HomeMy Public PortalAbout9508 LIVE OAK AVE_Mechanical__ NORKER'have a certificate
consent
t to 76A348DPW9/89 APPLICATION FOR PERMIT LIME GREEN ',
I hereby affirm that I have a certificate of consent to self Insure, 76A31i4C
' or a certificate of.Worker's Compensation Insurance, or a certified ; ;HEATING-VENTILATING,AIR CONDITIONING
copy thereof(Sec 3800 Lab C)
Policy No 'P9913 Company Repub 1 i c Indemnity - COUNTY`OF LOS ANGELES - DEPT OF'PUBLIC WORKS BUILDING•AND SAFETY DIV:
❑, .'Certified copyis hereby furnl
x❑, Certified copy Is filed withpbdinction FOR APPLICANT,TO FILL IN BUILDINGdepartment (PRINT OR TYPE ONLY) ADDRESS
9508 Live Oak
4'/6/92 A l,DLOCALTem 1e CitDate PP •NO TYPE O APPLIANCE OR EQUIPMENT, FEE.CERTIFICATE OF E S' NEARESTCOMPEN CROSS ST
ABSORPTION UNIT,BTU ASSESSOR
(This section need not be,completed if the work olved by the MAP BOOK PAGE PARCEL
permit is for one hundred dollars•($100)or less.) AIR HANDLING UNIT,CFM
� DISTRICT NO PROCESSED BY ,
1 certify that in the,performance of the work for which this permit
is'is'sued, I shall not employ"any person,In any manner so as to BOILER,BTU' p '
become sublet[to-the Workers'Compensation Laws
' + COMPRESSOR,BTU 429000
APPROVALS DATE INSPECTOR'S SIGNATURE o
Date Applicant VENTILATION SYSTEM ,
NOTICE TO APPLICANT If, after making this Certificate of ROUGH
Exemption,you should become subject to the Workers'Compensation EVAPORATIVE COOLER
provisions of the,Labor Code,'you must forthwith comply-with such FINAL �G 2
provisions or this permit shall be deemed revoked FURNACE FAU' ' GRAVITY
LICENSED CONTRACTORS DECLARATION . FLOOR BTU 100 000 VALIDATION
I hereby affirm that I am licensed under provisions of Chapter 9 HEATER SUSPENDED UNIT
(commencing with Section 7000)of Division 3 of the Business and WALL
Professions Code,'and my license Is in full foice and effect
_ - Remove-existing
-'LIC~se' u M 751LI Class C-20 .} '
exchange for new unit. }
`Cont, r .A ate 4/6/92 O
I am exempt unde Se• Plan check fee U
cc
B&P C for this reason PERMIT ISSUING FEE$ Q
Date } TOTAL FEE W
Signature a
PLAN,CHECK APPLICANT CO
OWNER-BUILDER DECLARATION Z
' I hereby,affirm that 1,am exempt from the Contractor's License Law NAME , D
for the following reason (Section 7031 5, Business•and Professions, {
rlC )E .•r
Code) ADDRESS,
❑ I, as own_er of the property, or my employees with wages
as their.sole compensation, will,do the work and the CITY TEL-NO
structure is not intended or offered for sale (Section 7044,• ? 'a
Business and Professions Code) OWNER Mr. & Mrs. John DeYoun -JT1A_ °•� }
ElI, as owner of the property, am exclusively contracting MAIL 'QE'
- A ! s 3;
with licensed contractors to construct the project (Sec- ADDRESS 9508` Live Oak - - ""'�
tion 7044, Business and Professions Code) ;e
CONSTRUCTION LENDING AGENCY CITY Temp 1 e City
TEL-N0818 286-2186
hereby affirm that there is a construction lending agency fo
I rt CONTRACTOR
the,performance of the work for which this permit'Is Issued Bryant Heating & A •C'•Inc.
(Sec 3097,Civ C) _
„ ADDRESS.135O East 'L'as Tunas Drive L.`�' ,
Lender's Name t �[;e
ciTY'Temple "Cit "TEL N°818 286-1141
Lender's Address STATE-'•• LIC' � , -• •-
`I certify that I have read this ap tion and state that-the above LICENSE NO 221751 CLASS C-20 '
Informss correct I agree co ply with all County ordinances _
and�tt e la s rel o b In Onstruction,and hereby authorizerepntaU es C o enter upon the bove-mentioned
proty fo I tion rpos SEE REVERSE FOR EXPLANATORY LANGUAGE ~
SIGNA OFIAPL ANT R AGENT DATE
�}