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Home My Public Portal About9644 LAS TUNAS DR_Mechanical__ ,78A364E,jGE8 I SA) 11/76 _ APPLRVION FOR PERM HEATING - VENTILATING - AIR C DITIONING COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN7FE BUILDING /_ (PRINT OR TYPE ONLY) ADDRESS lP LOCALITY NO. TYPE OF APPLIANCE OR EQUIPMENT qew NEAREST CROSS ST. ABSORPTION UNIT.BTU OWNER AIR HANDLING UNIT,CFM MAIL ADDRESS BOILER,BTU CITY /vfvi►//!.�✓OA— TEL.NO. Z5'�--Xj3 COMPRESSOR,BTU Ol�+,l�Fy1— CONTRACTOR VENTILATION SYSTEM ADDRESS y'qoyiT EVAPORATIVE COOLER CITY TEL.NO. FURNACE: FAU_GRAVITY STATE LICfN FLOOR BTU LICENSE NO. L HEATER: SUSPENDED UNIT- DISTRICT NO. GROUP ZONE WALL INSPE-CTtQN RE OR m O Plan check fee 25% of above. W PERMIT ISSUING FEE$ Z TOTAL FEE AO NUA PLAN CHECK APPLICANT NAME ADDRESS CITY TEL.NO. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIONrD STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WIT ORDINANCES AND LAWS REGULATING HEATING, VENTILATING, CONDITIONING. 1 HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATIOVALS DATE INSPECTOR'S SIGNATURE CHAPTER 9, DIVISION 3, OF THE BUSIN 5 AND PROFESSIONAL OF THE STATE OF CALIF Nl�SIGNATURE ff��,, OF PERM ITTEF PLAN CHECK VALIDATION CK. MO CASH PERMIT VALIDAT ��( CK MOAlai; d4 41 • 1 9.5 C) ®s WORKERS'COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self APPLICATION FOR PERMIT insure, or a certificate of Workers' Compensation Insurance, HEATING VENTILATING - AIR CONDITIONING t or a certified copy thereof (Sec. 3800, Lab. C.) 76A364C Sl/t{� CE-818(REV. 10/81) Policy No./I 9'y lZyCompany ��/1 T BUILDING AND SAFETY Certified copy is hereby furnished. COUNTY OF LOS ANGELES J / ❑ Certified copy is filed with the county building inspec- FOR APPLICANT TO FILL IN BUILDING tion department. , (PRINT OR TYPE ONLY) ADDRESS 11121-t et Date Applicant LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO. TYPE OF APPLIANCE OR EQUIPMENT FEE NEAREST COMPENSATION INSURANCE CROSS ST. (This section need not be completed if the work involved by ABSORPTION UNIT, BTU DISTRICT NO. PROCESSED B ' the permit is for one hundred dollars ($100)or less.) AIR HANDLING UNIT, CFM O I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. BOILER, BTU C APPROVALS DATE INSPECTOR'S SIGNATURE COMPRESSOR, BTU ��r ^ U "� ROUGH f Date Applicant NOTICE TO APPLICANT: If, after making this Certificate of 2 VENTILATION SYSTEM /, FINAL Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- t) EVAPORATIVE COOLER VALIDAT N with comply with such provisions or this permit shall be deemed revoked. FURNACE: FAU GRAVITY LICENSED CONTRACTORS DECLARATION FLOOR BTU e! I hereby affirm that I am licensed under provisions of Chapter 9 HEATER: SUSPENDED-UNIT- (commencing USPENDED UNIT(commencing with Section 7000) of Division 3 of the Business WALL and Professions Code,and my license is in full force and effect. } tl License Number S 6..3 Lic. Class , U ad Contractor JL144(:�Z.CNSNLDate O H ❑ I am exempt under Sec. ... Plan check fee w B.BP.C. for this reason Date: PERMIT ISSUING FEE $ ® Z Signature TOTAL FEE O OWNER-BUILDER DECLARATION PLAN CHECK APPLICANT I hereby affirm that I am exempt from the Contractor's License , Law for the following reason (Section 7031.5, Business and NAME ' Professions Code): ❑ 1, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and ' CITY the structure is not intended or offered for sale(Section TEL. NO. 7044, Business and Professions Code). OWNER ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec- MAIL tion 7044, Business and Professions Code). ADDRESS CONSTRUCTION LENDING AGENCY CITY TEL. NO. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued CONTRACTOR ✓ , (Sec. 3097, Civ. C.). y - �J� ADDRESS Lender's Name c CITY > G /`r TEL. NO.Z1 Ji ' Lender's Address C LIC I certify that I have read this application and state that the LICENSE NOTATE . �/ S C/'/ CLASS above information is correct. I agree to comply with all County ordinances and State laws relating to building construction, and hereby authorize representatives of this County to enter upon he bove-mentione property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ignature of Applicant or Agent Date 1,*ORKERS'COMPENSATION DECLARATION CEA gtg(2-80) APPLICATION FOR PERMIT I hereby�laffirrn that I have a' certificate of consent to self insure, or t, certificate of Workers'Compensation Insurance,or HEATING-V ENTILATiNG-AIR CONDITIONING a cc tified cod y thereof(Sec. 3800,Lab.C.) Policy No. ■ Company Certified copy is hereby furnished. COUNTY OF LOS ANGELES BUILDING AND SAFETY Certified copy is filed with the county building inspection FOR APPLICANT TO FILL IN BUILDING department. ADDRESS 9� LAS TUNAS DRIVE Date Applicant (PRINT OR TYPE ONLY) LOCALITY rWLE CITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO. TYPE OF APPLIANCE OR EQUIPMENT FEE NEAREST COMPENSATION INSURANCE CROSS ST. 0- (This (This section need not be completed if the work involved ABSORPTION UNIT, BTU 0 by the permit is for one hundred dollars (5100) or less.) DISTRICT NO _ 1,PROCESS 0 I certify that in the performance of the work fo which this AIR HANDLING UNIT,CFM permit is issued, I shall not employ any erson ' any mann U O so as to become subject to the ker enr tion L s. BOILER, BTU APPROVALS D E INSP T R'S I *NATE (� W DateyL-i:S2�Applicant COMPRESSOR, BTU ROUGH L001 U) NOTICE TO APPLICANT: If, after making this Certificate of VENTILATION SYSTEM FINAL i z Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- EVAPORATIVE COOLER W_ with ON with comply with such provisions or this permit shall be deemed revoked. FURNACE: FAU GRAVITY LICENSED CONTRACTORS DECLARATION FLOOR BTU 61 L 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 z 0 9 9 2 A effect. 2 COMMERCIAL KITCHM HOOD 50,,00 License Number 31323 Lic.Class C43 Contractor Date 11-1-84 1 - 6G50 I am exempt from the licensing requirements as I am a licensed architect or a registered professional engineer Plan check fee 25% of above. • 0060,5070- acting in my professional capacity (Section 7051, Bus- iness and Professions Code). PERMIT ISSUING FEE $ 1 1.0 1 —8a Lic.or Reg.No. Date TOTAL FEE 6Q 50 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 1, as owner of the property, will do the work and the structure is not intended or offered for sale (Section CITY TEL. NO. 7044, Business and Professions Code). OWNER JOAN GIAKOS ElI, as owner of the property, am exclusively contracting with licensed contractors to construct the project MAIL OC� 1St AVE. (Section 7044, Business and Professions Code). ADDRESS CONSTRUCTION LENDING AGENCY CITY ARCADIA TEL. NO.447-6575 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is CONTRACTO issued (Sec. 3097,Civ.C.). Lender's Name ADDRESS 2001 N. MARIANNA AVE. Lender's Address CITY TEL. NO. 213-222-011 IAS ANQrELES 90032 1 certi'y that I have read this application and state that the STATE LIC. C 3 above information is correct.I agree to comply with all County LICENSE NO. 321323 CLASS ordinances and State laws regulating eati g, Ventilating and Air Conditioning, and h eby autho .e r resentatives of this SEE REVERSE FOR EXPLANATORY LANGUAGE Count to ter u the ab e- tioned properly for ills ion rpo 11-1-84 Signature o Permittee Date