HomeMy Public PortalAbout5332 PAL MAL AVE_Mechanical__ TOADBR-CEng-B ee APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONOITIONIN
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER 2 Pal Dial fim
COLEMAN W JENKINS, SUPRRINTQNDQNT Or BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST LP/
(P"Hf Or type only)
OWNER R
NO TYPEIOF APPLIANCE OR EQUIPMENT PEE
MAIL
ADDRESS 1300 B9 LpA Twigs Dr,
ABSORPTION SYSTEM BTU CITY SanTEL NO
AIR HANDLING UNIT, CFM CONTRACTOR
Owen Bran, mbiagg Ting-
BOIL HORSEPOWER ADDRESS 4265No. Baldw= Ave,
COMPRESSOR, HORSEPOWER CITYIn ftnts TEL NO
STATE LIC- -
VENTILATION SYSTEM ILICENSffNO Z 1 CLASS C- 6 C-
DISTRICT NO GRO P ZONE P CESSED BY
EVAPORATIVE COOLER
FURNACE FAU—GRA VITV
FLOOR—BTU INSPECTION RECORD
HEATER SUSPENDED—UNIT—
WALL
O
U
DC
O
W
d
N
2
NEW_ADOI TION PERMIT $ 3 00
ALTER—REPAIR TOTAL FEE S
Plan check applicant
Name
Addresv
CTt rel No
1 HEREBY ACKNOWLEDSC THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING VENTI- APPROVALSGATE IH! TORS SIGNATURE
LAYING AIR CONDITIONING
ROUGH A- y
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER D DIVISION OE TM BUSINESS AND PROFESSIONAL FINAL s01
CODE OF THE 6TATC OR lJ OR R
JACK R ALLEN,SUPERVIS ECHANICAL ENG'R
SIGNATURE
OF PERMITTEE PEPUMIT VALIDATION CN M O CASH
PLAN CHECK VALIDATI0N
X619 6 39 SEP 28 4 1 0 7.00-
SEC
00^' CeIEE BACK OI APPLICATION FOR COMPLETE FEE SCHEDULE
Ak
76A364-CESI 81-I-6B APPLICATION FOR PERMIT
a EATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FADDRESS
G
JOHN A LAMBIE COUNTY ENGINEER 3 .Z L
COLEMAN W JENKINS. SUPERINTENDL:NT OF BUILDINGTY _
FOR APPLICANT TO FILL IN T(Print or type only)
NO TYPE OF APPLIANCE OR EQUIPMENT PEES
ABSORPTION SYSTEM BTU CITY gfo -v TEL NO ZsJ6
AIR HANDLING UNIT, CFM CONTRACTOR `vrA Ca�79 p
BOILER HORSEPOWER-1ADDRESS 0
COMPRESSOR HORSEPOWER CITY W1.11 0"N' TEL NO 3
77
STATE
VENTILATION SYSTEM LICENSE NO S3
07 CASs -�
DISTRICT NO GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER /+O _I
FURNACE FAU_GRAVITY I
FLOOR—BTU INSPECTION RECORD
HEATER SUSPENDED—UNIT—
WALL
ItW
d
N
Z
NEW ADDITION PERMIT $ 3 00
ALTER—REPAIR TOTAL FEE S 0o
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTYORDINANCES AND STATE LAWS REGULATING
HEATING VLNTI LAT INO AIR CONDITIONING
1 HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHARTER . DIVISI 3 OI THE BUBIMElS AND PROFESSIONAL
C00[ 01 THE !TATE CA I I APPROVALS O TE IN! CTOII !..NATURE
SIGNATURE ROUGH
OF PERMITTE sea
FINAL (F f
LIDATJA3d'1 JACK R ALLEN
CN M O (C�ASH� SUPERVISING MECHANICAL ENG'R
U%LC6 4 9 9a S&20 4 1 0 7,00- o
SEE BACK OF APPLICATION FOR COM R[TL I[C SCHEDULE
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