HomeMy Public PortalAbout10413 1/2 OLIVE ST_Mechanical__ 7GA364C(CE-818 B)-11/76 APPLICATION FOR PERMIT
HEATING VENTILATING - AIR CONDITIONING
BUILDING AND SAFETY DIVISION.
FOR APPLICANT TO FILL IN BUILDING
(PRINT OR TYPE ONLY) ADDRESS
LOCALITY
ST-
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE NEAREST /
• CROSS ST.
ABSORPTION UNIT,BTU
OWNER
AIR HANDLING UNIT,CFM MAIL
ADDRESS 5M.
BOILER,BTU CITY TEWLE
/�*TCITY TEL.NO.579-0256
COMPRESSOR,BTU' Z OO CONTRACTOR TRS HCC
p��TP
VENTILATION SYSTEM ADDRESS 2034 LY TT PECK RM
EVAPORATIVE COOLER CITY SO EL NWIE TEL.NO. 579-7982
FURNACE: FAU_X_GRAVITY LICENSE 265074 LIC.
C
FLOOR -BTU Z OO NO. CLASS t,
HEATER: SUSPENDED 'UNIT- DISTRICT NO. GROUP ZONE PROCES DBY
WALL �� O S o� �./�!
INSPECTION RECORD
V
0
Plan check fee 25%of above.
PERMIT ISSUING FEE$ 7-00 ul
TOTAL FEE 27 OO
r
PLAN CHECK APPLICANT
NAME
ADDRESS
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
ORDINANCES AND LAWS REGULATING HEATING, VENTILATING, AIR `
CONDITIONING.
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF APPROVALS DATE INSPECTOR'S SIGN RE
0
CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL CODE
OF THE STATE OF CALIFORNI ROUGH• r
SIGNATURE FINAL O
OFPERMITTE
PLAN'CHECK VALIDATION CK. M.O. CASH: PERMIT VALIDATION cK. NL�o? c 2cAsQ 0
-27.0001 .
•
OR1 2-78
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7GA364E(CE-81BA)-9/77 - APPLICATION FOR PERMIT
'A HEATING VENTILATING - AIR CONDITIONING
COON OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING // /
(PRINT OR TYPE ONLY) ADDRESS L
LOCALITY
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
CROSS ST.
ABSORPTION UNIT,BTU
OWNER
AIR HANDLING UNIT.AFM MAIL
ADDRESS
BOILER,BTU O CITY TEL.NO.
COMPRESSOR.BTU CONT T
VENTILATION SYSTEM ADORES
EVAPORATIVE COOLER CITY NO.
FURNACE: FAU_GRAVITY STATE LIC.
1 fl-,5
FLOOR BTU LICENSE NO. ®/ CLAS
HEATER: SUSPENDED UNIT- DISTRICT NO. OUP <PE, PROCESSED BY
WALL
INSPECTION RECORD C
0
O
Plan check fee 25%of above.
PERMIT ISSUING FEE$ - us
TOTAL FEE
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY NO.
I HEREBY ACKNOWLEDGE AT 1 HAVE RE APPLICATION AND
STATE THAT THE ABOVE IS RRECT AND E 'COMPLY WITH ALL
ORDINANCES AND LAW REGULATI AT VENTILATING, AIR
CONDITIONING.
I HEREBY CE HAT I AM N T G IN VIOLATION OF, APPRovA DATE INSPECTOR'S SIGNATURE
CHAPTER 9, DIV 3. OF BUSI A PROFES ONAL CODE ROUGH
OF THE STATE IFO
SIGNATURE FINAL
OF PERMI �'
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. _.M.O. CASH
A'��ms's:ERS C PEZNQA ll 10N
"OLICY <, 5-021-
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