HomeMy Public PortalAbout9114 BROADWAY_Mechanical__ 76 A364 -„CE RIR - 941
APPLICATION FOR P IT
HEATING - VENTILATING - AIR CONOITIONIFYG
COUNTY OF LOS ANGELES BUILDING / /1/ �f� O 1
DEPARTMENT OF COUNTY ENGINEER ADDRESS -Ml
BUILDING AND SAFETY DIVISION LOCALITY jj ) Q e F
NEAREST
CROSS ST.R O S I OL I ✓
FOR APPLICANT TO FILL IN OWNER 1^
(PRINT OR TYPE ONLY) C `�O * m C
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS (Z h41 e
CITY TEL. NO.
ABSORPTION UNIT, BTU 11
CONTRACTORS H A d h M6 '
AIR HANDLING UNIT, CFM F,
ADDREsW L H o c , Ire
I"E Y
BOILER, BTU 1r
CITY s'! p. h /"Ck��)/ if
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COMPRESSOR, BTU TATELICENSE NO. 7 p L? 7 / C ASsI. 3b - SCqO
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE PgcKESSED BY
EVAPORATIVE COOLER _I (/`/7///)
FURNACE: FAUGRAVITY
FLOOR BTU INSPECTION RECORD
HEATER: SUSPENDED—UNIT U
WALL SQ y
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Plan check fee 25' of above. See rever>e.
PERMIT ISSUING FEE S
'I'OTAI. FEF: � p�
PLAN CHECKAPPLICANT
NAME
ADDRESS ] y , /
CITY TEL.NO. q/ 11�Ijjv �I V
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS. REGULATING HEATING, VENTI- APPROVALS BATE INSPEC 'S SIGNATURE/
LATING, AIR CONDITIONING. G
OUGH �rS/ ✓ 1
HEREBY CERT
T TNP I AM NOT ACTING IN VIOLA
OF CHAPTER 9, OIV SIGN 3, F THE NOT AN O' NAL
CODE OF THE 5TA BE CA FORNIA.
SIGNATURE PERMIT VALIDATION CK. .O. �GCASH
OF PERMITT
PLA HEC VALIDATION CK. M.O. CASH
7 1 2 NOV 10 a z-,u j 1 2.0 0 e!�z
S EE BA C K OF APP L ICA T ION FO RCOM PLET E FE E S C HEOU L E n '
76 A36A - CE BIB-1/75
APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILD'
NG t
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY r
NEAREST
CROSSST. 1 GS /��./;A -
FOR APPLICANT TO FILL IN (OWNER �7 ��. �p%1.�1/� f
(PRINT OR TYPE ONLY)
TYPE&SIZE EQUIPMET ADDRESS
NO. SEE BACK
NMAIL
K OF APPLICATION FEE
CITY TEL. NO.
FORCE AIR FURNACE, BTU
CONTRACTO_C6&U Lt)dck [AO/f(S /
COMPRESSOR, BTU
_ ADDRESS
. VENTILATION FAN
CITY ^tD/�. 1 TEL. NO.yy5-_?76 1/
LIST ALL OTHERS BELOW STATELICENSE NO. CLASS
WA-LL- IQJ C MTN,
ICT .0. GROUP ZONE PROCES BT
R
INSPECTION RECORW
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a
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U
K
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U
W
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Plan check fee. See reverse:
PI'.li\I I'I' LtiS(;ING FEE S D
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL..NO_
1 XEREBY ACKNOWLEDGE THAT I HAVE READ TH15 APPLICATION
AND 5TATE TNAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING, VENT(- APPROVALS DATE INSPECTOR'S SIGN TU
EATING. AIR CONDITIONING, r
ROUGH
HEREBY CERTIFY THAT 1 AM T ACTING IN VIOLATION
OF CRAP IEP 9. DIMS, OF THE U51 ES PROF FINAL '
CODE
OF THE STAiE 0 LIF RNI
SI PERMITTEE �GNATURE " PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION- CK. M.O. CASH
4-1 8'9NAH _30 4:1 .0 1 9.5.0iem
76 A36I CE 818 - 9-]I APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES AUUIL!SNG
S 7 Jl
DEPARTMENT OF COUNTY ENGINEER DDR
BUILDING AND SAFETY DIVISION LOCALITY 12
NEAREST
CROSS ST. S' e
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY) r e gr
MAIL
NO. TYPEOF APPLIANCE OR EQUIPMENT FEE ADDRESS
CITY TEL. NO.
ABSORPTION UNIT, BTU
CONTRACTOR
AIR HANDLING UNIT, CFM—
ADDRESS
FM • T
ADDRESS3 on rC- �1 v
BOILER, BTU CITY c'; �,E EL. NO.' _
74Y
COMPRESSOR, BTU LICENSE RO. 19 T O O CLAS$
VENTILATION SYSTEM DISTRICT No. T GRouP I
{r/�zo NE �PR opce ssE r
EVAPORATIVE COOLER �• c-) •\_I 1 `^^�`� a
FURNACE: FAUGRAVITY
FLOOR BTU INSPECTION RECORD
z
HEATER: SUSPENDED—UNIT
WALL DO w
a
rn
Z
Plan check fee "5% of above. See reverse.
PEWNIPISSUING FEE S 3 00
TO"I'A I. FEE S'
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION V ,
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH
ALL ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS �JD E IINSPECTORjS SIGNATURE
LATING, AIR CONDITIONING. ROUGH QI 1 r
I HEREBY CERTIFY THAT I AM NOT ACTING IN V TION
OF CHAPTER 9, DMS' OF THE GUSINESS PR S DNA FINAL
COOS OF THE ;TAT F C IFORNIA. �U/1
SIGNATURE PERMIT VALIDATION cK. M.o V CASH
OF PERMITTF _
PLAN CH5C VALIDATION CK. M.0. CASH
4'814 SEP 343. 0 8.0 0 A98
5 E BACK OF APPLICATION FOR COM PLETE FEE 5C HEDU LE