HomeMy Public PortalAbout5545 PERSIMMON AVE_Mechanical__ 76ri364-4CE818-1/70 APPLICATION FOR PERMIT
. L , HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES ADDRESS
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL
NO. TYPE OF EQUIPMENT FEE ADDRESS
ABSORPTION SYSTEM, BTU ��
CITY LLs C/7TEL. NO. ��� ���`�,
00..
CONTRACTOR
AIR HANDLING UNIT, CFM
ADDRESS
BOILER, HORSEPOWER CITY , TEL. NO. !�` l
Lt C`17t'
COMPRESSOR, HORSEPOWER STATE LIC.
LTAT
ICENSE NO. oZlo '7�� CLASS
VENTILATION SYSTEM DISTRICT NO. CLASS GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER �O
FURNACE: FAUN GR �yY'�f'Y
FLOOR-
HEATER:
INSPECTION RECORD
HEATER: SUSPENDED UNIT_
2
>7 D
WALL
C
C
C
C
C
C
r
c
L
c
NEW—ADDITION— PERMIT SJVENTI-
ALTER_REPAIR— TOTAL FEE SPLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS AAND STATE THAT THE ABOVE IS CORRECT AND AGREE WITH ALL ORDINANCES AND LAWS REGULATING HEATAPPROVALS D TE PECTORS SIGNATURE
LATINS,AIR CONDITIONING.
ROUGH
1 HEREBY CERTIFY THAT I AM NOT ACTING INOF CHAPTER 9, DIVISION 3 OF THE BUSINESS AND PRFINAL
CODE OF THE STATE OF C FORNIA.
SIGNATURE JACK R. ALLEN,SUPERVISING MECHANICAL ENG'R.
OF PERMITTEE aw-1,
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION
en - Pm ,' 7 3e I gig 1-4-4 G E) c
. 8 7 7. 6:r: FEB 1'?•4 1 'D .12.00-
SEE
1200NSEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
76A964-CEGI§ 1/70 APPLICATION FOR PERMIT L7
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING �"� j A-% d�
DEPARTMENT OF COUNTY ENGINEER ADDRESS v
BUILDING AND SAFETY DIVISION LOCALITY Sys✓
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING NEAREST
CROSS ST. U Q '
FOR APPLICANT TO FILL IN OWNER �C—
(PRINT OR TYPE ONLY) MAI L
Al
No. TYP•EOFAPPLIANCE•OR EQUIPMENT FEE
ADDRESS �7 c7 ¢4r5 i ° f�
'
?� CITY �a EL. NO:�
l ABSORPTION SYSTEM, BTI-17,d&," _
CONTRACTORTj�ZJ�
AIR HANDLING UNIT, CFM
ADDRESS9/,T
BOILER, HORSEPOWER CITYC EL. NO.
COMPRESSOR, HORSEPOWER STATE
NO. �ggL? r LIC. O
VENTILATION SYSTEM DISTRICT NO. CLASS GROUP ZONE PROCESSED BY
EVAPORATIVE COO ER
FURNACE: FAU_GRAVITTY '' INSP CTION REC D
f FLOOR BTU 4
HEATER: .SUSPENDED—UNIT—
WALL
USPENDED UNIT_WALL
L o
e776, 1L :sM1,fph1c
F
c
PERMIT $ 3 00 c
NEW_ADDITION— v
e_
ALTER—REPAIR— TOTAL FEE $
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
LBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
E THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
IR CONDITIONING. ROUGH
EBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
ER 9, DIVISION 3, OF THE BUSINESS AND PROFESSI AL FINAL
THE STATE OF C FORNIA.
URE JACK R. ALLEN,SUPERVISI ECHANICAL ENG'R.
MITTEE
PERMIT VALIDATION CK. M.0. CASH
PLAN CHECK VALIDATION
► A. T. 8 7 .6 4� FEB'! 7 4 1 D 1 1.0�N
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE