HomeMy Public PortalAbout5761 PRIMROSE AVE_Mechanical__ (2) 76AS�1f-CE81S-I1 -
APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING /MROS�
DEPARTMENT OF COUNTY ENGINEER ADDRESS
IV BUILDING AND SAFETY DIVISION LOCALITY PL
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING CROSS ST. J-1 V8� on-k
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL
NO. TYPE OFAPPLIANCE•OR EQUIPMENT FEE ADDRESS �+
CITY TE O7-F3'3 a
ABSORPTION SYSTEM, BTU ``
CONTRACTOR 14VZ)f) y, Ll Al / e
AIR HANDLING UNIT, CFM A97-LI
ADDRESS (�� sJV76��(!�7`,�
BOILER, HORSEP R" f L./ �a CITY �Q{/�� TEL. NO.
a3a-aa .o
COMPRESSOR, HORSEPOWER STATE O LIC. l( cK y
LICENSE NO. �+Z ��� CLASS C�7 �7
VENTILATION SYSTEM DISTRICT NO. CLASS GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER �! (/ Q.
FURNACE: FAU_GRAVITY INS ECTION RECORD
FLOOR BTU
HEATER: SUSPENDED UNIT_
WALL
c
C
C
c
c
C
L
c
NEW—ADDITION— PERMIT $ 3 00
ALTER—REPAIR— TOTAL FEE S
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
1 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- APPROVALS D TE INSPECTOR'S SIGNATURE
LATING,AIR CONDITIONING. ROUGH
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AN PROFES AL FINAL
CODE OF THE E OF CALIFORNIA.
SIGNATU JACK R. ALLEN,SUPERVISI G MECHANICAL ENG-R.
OF PERM'T
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION
_ .9 4 9 5' APR 2 4 1 D 10.50-
SEE
0.5ONSEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE