HomeMy Public PortalAbout9642 GIDLEY ST_Mechanical__ �j
76 A364 - CE 818- 5-73
APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING i. r
DEPARTMENT OF COUNTY ENGINEER ADDRESS Q
BUILDING AND SAFETY DIVISIONr
LOCALITY
' NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL f -�
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
CITY TEL. NO.
ABSORPTION UNIT, BTU
CONTRACTOR �f
AIR HANDLING UNIT, CFM
ADDRESS 1.2 � � �' � .4
BOILER, BTU r
CIT " TEL. NO.
COMPRESSOR, BTU STAT LIC. � /
LICENSE NO. ! CLASS
VENTILATION SYSTEM DISTRICT N0. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER : '
FURNACE: FAU GRAVITY
_ INSPECTION RECORD
FLOOR BTU
HEATER: SUSPENDED UNIT_ d
WALLO
w
J
' LL.
CC
Q
O
CL
Plan check fee 25Qc' of above. See reverse.
�-
PERMIT ISSUING FEE S 3 00
TOTAL FEE •"'�"
PLAN CHECK APPLICANT
NAME
ADDRESS
CI TY TEL.NO.
1 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, VENi'I- APPROVALS DATE INSPECTOR'S SIGNATURE
LATING, AIR CONDITIONING.
ROUGH
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DTVI$
I 3, OF THE BUSINESS AND PROF E SIGNAL FINAL
CODE OF THE STATE fOAL IFOR NIA.
SIGNATURE PERMIT VALIDATION CK., M.O. CASH
OF PERMITTEE K �- !
PLAN CHECK VALIDATION CK. M.O. CASH
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
76 A361- CE 81 8- 5-73 � '
APPLICA` N FOR PET
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES FNEAREST
DING J
DEPARTMENT OF COUNTY ENGINEER RESS Gt
BUILDING AND SAFETY DIVISION ALITY
SS ST.
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL
NO. TYPE 0FAPPLIANCE OR EQUIPMENT FEE ADDRESS
CITY TEL. NO.
ABSORPTION UNIT, BTU
CONTRACTOR
AIR HANDLING UNIT, CFM
ADDRESS 0 !
BOILER, BTU CIT ^ TEL. NO.
COMPRESSOR, BTU STATE r- LIC. �I
LICENSE NO. J CLASSC �3 6
VENTILATION SYSTEM DISTRICT NO. GROUP ZJONECESSED BY
EVAPORATIVE COOLER rL-(
-
FURNACE: FAUGRAVITY 6! 11
FLOOR - BTU �r� INSPECTION RECORD
HEATER: SUSPENDED UNIT_
WALL
a..
O
U
G2.
O
I—
U
W
CL.
Cn
Plan check fee 25% of above. See reverse.
PER\IIT ISSUING FEE S 3 oo
TOTAL FEE
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 LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
LATING, AIR CONDITIONING.
ROUGH
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVI I 3, OF THE BUSINESS AND PROFE SIONAL FINAL
CODE OF THE STATE AL IFOR NI A. -�' • f'�� 's - -
SIGNATURE PERMIT VALIDATION CK, M.O. CASH
OF PERMITTEE �M f`
PLAN CHECK VALIDATION CK. M.O. CASH
6 9 1--FEB 14 4 -1 ® 2 5.5 () A98
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE