HomeMy Public PortalAbout4962 PERSIMMON AVE_Mechanical__ p V
6A364,, CE818 - 3-69 APPLICATION.. FOR
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS Y 't✓I')1,7D
BUILDING AND SAFETY DIVISION i
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY
COLEMAN W.JENKINS,SUPERINTENDENT OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER -v) 14
(PRINT OR TYPE ONLY)
MAIL lcl
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS �1�7
ABSORPTION SYSTEM, BTU CITY rn cIG - TEL. NO.
AIR HANDLING UNIT, CFM CONTRACTOR '7Y1 / / LTJ I�L15rw
77
ADDRESS / / ✓
BOILER, HORSEPOWER ((JJ
CITY (j?-Wc?/` . OA
TEL. N0
COMPRESSOR, HORSEPOWER STATEJ /' LIC.
LICENSE NO.'24f 6 CLASS c'' ;ol�
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE OCESSED BY
EVAPORATIVE COOLER
FURNACE: FAU AVITY
INSPECTION RECORD
FLOOR BTU
HEATER: SUSPENDED UNIT
WALL n
c
L
a
C
H
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NEW—ADDITION— PERMIT $ 3 00
ALTER REPAIR_ TOTAL FEE $ g
PLAN CHECK APPLICANT
NAME -
ADDRESS
CITY TEL. N0.
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,VENTI-
LATING, AIR CONDITIONING. APPROVALS DATE INSPECTOR'S SIGNATURE
IHEREBY CERTIFY THAT I•AM NOT ACTING IN VIOLATION OF ROUGH
CHAPTER 9, DIVISION �3C, OF TH SINESS AND PROFESSIONAL. FINAL
CODE OF THE STAT �A OR I I
SIGNATURE JACK R. ALLEN, SUPERVISING MECHANICAL ENG'R.
OF PERMITTEE
PERMIT VALIDATIONM.O. CASH
PLAN CHECK VALIDATION G?
( ' 'l-9-0--x-9 AUG11 4 1 -D 8.0 ON 4
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE - ,