HomeMy Public PortalAbout5509 PERSIMMON AVE_Mechanical__ 76A364 - C ESIS - 3-69
16 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES FNEAREST
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DEPARTMENT OF COUNTY ENGINEER S e- S nl (Y bpi
BUILDING AND SAFETY DIVISION -}
JOHN A. LAMBIE, COUNTY ENGINEER L
COLEMAN W.JENKINS,SUPERINTENDENT OF BUILDING
FOR APPLICANT TO FILL IN OWNER 1
(PRINT OR TYPE ONLY)
MAI L
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS 0 F= b YV
ABSORPTION SYSTEM, BTU CITY .. TEL. NO. -
CONTRACTORNQ--t-- �(^
AIR HANDLING UNIT, CFM _
ADDRESS �.
BOILER, HORSEPOWER ����// J
CITY � -L TEL. N0.'441 o. �b
COMPRESSOR, HORSEPOWER STATE LIC.
LICENSE NO. CLASS
VENTILATION SYSTEM DISTRICT NO. GROUP I ZONE PR SSED BY
EVAPORATIVE COOLER n�
FURNACE: FAU GRAVITY
FLOOR BTU INSPECTION RECORD
HEATER: SUSPEN D U T�
WALLIl { , r
�IDoD 8h�. 1 ! S o
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NEW—ADDITION– PERMIT $ 3 00
ALTER_REPAIR_ TOTAL FEE $ (�
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.N0.
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
LLAN
E THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
ORDINANCES AND LAWS REGULATING HEATING,VENTI- APPROVALS TE I CTOR'S ATURE
IR CONDITIONING.
BY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH
9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL
HE STATE OF CALIFORNIA.
E JACK R. ALL , SUPERV CHANICAL ENG'R.
TTEE
PERMIT VALIDA ON CK. M.O. CASH
PLAN CHECK VALIDATION
6. 9; 115,'H •JUL-IX 14 .Z.. D 1.3.0.0- 'm
=E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE '
76A9EC (11�
CES-816(REV.6/78)
es APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING IV
(PRINT OR TYPE ONLY) ADDRESS 5509 Persimmon
• LOCALITY
NO. TYPE OF APPLIANCE OR'EOUIPMENT FEE Tp-mplp- City
NEAREST _
CROSS ST. �vYl�a
ABSORPTION UNIT,BTU ,
OWNER Gary Fidone
AIR HANDLING UNIT,CFM MAIL
ADDRESS
BOILER,BTU p
CITY TEL.NO. 381-303
1 COMPRESSOR,BTU 3-ton 10 00
CONTRACTOR #
VENTILATION SYSTEM ADDRESS �LC�
EVAPORATIVE COOLER CITY TEL.NO.
FURNACE: FAU X GRAVITY STATELIC. (�
1 FLOOR BTU 10OB4 t1l 10 00 LICENSE NO.�� � /7 S � CLASS -U
HEATER: SUSPENDED UNIT_ APPROVALS DATE INSPECTOR'S SIGNATURE
WALL
ROUGH
FINAL _ "7 C
�n••1.rC..�...-.
INSPECTION RECORD J �� U
Plan check fee 25%of above. 9a
PERMIT ISSUING FEE$ 7 100
TOTAL FEE 7 00
PLAN CHECK APPLICANT PLAN CHECK VALIDATION
NAME Bryant Heating & Air Conditioning V"
ADDRESS 1350 E. Las Tunas Drive
CITY San Gabriel TEL.NO. 286-1141
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND �3 2 9,0 A
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
ORDINANCES AND LAWS REGULATING HEATING, VENTILATING, AIR 0 0 0 0 4CONDITIONING. PERMIT VALIDATION
I HEREBY CE I THAT I AM NOT ACTI IN VIOLATION OF 2 - 27.00
CHAPTER 9, DVISI
N OF THE*BUSINESS A PROFESSIONAL ODE
OF THE STATE OFC I NIA. �/y o 0 0 2 7,0 0 czi
SIGNATURE A'
OFPERMITTEE
6'_
DISTRICT NO. PROCESSED BY 0