HomeMy Public PortalAbout9832 DAINES DR_Mechanical__ ,llOCE, 818 (2 80) APPLICATION FOR PERMIT
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�s U r e. I I I i I,
HEATING-VENTILATING-AIR CONDITIONING
certified o-op c f,ou, Lei
)Iicv No_
Certified co COUNTY OF LOS ANGELES BUILDING AND SAFETY
Certified cop% is til-t with the county building inspection BUILDING
department FOR APPLICANT TO FILL IN ADDRESS 9k32— 1214166eu 01?f
lie (PRINT OR TYPE ONLY) LOCALITY el 77
;RTI EIC Afl 0 I,X 1 .111 1 ION I lo()%l (-WKFS' _7f
1 10 1 TYPE OF APPLIANCE OR EQUIPMENT FEE NEAREST >_
COMPFNSA I ION I\:SVP-),N('l rj a.
-his section need not lie compleied if the work involved ABSORPTION UNIT, BTU CROSS ST CS6XW,., 0
the permit is for one hundred dollars. (5100) or less.) i DISTRICT NO. PROCESSEC,),BY 0
For which t! Aim HANDLING UNIT,CFM..--..
;n :in, mar; 0 LLI
BO ILE R, BTU ZtA C rz cc-, F-
APPROVALS DATE INSPECTOR S SIGNATURE 0
iCOMPRESSOR, BTU CL
ROUGH U)
!VENTILATION SYSTEM
in e t:hjcct to the Workers FINAL z
i.aho;
\ou must forth-
ith comply� prov!�i,,nc ()r this permit shall he ;EVAPORATIVE COOLER
VALIDATION
,temed revoked. FURNACE: FAu_ GRAVITY—
LICENSFI) ON I-P�%CTORS DL( LARATION _—IFLOOR'_ BTU
herebyaffirm that I Lim licensed under provisions of Chapter HEATER: SUSPENDED UNIT
(commencing with Section 7000) of Division 3 of the Busi- WALL
less and Professions Code, and my license is in full force and
,ffect.
icense Nur.
'ontractor- I
I am exempt trom the licensing rcquirenients as I am a
licensed architect or j registered professional engineer Plan check fee 25% of above.
acting in my professional capacity (Section 7051. Bus-
iness and Professions Code). PERMIT ISSUING FEE S
Lic.or Reg. Date I TOTAL FEE
HOME OWNLP BUILDER DECLARATION PLAN CHECK APPLICANT
I hereby affirm that I am eNempt from the Contractor's NAME
License Law for the following reason (Section 7031.5. Busi-
ness and ADDRESS
AL,0_-=5
1)4'1, will do the work and the CITY TEL. NO.2
or offered for sale (Section
7044, Business and professions Code).
OWNER
0 1, as owner of thepropdrty, ifn exclusively contracting
with licensed co,ritractors-to construct the project MAIL
(Section 7044, Business and Professions Code). ADDRESS t:
CONS I R I Cl I0 N Li,,NiANG A(;I�NCY CITY TEL. NO.
I hereby affirm that therc i, a lending agency 2 7,
for the performance of tho \,iik f,,r %Nhj,h this permit is CONTRACTOR
issued (Sec. 3097.Civ. C.)
Lender's Name----- ADDRESS
Lender's Address— CITY TEL. NO.
I certify that I have read this application and state that the STATE LIC.
i,, coinpl} with all County LICENSE NO. CLASS
Icating Ventilating and
representatives of this SEE REVERSE FOR EXPLANATORY LANGUAGE
entiuned property for
Date