HomeMy Public PortalAbout6007 PRIMROSE AVE_Mechanical__ 76A364E 1r€-81 BA)-9/77 APPLICATION• FOR PERMIT _
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HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
-BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING 2.
(PRINT OR TYPE ONLY) ADDRESS.,/2902. /' C.,/
LOCALITY
NO. TYPE OF APPLIANCE ORE QU-IPM ENT, FEE
NEAREST
CROSS ST..
ABSORPTION UNIT,BTU
OWNER G
AIR HANDLING UNIT,CFM MAIL
ADDRESS � A�
BOILER,BTU CITY EL.NO.�J � 1�
O t�J
COMPRESSOR,BTU CONTRACTOR (� /`
VENTILATION SYSTEM ADDRESS z I
EVAPORATIVE COOLER CITYar TEL.NO.�/(i/��/
FURNACE: FAU_GRAVITY' STATE LIC.
FLOOR BTU LICENSE N.O. '312r6?0 CLASS dS 3 .
HEATER: SUSPENDED UNIT- DISTRICT NO. G UP ZONE SSEDBY
WALL .ice
INS CTION RECORD
IN
O
Plan check fee 25%of above.
PERMIT ISSUING FEE$ �
TOTAL FEE
PLAN CHECK APPLICANT -
NAME
ADDRESS
CITY TEL.NO.
IHEREBY 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, VENTILATING, AIR
CONDITIONING.
I HEREBY CERTIFY THAT IAM NOT ACTING IN VIOLATION OF APPROVALS DATE IN PECTOR'S SIGNATURE ,
CHAPTER 9, DIVISION 3, OF'THE BUSINESS AND PROFESSIONAL CODE
OF THE STATE OF ROUGH
SIGNATURE FINAL
OF PERMITTE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATI N cK. M.O. CASH
057�AUG 2461 U 27.00 �_�5
76 A354- CE 618- 5-73
APPLI ION POR PERMIT
HEATING - VENTILATING - AIR C,ONOITIO NG
COUNTY OF LOS ANGELES FEAREST
6`^'� Pr1ml�Ose ✓�-
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION Te
WpU City
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY) m2io Win
MAI L
NO. TYPEOFAPPLIANCE OR EQUIPMENT FEE ADDRESS 5602 Cam
ABSORPTION UNIT, BTU CITY TeM a Ci TEL �.0g
CONTRACTOR
AIR HANDLING UNIT, CFM
ADDRESS 4265 N.Baldwin Ave.
BOILER, BTU CITY zimonteTEL. NO.
COMPRESSOR„BTU STATELIC.
LICENSE NO. 231741 CLASS 036-20
VENTILATION SYSTEM DISTRICT NO. GR OUP ZONE ESSED BY
EVAPORATIVE COOLER
FURNACE: FAU_GRAVITY
FLOOR BTU INSPECTION RECORD
_
HEATER: SUSP D D U IT
WALL V_ �.
a
U
CD
U
W
CL
y
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Plan check fee 25% of above. See reverse.
PERMIT ISSUING FEE 8 3 00
TOTAL FEE &q
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY •TEL.NO.
LREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
ATE THAT THE ABOVE ISCORRECT AND'AGREETOCOMPLY
LL ORDINANCES AND LAWSREGULATING. HEATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
,AIR CONDITIONING. ' ROUGHEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
PTER9, DIVISI 3 F THE BUSINESS AND PROFESSIONAL F THE STATE A RNIFINALTUREPERMIT VALIDATION cK., M.O. -CASH
RMITTEE
PLAN CHECK VALIDATION CK. M.O. CASH
7 8.41"2FEB 1.4 4 1 U 8.0 0 6yb
SEE BACK OF APPLICATION FOR COMPLETE FEE SCNEOULF