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HomeMy Public PortalAbout5232 BARELA AVE_Mechanical__ P / 76A364 - CE818 - 3-69 APPLICATION FOR PERMIT HEATING - VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELES FBUILDINGDEPARTMENT OF COUNTY ENGINEER 3BUILDING AND SAFETY DIVISION JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W.JENKINS,SUPERINTENDENT OF BUILDING 43 (� FOR APPLICANT TO FILL INp (PRINT OR TYPE ONLY) OWNER - �� MAIL NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS j �,2 iIr' �C.a �✓c ABSORPTION SYSTEM, BTU CITY M / ; Ci �TEL. NO. 7 AIR HANDLING UNIT, CFM CONTRACTOR ADDRESS BOILER, HORSEPOWER CITY TEL. NO. COMPRESSOR, HORSEPOWER-:3"e �- STATE LIC. LICENSE NO. CLASS VENTILATION SYSTEM DISTRICT NO. GROUP ZONE PROCE SED BY EVAPORATIVE COOLER Q LL) FURNACE: FAU GRAVITY--� FLOOR BTU OVV — -7 INSPE TION RECORD ���AALL.. HEATER: SUSPENDED UNIT p WALL 2_r s V Lu CL NEW—ADDITION— PERMIT $ 3 00 r Z ALTER—REPAIR— TOTAL FEE $ PLAN CHECK APPLICANT i NAME ADDRESS CITY TEL. N0. IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORREG'T AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING HEATING,VENTI- LATING, AIR CONDITIONING. APPROVALS DATE IN PECTOR'S SIGNATURE 1 HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH J __ CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL CODE OF THE STATE OF CALIFORNIA. I "~ SIGNATURE J1u ' JACK R. ALLEN SUPE�RVI ECHANICAL ENG'R. OF PERMITTEE liC1 PERMIT VALIDAT CK. M.O. CASH PLAN CHECK VALIDATION iJo -7, 2 5 1: -t'�3 OCT 1 4 D 1 1.0 0 ' SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 76A364E (CF.-81 6A)-1 1/76 APPLICATION FOR �EReMIT � HEATING - VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN BUILDING (PRINT OR TYPE ONLY) ADDRESS LOCALITY NO. TYPE OF APPLIANCE OR EQUIPMENT FEE NEAREST CROSS ST. ABSORPTION UNIT,BTU Z OWNER 1, •_ AIR HANDLING UNIT,CFM MAIL ADDRESS BOILER,BTU CITY TEL.NO. COMPRESSOR,BTU CONTRACTOR VENTILATION SYSTEM ADDRESS EVAPORATIVE COOLER CITY V/TEL.NO. FURNACE: FAU_GRAVITY STATE LIC. FLOOR BTU LICENSE NO. I®` CLASS HEATER: SUSPENDED UNIT- DISTRICT NO. GROUP ZONE I PROCESSED BY WALL i S�.0 /tel/ 12,/ P, INSPECTION RECORD 6d d 0 Plan check fee 25% of above. O PERMIT ISSUING FEE I a. TOTAL FEE 75 PLAN CHECK APPLICANT NAME i ADDRESS CITY ' TEL.NO.��C�. 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, VENTILATING, AIR CONDITIONING. I HEREBY CERTI Y THAT I AM NOT ACTING IN VIOLATION OF APPROVALS DATE INSPECTOR'S SIGNATURE CHAPTER 9, DIVISI 3, OF THE BU INESS AND PROFESSIONAL CODE ROUGH OF THE STATE OF A FORNIA. SIGNATURE1 FINAL �`�'�c,s - �_/• �-`^F-i,� OF PERMITTE - PLAN CHp6K VALIDATION CK. M.O. CASH PERMIT VALIDATION !15 M.O. CASH 6 5 1 SEP `7 4 1 D 1 5.75 As ©5