HomeMy Public PortalAbout4910AGNES AVE_Mechanical (5) 76 A364 CE 818 5-73
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r v '� APPLICATION FOR PERMIT
HEATING i VENTILATING _ AIR DCNGIMOEITYINSPECTION
+ COUNTY OF LOS ANGELES ADDRESS 4910 S �—�
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY rTw
NEAREST
CROSS ST
FOR APPLICANT TO FILL IN OWNER WHEIRAUSEN
(PRINT OR TYPE ONLY)
MAIL
NO TYPE OFAPPLIANCEOR EQUIPMENT FEE ADDRESS 4910 AGNES
CITY TEWU CITY TEL NO 285=2303
ABSORPTION UNIT BTU
CONTRACTOR
TPANE HCC
AIR HANDLING UNIT CFM ADDRESS 2034 NORTH PECK,)ROAD
BOILER BTU CITY SO EL MONTE- NO 579-7982
COMPRESSOR BTU i- STATE LIC
LICENSE NO 265094 CLASS Cl -20
VENTILATION SYSTEM DISTRICT NO GROUP ZONE PROC S ED BY
EVAPORATIVE COOLER ' U �
FURNACE FAU GRAVITY
FLOOR BTU INSPECTION RECOWD
HEATER SUSPENDED UNIT_
WALL
0-
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C)
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CL
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Plan check fee 25% of above See reverse z
PERMIT ISSUING FNM 8
COTAL FEE 0
PLAN CHECK APPLICANT I +�
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 VEN\I APPROVALS DATE . INSPECTOR S SIGNATU E
LATING AIR CONDITIONING � Y
ROUGH
1 HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION r
OF CHAPTER 9 DIVISION 3 OF THE B SINESS AND PROFESSIONAL FINAL
CODE OF THE STATE OF CALIFO /�
SIGNATURE PERMIT VALIDATION CK ` M O CASH
OF PERMITTEE
PLAN CHECK VALIDATION CK M 0 CASH
8-096- nn.5 9 41 0 19.5 0 ,t*-
Rt
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE /