HomeMy Public PortalAbout9937 BOGUE ST_Mechanical__ C`= �7e_
7k,4jg4-�E 818- 5--73 v PPLICATIO� PE' RMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES ADDRESS �� �U ��
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY -t2—
NEAREST
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NEAREST'
CROSS ST. aJRL.D I- I'V. 0`' ,C ISS'Z' t�
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY) "7 • � r-i^ ' A J
MAIL /�
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS /-309 „JF_
CITY TEL. NO. ����
ABSORPTION UNIT, BTU
CONTRACTOR ! / � �f� /�
AIR HANDLING UNIT, CFM
ADDRESS .R'E
BOILER, BTU CITY -�? TEL. NO. 3v
COMPRESSOR, BTU UO STATE LIC.
LICENSE NO.A,'V'-I, C ASS 61
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE OCE SS ED BY
EVAPORATIVE COOLER
FURNACE: FAU GRAVITY ✓ vC/ INSPECTION RECORD
FLOOR BTU D O'11� L
HEATER: SUSPENDED—UNIT—
WALL
USPENDED UNIT_WALL
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Plan check fee 257o of above. See reverse.
Z
PERMIT ISSUING FEF: S 3 00
TOTAL FEE s G
PLAN CHECK APPLICANT
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, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
LATING, AIR CONDITIONING.
ROUGH
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION IAN OF CHAPTER 9, DIVISION OF THE BUSINESS AND PROFESSIONAL FINAL �' �� - I(/ ?VY
CODE OF THE STATE OF IFO NIA. t J ..
SIGNATURE PERMIT VALIDATION CK. M.O. CASH
OF PERM I TTEE� >
PLAN CHECK VALIDATION CK. M.O. CASH
�_. 4 0 a 373 DEC 13 4 1 D 1 3.0 0 4
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
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A364 - t"-�E818 - 3-69 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY
COLEMAN W.JENKINS,SUPERINTENDENT OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL INv
(PRINT.OR TYPE ONLY) OWNER - i^ ' /• -N
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
ABSORPTION SYSTEM, BTU CITY TEL. NO.2_jf 7/
CONTRACTOR
AIR HANDLING UNIT, CFM
BOILER, HORSEPOWER O -0 jr� ADDRESS
�*y Sa
/ CITY TEL. NO.
COMPRESSOR, HORSEPOWER STATE LIC.
LICENSE NO. CLASS
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER
FURNACE: FAU GRAVITY
FLOOR BTU INSPECTION RECORD
HEATER: SUSPENDED UNIT
WALL
C-
d
0
V
Cie
O
I-
V
w
NEW—ADDITION— PERMIT $ 3 00 Z
ALTER_REPAIR_ TOTAL FEE $
PLAN CHECK APPLICANT
NAME' '
ADDRESS
TEL. NO.2
I HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING,VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE,
EATING, AIR CONDITIONING. ,?,,
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH C-C�
CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL =
CODE OF THE STATE OF CALIFORNIA.
SIGNATURE JACK R'. ALLEN, UPER G MECHANICAL ENG'R.
OF PERMITTEE
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION
[ !;P_ 4 3 9 1z;' APP 8 1,Q1 X0.5 0
!-EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE