HomeMy Public PortalAbout9624-9626 LONGDEN AVE_Mechanical__ WORKT.JRS'C0%11') \61110% 111'( 1_�n 7uAZ34C r� ce�s- pp pp ��pp n�
-, Cr 613(280) A_1AF UCATCON FOR P fR
I h•�+eh) utt��nt th.it i lyre a ccZt,tp.t. r ',, , ,.� •If
`fl
tp;nr'e.Cl a Ltltit3V ut worker,'Contac;•~ rite or HEATING-VENTILATING-Alla CONDITIONING
a ceitWL-7cppoy thereof,SVL.380(0��Lair (.)
Poli,: Nu.J27_-��cornp'rnl_1`IAZO `JY_LD� —
n ('ertified cop% I%hercv) frrm%h.•t. COUNTY OF LOS ANGELES BUILDING ARID SAFETY
('ertitwu cop) „fi' J with fb_�C0110IN hu..I•-1 .1. 0011 r = -- -- FOR APPLICANT TO FILL IN BUILDING
Jep:irtment ADDRESS
C"?4 ►r• ._� (PRINT OR TYPE ONLY) �-
Date Applicant_ — 1
(-- LOCALITY
Cr RTII•ICAII. 01- EXE-Mel ION 1110.-1 '%'ORK11 RS' NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
C'O�1PTti5A7lU%i I'\SL`1(Ati('I r""" NEAREST >_
(This Section need trot hz CtAtl(r':Tcd it fl'L -,solc +rivoi%ed _ I ADSORPTION UNIT,BTU CROSS ST. O
by the Permit is for on. nuitd--M 0,0:-.- (SI()fl) or le!;S.) DISTRICT NO PROCE E Y
I certify that in the p:rfnrni:±u%k ,,, illi %%orlt sur which this I I AIR HANDLING UNIT,CFM— Cc
permit is issued. I sh Ili not empl•,•, ,Ian poison io any rnuoner iI v 0
so as to become Subject to Uic ill :-,'C'onl aen,ation L:n%s. �- (BOILER,BTU
n APPROVALS DATE . NS CTO R'S sl( URE W
nate _Applic.mt ___________ __— I (COMPRESSOR BTU VI ROUGH
Cn
NOTICI: TO APPLICANT: If, altar -ine this Certificate of liVENTILATION SYSTEM z
Fremptson, you %hould occom_ ."r4%t to the Workers' _ FINAL -
C'oinpcn%atinn pruvl%iow. of t1w I. r ode, you must forth- EVAPORATIVE COOLER VALID TION
with comnl7 %kith ,•ich pro%i%ion• this permit %hall be
deemed re%olced. I FURNACE: FAU N PRAVITY—
LICI.XSFD C'ONTRA('lr)'t,, :1,C'LA144TION FLOOR__ BTU O
I hereh) affirm that I am licson•:r_d ulyd:i nsovisiow.of Chapter HEATER: SUSPENDED UNIT
g (commencing%%ith Section 7000) of Division 3 of the Busi- WALL
nest and Profe%,ion% Code, and m% '-rYn%C i% in full force and
effect. ..��,,{{��� /��,,,,��
License Number�6l_ f-,c CIas, ,�vvJiJd
I am crempt trout the ric:u%i I„ i.ouiretnent, :t, I am a
licensed architect or a ie;,i,t:rekl profc%•.ional enetncer Plan check fee 259'0 of above.
acting in my professiot1tl r.,Ift-c,t) (Section 7051. Bus- PERMIT ISSUING FEE 4 7 7 4 A
Bus-
iness and Profe%sions Code).
Lic,or Rel;.No. —_- _ _ __ O .Ac TOTAL FEE � # 0 0 0 0 0 8
HOME OliSNF.R-BUILD1 ( 1.•('L_IRATION PLAN CHECK APPLICANT II c, 100,50
I hereh) affirm that I am :,, -i ir,rn the C onls,Ictor's NAME o 0 1 0 Q 5 0 5
License Law for the foilovhir, I: •r.n (Section 7031.5, Busi-
ness and Professions Code): ADDRESS 0605,F-86
I, as owner of the propero, •' du the %toric and the
structure is not interduc. c- 1 fui sae (Section CITY TEL.NO.
7044,Bu%inec%and Prof•:%:.±.r k•,.�^► ---
❑
OWNER -
I, at ut:nur of fire pn,p.Il%. .,� .•cl.': .a1% cuntrak.ting -
%%ith licensed contractus, lo coa4ruc, the project MAIL
(Section 7044,Business and 1'I of, kiwi.,C'ode). ADDRESS
CONSTRUCTION LUND NC, 4(.ENCY CITY TEL.NO.
I hereh) affirm that there is a a,nstr-icri.m Icndints agency
for the pertormance of the %mile for uh .•I• thi% 0e�mit is IICONTRACTOR
issued(Sec. 3047,Civ.C ). --- - - - �V
Lender's Varve --- _ __--- _-- ADORFSS V C21 K _M& ±�
Lender's Address-----_ _- ____- __ II CITY TEL.NO. Q
_�.ca.,�"-oma Com-- foq l (0 5
I certify that i have read this aplslic.,tiur. ar-' %tate that the gTA•rE LIC.
above information is correct.I all•a to coutpf, %iith all County ILLICFNS1- NO. ����j CLASS
ordinance% and State laws reguhithir. H.:11:n V'1111,itin;and
Air '0nditioninv, and hereby aut.Irtsi/ ,L' -%e It.ti%e%of this SE RF.vrRSI:I'OR EXPLANATORY LANGCIAGI•
C'ou t' ton the ,h„kr n t^ n,.r I.
01W]IN For
iII lion rpo%
Sig ature of Permittee
%�XIIRKERS'CO*,IPI-NSATION DI.('I.AR.>IION 7GA3G4C pp pp ,qq�, pp �,pp 2 �/�
+. . CE 818(280) VAPP gCi�lTl ON OR PERMIT
I hX"eby arf' m that � ave,a��ccjtificetc of ctnisrnl to sell'
Faure, or I iWitilicate of 'orkers'Compensation lma.imc.or HEATING-VENTILATING-AIR CONDITIONING
a crrjjfred copy tnor4of(Sec.3800 LAI.C.)
Polic% Nn -dM4 Compan) 6tLI_JOU,e- COUNTY OF LOS ANGELES BUILDING AND SAFETY
Certified copy i%hereb) furnished.
C'ertitied copy is filed with the counts hand o.m,p.,ctv1n FOR APPLICANT TO FILL IN BUILDING �� t
DateM'd-ep-n�rtm-e�n ./ — U�'� I ADDRESS �/
� Applicant L (PRINT OR TYPE ONLY) ---
LOCALITv� -L-
CERTIIICATL OF EXEMPTION FROM WORKERS' NO. TYPE OF APPLIANCE OR EQUIPMENT FEE _ L
COMPI.NSATION INSGRAN('l: I— i NEAREST
CROSS ST. • d
(Thi% section need not be completed if the cork in%olved f - ABSORPTION UNIT,BTU - O
by the permit is for one hundred dollars (5100) or 11-ss.) } - — DISTRICT NO PROCIISSED BY V
I certify that in the performance of the work for %%huh this 1A R I-IANDLING UNIT,CFM �t J
W
permit is issued, I shall not employ an) person in any manner I 0
so as to become subject to the Workers' ComPen%-jtion Laws. I BOI LER, BTU
A APPROVALS D TE INSJ. OR'S S A URE W
Date Applicant rCOMPRESSOR,BTU 4e) I 0 ROUGH ` t1
_ _ _ CO)
NOTICE TO APPLICANT: 11, after trinhitig this C'ertif'icate of VENTILATION SYSTEMz
Exemption, you should become subject to the Workers' _ FINAL
Compensation provisions of the Labor Code, you must forth- EVAPORATIVE COOLER VALIDATION
with comply with such provision% or this permit shall be
deemed revoked. FURNACE: FAU RAVITY
LICENSED CONTRACTORS DI.CL 1R 4TION FLOOR B U
I hereby affirm that I am licensed under provisions of Chapter HEATER: SUSPENDED UNIT i
9 (commencing with Section 7000)of Division 3 of the Busi- WALL
ness and Professions Code, and my licen%e is in full force and
effect.
License Number A834 , Lic.Class /I
Contractor 5 Hatt -�p �7�n
F1I am exempt from the licensing r.:yuirements as i am a —
licensed :architect or a registered professional engineer Plan check fee 25%of above.
acting in my professional capucity (Section 7051, Bus ------ -- -
iness and Professions Code). PERMIT ISSUING FEE$
Lic.or Reg.No. Date TOTAL FEE
HOME OWNER-BUILD(•R DPC I.ARAI ION PLAN CHECK APPLICANT 4 7 7 5 A
I hereby affirm that I am exempt from the Contractor's NAME
License Law for the follov%ing reason (Section 7031.5, Busi- # a o 0 a a 8
ness and Professions Code): ADDRESS
I, as owner of the property. will do the work and the ° - 9Q50
CITY TEL. NO.
structure is not intended or offered tot sale (Section
7044,Business and Professions Cod:). ° e e 9 Q 5 0 5
OWNFR
I, as owner of the property, .un exclusively contracting _-_- 0605-86
with licensed contractors to construct the project MAIL
(Section 7044, Business and Prof,,sions Code). ADDRESS
CONSTRUCTION LENDING '(GFNCY CITY TEL.NO.
I hereby affirm that there is a construction lending agency
for the performance of the work foe %%hich this permit is CONTRACTOR �r®
issued(Sec.3097,Civ.C.). I D t
Lender's Name ADDRESS _/tel
Lender's Address CITY ]� TEL.NO.
I certify that I have read this application ant' state that the STATE J?l� J' LIC. v /�
abo%e information is correct.I agree to comply%%nh:ill County � LICENSE NO. 6543 � CLASS C—'L
ordinances and State la%%s regulating !fielding, A'enrll,,tlnV and
Air Conditioning,and hereby authorise r.pre, nt,tin::,of this SFI: RFVI:RSE FOR EXPLANATORY LAN 61..AGE
Countyl to enter pn the Uta•-mentioned pronet•i) for
ui%po
Sign: r Per ae