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Home My Public Portal About9803 LAS TUNAS DR_Mechanical__ f r 76 A364 - CE 818 - 9-71 APPLICATION FOR PERMIT HEATING - VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELES BUILDING �J DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY pp NEAREST (57 CROSS ST. FOR APPLICANT TO FILL IN OWNER _ (PRINT OR TYPE ONLY) - MAIL NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS CITY TEL. NO. ABSORPTION UNIT, BTU CONTRACTOR AIR HANDLING UNIT, CFM ADDRESS a BOILER, BTU t..• CITY ' TEL. NO. f COMPRESSOR, BTU STATE LIC. LICENSE NO. CLASS r VENTILATION SYSTEM DISTRICT NO. GROUP ZONE PROCESSED BY d EVAPORATIVE COOLER CD U W FURNACE: FAUGRAVITY FLOOR BTU INSPECTION RECORD HEATER: SUSPENDED UNIT_ WALL >;+ a W H Plan check fee 25% of above. See reverse. PERMIT ISSUING FEE 8 d TOTAL FEE PLAN CHECK APPLICANT NAME r ADDRESS CITY r <. 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, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE EATING, AIR CONDITIONING. ROUGH I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL CODE OF THE STATE OF.-CALIFORNIA.: SIGNATURE PERMIT VALIDATION CK. M.O. CASH OF PERMITTEE PLAN CHECK VALIDATION Fw.—' •o. CASH SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 76 A364,e- CE 818 - 9-71 APPLICATION FOR PERMIT HEATING - VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELES FNEAREST LDING �/ DEPARTMENT OF COUNTY ENGINEER RESS O BUILDING AND SAFETY DIVISION ALITY SS ST. _0 FOR APPLICANT TO FILL IN ER (PRINT OR TYPE ONLY) MAIL / No. TYPE OFAPPLIANCEOR EQUIPMENT FEE ADDRESS (�[iIL CITY TEL. NO. ABSORPTION UNIT, BTU y CONTRACTOR ' AIR HANDLING UNIT, CFM ADDRESS / �^ BOILER, BTU Af CITY TEL. NO. / COMPRESSOR, BTU LN STATE �(�(areS LIC. �1 i LICENSE NO. CLASS C: VENTILATION SYSTEM DISTRICT NO. GROUP ZONE PROC ED BY EVAPORATIVE COOLER J og • � �� FURNACE: FAU-GRAVITY INSPECTION RECOhdv FLOOR BTU o: HEATER: SUSPENDED UNIT_ C) - WALL Fv Lu CL. N Z Plan check fee 25% of above. See reverse. PERMIT ISSUING FEE S TOTAL FEE �a PLAN CHECK APPLICANT NAME Qo ADDRESS �G � v CITY ((4_QZ TEL.NO. 86 V/36 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, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE LATING,AIR CONDITIONING. ROUGH I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF CHAPTER 9, TE DIVIS 3, OF T BUSINESS AND PROFESSIONAL FINAL - -��--n. CODE OF THE STA0 LIFOR A, _ SIGNATURE PERMIT VALIDATION CK. M.O. CASH OF PERMITTEE PLAN CHECK VALIDATION M.O. CASH 2 6 2.14N ', 2'.0 0 Aft SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 76 t 9a BH I1A364-CE81B-1/70 APPLICATION FOR PERMIT i HEATING - VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELES BUILDING /Jr DEPARTMENT OF COUNTY ENGINEER ADDRESS �3 ' BUILDING AND SAFETY DIVISION LOCALITY.y ' JOHN A. LAMBIE, COUNTY ENGINEER NEAREST COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING :;CROSS ST. FAPPLICANT TO FILL IN OWNER (PRINT OR TYPE ONLY) OR �2f MAIL NO. TYPE OF APPLIANCE-OR EQUIPMENT FEE ADDRESS z D, CITY EL. NO. ABSORPTION SYSTEM, BTU CONTRACTOR AIR HANDLING UNIT, CFM - ADDRESS All BOILER, HORSEPOWERCITY` TEL. NO. l y%-- COMPRESSOR, HORSEPOWER 3 STATE LIC. //�� x LICENSE NO. CLASS (Lj J VENTILATION SYSTEM DISTRICT NO. , CLASS I GROUP ZONE PR ESSED BY EVAPORATIVE COOLERa'� FURNACE: FAU-GRAVITY INSPECTION REC D FLOOR BTU HEATER: SUSPENDED UNIT_ WALL 0 C C. • a C F c u NEW—ADDITION— PERMIT $ 3 00 G e ALTER—REPAIR— TOTAL FEE $ PLAN CHECK APPLICANT NAME ADDRESS CITY TEL.NO. LDA EBY KNOWLEDGE THAT I HAVE READ THIS APPLICATION TE AT THE ABOVE IS CORRECT AND AGREE TO COMPLY L ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE AIR CONDITIONING. ROUGH A ,' ,,?t REBY CERTIFY T I AM NOT A ING IN VIOLATIONTER 9, DIVI N 3, OF HE BUSINE AN PROFESSIONAL FINAL ��THE STAT OF CA F RNIURE JACK R. ALLEN,S PERJSI C NICAL ENG'R. MITTEyea :- ., ..., I PERMIT VALIDATION M.0. CASH PLAN CHECK VALI .ATION Al- 77939 NOV2 5 4 1 D. 1 5.00 N 4 SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE GABS CE�B;B re.BB APPLICATION FOR PERMIT "�?j�•'L� ��= �- - rX, HEATING - VENTILATING - AIR CONOITIONIKG COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION ADDRESSG t-y�� JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF,BUILDING ',LOCALITY V'e,,n '7 L FOR APPLICANT TO FILL IN CROSS ST. (Print or Type only) .reef - / ��5 OWNER � ' No.. TYPEJOF APPLIANCE OR EQUIPMENT FEE MAIL ADDRESS ABSORPTION SYSTEM, BTU CITY TEL. NO. AIR HANDLING UNIT, CFM CONTRACTOR f.V ra ' XfAz /v0 BOILER, HORSEPOWER ADDRESS fj� t�G e��GL e_.4 COMPRESSOR, HOFtSEPOWE r �, yLJ CITY 4V.,feq 1011 TEL. NO. 6�1—aj'j8')y_ VENTILATION SYSTEM L CENSE'NO. d�STATE 'S` �� CLASS G DISTRICT NO. GROUP ZONE P CSS EDEVAPORATIVE COOLER�OVVCIA �1 FURNACE: FAU GR VIT 1 ? C � FLOOR—BTU ��ld �� INSPECTION RECORD HEATER:.SUSPENDED—UN IT WALL n. O 6� C O V W d N Z NEW—ADDITION— PERMIT $ 3 00 ALTER—REPAIR— TOTAL FEE S / Plan check applicant Name v Address" City Tel. No. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING HEATING, VENTI- PRDV LS DATE I CTOR'S SIGNA E EATING,AIR CONDITIONING. "ROUGH; � 1 HEREBY CERTIFYa AT 1 AM N ACT TG N VIOLATION !FINAL OF CHAPTER 9, DIVISIOOF TN NESS AN ROFESSIONAL CODE OF THE STATE OFIFDRNI JACK R. ALLEN,SUPER MECHANICAL ENG'R. SIGNATURE ! j OF PERMITTEE - -PERMIT VALIDATIO C K. M.0. CASH PLAN CHECK VALIDATI ` AP 7" 2. 6 OCT 21 4 1 0 21 .1-5 O N -v EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE WORKERS'COMPENSATION DECLARATION 7GA36$CP P C AT�®gyFO ' P E d M M - I hereby affirm that I have a• certificate of consent to self 6 (2 8 0 ) insure, or a certificate of Workers'Compensation Insurance,ol HEATING_VENTIO_ATING-Al R CONDOTIONING a certified cop thereof of. 3800,L b.C.), �' Policy No Z Z Co Certified copy is-hereby furn( ied. COUNTY OF LOS ANGELES BUILDING AND SAFETY Certified copy is filed with the county building inspection 1 FOR APPLICANT TO FILL IN BUILDING � 0 d tmer __-11 Date- pplican P (PRINT OR TYPE ONLY) ADDRESS C NO. TYPE OF APPLIANCE OR EQUIPMENT FEE LOCALITY ! G� ClT CERTIFICATE OF EXEMPTION FROM WORKERS' 4000, COMPENSATION INSURANCE NEAREST CROSS ST. d (This section. need not be. completed if the work involved. ' ABSORPTION UNIT, BTU4L O by the permit is for one hundred dollars ($100) or less.) DISTRICT NO. P:Z:,; U I certify that in the performance of the work for which•this AIR HANDLING UNIT,CFM U �/ ccpermit is issued, I shall not employ any person in any manner I QO so as to become subject to the Workers'Compensation Laws. BOILER,BTU FU— ' APPROVALS DATE INSPECTOR'S SIGNATURE'Of 11J )IRat "APPLICANT: cant COMPRESSOR,BTU ROUGH rr d NOTI E If, after making this Certiewr= VENTILATION SYSTEM FINAL V z Exemption, you should become subject to the Workers L Compensation provisions of the Labor Code, you must forth- I.-Oil EVAPORATIVE COOLER VALIDATION with comply with such provisions or this permit shall be deemed revoked. i FURNACE: FAU GRAVITY LICENSED CONTRACTORS DECLARATION (. FLOOR: • BTU I hereby affirm that I.am licensed under provisions of Chapter HEATER: SUSPENDED UNIT 9 (commencing with Section 7000)of Division 3 of the Busi- WALL ness and Professions Code, and my license is in full force and effect. License Number Lic.Class Contractor Date I am exempt from the.licensing requirements as I am a licensed architect.or a registered'professional engineer Plan check fee 25%of above. actjng in my professional capacity (Section 7051, Bus- iness and Professions Code). S PERMIT ISSUING FEE$ Lic.or Reg.No.• Date TOTAL FEE HOME OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT i 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 0�� AQ/(7 I, as owner of the property, will do the'work and the structure is not intended or offered for sale (Section 1• CITYG' L. NO. 7044,Business and Professions Code). I ' ;209'27A El 1, /- . I, as owner of the property, am exclusively contracting + with licensed contractors to construct the project I� MAIL #,o o.0 0 °,$ (Section 7044,Business and Professions Code). ADDRESS 00 CONSTRUCTION LENDING AGENCY CITY TEL.NO. 2.0 °;1�5 I hereby affirm that there is a construction lending agency a a ° r _ for the performance of the work for which this permit is CONTRACT2 fW L C�f� X/Vr 1 0 0 6 issuedSSec.3097,Civ.C.). Lenders Name ADDRESS ®� gQ 0 8 2 6—8 1 Lender's Address CITY TEL.NO. I certify that I have read this application and state that the d STATEl40 LIC. above information is correct:1 agree to comply with all County LICENSE NO. / CLASS ordinances and State laws regulating Heating, Ventilating and Air Conditioning,and hereby authorize representatives of this + SEE REVERSE FOR EXPLANATORY LANGUAGE County to enter upon the- above-mentioned property /'for y, • ction purpo/a 0 Signature of Permittee (_,Date WORKER'S COMPENSATION DECLARATION 200048 DPW 9/69 APPLICATION VOR Ir'�ER�YOITL' G �� I hereby`affirrriAthS76A364C't Ihave acertificate of consent to self insure, or a certificate of Worker's Compensation Insurance, or a certified HEATING-VENTILATING-AIR CONDITIONING copy thereof(Sap.3800 L'lb.C.) LA-7-2 // p.wI Policy No. Company . COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY'DIV. ❑ Certified copy is hereby furnished. r 'r��,]-aLd'N1• Certified copy is filed with the county'k illiInspection F FOR APPLICANT TO FILL IN BUILDING PRINT OR TYPE ONLY) ADDRESS department. z-PPli ( Date —2 A� "` ca LOCALITY ' NO. i TYPE OF APPLIANCE OR EQUIPMENT. FEE ff CERTIFICATE OF EXEMPTION FROM WORKERS' NEAREST 1 CROSS ST. COMPENSATION INSURANCE ABSORPTION UNIT,BTU (This section need not be completed if,the work involved by the ASSESSOR, permit is for one hundred dollars($100)or less.) AIR HANDLING UNIT,CFM MAP BOOK PAGE PARCEL I certify that'in the performance of the work for which this permit' DlsmlcrNo. PROCESSED BY is Issued, I shall not employ any person in any manner so as to I BOILER,BTU ; become subject to the Workers'Compensation Laws. I Z9 op �• COMPRESSOR BTU APPROVALS DATE INSPECTOR'S SIGNATURE Date Applicant VENTILATION SYSTEM NOTICE TO-APPLICANT: If,''after making this Certificate of ROUGH, " Exemption,you should become subject to Ithe Workers'Compensation EVAPORATIVE COOLERZZ-5 7 provisions of the Labor Code, you must forthwith comply with'such- FINAL provisions or this permit shall be deemed revoked. FURNACE: FAU GRAVITY LICENSED CONTRACTORS DECLARATION FLOOR BTU VALIDATION hereby affirm that I am licensed under provisions of Chapter 9' -SUSPENDED UfIIT _ (commencing.with Section 7000)of DivisIon'3 of the Business and HEATER: WALL ••�'s+� Professions Code,and my license is in full,force and effect. ,/ Pao 5472�0 � L� _ License Number 6 Lic.Class ��" ,,:oLcA(4j Uf/k- . d ' Contractoe. ate ' z�"� C ❑ Plan'check fee C I am exempt under Sec. D B.&P.C.for this reason PERMIT ISSUING FEE$ I}�. Date: TOTAL FEE O � T a Jr 90.0 Cf d IL SignatureCr OWNER-BUILDER DECLARATION 1 ITEMS PIAN CHECK APPLICANT I hereby affirm that I am:exempt from the Contractor's License Law NAME. TTf�i ®+ ' for the following reason (Section 7031.5, Business and Professions S r r Code): ADDRESS. 2-0o t). k4rklll�ijv ' )) El1, as owner of the property ,,or my employees with wages i dF as their sole compensation, will.do the work and the CITY', ✓�� TEL.NO. :CHANGE old: structure is not Intended or offered for sale (Section 7044, s Business and Professions Code). OWNER+ VC 'I, as owner of the property, am exclusive) contracting MAIL ( e 1C P P Y, Y 9 0000-00031.. /26,f6 with licensed contractors to construct the project (Sec- ADDRESS r/ I/ �. tion 7044, Business and Professions Code). 09814 All 91.4. =' CONSTRUCTION LENDING AGENCY CITY TEL.NO.ez I hereby affirm that there is a construction lending.agency for ICONTRACTOR ' Lo- ADDRESS ( �� the.performance of the work for which this permit is issued (Sec.3097,Civ.C.). I " _ ADDRESS CY,) Lender's Name Aiem / 6� CITY La-Lw TEL.NO. d Lender's•Address' STATE , I LIC. I certify that I have read this application and state that the above LICENSE NO.��6 ��U CLASS information is correct. I agree to comply with all County ordinances and State laws relating to building construction,and.hereby authorize repres a sof this County to,enter upon the above-mentioned pr ty r i pe tion purposes.. SEE REVERSE FOR EXPLANATORY LANGUAGE SIGNATURE O 'PDCANi F?ABENT , �0-00 WORKER'S COMPENSATION DECLARATION 7.SA346DPW9/89 APPLICATION FOR PERMIT LI E GREEN 78A364C I herehy affirm that I have a certificate of consent to self Insure, a-�'-; �s or a certificate of Worker's Compensation Insurance, or a certified HEATING-VENTILATING-AIR CONDITIONING copy thereof(Sec.3800 Lab.C.) �,l P�olicyy N'o. s` � � Company ` ��g'rI? COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV. L�'J Certified copy is hereby.furnished. C Y P ADDRESS Z,0 5 t A S 'T Z) A 7 ❑� Certified copy is filed with the count buildin section FOR APPLICANT TO FILL IN +� BUILDING de artment. (PRINT OR TYPE ONLY) date Applicant �./r LOCALITY•-rrrA _& d ar NO. TYPE OF APPLIANCE OR EQUIPMENT FEE i CERTIFICATE OF•EXEMP O ' R�M WORKERS CROSS ST. COMPENSATION INSURANCE ABSORPTION UNIT,BTU ASSESSOR (This section need not•be completed.if the work Involved by the MAP BOOK PAGE PARCEL permlt is for one hundred dollars($100)or less.) AIR HANDLING UNIT,CFM DISTRICT NO. PROCESSED BY I certify that in the performance of the work for which this permit 6 Is issued, I shall not employ any person In any manner so as to BOILER,BTU become me subject to the Workers'Compensation Laws. +} COMPRESSOR,BTU � � APPROVALS DATE f ISP R'S SIGNATURE DateApplicant VENTILATION SYSTEM NOTICE TO APPLICANT: If, after making this Certificate of ROUGH Exemption,you should become subject to the Workers'Compensation EVAPORATIVE COOLER provisions of the Labor Code, you must forthwith comply with such FINAL provisions or this permit shall be deemed revoked. f FURNACE: FAU GRAVITY J;P� LICENSED CONTRACTORS DECLARATION 1 FLOOR BTU &�' 2 Y� VALIDATION I hereby affirm that I am licensed.under provisions of Chapter 9 HEATER: SUSPENDED UNIT (commencing with Section-7000)of Division 3 of the Business and WALL Professions Code,and my license is in full force and effect. License Number Lic.Class O c y ACCT.° Contractor Date 'y`1 r , C ❑ I aro exbmpt under Sec.' ,Plan check fee 1� 9°85t a B.&P.C.for this reason PERMIT ISSUING FEE$ 2(O 4 C Date: TOTAL FEE V Signature 0 PLAN CHECK APPLICANT co OWNER-BUILDER DECLARATION I ErG, G 1 hereby affirm that I am exempt from the Contractor's License Law NAME ® t for the following reason (Section 7031.5, Business and Professions ( L 48.P ,a ;B5 Cod e) I, as owner of the property, or my employees with wages ADDRESS i�E�;C F-189.85 as their sole compensation, will do the work and the CITY TEL.NO. CHANGE °j�i� structure Is not intended or offered for sale(Section 7044, Business and Professions Code). OWNER �A/J L �i � v �. ❑ I, as owner of the property, am exclusively contracting +/7�(� s►_ �p "'r '' t-( i MAIL ®ate D i� ® (�U (i'tltil�{t isf 4;r t't} with licensed contractors to construct the project (Sec- ADDRESS ® c O Z tion 7044.Business and Professions Code). �J 70!' L AM 8:23 }°7 n CITY A 4 • LSO afL �� TEL.NO. t'°�-+1 CONSTRUCTION LENDING AGENCY ! c ' I hereby affirm that there is a construction lending agency for , the performance of the work for which this permit Is issued CONTRACTOR is 3 pJ do S (Sec.3097,Civ.C.). f� Lender's Name ADDRESS CITY c 064 TEL.NQ Lender's Address STATE Y /► I certify that I have read this application and state that the above LICENSE NO. 6:55 2156 LIC. C- - CX 0 - information is correct. I agree to comply with all County ordinances and State laws relating to building construction,and hereby authorize representatives o Is County o enter upon the above-mentioned property for in ction purpo es. SEE REVERSE FOR EXPLANATORY LANGUAGE r AM ,� S A 0 PPCANT DATE