HomeMy Public PortalAbout5415 HILTON AVE_Mechanical__ )fi A364- CE BIB- 5-T3 \
IA LICATION OR PERMITHEAT GENTILATING - AIR CONDI IONI
COUNTY OF LOS ANGELES BUILDING ^
.. DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL '
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
CITY TEL. NO. '
ABSORPTION UNIT, BTU
CONTRACTOR
AIR HANDLING UNIT, CFM O
ADDRESS
BOILER, BTU CITY TEL. N ��
COMPRESSOR, BTU—/-d-J-� 6a STATE LIC.
LICENSE NO. CLASS
VENTILATION SYSTEM DISTRICT NO.
GROUP ZOO/NE PRo ss EfDDYY
EVAPORATIVE COOLER �I�OJI' T / t✓ ' Dt:"'�^'"'�""
FURNACE: FAU GRAVITY
FLOOR BTU INSPECTION RECORD
HEATER: SUSPENDED—UNIT—
WALL-
CD
USPENDED—UNIT_WALLO
1-
Plan
YIaD check fee 25% of above. See reverse.
Z
PERMIT ISSUING FEE S 3 OD
TUTAL 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 GNATURE
LAT ING, AIR CONDITIONING.
ROUGH q'
HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVISION 3, OF THE BUS NE S AND PROFESSIONAL FINAL
CODE OF THE STATE OF ALIF IA.
SIGNATURE PERMIT VALIDATION cK. m. DASH
OF PERMITTEE
PLAN CHECK VALIDATION CK. M.D. CASH -
4 76ithU& 1241 0 8.O.0 A
SEE BACK OF APPLICATION FOR COMPLETE FEF 5[uFnu LF
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76Ae64 - CE818 - 3-69 . �I
APPLICATION FOR PERMIT (III
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY
COLEMAN W. JENKINS,SUPERINTENDENT OF BUILDING NEAREST
CROSS ST.
I FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
ABSORPTION SYSTEM, BTU CITY TEL. NO.
G/pf.
AIR HANDLING UNIT, CFM CONTRACT
BOILER, HORSEPOWER ADDRESS Q O
CITY TEL. N o7-3V$'
COMPRESSOR, HORSEPOWER STATE' LIC.
LICENSE NO. CLASS C ZZ O
VENTILATION SYSTEM DISTRICT No. GROHUP-- ZONE YaQCCEESVD BY
EVAPORATIVE COOLER
FURNACE: FAU GRAVITY �� INSPECTION RECORD
FLOOR BTU
HEATER: SUSPENDED_UNIT
WALL
Y
a
O
V
a
0
V
w
a
NEW—ADDITION
_ PERMIT $ 3 00 Z
D
TOTAL FEE $
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO.
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING,VENTI-
LATING, AIR CONDITIONING. APPROVALS GATE I SPECT R'SSIGNATURE
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH / L
CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE STgT�9,Ei ALIFORNIA -
SIGNATURE JACK R. ALLEN, SUPER ECHANICAL ENG-R.
OF PERMITTEE
PERMIT VALIDATIO CK. M.O. CASH
PLAN CHECK VALIDATION
L%o -D 4 Gcv l 4 2 D P ?0 r
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE