HomeMy Public PortalAbout5227 CAMELLIA AVE_Mechanical__ I
7&36IC
CE-818 (Z-V.11
APk FO MIT
HEATING - V - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
ADDRESS
(PRINT OR TYPE ONLY)
LOCALITY
NQ. TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
CROSS ST.
ABSORPTION UNIT,BTU
OWNER
AIR HANDLING UNIT,CFM MAIL
ADDRESS -�
BOILER,BTU CfTY� �L TEL NO.
COMPRESSOR,BTU CONTRACTOR
VENTILATION SYSTEM ADDRESS L /�
EVAPORATIVE COOLER CITY v TEL NO�
FURNACE: FAU GRAV rrY STATE LIC.
FLOOR BTU LICENSE NO. CLASS
HEATER: SUSPENDED UNfT_ APPRMALS DATE I NS P C CTO 85510 NATU RL
WAIT
ROUGH
FINAL L C
V
INSP I RECORD p�
Plan check fee 25% of above.
PERMIT ISSUING FEE$
TOTAL FEE 19
PLAN CHECK APPLICANT PLAN CHECK VAJ41PA`TION
NAME
ADDRESS
CITY TEL NO.
IHEREBY ACKNOWLEDGE THAT I HAVE READ THLS APPLICATION AND :99 4 3 9 A
STATE THAT ORD NANCESTMANDBOVE IS LAWS REGULATIN-G HECT AND EATING.
EE TING o VENTILATICOMPLY NG R ALL #o 0 0 0 3 1
CONDITIONING. PERMIT VALIDATION
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF 2 o o 27,00
CHAPTER 9, DIVISION !.OF THE BUSINESS AND PROFES51QNAL CODE
OF THE STATE OF CALIFORNIA. _ o•o o 27,006
SIGNATURE
OF PERM p
03,20-80
D L"RIOT NO. PROC
��'
76A364 - CEBM - 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 LOCALIT
COLEMAN W.JENKINS,SUPERINTENDENT OF BUILDING NEAREST
CROSS ST
FOR APPLICANT TO FILL IN
OWNER
(PRINT OR TYPE ONLY)
MAILr
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADD
ABSORPTION SYSTEM, BTU CI TEL. NO.
CONTRACTO
AIR HANDLING UNIT, CFM
ADDRESS
BOILER, HORSEPOWER
d CIT TEL. N i
COMPRESSOR, HORSEPOWE
LICENSE NO. {O CLASS
VENTILATION SYSTEM DISSTTRICTT}NO. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER V ✓
FURNACE: FAU GRAVITY
FLOOR BTU INSPECTION RECORD
STAT
EATER: SUSPENDED UNIT Z
WALL
O
V
oc
O
va$
NEW—ADDITION— PERMIT $ 3 00 Z
ALTER_—REPAIR_
TOTAL FEE S D
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL. NO.
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AMD STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINAMCEM:AND LAWS REGULATING HEATING,VENTI- APPROVALS DYE IN ECTOR'S'SIGNA•TURE
LATING, AIR CONDITIONING.
IHEREBY CERTIFY THAT I AM NOT ACTIN VIOLATION OF ROUGH
CHAPTER 9, DIVISION F T SUSINE N P FESSIO FINAL
CODE OF THE IF
SIGNATURE JACK R. ALLEN, SUPERV ECHANICAL ENG'R.
OF PERMITTEST!)T
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION
Lr10 5 5 6 '3,-Z� Rm 2 U 4n
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE