HomeMy Public PortalAbout10558 OLIVE ST_Mechanical__ 76 A364 CE 8 18- 5-73 '
APPLICA410H FOR P IT
HEATING - VENTILATING - AIKADHOITIONING
COUNTY OF LOS ANGELES BUILDING e
DEPARTMENT OF COUNTY ENGINEER ADDRESS 8 Ee
BUILDING AND SAFETY DIVISION LOCALITY fey'
VE
NEAREST
CROSS ST. R V,
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY) NA)UA
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS Sr Er VF.
CITY C Q- TEL. NO.
ABSORPTION UNIT, BTU
CONTRACTOR
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AIR HANDLING UNIT, CFM ADDRESS
7,3 v 1
BOILER, BTU CITYS TEL.. 5 492
COMPRESSOR, BTU 61030yd SCJ STATE . -
C LIC. �� O
It LICENSE
VENTILATION SYSTEM DISTRICT NO. GROUP PRO SSED BY
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EVAPORATIVE COOLER - .�0-
FURNACE: FAU_k_"1GRAVITY
It FLOOR BTU ODU INSPECTION RECORD
HEATER: SUSPENDED UNIT_
WALL
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Plan check fee 25% of above. See reverse.
PERMIT ISSUING FEE 8 3 00
TOTAL FEE
PLAN CHECK APPLICANT
NAME (rl I6r d F
ADDRESS
CITYs �� TEL. �rj'9306
LBY ACKNOWLEDGE,THAT I HAVE READ THIS APPLICATION
E THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
ORDINANCES AND LAWS REGULATING HEATING, HENT)- APPROVALS DATE INSPECTOR'S SIGNATURE
IR CONDITIONING. ROUGHEBY CERTIFY THAT 1 AM N07 ACTING IN VIOLATIONER 9, DIVISION 3, OF TXE BUSINE SAND PROFESSIONAL FINALTHE STATE OF ALI ORNIA.URE PER IVALIDATION CK. M.O. CASH
MITTEE
PLAN CHEC VALIDATION CK. M.O. CABH
�4J.�.9r4 .._i'`i..' .y•'O' 5.5 Vii-&`w
SEE BACK OF APPLICATION FOR COM PLFTF CFF C[NFn111 F �.
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76 A364 - CE 818 -V9-71 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
IMAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
CITY TEL. NO.
ABSORPTION UNIT, BTU
CONTRACTOR
AIR HANDLING UNIT, CFM
ADDRESS �.
CITY �p TEL. N0 �3
COMPRESSOR, BTU STATE LIC.
LICENSE NO. CLAS$
VENTILATION SYSTEM DISTRICT NO. pr, OUP ZONE EssED BYEVAPORATIVE COOLERL6 � _ CL_
FURNACE: FAU_GRAVITY `—✓ C/ INSPECTION RECORD
FLOOR BTU v
HEATER: SUSPENDED UNIT_ O
WALL w
a
ti
Z
Plan check fee 25% of above. See reverse.
PERMIT ISSUING FEE S 3 00
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- APPROVALS DATE NSPECTOR'S SIGNATURE
LATING,.AIR CONDITIONING. _
ROUGH
1 HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE STATE OF CALIFORNIA.
SIGNATURE PERMIT VALIDATION CK. M.O. CASH
OF PERMITTEE
PLAN CHECK VALIDATION CK. M.O. CASH
1 .1 273 JJL 10 4 1 4.,5 '" 7
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE