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Home My Public Portal About9662 LAS TUNAS DR_Mechanical__ k v 68884-CEB.1 IT B_BB IT - VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS p� JOHN A. LAMBIE. CQUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALIT FOR APPLICANT TO FILL IN CROSS ST. (Print or type only) OWNER NO.. TYPEJOFAPPLIANCE OR EQUIPMENT FEE MAIL ADDRESS (, / ABSORPTION SYSTEM, BTU CITY r TE NO. i AIR HANDLING UNIT, CFM CONTRACTOI L7 r BOILER, HORSEPOWER ADDRESS COMPRESSOR, HORSEPOWER d� CITY r TEL. NO��" STATE LIC. VENTILATION SYSTEM LICENSENO.� (/ CLASS DISTRICT NO. GROUP ZONE I PROC%SSED BY EVAPORATIVE C OLER , FURNACE: FAU GRAVITY� L) ALL FLOOR—BTU INSPECTION RECORD HEATER:.SUSPENDED UNIT WALL o_ O V O I-- Lu LLI 93- w Z NEW—ADDITION— PERMIT. $ 3 00 ALTER REPAIR— TOTAL FEE $ Plan check applicant Name 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- APPROVALS DATE INSP OR'S SIGNATURE LATING,AIR CONDITIONING. ROUGH � I HEREBY C TIFY THAT I AM NOT ACTI IN VIOLATION .FINAL OF CHAPTER 9, D N 3, OF THE BUSI ESS D ROFESSIONAL CODE OF THE STAT F ALIFORNIA. JACK R. ALLEN SUP VISI7CHANICAL ENG'R. SIGNATURE , -PERMIT VALI 0 •CM.0. CASH OF PERMITT PLAN CHECK VALIDATION LjjiU N �3.1 4 1 0 1 .5:5 ON 14 EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 763 WORKERS'COMPENSATION DECLARATION CEA 81 8C(2-80)' , A P P UC A T�® FOR P E R WT . I hereby affirm.that I have a' certificate of consent to self insure,or a certificate of Workers'Compensation Insurance,or I I-IIEATING-VENTIL.ATINt-AIR CONDITIONING a certified cony thereof(Sec.3800,Lab.C. ��''��jj�� .tet �' Al s Policy No� ompany l�✓S O P T • ' Certified copy is hereby furnished. ' :OUNTYrOF LOS ANGELES / ! �r BUILDING AND SAFETY Certified copy is filed with the county buildin ' spection FOR APPLICANT TO FILL IN BUILDING ADDRESS arls ,vat Date Applicant (PRINT OR TYPE ONLY) nn LOCALITY le C_f CERTIFICATE OF EXEMPTION FROM WORKERS' NO. TYPE OF APPLIANCE OR EQUIPMENT FEE COMPENSATION INSURANC]i .NEARESTIL } (This section need not be completed if the work involved ABSORPTION UNIT,BTU CROSS ST. 0 O by the permit is for one hundred dollars ($100) or less.) DISTRICT NO. PROCESSE Y U r I certify that in the performance of the work for which this AIR HANDLING UNIT,CFM permit W- permit is issued, I shall,not employ any person in m any anner c 0 so as to become.subject to the Workers' Compensation Laws. BOILER,BTU ' Y 14 � APPROVALS DATE INSPUR ECTOR'S SIGNATE W Date_.Applicant 1 COMPRESSOR,BTU ROUGH y NOTICE TO APPLICANT: If, after making this'Certificate of VENTILATION SYSTEM Z Exemption, you should become subject to the Workers' FINAL Compensation provisions of the Labor Code, you must forth- EVAPORATIVE COOLER I() ION with comply with such provisions-or this permit shall be deemed revoked: FURNACE: FAU G VI Y LICENSED CONTRACTORS DECLARATION FLOOR: BTU I hereby affirm that 1 am licensed under provisions of Chapter I HEATER: SUSPENDED UNIT 9 (commencing with Section 7000)of Division 3 of the Busi- i WALL ness and Professions Code, and my licen's In f ll force and effect. CCd1C I License Numbe'r4=705 Lic.Classy !0�=Cfy Contractor OSAPA*t ZIA- Date s-1D— I•am exempt from the licens)ng requirements as I am a licensed architect or a-registered prdfessional engineer Plan check fee 25%of above. acting in my professional capacity (Section 7051, Bus- iness and Professions Code). PERMIT ISSUING FEE$ 0Q iC- Lic.or Reg.No. -Date TOTAL FEE 1301 IS-0 HOME•OWN.ER-BUILDER DECLARATION PLAN CHECK APPLICANT , 1 .= �• 00,3A 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 0. .0 0 0 8 ❑ I, as owner of the property, will do the work and the. 1, 2 o o structure is not intended or offered for sale (Section CITY TEL.NO. , 0.5.0 7044,Business and Professions Code). OWNER 0 i u 0 30,5e Q O 0 ' I, as owner of the property, am exclusively contracting OI2i71 with licensed contractors to construct the project MAIL a / � C q 0 6-84 (Section 7044,Business and Professions Code). ADDRESS CONSTRUCTION LENDING AGENCY CITY rLv� TEL.NO. ` ?7 I I hereby affitm that there is a construction lending agencya �c for the performance of the work for which this permit is CONTRACTOR(10 issued(Sec.3097,Civ.C.). 1 Lender's Name :I ADDRESS Cr1` Al _A(C,'iv Lender's Address (Ff CITYrIo /p re� TEL. I certify that I have read this application and stats that the STATE �/ LIC. E i above information is correct.1 agree to comply with all County LICENSE NO. Y0 7 CLASS ; ordinances and State law$ 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 in' cti2n purpos„s� Signatureofoff Permittee Date _ WORKERS'COMPENSATION DECLARATION_ CEA 818C(2-80) A P P l� C A T�®N FO PER ILII 0 ++ I hereby affirm that I have a' certificate 'of consent to self = . insure,or a certificate of Workers'Compensation Insurance,o'r HEATING-VENTILATING-AIR CONDITIONIMC$ a certified copy thereof(Sec.38070,Lab.C. / ` +. Policy No. ompanul /Z �0 /N QST �' 3 •, El Certified copy is hereby furnished. COUNTY OF LOS ANGELES BUILDING AND SAFETY r Certified copy is filed with the county building)nspe n BUILDING department ' FOR APPLICANT TO FI LL IN rADDRESS 41-17 UAI Date� YApplicant-� (PRINT OR TYPE ONLY) LOCALITY IfAt CERTIFICATE OF EXEMPTION FROM WORKERS' ` NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ' COMPENSATION INSURANCE 11 !NEAREST '(This section need not be completed if the work involved 1 ABSORPTION UNIT,BTU (CROSS ST. d ' by the permit -is for -one hundred dollars ($100) or less..) f DISTRICT NO. PROCESSED BY V I certify that in the performance of the work for which this y. AIR HANDLING UNIT,CFM b permit is issued, I shall not employ any person in any manner { _ ;, i 4 0 O so as to become subject to the Workers' Compensation Laws. ` BOILER, BTU I APPROVALS DATE INSPECTOR'S SIGNATURE U Date Applicant F COMPRESSOR,BTU ROUGH d NOTICE TO APPLICANT: If, kfter making this Certificate oft VENTILATION SYSTEM INAL Z Exemption, you should become subject to the Workers' JF _ Compensation provisions of the Labor Code, you must forth- I' EVAPORATIVE COOLER " VALIDATION . with comply with such provisions or this permit shall be deemed revoked. FURNACE: FAU_ILAVITY LICENSED CONTRACTORS DECLARATION FLOOR: BTU Id I hereby affirm that I am licensed under provisions-of Chapter HEATER: SUSPENDED UNIT 9 (commencing with Section 7000)of Division 3 of the.Busi- WALL ness and Professions Code, and my license is in full force and t effect. j��37 33 lass �'C�D License Num��77ber 7 Lic.Class- .S�G Contractor[•"r�A1AfoC Date I am exempt from the licensing requirements as I am a 6 licensed architect or a registered professional engineer Plan check fee 25%of atiove.' acting in my professional capacity (Section 7051, Bus- iness and Professions Code). PERMIT ISSUING FEE$, Lic.or Reg.No. Date `TOTAL FEE HOME OWNER-BUILDER DECLARATION, PLAN CHECK APPLICANT 1 i I hereby affirm that I am exempt from- the Contractor's NAME License. Law for the following reason (Section 7031.5, Bus)- I ness and Professions Code): ADDRESS ; I, as owner. of the property, will do the work and the CITY TEL.NO.. 6 $ �,3 R structure is not intended or-offered for sale (Section ff 7044, Business and Professions Code). I' ❑ I, OWNER.- N0 12 t ' # °Io e,a ° 8 I, as owner of the property, am exclusively contracting' with licensed contractors to construct the project + AMAIL DDRESS Q 2•°:° 3050 (Section 7044, Business and Professions Code). I CONSTRUCTION LENDING AGENCY l CITY Aak (r- TEL.NO.. 7�' I ° °+° 7J 0.5 0 c=� I hereby affirm that there is a construction lending agency 0 $,2 8-84 . for the performance of the work for which this permit.is CONTRACTOR yL issued(Sec. 3097,Civ.C.). Lenders Name ADDRESS +• • r; Lender's Address ' CITY `I• TEL.NO. 4 I certify that I have read this application and state that the STATE eC/ LIC. YY �.Zo above information is correct.I agree to comply with all County LICENSE NO. 7 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 wisp on purposes. 1' 9-aa-YY Sign at.0 of Permittee Date