HomeMy Public PortalAbout6102 HART AVE_Mechanical__ 76 A364,: C E 818- 5-73 � P-P� -
ALICATiONWOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING. //v�
DEPARTMENT OF COUNTY ENGINEER ADDRESS f� f�
BUILDING AND SAFETY DIVISION LOCALITYNEAREST
T�r�r'�`
CROSS ST. 4I /� '�L/��
FOR APPLICANT TO FILL IN
(PRINT OR TYPE ONLY) OWNER P,MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
ADDRESS
T
ABSORPTION UNIT, BTU CITY TEL. NO.
CONTRACTOR
AIR HANDLING UNIT, CFM
ADDRESS
BOILER, BTU
CITY TEL. NO.
a COMPRESSOR, BTU STATE LIC.
LICENSE NO. CLASS
VENTILATION SYSTEM DIsrRlcr NO. GROUP 1, ZCNEC� CESSED BY
EVAPORATIVE COOLER �
FURNACE: FAU GRAVITY
FLOOR BTU /;Z 5"T INSPECTION RECORD
HEATER: SUSPENDED _ U IT_
WALL
a.
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Plan check fee 257c of above. See reverse. -
PERMIT ISSUING FEE 3 00
TOT,1L FEF Q �
PLA 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 ALLORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
LATING, AIR CONDITIONING.
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION ROUGH
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE STATE OF CAL R
SIGNATURE i PE IT VALIDATIONK. M,0. CASH
OF PERMITTEE
PLAN CHECK VALIDATION CK. M.0. CASH
DcC 1 3 4 1 D 1 0:
,SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
70 A364 - CE 818-1/75
_
APPLICATION FOR PERMIT
HEATING - VENTILATING AIR-CONDITIONING
COUNTY OF- LOS ANGELES BUILDING
IOz i1/• /�/92T /��G
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER /J
(PRINT-OR TYPE ONLY) �` �✓�371�
NO. TYPE&SIZE OF EQUIPMENT FEE MAIL ��/ _ ,
ADDRESS !O /(/r d
SEE BACK OF APPLICATION - .►
FORCE AIR FURNACE, BTU/1*wD_ CITY ( /'( TEL. N0.2g,�^,
CONTRACTOR` �Lv�
COMPRESSOR, BTU.
ADDRESS
VENTILATION FAN
CITYTEL. NO.
LIST ALL OTHERS BELOW STATE LIC.
LICENSE NO. CLASS
DISTRICT No. GROUP ZONE ROCESSED BY
s, S R-f.
c
INSPECTION RECO.R 1
d
O
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O
U
W
' d r
- N
Z
Plan'check fee. See reverse.
"I'0'I•AI, FEL;
PLAN CHECK APPLICANT "•__ - ?, _'•. _r:
NAME
ADDRESS
CITY TEL.NO.
42
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY .,
WITH ALL ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVAT.
LS DAE„ �`INSPECTOR'S SIGNATURE
LATING. AIR CONDITIONING. _
ROUGH .
I HEREBY CERTIFY THAT I AM NOT'ACTING IN VIOLATION
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND.PROFESSIONAL 'F1 NAL \+s• ,p
CODE OF THE STATE OF CALIFO NIA
SIGNATURE PERMIT VALIDATION cw,l� m.0. CASH
OF PERMITTEE _WCL
PLAN CHECK VALIDATION CK. M.O. CASH
2.9 O N OCT 5 4 z1: 1 .5.E ASS