HomeMy Public PortalAbout4914 ARDEN DR_Mechanical__ 76A364-CE818 -1/70 APPLICATION FOR PERMI
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES FNEAREST
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION `J
JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL
NO. TYPE OFAPPLIANCE-OREQUIPMENT FEE ADDRESS
CITY ^ EL. NO.
ABSORPTION SYSTEM, BTU
CONTRACTOR
AIR HANDLING UNIT, CFM 300
ADDRESS
BOILER, HORSEPOWER CITY TEL. NO.
COMPRESSOR, HORSEPOWER STATE LIC.
LICENSE NO. CLASS /
VENTILATION SYSTEM 3 (s_v DISTRICT NO. CLASS GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER �j r0� Y" /
FURNACE: FAUZfaGRAVITY INSPECTION RECORD
FLOOR BTU '
HEATER: SUSPENDED—UNIT—
WALL
USPENDED UNIT_WALL
o_
O
V
O
F-
C�
W
NEW—ADDITION— PERMIT $ 3 00 y
Z_
ALTER_REPAIR_ TOTAL FEE $ /3 Ql�
PLAN CHECK APPLICAN
NAME
ADDRE
CITY` Al TEL.NO.
I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS PATJE I PECTOR'S SIGNATURE.
LATING, AIR CONDITIONING.
ROUGH
I. HEREBY CERTIF T T I AM NO ACTING IN VIOLATION
OF CHAPTER 9, DIVIS ON 3, OF THE BUS SS A PROFESSIONAL FINAL
CODE OF THE STATE F CALIFO A.
SIGNATUREJACK R. ALLEN,SUPERVISING MECHANICAL ENG-R.
OF PERMITTEE
PERMIT VALIDATION M.O. CASH
PLAN CHECK #ALIDATION
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
76A364E- CE8188-9/75 APPLICATION FOR PIUMIT
HEATING - VENTILATING - AIR CONDITIONING
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING
_ (PRINT OR TYPE ONLY) ADDRESS 4914 ADEN DR.
LOCALITYCITYNO. TYPEOFAPPLIANCEOR EQUIPMENT FEE TmvNEAREST
CROSS ST.
ABSORPTION UNIT, BTU
OWNER
BRMR, GAIL
AIR HANDLING UNIT, CFM MAIL
ADDRESS SAIF
BOILER, BTU 3 BP`
CITY Z '�,�LE CjIIV TEL. NO. 579-1028
COMPRESSOR, BTU
CONTRACTOR Tp
AM HCC
VENTILATION SYSTEM ADDRESS 2034 .N. PECK RD.
EVAPORATIVE COOLER CITY S +F TEL. NO. 579-7982
FURNACE: FAU_GRA Ygq�q— -7 STATE LIC.
FLOOR BTU �� yyy / 50 LICENSE NO. 265094 CLASS
HEATER: SUSPENDED UNIT_ DISTRICT NO. GROUP ZONESSED Br
WALL O
�� Z � 1G, d
V
INSPECTION RECORD
LLJ
Z
Plan check fee 25% of above. �G
PERMIT ISSUING FEE $ 4 50
TOTAL FEE 19.50
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY 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- c
LATING,.AIR CONDITIONING.
I HEREBY CERTIFY THAT 1 AM NOT ACTING IN VIOLATION APPROVALS DATE INSPECTOR'S SIGNATURE
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL ROUGH
CODE OF THE STATE OF CALIFORNIA.
SIGNATURE J
'1<OF PERMITTEE i;�/ � FINAL /��
PLAN CHECK VALIDATION PERMIT VALIDAtfc)N'' M.O. CASH
CK.
CK. M.O. CASH
5.,2,' 51--JUL ,2 4 1 D 1 9.5
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