HomeMy Public PortalAbout5657-5659-5661 NOEL DR_Mechanical__ 4MA8A,M1C
CE 818(PEV 8/78)
®S APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN B
UILDING
(PRINT OR TYPE ONLY) ADDRESS
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NO TYPE OF APPLIANCE OR EQUIPMENT FEE LOCALITY
NEAREST
CROSS ST
ABSORPTION UNIT BTU
OWNER n /
AIR HANDLING UNIT CFM MAIL 107, Je
ADDRESS
BOILER BTU CITY TEL NV
COMPRESSOR BTU CONTRACTOR
VENTILATION SYSTEM ADDRESS
EVAPORATIVE COOLER CIT / ! L NO i/,J2�
FURNACE FAU GRAVITY STATE LIC
FLOOR BTU LICENSE NO ' CLASS
HEATER SUSPENDED UNIT_ APPROVALS DATE PE SSIc TORE
WALL
Plei - ROUGH ITIAr
FINAL / 7 C
O Qo INSPECTION RECORD
Plan check fee 25%of above i
PERMIT ISSUING FEE$ `7 Z
TOTAL FEE 117101
PLAN CHECK APPLICANT PLAN CHECK VALIDATIO
AN
NAME
ADDRESS ji !'n 7y -^y C
CITY TEL NO
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL R 41 a6 A
ORDINANCES AND LAWS REGULATING HEATING VENTILATING AIR
CONDITIONING PERMIT VALIDATION # • • • • 4 1 `
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF
CHAPOF THE STATE OF CALIFORR 9 DIVISION 3 OF T SIN AND PROFESSIONA 2 • • 17.00
SIGNATURE
OF PERMITTEE �• • • 17 0 0 5
DISTRICT N� Q� PRO EDB 0504-79
CO4X77
76 A 3 - CEO TB-1/75
APPLICATI FOR PERMIT
HEATING - VENTILATING - AIR CON01110NING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS ,51
-4601 /
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST
CROSS ST
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY) MAIL
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NO TYPE&SIZE OF EQUIPMENT FEE ADDRESS
SEE BACK OF APPLICATION CITY I kNpL�i. `/r TEL NO t'J'� `/��7�
FORCE AIR FURNACE aa��BTU IW 111/// (-9I
COMPRESSOR BTU arG OD(� CONTRACTOR
ADDRESS �
VENTILATION FAN CITY Ad4TEL NO
LIST ALL OTHERS BELOW STATE LIC
LICENSE NO CLASS
DI ICT NO CROUP E ESSED BY
IF
INSPECTION RECORD
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Nor 6 r cfa.,2® 0i
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W
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Plancheck fee See reverse
I'I IINIII I I I e
101 11 I I I
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
I HEREBY ACK40WLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCESAND LAWS REGULATING HEATING VENT] APPROVALS DATE INSPECTOR S SIGNATURE
LATING AIR CONDITIONING
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION ROJGH
OF CHAPTER 9 DIVISION OF THE BUSINESS O PROFESSIONAL FINAL
CODE OF THE STATE OF IFOR NIA
SIGNATURE PERMIT VALIDATION fK M o CASH
OF PERMITTEE
PLAN CHECK ALI ATION CK M o CASH
57 6C'.WR a 4 ® 119.50A-led
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