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HomeMy Public PortalAbout4873 ARDSLEY DR_Mechanical__ 76A364C CE-818 (REV.11/78) ©� A P ATION FOR P HEATING - TILATING - R NDITION NG COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING `y (PRINT OR TYPE ONLY) ADDRESS J 73 4�?2- S'oto LOCALITY 1e� to /•/, NO. TYPE OF APPLIANCE OR EQUIPMENT FEE C-' NEAREST _ - -- ., CROSS ST ' ABSORPTION UNIT,BTU OWNER •�� - ���i_��_1S"7 AIR HANDLING UNIT,CFM MAIL ADDRESS S/-Y+•27E'� BOILER,BTU - _ CITY TEL.NO-2971117 � f r 27i/ / 11. COMPRESSOR,.BTU CONTRACTOR VENTILATION SYSTEM ADDRESS EVAPORATIVE COOLER CITY TEL.NO. FURNACE: FAU GRAVITY STATE LIC. FLOOR BTU LICENSE NO. CLASS HEATER: SUSPENDED UNIT_ APPROVALS DATE INSPECTOR'S SIGNATURE WALL ROUGH r FINAL 17—,((9 ` V INSPECTION RECORD CIL O F Plan check fee 25% of above. PERMIT ISSUING FEE$ Z TOTAL FEE PLAN CHECK APPLICANT PLAN CHECK VALIDATION NAME ADDRESS CITY TEL,NO. 9 p p n I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND O V f1 STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL #.o o o o 4 l ORDINANCES AND LAWS REGULATING HEATING, VENTILATING. AIR ' CONDITIONING. PERMIT VALIDATION 2 o o 2 7 0 0 I HEREBY C IFY THA I AM NOT A NG VIOLATION OF CHAPTER 9, DIVI ON 3. OF HE INES P ESSIONAL CODE o o O 2 7 0 0 OF THE STATE OF CALI RNI SIGNATURE " (� p OF PERMITTE 0 2 0 4�V 0 DISTRICT NO. PROC SEDI3 7eA3e4 - cEBIB - 8-69 APPLICATION FOR PERMI • HEATING - VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELES BUILDING �- DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION ..� JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY / '�•e'�L COLEMAN W.JENKINS,SUPERINTENDENT OF BUILDING NEAREST It CROSS ST. FOR APPLICANT TO FILL IN (PRINT OR TYPE ONLY) OWNER MAIL NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS e, ABSORPTION SYSTEM, BTU CITY TEL. NO. CONTRACTOR AIR HANDLING UNIT, CFM ADDRESS BOILER, HORSEPOWER CITY TEL. NO. COMPRESSOR, HORSEPOWER STATE //tt LIC. LICENSE NO. 0 CLASS -a VENTILATION SYSTEM DISTRICT NO.��y/ GROUP ZONE PROCESSED BY EVAPORATIVE COOLER y T Q FURNACE: FAU GRAVITY INSPECTION RECORD FLOOR BTU HEATER: SUSPENDED UNIT WALL 7- a O V O F V w NEW—ADDITION— PERMIT $ 3 00 N P� Z ALTER_REPAIR_ TOTAL FEE $ U PLAN CHECK APPLICANT NAME ADDRESS CITY TEL. N0. IHEREBY 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 DAT I PECTOR'S GNATURE LATING, AIR CONDITI G. - IHEREBY CERTIFY T I AM NOT ACTING IN V LATIO OF ROUGH `� !V CHAPTER 9, DIVISION OF THE BUSINESS OFES AL FINAL CODE OF THE STATE IFORNIA. SIGNATURE JACK R. ALLEN, SU RVI NG ECHANICAL ENG'R. OF PERMITTE l I PERMIT VALIDATION K. M.O. CASH PLAN CHECK VALIDATION I ^. 3256 JtN 7 41 D 7.0v SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE