HomeMy Public PortalAbout5303 CAMELLIA AVE_Mechanical__ 7EAM4M ICG-016A1-9/77 APPLICA OPS FOR PERMT
HEATING - HEWTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDINGS3O3 .N. ( T?TT,TA AVE,
(PRINT OR TYPE ONLY) ADDRESS
LOCALITY
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST -,p D„
CROSS ST. �+�t��I4�7Jp�•pe a
ABSORPTION UNIT,BTU OWNER Gt1LYl'.Ltl
AIR HANDLING UNIT.CFM MAIL ' ���p
ADDRESS Snrlc+
BOILER,BTU „, MM C� TZMPM r+�r�cr TEL N0. 287-6776
1 COMPRESSOR,BTU 10 00 CONTRACTOR TRAIE l,..LHCC �7�
VENTILATION SYSTEM ADDRESS 2034.N. PECK.RD.
EVAPORATIVE COOLER CITY S. EL MIM TEL NO. 5-19_7982
FURNACE: FAU_x G V STATE LIC.
1 FLOOR BTU ID 00 1 LICENSE NO. CLASS-5094
_
HEATER: SUSPENDED UNrT- DISTR ICT NO. GROUP ZONE PROC ED BY
WAI I
INSPECTION RECOR
Plan check fee 25% of above.
PERMIT ISSUING FEE$ 00
TOTAL FEE 1 27100
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO.
IHEREBY ACKNOWLEDGE THAT I HAVE READ THLS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
ORDINANCES AND LAWS REGULATING HEATING, VENTILATING, AIR
CONDITIONING.
I HEREBY CERTIFY THAT I AM NOT NG IN VIOLATION OF APPROVALS DATE INSPECTOR'S SIGIIATURE
CHAPTER G, DIVISION D, OF TIJE B N PR SSIONAL CO
OF THE STATE OF CALIFOR ROUGH
SIGNATURE FINAL
O F P E RM fTTE
PLALN 'sCHECK VALIDAT' QCIL M-0, CASK PERMIT VALIDATION CK. ro. CASK
W Fes'�`-'•' x-15 �Q.[.c.-1-�-1�� ,
CCJI 17.0 12,i0 Al-119
D - C R ab a r� p -