HomeMy Public PortalAbout5518-5518 1/2 MCCULLOCH AVE_Mechanical_4/17/1969_ BA-3646.E 8M8-8.%S APPLICATION FOR PERMIT 7erni°%'
. � HEATING - VENTILATING - AIR CONDITIONING
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COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FADDRESS
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JOHN A. LAMBIE. COUNTY ENGINEER (J4�LjLL-cjGI�L
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING-FOR APPLICANT TO FILL IN a t S
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NO.. TYPEJOFAPPLIANCE OR EQUIPMENT FEE ��
OWNER
MAI L
ADDRESS 2 _ C &L 1 ,✓L_Vf],
ABSORPTION SYSTEM, BTU CITY If.,f I TEL. NO. a1
AIR HANDLING UNIT, CFM CONTRACTOR �� e
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BOILER, HORSEPOWER ADDRESS
COMPRESSOR, HORSEPOWER CITY TEL. NO.
STATE LIC.
VENTILATION SYSTEM LCE SE NO.2!s 1,9 (.E5 CLASS�-I'SG��
DISTRICT NO. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER
FURNACE: FAU GRAVITY -j-' 08 ' Z 3
FLOOR_BTU INSPECTION RECORD
HEATER:.SUSPENDED—UN IT
WALLCD
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NEW_ADDITION PERMIT. $ 3 00
ALTER—REPAIR— TOTAL FEE $
Plan check applicant
Name LIG Lamp4 Caw-- Cd
Address 0L U kjtrL,
IL_L_Tel. No. p
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AI
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE/ PECTOR'S IG TURE
LATING,AIR CONDITIONING.
,ROUGH
I HEREBY CERTIFY T ''I NOT IN VIOLATION FINAL 0
OF CHAPTER 9, DIVISIO OF THEE BUS! AN PROFESSIONAL ,P r
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CODE OF THE STATE 0 CALIF RNI JACK R. ALEN,SUPERVISING MECHANICAL ENG'R.
SIGNATURE E OF PERMITTE PERMIT VALIDATION CK. M.0. CASH
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PLAN CHECK VALIDATI
LAP
9 '4 0 o APR�. 4 D 1 �. JCS rJ.
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
6AS84-CE818-8-88 APPLICATION FOR PERMIT ler 7
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING /v
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS /0
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITYNEAREST
FOR APPLICANT TO FILL IN CROSS ST. '
(Print or type only) p� ( �✓/�
OWNER v A +L. �S/ CiQr
No.. TYPEJOF APPLIANCE OR EQUIPMENT FEEMAIL p �"
ADDRESS I ,v 4 y D
ABSORPTION SYSTEM, BTU CITY F L TE . NO. D
AIR HANDLING UNIT, CFM CONTRACTOR
BOILER, HORSEPOWER ADDRESS 7� Z
COMPRESSOR, HORSEPOWER CITY �' EL. NO.��O���®�
VENTILATION SYSTEM LICENSE'NO. �5�� F CLASS
DISTRICT NO. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER
FURNACE: FAU GRAVITY
FLOOR—BTUd� INSPECTION RECORD
HEATER:.SUSP 88_�lZs-UNIT
WALL (�(j �-
O
Cj
O
t-
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a
N
Z
NEW—ADDITION— PERMIT. S 3 00
ALTER—REPAIR— TOTAL FEE $ f/ 011
Plan check applicant
Name
Address
City Tel. No.
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION '
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS 1 DATE INSPECTOR'S SIGNATURE
LATING,AIR CONDITIONING.
ROUGH
ITER
CERTIFY T 1 AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVISI OF THE BUSISS A RG FESSIONAL FINAL
CODE OF THE ALIFORNIA. ' NE
JACK R. ALLEN,SUPERVISING MECHANICAL ENG-R.
SIGNATOR
OF PERMI TEE _ •PERMIT VALIDATIO i. cam. M.O. CASH
PLAN CHECK VALIDATION
iL"" 0.0 s 81`0 ,:x:326 4 1 p 11.0
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BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE - '