HomeMy Public PortalAbout9605-9607 LONGDEN AVE_Mechanical__ 76 A364 1•CE 818- 5-73
APPLI'CAT.ION FOR 'PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING/)/_ 5 q&.671. Log6[5,
DEPARTMENT OF COUNTY ENGINEER ADDRESS 7((OOVV
BUILDING AND SAFETY DIVISION LOCALITY -7MPI PIE a(*
NEAREST n AA
CROSS ST. IMPL5 Ci/ry gLVD.
FOR APPLICANT TO FILL IN OWNER /� r �)%�
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NO. TYPEOFAPPLIANCEOR EQUIPMENT (FEE MAIL A/. A /JAMA nn �y 16
ADDRESS/4/-d,5 �V �[ /11 H v HY
CITYs SAN 6MRJI;L_:.+EL. NO.V1
ABSORPTION UNIT, BTU
CONTRACTOR ,QRN�S T6 Cfi
AIR HANDLING UNIT, CFM '
ADDRESS .'t_OR&-W
BOILER, BTU �/� CITY A�U TEL. NO��- /302
COMPRESSOR, BTU PV
LICENSE NO. OSS`S /� CL STATE LIC.SS C-- go
vvv��� VENTILATION SYSTEM DISTRICT No. GROUP ZONE OC ED BY
1
EVAPORATIVE COOLER u ' U�
FURNACE: FAU_GAVITY
FLOOR BTU "?oINSPECTION RECORD
HEATER: SUSPENDED UNIT_
WALL }
CL.
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Plan check fee 25% of above. See reverse.
PERMIT ISSUING FEE $ 00
TOTAL FEE 1170
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.N.O.
1 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 CONDITIONING. '
ROUGH
1 HEREBY CERTIFY THAT 1 AM NOT ACTING. IN VIOLATION
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL ��/�?9
CODE OF THE STATE OF CALIFORNIA.
SIGNATURE PERMIT VALIDATION M•0• CASH
OF'PERMITTEE
PLAN CHECK VALIDATION CK. M.O. CASH
TION
2 4. 5 r*_AUG -10.4•�: D - 4
"Q=..K; ',."OLDER:
- -
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE •• ',' - _ /J ,. f�