HomeMy Public PortalAbout10733 GRAND AVE_Mechanical__ Ta A384.- CE E1E-1/75
APPLIC N FOR PER
HEATING - VENTILATING AIR C DITIONING.
COUNTY OF LOS ANGELES FDDR
DEPARTMENT OF COUNTY ENGINEER
D BUILDING AND SAFETY DIVISION
FOR APPLICANT TO.FILL IN OWNER �J
(PRINT OR TYPE ONLY)
AIA I L '
NO. TYPE$SIZE OF EQUIPMENT FEE ADDRESS � L /�
f[S BACK OF A_rrUCATION ..
CITY r C TEL. NO. 36G
FORCE AIR FURNACE, BTU
CONTRACTOR G
COMPRESSOR, BTU
ADDRESS 2_Z f
VENTJLA TION FAN CITY C TEL, NO. SO Z
LIST ALL OTHERS BELOW STATE LIC.
LICENSE NO. S CLASS
/ U15TRILl NO. 4 oUP ZONE PROCESSED Y
INSPECTION RECORD
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PERMIT.IS.SIIIyG FEF; S 3 oo
TOTAL FEF4.
PL IC' CHECK APPLICANT
NAME
ADDRESS
CITY TFL.NO.
I H[R[DY ACKNOWLEDGE THAT.I HAVE READ THIS APPLICATION
AND !TATE THAT THE ABOVE JS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAW• REGULATING HEA , VENTI- APPROVALS DAT[ *ISPKCTOR'S SIGNATURI.
LATING, AIR WNDITIONING.
RO UG H
IHERESY CERTIFY AT I AM NOT IMS I VIOLATION
OF CHAPTER 9, DIVISIO 9, OF
'THE SUSI AN OFEGSIONAL F AL
COO[ OF THE ST CALIFORNIA.
SIGNATURE PERMIT 6ATION CK. M.O." CASH
OF PERMITTE
PLAN HEQK VALIQAT N CK, M.O. CASH
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tnAD64-CEe�b-'1;Tn > APPLICATION FOR PERMIT
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HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOB ANGELES 4 BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER
CQLEMAN W. JENKINS, SUPlLRINTLPIDNE �
tT OF UILING NEAREST
CROSS ST. L J�v(it�t��/1�✓1`Y2�0 yl
FOR APPLICANT TO FILL IN' t
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MAIL -74A 62raz2cl &a-
NO. YPEOFAPPLIANCEOR EQUIPMENTTEE ADDRESS B
CITY TEL NO.
A13SORPTION SYSTEM, BTU
CONTRACT
443—
AIR HANDLING UNIT, CFM
A D DRESS
BOILER, HORSEPOWER CI TEL. NO.
COMPRESSOR, HORSEPOWER STATE LIC.
LICENSE NO CLASS
VENTILATION SYSTEM �GT"ICTELASS ZOME PROC e[D er
EVAPORATIVE COO ER ��
FURNACE: FAU GRAVITY INSPIECTION R1100
FLOOR BTU O
HEATER: SUSPENDED UNIT_
WALL
CD
NEW r,_ADbITFOR— PERMIT $ `� 00-- f, Z
ALTER_REi'AIR— TOTAL, FEE $
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL,.NO.
I HEREBY ACRMOWLEDGC TH7.T I RAV[ READ THIS APPLICATIO14
AND STAT[ THAT THE ABOVE 12 CORRECT AND AGREE TO COMPLY
WITH ALL ORDIMAMC[S AND LAWS.R[GULATIMG .H[ATIMG, V[MTI- APPROV LS DAT[.. CTO11'!lNMATU RI
LATIMG,AIR CONDITIONIMS,
RO UG H
1 HEREBY CERTIFY THAT IAA/ NOT ACTING IN VIOLATIOM
:OF CHAPTER D,DIVil1D, OF THE SUSIN[S! AM PROFESSIOMAL FINAL
CDD[.OF THE STATrU7L IFOR MIA.
310 NAT URE JACK R.OALI249 -,S,U?kRVISING MEC CAL ENG'R.
OF PERMITTEE S:D O • •
PERMIT V,ALIDA71OAl CD M.0. CASH
�� • 1?-[—A N,CNE CA VALIDATION O�- --• y •
P-N!S TION 1 o
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