HomeMy Public PortalAbout5003 CAMELLIA AVE_Mechanical__ -76A364C
CE 8181rvEV.6/781 6 "
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1pail& N FOR PERMIT
HEATING.- VENT TING '- AIR CO TIONING
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING .5-6
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(PRINT OR TYPE ONLY) ADDRESS OO
LOCALITY -
NO. TV PE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
- CROSS ST. -
ABSORPTIONUNIT,BTU ' '
OWNER'
AIR HANDLING UNIT'CFM MAIL
ADDRESS � -
BOILER,BTU /�� CITY TEL.NO.
COMPRESSOR.BTU- C/j CONTRACTOR
VENTILATION SYSTEM
ADDRESS
EVAPORATIVE COOLER1. ��� �0
CITY TEL.NO o;
FURNACE: FAU GI3,AVlTy' q9 STATE- LIC. / I
FLOOR U- BT !/• LICENSE NO., 3L U CLASS � -
HEATER:. SUSPENDED_UNIT— APPROVALS )ATE INSPECTOR'S SIGNATURE
WALL
ROUGH
r Y
FINAL O
f INSPECTION RECORD G u
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0
F
Plan check fee 25% of above. - -
PERMIT ISSUING FEEZ
TOTAL FEE
PLAN. ECK APPLICANT - PLAN'CHECK VALIDATION
NAME
ACCRUES
•.P
CITY - '- TEL.NO. '
IH ACKNOW _GE THAT PHAVE READ THIS APPLICATION AND 0)5 7.8 A
STATE THAT THE AB E ECT ANO AGREE TO COMPLY WITH ALL
ORDINANCES AND S.REG LATING HEATING, VENTILATING.- AR -- - = _4 " ' I#'o o'olo 41
coeDinolyirvG. Al
PERMIT VALIDATION -
CHAPTERS 9E0I SIONBY I 3, .THE BUSINESS NO NOT
SS ACTIN
ROFESSIIONALOCODE r 2 e e�`�I`�•O0
OF THESTATEF CALIF IA. _ p
SIGNATURE - e e e 2''.Q O U
OF PERMITTEE ' p
0ISTR ICT NO. - PROC 5 0 6 O 2-,O'O
76A3d6EYP;F a46A1.�9/77 APPLICATION FOR PERMIT
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 l
LOCALITY _
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE -
NEAREST
CROSS ST.
ABSORPTION UNIT.BTU yri�,� �6 /J }�
l J ' OWNER ale/1 `. '
.AIR HANDLING UNIT,CFM y _2T_At .i MAIL '^j
ADDRESS Q3 /1/ 1
BOILER.BTU CITY -Crf TEL.NO.. - 3 7
COMPRESSOR,BTU _ CONTRACTOR '-
Y � / 6
VENTILATION SYSTEM ADDRESS
EVAPORATIVE COOLER CITY �l n� T �_
FURNACE: FAUGRAVITY STATE FIl ALIC.
FLOOR. BTU LICENSE NO. CL55 .�Z
HEATER: SUSPENDEDUNIT— OSTRICTNO. GROUP ZONE PROc(y/�sEO BY
WALL I:r O 8 3
,,11 g
INSPECTION RECOpRD
/ G 7-P. 6'
✓ 2 I10 Ili d /"1
Plan check fee 25% of above: W
PERMIT ISSUING FEE$ eG �/ ° Z
TOTAL FEEy r1927 PEovES /rSP -i'K TLO
PLAN CHECK APPLICANT a O
NAME
ADDRESS
CITY TEL.NO. '
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECTANDAGREE TO COMPLY WITH ALL _
ORDINANCES AND LAWS REGULATING HEATING. VENTILATING, .AIR '
CONDITIONING.
.I' HERACYAT I�A ACTIN NVIOLATION OF APPRDVALs 'o !E - Irvsveci 's SIGN Tu eCHAPTER 9T NESS PROFESSIONAL CODE
SIGNATOR FINAL v�,y •��IJ`I(�, ,/� S•y �{^.Q�.A.vF
OF PERMI
PLAN C VALIDATION CK, M.o. - CASH
PERMIT V LIDATION CK. M. . CASH
v- 14` r?S C:O'I i@EI\ISATION' -
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POLICY NUMBER: G{'$ ° Y7 � � o o F 5:" .
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