HomeMy Public PortalAbout9963 DUFFY ST_Mechanical__ 76A364C
CE-818(REV.11/78)
t, APPLICAT-IONFOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FORAPPLICANT TO FILL IN BUILDING; J
(PRINT OR TYPE ONLY) ADDRESS
LOCALITY
NO. TYPE OF-APPLIANCE OR.EQUIPMENT - FEE
'NEAREST
' CROSS ST,.
-, ABSORPTION UNIT,BT. .�D
OWNER
AIR HANDLING UNIT,CFM MAIL
ADDRESS-
BOILER,BTU - CITY' .. .�` TEL.-
COMPRESSOR,BTU CONTRACTOR-
VENTILATION SYSTEM. - ADDRESS
EVAPORATIVE COOLER - - CITYQ _ TEL.NO. '
FURNACE: FAU -GRAVITY STATE LIC. -
FLOOR BTU LICENSE NO. CLASS
HEATER:, -SUSPENDED UNIT_ APPROVALS DATE INSPECTOR'S SIGNATURE '
WALL
ROUGH -.
FINAL
INSPECTION RECORD q�
O
Lu
t,1
Plan check fee 25% of above.
PERMIT,ISSUING_FEE'� `7 — ?
TOTAL FEE a
FLAN CHECK APPLICANT PLAN CHECK VALIDATION. . .
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. VENTILATING, AIR
CONO ITIONING. - PERMIT VAL TION 4��6 28,'5 A
- I HEREBY CERTIFY THAT IAM NOT.ACTING IN VIOLATION OF #,o O'D O /, 1
CHAPTER I
TA SION 3, OF THE BUSINESS AND PROFESSIONAL CODE ��// tf 4
OF THE SE ALF
SIGNATUR O �. t,��°' O O'2 7 0 0
OF PERMITT irC(IlirV@
DISTRICT NO. PRO SSED BY ,O IO'O 2,7.0 0 U
1
��,
09 08,22'.7'
. PERMIT LJ�'
76A364-CE818-1-68 - APPLICATION--,FORIPERMI 1 ' I
HEATING - VENTILATING '-,:AI'R CONDITIONING U
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION, ADDRESS 9963 Duff
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. J,ENKINS, SUPERINTENDENT OF BUILDING LOCALITY Temple City
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
(Print or type only)
OWNER David Oakley
NO.. TYPE,OF APPLIANCE OR EQUIPMENT FEE
ADDRESS 9963 Duffy ..
ABSORPTION SYSTEM, BTU CITY TEL. NO.
AIR HANDLING UNIT, CFM CONTRACTOR B ant H Sc A/C
BOILER, HORSEPOWERADDRESS 1350 E. Las Tunas Drive
COMPRESSOR, HORSEPOWER CITY San Gabriel y1TEL. No. 286-1141
STATE LIC.
VENTILATION SYSTEM LICENSE NO. 221751 CLASS C20
DISTRICT NO. GROUP ZONE PROCESSED B
EVAPORATIVE COOLER '
FURNACE: FAU1 FLOOR-B ° YO - 5 OOTU
INSPECTION , vR
HEATER: SUSPENDED UNIT � % •gs�/ga�t.t O
W'A L L
(,
a
-� z
1
NEW—ADDITION„ PERMIT $ 3 00
ALTER—REPAIR— TOTAL FEE $ 8 OO
�`\ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION-
\ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY -
IIIVVV WITH ALL COUNT INANC � NO STATE LAWS REGULATING
HEATING, VENTIL ING, IR NDIT ONI '
I HEREBY RTI AT N ACTING IN VIOLA ION
OF CHAPTER 9, IV 10 OF T 8 INESS AND PROFESS NAL
CODE OF THE S E OF C OR APPROVALS DATE INSPECTOR'S SIGNATURE
SIGNATURE - ROUGH
OF PERMIT EE
FINAL rJ °
0 LIDATION JACK R. ALLEN'
C K.. M.O. CASH SUPERVISING MECHANICAL ENG'R.
zAC8'.00 '4
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE