HomeMy Public PortalAbout5318 MCCULLOCH AVE_Mechanical__ 76A364 CE§18 c 3-60 APPLICATION FOR PERMIT /
HEATI G - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES TNEAREST
G 90/
DEPARTMENT OF COUNTY ENGINEER D
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER Y _
COLEMAN W.JENKINS,SUPERINTENDENT OF BUILDINT.
FOR APPLICANT TO FILL IN
(PRINT OR TYPE ONLY) OWNER -
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADD RES JYI C! 42
ABSORPTION SYSTEM, BTU CITY' / TEL. N
CONTRAC OR
AIR HANDLING UNIT, CFM
ADDRESS/ 22,62
BOILER, HORSEPOWER c
54
EL.. NO �- Q
COMPRESSOR, HORSEPOWER STAYE- LIC.
LICENSE N . CLASS
VENTILATION SYSTEM DISTRICT NO. GROUP I ZONE PROCESSED BY
EVAPORATIVE COOLER
FURNACE: FAU;Z5220AVITY INSPECTION RECORD
FLOOR BTU •00
HEATER: SUSPENDED UNIT
WALL >
a
6C
L
"O!lr4z�5-. . 1L
I-
L
LL
C
V
NEW—ADDITION— PERMIT $ 3 00 Z
ALTER--REPAIR_ TOTAL FEE $
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
IHEREBY 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-
LATING, AIR CONDITIONING. APPROVALS DATE INSPECTOR'S SIGNATURE
IHEREBY CERTIFY THAT 1 AM.NOT ACTING IN VIOLATION OF ROUGH
CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE STATE F CALI RN IA. lot
SIGNATURE JACK R. ALLEN, SUPERV MECHANICAL ENG'R.
OF PERMIT E
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION vw'�
:jW 3 8 3 5 JAN L '4 1 D .8�o 0^'
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE