HomeMy Public PortalAbout5032 BALDWIN AVE_Mechanical__ 76A1364 - CE818 - 3 69 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES FADDRE
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DEPARTMENT OF COUNTY ENGINEER D AL- V VE
BUILDING AND SAFETY DIVISION
JOHN A LAMBIE COUNTY ENGINEER TE L CITCOLEMAN W JENKINS SUPERINTENDENT OF BUILDING ,O
FOR APPLICANT TO FILL IN
(PRINT OR TYPE ONLY) OWNER .Tc/vN6
MAIL
NO TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS / E
ABSORPTION SYSTEM BTU CITY TEL NO
CONTRACTOR L- �/! n C
AIR HANDLING UNIT CFM
ADDRESS �S i/ / S r ��Sb
BOILER HORSEPOWER
CITY L TEL NO 0.2
COMPRESSOR HORSEPOWER STATE LIC_
LICENSE NO �S 98 CLASS
VENTILATION SYSTEM DISTRICT NO GROUP I ZONE PROCESSED BY
EVAPORATIVE COOLER ofl
FURNACE FAU GRAVITY INSPECTION RECORD
FLOOR BTU
j HEATER SUSPENDED UNIT '
/ WALL a
0
U
oc
O
U
LL
a
NEW-ADDITION PERMIT $ 3 00 z
ALTER_REPAIR_ TOTAL FEE $ �Q
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
IHEREBY 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
LATING AIR CONDITIONING APPROVALS DATE INSPECTOR S SIGNATURE
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH /
CHAPTER 9 DIVISION OF THE BU51 ESS AND PROFESSIONAL FINAL i
CODE OF THE STATE CALIFORNIA 7r
SIGNATURE JACK R ALLEN SUPERVISI MECHANICAL ENG R
OF PERMITTEE
PERMIT VALIDATION OK M o CASH
PLAN CHECK VALIDATION
042 0 7_ 00-
L N
SEE BACK OF APPLICATION FOR COMPLETE' EE SCHEDULE