HomeMy Public PortalAbout5102 DOREEN AVE_Mechanical__ t76A344~ CE&IS.- 3-69 APPLICATION FOR PERMIT ( O'
HEATING - VENTILATING - AIR CONDITIONING
• COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS 5102 Doreen St
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY lenr)je. City
COLEMAN W.JENKINS,SUPERINTENDENT OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FIL
(PRINT OR TYPE ONLY) L IN OWNER 0OYlri Marshall
'
MAIL
/
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS 5926 N. lemnle Cityp[B1Vd.
ABSORPTION SYSTEM, BTU CITY Temt)le City TEL. NO. 286-9877
AIR HANDLING UNIT, CFM CONTRACTOR O . A. Poindexter'. in
ADDRESS P.O . BO '106
BOILER, HORSEPOWER
CITY Pasadena TEL. N0. j. 'J'/
COMPRESSOR, HORSEPOWERSTATE /
LICENSE NO. 4GO802 CLASS C20
VENTILATION SYSTEM DISTRICT NO. GROUP ZONESSED BY
�EVAPORATIVE COOLER S �
1 FURNACE: FAU X GRAVITY_ INSPECTION RECORD
FLOOR BTU lOOI'j OO
HEATER: SUSPENDED_UNIT_
WALL >-
a
0
V
O
V
w
a
N
NEW—ADDITION— PERMIT $ 3 00 _ Z
ALTER--REPAIR— TOTAL FEE $ 8 OO
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL. NO.
I 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 DATE' INSPECTOR'S SIGNATURE
LATINS, AIR CONDITI ING.
Al HEREBY CER FY THA I AM NOT ING IN VIOLATION OF ROUGH
CHPTER 9, DIVI ION 3, F THE B SS AN PROFESSIONAL FINAL
CODE OF THE STA OF ]FOR
SIGNATURE JACK R. ALLEN, SUPERVI MECHANICAL ENG'R.
OF PERMITTEE
PERMIT VALIDATION .CK. M.O. CASH
PLAN CHVK VALIDATION - ` A ^
LA02404�-- 5& 1S4 1 D 8.0 0
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE