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HomeMy Public PortalAbout9933 DUFFY ST_Mechanical__ 1 76A364C CE-818 (REV.11/78) e, APPLICATION FOR PLRRUT HEATING - VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL.IN BUILDING (PRINT OR TYPE ONLY) ADDRESS _ - LOCALITY NO. TYPE OF APPLIANCE OR EQUIPMENT FEE _ NEAREST ' CROSS ST. ABSORPTION UNIT,BT` V - OWNER AIR HANDLING UNIT,CFM MAIL ADDRESS BOILER,BTU CITY - TEL.- ` COMPRESSOR,BTU CONTRACTOR - - VENTILATION SYSTEM ADDRESS EVAPORATIVE COOLER CITY L-`A TEL.N l FURNACE: FAU GRAVITY STATELIC. FLOOR -BTU LICENSE NO. CLASS HEATER: SUSPENDED UNIT_ APPROVALS DATE INSPECTOR'S SIGNATURE WALL ROUGH FINAL a� �.. �® V INSPECTION RECORD .09 4J Pion-check fee 25% of above. Lu OA PERMIT ISSUING FEE$ Z TOTAL FEE PLAN CHECK APPLICANT PLAN CHECK VALIDATION NAME ADDRESS CITY TEL.NO. IHEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL p ORDINANCES AND LAWS REGULATING HEATING, VENTILATING, AIR 9;6 2 R 9 A coNDmoNwc. PERMIT VALIDATION I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF # 0,0110 o 4 CHAPTER *.—DIVISION 3. OF THE BUSINESS AND PROFESSIONAL CODE - OF THE STA CALIF_ - t 2 0 0 27 0.0 SIGNATU E OF PE RMI \ - , 27,0036' 11 O DISTRICT NO. - PRO SSED BY © C� 08,22`-°79 764364..­CE818-1/70 , APPLICATION FOR PERM HEATING - VENTILATING - AIR CONDIT.110MI dG COUNTY OF LOS ANGELES BUILDING / DEPARTMENT OF COUNTY ENGINEER. ADDRESS tT BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING NEAREST CROSS ST. FOR APPLICANT TO FILL IN OWNERS p O' (PRINT'OR TYPE ONLY) MAIL NO.. TYPEOFAPPLI.ANCEOR EQUIPMENT FEE ADDRESS l -� CITY •. �/ TEL. NO.��/ / 74 ABSORPTION SYSTEM, BTU CONTRACTOR AIR HANDLING UNIT, CFM _ ADDRESS BOILER, HORSEPOWER CITY / � /� TEL. NO. COMPRESSOR, HORSEPOWER STATE' ry t' LIC. LICENSE NO. CLASS VENT ILA TION'SYSTEM DISTRICT NO. CLASS GROUP �ZONE PROCESSED BY EVAPORATIVE COOLER FURNACE: FAU_GRAVITY FLOOR BTU INSPECTION RECORD HEATER:' SUSPEN UNIT_ V WALL + V(y CL O O H U ' W - CL NEW—ADDITION— PERMIT $ 3 00..--yy ALTER—REPAIR— TOTAL FEE. $ or/ PLAN CHECK APPLICANT [[66 NAME ADDRESS CITY TEL.NO. I HEREBY ACKNOWLEDGE,THAT I HAVE READ THIS APPLICATION ' AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING HEATING, VENT[- APPROVALS DATE IN PECTOR'S SIGNATURE LAT ING, AIR CONDITIONING. " 2/ I HEREBY CERTIFY THAT I AM NOT,.ACTING IN VIOLATION ROUGH l�- OF CHAPTER 9, DIVIS N 3, OF THE BUSINES ND PROFESSIONAL FINAL 16 '„ f CODE OF THE STATE F LIFOR NI SIGNATURE JACK R. ALLEN,SUPERVISING MECHANICAL ENG'R. OF PERMITTEE PERMIT VALIDATION CK. M.0. CASH PLAN CHECK VALIDATION ' FEB 1 -4 '! D 7.00 G SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE / � i 76A364E- Ca,166-9/75 -APPLICATION FOR PERMIT HEATING VENTILATING - AIR CONDITIONING BUILDING AND SAFETY DIVISION ' FOR'APPLICANT TO FILL IN BUILDING9933 Duff (PRINT OR TYPE.ONLY) ADDRESS LOCALITY Temple Cit No. TYPE OF APPLIANCE OR EQUIPMENT FEE NEAREST CROSS ST. ABSORPTION UNIT, BTU OWNER Qreste ROSSO AIR HANDLING UNIT, CFM MAIL 9933 Duff ADDRESS, y BOILER, BTU CITY p �,Cit. .•Temple TEL. NO. 287-2191 ' 1 COMPRESSOR, BTU 3-t0ri 7F5O ONTRACTOR Br arit Heat. & Air Cond VENTILATION SYSTEM ADDRESS 1350 E. Las Turias Drive EVAPORATIVE COOLER CITY San Ga-brleI, TEL. NO. 286-1141 FURNACE: FAU X GR�`6MY STATE LIC. 1 FLOOR BTU vvl ' 7 50 LICENSE NO. 221751 CLASS C20 r HEATER: SUSPENDED UNIT_ DISTRICT NO. GROUP ZONE PROCESSED BY CD WALL ' O`, C_') S ]� oL�f i cz 0 INSPECTION RECORD w a- Plan check fee 25% of above. PERMIT ISSUING FEE $ 4 50 LLLLI TOTAL FEE 19 50. PLAN CHECK APPLICANT NAME ADDRESS CITY TEL.NO. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL-ORDINANCES AND L AWS .REGULATING HEATING, VENTI- LATING, AIR CONDITIONING. I HEREBY CERTIFY THAT I AM NOT ACTING I`IN VP ATION APPROVALS DATE S PE C TORS SIGNATURE OF CHAPTER 9, DIVISION THE BUSINESS AND PAD SIONAL CODE OF THE STATE OF ALI RNIA. /�(7 OUGH SIGNATURE y �+-• Q OF PERMITTEE PLAN CHECK VALIDATIONCASH PERMIT VALIDATION C M.O. CASH U�, U °` 1. 9.5 0 [g l �E-341"K )+`Il.fi�.D;:-R: r °�1 ['� : i�r cc ���3 cfv t;3 '