HomeMy Public PortalAbout5746 KAUFFMAN AVE_Mechanical__ 76 A364t CE 8�8-1/75 - - '
APPL;IC ION F.OR"P IT
HEATING -VENTILATING - AIR C•ON011:10NING-
COUNTY OF LOS ANGELES BUILDING /,
DEPARTMENT OF COUNTY .ENGINEER ADDRESS6 'KAUF ✓., BUILDING AND SAFETY DIVISION ' LOCALITY TEMPLE_CITY
NEAREST -
CROSS ST.
FOR'-APPLICANT TO•FIL•L'IN LWNER /����
(PRINT OR TYPE ONLY) - AME
MAIL �n
NO, TYPE&SIZEOF EOUIPMENT FEE ADDRESS 46 1�tiFMAN
' SEE BACK OF APPLICATION,
CITYTEMPLE CITY- . ,TEL:N0. 285,5474
'FORCE AIR FURNACE, BTU
CONTRACTOR AQuATi -
COMPRESSOR, BTU C, POOLS
ADDRESS 101 E. HUNTINGTON DRIVE•••
VENTILATION FAN ARCADIA LICE— V61
CITY. TEL:NO
LIST ALL OTHERS BELOW STATEp LIC
LICENSE-NO. 263283 ' CLASSC-53
DISTRICT N0. OUP ZONE OC ESSED BY
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INSPECTION RECORD "
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Plan check fee.-See reverse.
YI It�ll�f Issil:NG Ff� 8
75
PLAWCHECK APPLICANT
NAME ,
A.DD,RESS
CITY TEL.NO,
I HEREBY ACKNOWLEDGE THAT ] 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 CONDITIONING. _
ROUGH
I HEREBY CERTIFY THAT I• AM NOT ACTING IN VIO AT'ION '
OF CHAP,T,ER 9, DIVISI 3, OF E BU NjYF*OF S ONAL FINAL
CODE OF THE STATE F C LIF 6!/
SIGNATURE PERMIT V'ALI'DATION' - cK.. m.o. cases
OF PERMIT T•EE , -
PLAN -CHECKAALIDATION CK, M.0 CASH
0'7 7 i`;nE.G : 14-1 p: i. 5.3 5 -0 '
76A364C
CE-818 (REV 11/78)
®s APPLICATION FOR PERMIT
HEATING — VENTILATING = AIR CONDITIONING
I •
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
_ ADDRESS
(PRINT OR TYPE ONLY)
S
NO TYPE OF APPLIANCE OR EQUIPMENT FEE LOCALITY er
NEAREST-
' CROSS ST G(J tiY�
ABSORPTION UNIT,BTU
mqq OWNER Ae__7%
✓
AIR HANDLING UNIT,CFM �V MAIL r '
ADDRESS
BOILER,BTU
CITY r TEL NO
COMPRESSOR,BTU CONTRACTOR t A f�V rA
VENTILATION SYSTEM fn Jc ,
ADDRESS = /
EVAPORATIVE COOLER CITY r TEL.,NO 2� '
FURNACE FAU GRAVITY STATE _ LIC
FLOOR BTU LICENSE NO � CLASS C� ' 2_0
HEATER SUSPENDED UNIT_ APPROVALS DATE INSPECTOR' IGNATURE
WALL
ROUGH
FINAL 11 C
V
INSPECNIJN RE D �
c .
Plan check fee 25//of above. d
PERMIT ISSUING FEE$ Z.
TOTAL FEE
PLAN CHECK"APPLICANT PLAN CHECK VALIDATION
NAME ,/��[.C.�c� ��✓1 � ..
/w 1
ADDRESS
CITY TEL NO 1 ? _ 95186
LU 1 hl
n
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND,. J V .
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL # O O.O•O 4'1
ORDINANCES AND LAWS REGULATING HEATING, VENTILATING: AIR ,
CONDITIONING PERMIT VALIDATION 2 ° ° 2 Z 010 '
I HEREBY CERTIFY M LAT N OF
•
CHAPTER 9. DIVISION OF THE U D PROFE L CODE - I° ° ° 2 7,0 0 U
OF THE STATE OFC FORNI
SIGNATURE �7 n
OF PERMITTEE - 0,7. •�,/ 9
DISTRICT NO PROCESSED BY ^