Loading...
HomeMy Public PortalAbout5113 GLICKMAN AVE_Mechanical__ i?6AV CE 818 - 9-71 1 � APPLICATION FOR P MIT HEATING - VENTILATING - AIR CONDITIONING No COUNTY OF LOS ANGELES BUILDING °-- DEPARTMENT OF COUNTY ENGINEER ADDRESS ✓�� BUILDING AND SAFETY DIVISION LOCALITY JE12"O�p k(2 NEAREST CROSS ST. FOR APPLICANT TO FILL IN OWNER (PRINT OR TYPE ONLY) n MAI L NO. TYPE OFAPPLIANCEOR EQUIPMENT FEE ADDRESS _ CITY TEL. NO. ABSORPTION UNIT, BTU RARA LU-MB� AIR HANDLING UNIT, CFM ADDRESS _ BOILER, BTU / CITYCo 7 TEL. NO. COMPRESSOR, BTU STATE C C ASS LICENSE N0. VENTILATION SYSTEM DISTRICT NO. GROUP ZONE SSED BY EVAPORATIVE COOLERCD FURNACE: FAU GRAVITY INSPECTION RECORD FLOOR BTU HEATER: SUSPENDED UNIT_ o ✓ WALL w a. Z Plan check fee 25% of above. See reverse. PERMIT ISSUING FEE 8 3 00 TOTAL FEE PLAN CHECK APPLICANT NAME ADDRESS CITY TEL.NO. r 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 DAT PECTORI S IG ATURE LATING, AIR CONDITIONING. ROUGH I HEREBY CERTI T I A OT ACTT G IN VIOLATIO OF CHAPTER 9, D ON O THE B SINESS AN PROFESSION FINAL tJ Q CODE OF THE ST TE OF ALI OR NIA. SIGNATURE P IT VALIDATION CK. M.O. CASH OF PERMITTEE ' PLAN CHECK VALIDAT N CK. o. CA H SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 7P$364C CE-818(REV.6/78) ®s APPLICATION FOR PERMIT HEATING - VENTILATING - AIR CONDITIONING COUNTY OF.LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN' BUILDING ADDRESS .5113 Glickman (PRINT OR TYPE ONLY) 4ve. LOCALITY Temple City NO. TYPE OF APPLIANCE OR EQUIPMENT FEE NEAREST CROSS ST. �' ABSORPTION UNIT,BTU OWNER Glasser, Seymour AIR HANDLING UNIT,CFM MAIL ADDRESS 5113 Glickman Ave. BOILER,BTU CITY TEL.NO. COMPRESSOR,BTU 5' hp •00 CONTRACTOR Uff VENTILATION SYSTEM ADDRESS 2034 N. Peck EVAPORATIVE COOLER CITY South El Monte TEL.NO. 5797982 FURNACE: FAUZ_G13 V TY STATE 256094 LIC. 20 FLOOR BTU.. 1 1 �00 LICENSE NO. CLASSC HEATER: SUSPENDED UNIT_ APPROVALS DATE INSPECTOR'S SIGNATURE WALL Q/ �7 ROUGH 0 L-7�pp�X }a�jja lvo.D.C.– FINAL INSPECTION RECORD 14 Plan check fee 25% of above. 51171'7 , � PERMIT ISSUING FEE$ 7. )0 TOTAL FEE PLAN CHECK APPLICANT PLAN CHECK VALIDATION NAME ADDRESS CITY TEL.NO. //'' ��]] I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND z 17 4,G A STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING HEATING, VENTILATING, AIR 0 0 0 0 4 1 CONDITIONING. PERMIT VALIDATION I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF - _ 2,0 - 27. 00 CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL OF THE STATE OF CALIFORNN��A 0 — 270035 © � O 0 SIGNATURE L f,-= Ls r OF PERMITTEE /�7 l� 1 2. 1 1 --78 DISTRICT NO. PROCESSED BY