpa y Certified copy is hereby furnished. COUNTY OF LOS ANGELES BUILDING AND SAFETY , Certified copy is filed with the count,1',uiiding inspection FOR APPLICANT TO FILL IN BUILDING depart en - _P',JA,f {� Dat Applicant Applicant ~ (PRINT OR TYPE ONLY) ADDRESS ,-�{S+FW ti 111111 p LOCALITY f►f��}f� �i.•�/ CERTIPKATE OF EXEMPTION FltOv WORKERS' NO. TYPE OF APPLIANCE OR EQUIPMENT FEE r(� { C✓t J/ COMPENSATION INSURANCE NEAREST (This section need not be completed if the work involved +A650RPTION UNIT, BTU CROSS STS. �r - by the permit is for one hundred dollars ($100) or less.) f DISTRICT NO, PROCESSED BY O I certify that intheperformance of the work for which this I AIR HANDLING UNIT,CFM_~\ permit is issued, 1 shall not employ.any person in any manner tr so as to become sub;ect to the Workers' Compensation Laws. BOILER, BTU_ 0 APPROVALS DATE INSPECT R'S SIGNATURE Date __Applicant � COMPRESSOR, BTU—#�00.,fyp�_ ���py ROUGH � � NOTICE TOA PLICANs If, aft r making this Certificate of VENTILATION SYSTEM �l��• F7> t•, � f � Exemption you should become subject o the Wo kora' _AA �__ j_�_ _ I - FINAL 2 Compensation provisions of the Labor Code, you roust forth- � with comply with such provisions or this permit shall he — EVAPORATIVE COOLER ALID ,TIQ deemed revoked. FURNACE: FAU_ ,RAVITY I LICENSED CONTR�.CTORSDECLAPATION �j FLOG-R% IITU_10_0=1. �zl 'I hereby affirm that I am licensed under provisions of ChapterHEATER: SUSPENDED UNIT . 9 (commencing with,Section 7000) of Division 3 of the Busi- WALL ness and Professions Code, and my license is in full force and effect. License Numberats Lic.Classp � Contractoai."`,W' I�r� I GD.ate e 7/ ✓� a 1 i 1 am exempt from the licensing requirements as I am a licensed architect or a registered professional engineer Plan Check fee 25%of above. acting in my professional capacity (Section 7051, Bus- iness and Professions Code). _ PERMIT ISSUING FEE $ OFCj Lic.or Reg.No.— Date TOTAL FEE J HOME OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT � I hereby affirm that I am exempt from- the Contractor's NAME License Law- for the following reason (Section 7031.5, Busi- ness and Professions Code): ADDRESS / /r p El 1, as owner of the property, will do the work and the N1CCT A .structure TEL. NO. trut#ure is not intended or offered for sale (Section �-}t�� ��r£ C_tl 7044, Business and Professions Code). 3JV Vt7°'.4 OWNER I, as owner of the properly, am exclusively contracting 1. ITEMS with licensed contractors to construct the project MAIL TOTAL �p p-�, (Section 7044, Business and Professions Code). ADDRESS, t VTAL 106 m 50 CONSTRUCTION LE AGENCY CITY TEL. NO. CHECK 106.50 I hereby affirm that there is a construction lending agency CONTRACTORnt1tV a�II for the performance of the work for which this permit is issued (Sec. 3097,Civ.C.). Lender's Name ADDRESS .ender's Address000Q-0001 7/27/89 CITY TEL. NO.., certify that I have read this application and state that the STATE LIC. 4710 1 AM 10 .3 ove information is correct. I agree to comply with all County LICENSE NO. CLASS 'inances and State laws regulating Heating, Ventilating and Conditioning, and hereby authorize representatives of this SEE REVERSE FOR'EXPLANATORY LANGUAGE ;nty to enter upon the above-mentioned property for rection pur.o tt o .s i� G��P-0-7-47. ature of 1,:rmiee Date ., CE-818(REV,:6/78) ©s rPL9CdT@®N FOR BAIT HEATING - VENTILATING - ' R CONDITIONING COUNTY OF LOS ANGELES BUILDINGAND SAFETY FOR APPLICANT TO FILL ININE ORES (PRINT OR TYPE ONLY) DRESALITY NO. TYPE OF APPLIANCE OR EQUIPMENT FEARESTOSS ST.ABSORPTION UNIT,BTUNER AIR HANDLING UNIT,CFM ILDRESSBOILER,BTUY AEL.NO. COMPRESSOR,BTUNTRACTOR , VENTILATION SYSTEM ADDRES EVAPORATIVE COOLER CITY No-5 FURNACE: FAU GRAVITY - STATE r�- LIC. FLOOR BTU LICENSE NO. .,,)!1 CLASS "F HEATER: SUSPENDED UNIT_ L WALL APPROVALS DATE INSPECTOR'S SIGNATURE 1 ROUGH FINAL INSPECTION RECORD �d f y Plan check fee 25% of above. PERMIT ISSUING FEE$ 700 � TOTAL FEE �( ? PLAN CHECK APPLICANT - PLAN CHECK VALIDATION NAME 'f(l, { tSv:"o E:�.�1 �"��-�J-c.,•v-v.;w ' ADDRESS tl /'.� U 6 ii' C7 �:O 7C7 Z ' CITY TEL.NO. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL - ORDINANCES AND LAWS REGULATING HEATING, VENTILATING, AIR A - CONDITIONING. 'PERMIT VALIDATION I HEREBY CERTIFY THAT I AM NOT STING IN VIOLATION OF CHAPTER 9, DIVISION 3, OOy,,11FF THE BUSINES ND PROFESSIONAL CODE OF THE STATE OF CALIF 0 l �r SIGNATURE - OF PERMITTEE DISTRICTNO, Vp -FSS@ Y 06• •15®7a