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HomeMy Public PortalAbout6243 IVAR AVE_Mechanical__ CL;- 76A364E�(CE-8�1SAL-9/77 PP ICATION FOR MIT HEATING -DOIfYEN-IIIPLCYCTIMG AIR-CONDITIONING COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN BUILDING ADDRESS (PRINT OR.TYPE ONLYII LOCALITY cc NO. TYPE OF APPLIANCE OR EQUIPMENT FEE . NEAREST CROSS ST. ABSORPTION UNIT;.BTU - ` /e{ OWNER 3 / Nd AIR HANDLING UNIT,CFM MAIL ,/ *,,, •�'-/„,� ADDRESS BOILER,BTU CITY /J TEL.NO. °1 COMPRESSOR.BTU CONTRACTOR VENTILATION SYSTEM ADDRESS . EVAPORATIVE COOLER CITY Of TELd,� FURNACE: FAU_GRAVITY 'STATE - LIC. 7 FLOOR BTU LICENSE N 'CLASS HEATER: SUSPENDED UNIT- DISTRICT NO. GROUP ",ZONE ocEss ED eY WALL Ll nn INSPECTION RECORD Im Plan.check fee 25"% of above. . PERMIT ISSUING FEE TOTAL FEE'. 1-211 — PLAN 2 .--PLAN CHECK APPLICANT - - - NAME Ow" _ ADDRESS �24 ` CITY TEL,NO. 1HEREBY 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.' VENTILATING, AIR - CONDITIONING. _ I HEREBYCERTIFY THAT I AM NOT ACT IN V ATION OF APPROVALS DATE INSPECTOR'S SIGNATURE CHAPTER 9, DIVISION 3, OF THE BU S D PR SIONAL CODE OF THE STATE OF CA"-8R' A. ROUGH SIGNATURE FINAL OF PERMITTE PLAN CHECK LIDATION CK. �+ gMp.O. agCASH PERMIT VALIDATIO CK. M.O. CASH CO- PENS/ 1 ION' o o 0 0 0 0 o: o 0 0 Crl (U IV o POLICYHOLDER: � � 1 nj -!-.,Jos, __l O O4 POLICY ()D O 0-+ y NUMBER: C'S 0 �/ 2'r�-'..: .....,. CH ©5 76A364E ICE:-Q1841-9/77 APPLICATION VOID IDRIDMOT 041( h `L Yl If lS Ifs UVY HEATING VENTILATING AIR CONDITIONING. COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN 'S BUILD (PRINT OR TYPE ONLY) ADDRESS NO., TYPE OF APPLIANCE OR EQUIPMENT FEE LOCALITY - NEAREST 0& 0 CROSS ST. ABSORPTION UNIT,BTU- ��4/(,L �G L .OWNER I` s IC AIR HANDLING UNIT,CFM MAIL ADDRESS /r•�"// u/' BOILER,BTU CITY TEL.NO.�tJ 6 2�7 COMPRESSOR,BTU CONTRACTO e r' r r• 7 .•v�io�M �•ui� <. .tt ri rti VENTILATION SYSTEM - ADDRESS. �0 ,-ryr EVAPORATIVE COOLER CITY A I" C�t TEL.N / 63a FURNACE: FAU_GRAVITY STATE w� LIC. n !v rs- FLOOR B7U - LICENSE NO. I CLASS ` L� HEATER: SUSPENDED - UNIT- DISTRICT NO. GROUP ZONE PROCESSED -BY- WALL D(J �Q-T ✓'a '� `' INSPECTION RECORD L V l ' in Plan check fee 250% of above. PERMIT ISSUING FEE$ ZD7 TOTAL FEE' Z' OV- A. a PLAN CHECKAPPLICANT ,-/ .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, VENTILATING, AIR. 'CONDITIONING. .I HEREBY CERTIFY THAT I AM NOT CTING LATION OF APPROVALS DATE INSPECTOR'S SIGNATURE CHAPTER 9, DIVISIO F THE "SIN ANDA OFE IONAL CODE OF THE STATE OF LIFOR A: ROUGH SIGNATURE FINAL .0 OF PERMITTE PLAN CHECK V ATIOIV CK. M.O. CASH PERMIT VALIDATIO CK. M.O. . CASH 6 7 9 LcE ktiG .c 5 4-1- U r. G