HomeMy Public PortalAbout9854 FLAHERTY ST_Mechanical__ 76A364 - CE818.- 3-69 APPLICATION FOR PER IT T
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING (' OS t�A1-1�-��T`
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION (�
JOHN A. LAM BI E, COUNTY ENGINEER LOCALITY5 p�,� CA—C'
COLEMAN W.JENKINS,SUPERINTENDENT OF BUILDING NEAREST ��+r
CROSS ST.
FOR APPLICANT TO FILL IN
OWNER
(PRINT OR TYPE ONLY)
MAIL
NO. - TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS _
ABSORPTION SYSTEM, BTU CITY TEL N0�
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AIR HANDLING UNIT, CFM CONTRACTOR p
ADDRESS
BOILER, HORSEPOWER
CITY TEL. NO.
COMPRESSOR, HORSEPOWER STATE LIC.
LICENSE NO. CLASS
VENTILATION SYSTEM
�
DISTRICT NO. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER
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FURNACE: FAU GRAVITY
FLOOR BTU INSPECTION RECORD
HEATER: SUSPENDED UNIT
WALL
CL
O
U
oc
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NEW—ADDITION— PERMIT $ 3 00 Z
ALTER, -REPAIR TOTAL FEE $
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL. N0.
I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING,VENTI- APPROVALS ,` DATE INS CTOR'S I ATURE
LATING, AIR CONDITIONING.
IHEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH )
CHAPTER 9, DIVISION 3, OF THE BUS ESS AND PROFESSIONAL FINAL
CODE OF THE STATE OR IA _
SIGNATURE JACK R. ALLEN, UPERVISING MECHANICAL E
OF PERMITTEE
PERMIT VALIDATION CK. M.O. CAS
PLAN CHECK VALIDATION
I Ar,., 3 a 0 5c-_ F.EB 2 4 1 0 6.0 0 IJ
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE _ ,i�ja/yl��j1-1-/
70A364-.CESIS-8-68 APPLICATION FOR PERMIT �
lV HEATING - VENTILATING - AIR CONOITIONIN
COUNTY,O'F LOS ANGELES ' �� u
DEPARTMENT.OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY ,
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. L,
(Print or type only)
OWNER '
NO. TYPEIOFAPPLIANCE OR EQUIPMENT FEE
MAIL
ADDRESS
ABSORPTION SYSTEM, BTU CIT �+ L. TEL. NO.�
AIR HANDLING UNIT, CFM CONTRACTOR
BOILER, HORSEPOWER ADDRESS e
COMPRESSOR, HORSEPOWER CITY ' / / TEL.
STATE
VENTILATION SYSTEM LICENSE NO. / �� CLASS
DISTRICT NO. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER
FURNACE: FAU lk G.5AVITY
FLOOR—BTU A0,490 zC! INSPECTION RECORD
HEATER: SUSPENDED—UNIT
WALL
Y
a
O
U
O
I.-
CU
W
d
N
Z
NEW)(_ADDITION PERMIT $ 3 00
ALTER—REPAIR— TOTAL FEE $ 7
Plan check applicant
Name
Address
City Tel. No CV 71 ? D
IHEREBY ACKNOWLEDGE T AT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS J D TE ECTOR'S GN TURE
LATING, AIR CONDITIONING. ROUGH
I HEREBY CERTIF - THAT I AM NOT AC ING IN VIOLATION
OF CHAPTER 9, DIVISI N 3, OF T E BUSIN ND ROFESSIO L FINAL
CODE OF THE STATE I IA.
JACK R. ALLEN,S PER In1K
ECHANICA`4 ENG'R.
SIGNATURES PERMIT VALIDATION M.O. CASH
OF PERMITTE
PLAN CHECk VALIDATION
2 62 1125 4 2 D 7.00
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE