HomeMy Public PortalAbout10550 OLIVE ST_Mechanical__ 'h-5'A 8. E,B 18- 5-7 3
''. APPLI ION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING /fj�
DEPARTMENT OF COUNTY ENGINEER ADDRESS vv �J
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN , OWNER / UAW
(PRINT OR TYPE ONLY)
MAIL
NO. TYPE OFAPPLIANCEOR EQUIPMENT FEE ADDRESS
CITYEL. N
ABSORPTION UNIT,-BTU' 72"_Lk- PirY
CONTRACTOR J&Y
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AIR HANDLING UNIT, CFM
ADDRESS
BOILER, BTU CITY Q TEL. NO. JBY
COMPRESSOR, BTU ' STATE // LIC.
LICENSE NO. (p CLASS
VENTILATION SYSTEM DISTRICT N0. GROUP ZONE PRO
EVAPORATIVE COOLER
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FURNACE: FAU_GRAVITY FLOOR BTU' INSPECTION RECORD
HEATER: SUSPEI�ED UNIT_
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Plan check fee 25% of above. See reverse.. Z
PERMIT ISSUING FEE 8 s Oo
TOTAL FEE
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
LLATING,
BY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ANDE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
IR CONDITIONING• ROUGHEBY CERTIFYTHAT I �AM NOT ACTING IN VIOLATION
ER 9, DIVISION 3, OF THE BUSINESS.AND PROFESSIONAL FINALTHE STATE OF LIFO IA. Ef'ell
URE PERMIT VALIDATI N CK. M.O. CASH
MITTEE
PLAN CHECK VALIDATION CK. M.O. CASH
5 $:!Z,*AUG•.':W 4,.1 •D 8.0.(� dio�E3
SFF RACK OF APPLICATION FOR CODA PI_FTF FRF CCNFOIII F -
76A364C
CE-818(REV.6/78) ' - -
es APPLICATION FOR PERMIT
HEATING - VENTILATING -. AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO.FILL IN; BUDDING D i 4
(PRINT OR TYPE ONLY) ADDRESS
LOCALITY ,
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
CROSS ST.
ABSORPTION UNIT,BTU �O
OWNER Mom
AIR HANDLING UNIT,CFM MAIL ]� ��
ADDRESS �,J ' t
BOILER,BTU CITY TEL N -�U y
COMPRESSOR,BTU CONTRACTOR
VENTILATION SYSTEM �•
ADDRESS
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EVAPORATIVE COOLER- CITY. TEL.NO
FURNACE: FAU GRAVITY STATELIC.
FLOOR BTU LICENSE NO. JC6 CLASS .
HEATER: SUSPENDED UNIT_ I APPROVALS DATE INSPECTOR'S SIGNATURE
WALL
ROUGH `
FINAL � i
INSPprCTIC)N RECORD
all
Plan check fee 25%of above. �
'PERMIT ISSUING FEE$ 7 Z,
TOTAL FEE 12-7 Qp
PLAN CHECK APPLICANT PLAN CHECK VALIDATION
NAME
ADDRESS - .
CIT - TEL.N a Rl 1 2 9 A
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS.APPLICATION AND # O O O 04. 1
-
STATE'THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
ORDINANCES AND LAWS REGULATING HEATING, VENTILATING, AIR 2 - 2700
CONDITIONING. PERMIT VALIDATION
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ' - 27,006
CHAPTER., IVISION 3, OF THE B ESS.AND PROFESSIONAL.CODE
OF THE STATE IF NIA. 1 103-78
SIGNATU EOpn
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OFPERMI E
DISTRICTNO. PRO E Y
76A864E-CE31819-975 APPLICA ION FOR PERMIT
• HEATING - VENTILATING - AIR CONDITIONING
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING
ADDRESS O�Ju'�O "
(PRINT OR TYPE ONLY)
LOCALITY
No. TYPE OF APPLIANCE OR EQUIPMENT FEE NEAREST 96-
e CROSS ST. f -"L- '
ABSORPTION UNIT, BTU O
OWNER
AIR HANDLING UNIT, CFM MAIL /
ADDRESS
r BOILER, BTU
CITY TEL. NO. 1`
COMPRESSOR, BTU' AR
d CONTRALTO
VENTILATION SYSTEM ADDRESS
EVAPORATIVE COOLER CITY TEL. NO. !9'9- fv
FURNACE: FAU GR VITY STATE n LIC. �+
FLOOR BTU �f LICENSE NO:,4(06-09CLASS pZ
HEATER: SUSPENDED UNIT_ DISTRICT NO. GROUP ZONE PRO SED BY },
WALL �✓ O.Q
CJv
CL'
INSPECTION RECORD C3
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CL.
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Plan check fee 25% of above.
PERMIT ISSUING FEE $
TOTAL FEE
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING, VENTI-
LATING,AIR CONDITIONING.
I HEREBY CERTIFY THAT I AM NOT A G IN VIOLATIONLROUGH
APPROVALS DAT-E INSPECTOR'S SIG-Nxwor
{ OF CHAPTER 9, DIVISION 3, OF THE BU N A D PROFESSIONALCODE OF TMESTATE OF CALIFORNIA. i•
! SIGNATURE
OF PERMITTEE FINAL !`
PLAN CHECK VALIDATION CIf. M. CASH PERMIT VALID. I.ON K. M.O. CASH
1
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