HomeMy Public PortalAbout5332-5334-5836-5338 MCCULLOCH AVE_Mechanical__ 76A364E4CE,61SAF-9/77 APPLICATION FOR PERMIT
HEATING E.NTILATING . AlCONDITIONING
COUN =FLOSANGELES/
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION �3 2—3
FOR APPLICANT TO FILL IN BUILDING
(PRINT OR TYPE ONLY) ADDRESS 7 C^
LOCALITY
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST C
CROSS ST.
ABSORPTION UNIT,BTU
OWNER
AIR HANDLING UNIT,CFM MAIL J
ADDRESS,21( 4. 6,jq,4--o0e*!q,
BOILER,BTU CITY � TEL NO
COMPRESSOR,BTU V CONTRACTOR ,, YJ "133U
CaAl IM,447HAn
VENTILATION SYSTEM ADDRESS Sr ,LOQ
EVAPORATIVE COOLER CITYm e. TEL.NO.
FURNACE: FAU GRAY ITY STATELIC.
FLOOR BTU LICENSE NO� CLASS
HEATER: SUSPENDED UNIT- DISTRICT NO. GROUP ZONE, PROCE SED BY
WALL
INSPECTION RECORD 0
V •
Plan check fee 25% of above.
IL
PERMIT ISSUING FEE$
TOTAL FEE r
PLAN CHECK APPLICANT
NAME
q
NAME Leo / 61,,4M
ADDRESS
CITY TEL.NG �y
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, VENTILATING, -AIR
CONDITIONING.
I HEREBY CERTIFY THAT IAM NOT ACTING IN VIOLATION OF APPROVALS DATE INSPECTOR'S SIGNATURE
CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL CODE
OF THE STAOF CALIFORNIA. OUGH ORNIA. 2s J g
SIGNATURE FINAL ,
CIFPERMITTEE
IIIIIIIIIIEff
PLAN CHECK VALIDATION cK. M.O. CASH AP4�PERMIT VALIDATIO
M. �J cASN
AP_/ i �
i"RSA COMPENSATION
172-)%R 20 41 1) 47.00a:.,j
_fit ;:flLJcqq��e v '�^'
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76A364E ICEt 8181)-9/77 I C A T p O Bd FOR IT
HEATING - ENTILATING - CONDITIONING
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION 3
FOR APPLICANT TO FILL IN7XIDDRESS
UILDING ,
(PRINT OR TYPE ONLY) OCALITY
NO. TYPE OF APPLIANCE OR EQUIPMENT EAREST`' ROSS ST._AASORPTION UNIT,BTU tI� WNERAIR HANDLING UNIT,CFM � AIL /'
ADDRESS Z(/.'Oe-- 6 Iyo f
BOILER,BTU CITYa - TEL.NO.'
COMPRESSOR.BTU CONTRACTOR
VENTILATION SYSTEM ADDRESSto Aw
EVAPORATIVE COOLER CITY ( t TEL.NO.
FURNACE: FAU G AVITY STATE I`y LIC.
OOR BTU LICENSE NOk,.J (QCLASS
HEATER: SUSPENDED UNIT- DISTRICT NO. [� GROUP \�jZJONE /�pRp���SSED BY'
WALL
INSPECTION RECORD d'
O
• V
OC `
O
Plan check fee 25% of above. ~
PERMIT ISSUING FEE$ Z
TOTAL FEELl
PLAN CHECK APPLICANT
NAME , /ry
ADDRESS 'S G'
CITY ��•'%, TEL.NQ, Sgr•166
I HEREBY ACKNOWLEDGE T AT 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 ACTING IN VIOLATION OF APPROVALS DATE INSPECTOR'S SIGNATURE
CHAPTER 9. DIVISION 3, OF THE BUSINES AND PROFESSIONAL CODE
OF THE STATE OF CALI ORNIA. ROUGH zz �
SIGNATURE r - FINAL
OF PERMITTE
PLAN CHECK VALIDATION CK. M.O. CASH. PERMIT VALIDATION CK. M.O. CASH
SAT 0
7 1-MAR 20 4 1 1) 4 7.0 0 a
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