HomeMy Public PortalAbout6018 HART AVE_Mechanical__ . 76A364�r-CE818-1/70 _ A N FOR P ` IVII _ ..
COUNTY OF LOS ANGELES ADDRESS 7S
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALIT
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JOHN A. LAMBIE, COUNTY ENGINEER
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COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING NEAREST
CROSS•'S ,!,
FOR APPLICANT TO FILL IN OWNER {
(PRINT OR TYPE ONLY).
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NO. TYPEOFAPPLIANCEOR EQUIPMENT FEE ADDRESS'
CITY TEL.
ABSORPTION SYSTEM, BTU
CONTRACTOR
AIR HANDLING UNIT, CFM
ADDRESS
BOILER, HORSEPOWER CITY TEL. N
COMPRESSOR, HORSEPOWER STATELIC.
LICENSE Nol CLAS
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VENTILATION SYSTEM DISTRICT NO. CLASS GROUP ZONE PROC SSED BY
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EVAPORATIVE FCOOLER �� a
FURNACE: FA'U-GRAVITY INSPECTION RECORD
FLOOR • BTU
' HEATER: .SUSP:EE!}- UNIT_
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'NEWPERMIT $-ADDITION
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'ALTER-REPA6R= TOTAL FEE $ 7
PLAN CHECK APPLICANT 77- a
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 CONDITI NG. -
ROUGH I' /Z- G/7-1
1 HEREBY CE I Y THAT I AM NOT TING IN VIOLATION OF CHAPTER 9, DI ION3, OF THE ES D PRUF S NAL ,-�
CODE OF THE ST OF C. IFORNI '�
SIGNATURE JACK R. ALLEN,SUPERVISING,MEC ANICAL ENG-R.
OF PERMITT - �•
-
PERMIT VALIDATION c�ii5. o L 0- CASH
NO
LAN CHECK VALIDATION N 0 O 0 " .p•
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- 0 OD
-4 O
SJs � 0 O
CH
SEE BACK OF APPLICATION FOR COM PLETE FEE SCHEDULE
`6A364G
CE-818(REV.6/78)
APPLICATI.ON, FOR PERMIT
HEATING - VENTILATING.-. AIR CONDITIONING
COUNTY OF LOS.ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
'(PRINT.6.R.TYPE ONLY) ADDRESS
LOCALITY ' �-
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
- CROSS ST../,g
-ABSORPTION UNIT,BTU
OWNER
AIR HANDLING UNIT,CFM MAIL' -
ADDRESS.
BOILER,BTU - CITY TEL.NO,
COMPRESSOR,•BTU CONTRACTOR
VENTILATION SYSTEM
ADDRESS
EVAPORATIVE COOLER
FURNACE•:, ', .FAUGRAVITY 5 TE IC.
FLOOR BTU - LICENSE N CLASS
HEATER: . SUSPENDED UNIT_ APPROVALS DATE ' INSPECTOR'S SIGNATURE
WALL
J y ROUGH
INSPECTION RECOR
®.
Plan check fee 25% of above.
PERPAIT ISSUING FEE -
TOTAL FEE
PLAN CHECK APPLICANT PLAN CHECK VALIDATION
NAME - - -
ADDRESS
CITY - TEL.NO.. .. 2812-7. 1 A: .
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND #,O o;o o 41
STATE THAT THE'ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL -
-' ORDINANCES AND .LAWS.REGULATING HEATING,'"VENTILATING. AIR �2?0.0 1 1,O O -
CONDITIONING. PERMIT VALIDATION
I. HEREBY aALI.
AT I AM NOT A '51NG IN VIOLATION OF - 'o_o_0 1;1'.O O UCHAPTER 9, DIV .THE'BUS SS N FESSIONAL C E
OF THE STATE OFA: ` I 2 1 '7"-.7 9
SIGNATURE n
OFPERMITTEE
DISTRICT NO.. PROCESSED Y