HomeMy Public PortalAbout4837 BIRCHLAND PL_Mechanical__ 7eA3e4-cEe.e`-ai70t APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. CouNTY ENGINEER, Templa
NEAREST
COLEMAN W. JENKINS, SUPtRINTLiDKIJT CIF BUIL-DINGI NEACROR ST.
FOR APPLICANT TO FILL IN OWNS
(PRINT OR TYPE ONLY)
MAIL
NO. TYPE OF APPLIANCE,OR EQUIPMENT PEE ADDRESS
ABSORPTION SYSTEM, BTU 79K
CITY 11m le City TEL NO, _
11 R4
CONTRACTO
AIR HANDLING UNIT, CFM
ADDRESS
P-0-flay 571
BOILER, HORSEPOWER CITY TeWl da CityTEL. NO.
2A!i=l 741
COMPRESSOR, HORSEPOWER STATE LIC.
LICENSE NO. CLASS
VENTILATION SYSTEM bISTRICf NO. CLAS/ smou ZONE PROCESaED BY
EVAPORATIVE COOLER _570r
FURNACE: FAU X GRAVITY IN$.P CTION RECORD
FLOOR BTU 8M
HEATER: SUSPENDED—
UNIT-WALL
0
a
NEW_ADDITION— PERMIT $ 3 00 Z
ALTER—REPAIR— TOTAL FEE ILL:
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
I HERE aY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND /TATE THAT THE ABOVE Ia CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCE/ AND LAW/ RE/ULATIN/ HEATING, VENTI- APPROVALS DATE WPECTOR'S SI/NATURE
LATIN/, AIR CONDITIONIN/.
ROUGH
I HEREBY CERTIFY THAT I AM NOT ACTIN/ IN VIOLATION
OF CHAPTER D, DIVI/ION S, O THE SU/INE/a AND PROFESSIONAL FINAL
CODE OF THE /TATE OF CAL MIA.
SIGNATURE / � JACK R. ALLEN,$ pERVISI CHANICAL ENG'R.
OP PERMITTEE QC't.�–
PERMIT VALIDATION CK. M.O. GASH
PLAN CHECK VALIDA N
Ar- 1367ti &L1241D 13 .00
SIM BACK OF APTLICATIO)1 FOR COM MUTE FEE/CHIDU LE
4