HomeMy Public PortalAbout10237 RANDWICK DR_Mechanical__ 76A364 - CE818 - 3-69 Jp ("1JLSC(/w•
` APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING g
DEPARTMENT OF COUNTY ENGINEER ADDRESS OZ. wt e-
BUILDING AND SAFETY DIVISION r2
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY (i c2e,
COLEMAN W.JENKINS,SUPERINTENDENT OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER 1 a
(PRINT OR TYPE ONLY) MA'L �"�",�a/� n
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS /Q �j OLt�NG°l� top—
ABSORPTION
i
ABSORPTION SYSTEM, BTU CITY C TEL. NOO. aQ 30
AIR HANDLING UNIT, CFM CONTRACTO ,S O g
ADDREShiC 47API
BOILER, HORSEPOWER
CITY EXI
+6 TEL. NO.u�y23
-
COMPRESSOR, HORSEPOWER STATELICENSE N0. �� z 7 S3 LIC.CLASS3
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VENTILATION SYSTEM DISTRICT NO. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER
FURNACE: FAU GRAVITY v `
FLOOR BTU INSPECTION RECORD
HEATER: SUSPENDED UNIT
WALL
13 c6 lkA riFA- b d
c
u
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NEW—ADDITION— PERMIT $ 3 00 v
L
ALTEREPAIR_ TOTAL,FEE $ *7 c�,
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL. N0.
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
L
TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
L ORDINANCES AND LAWS REGULATING HEATING,VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
AIR CONDITIONING.
BY FY THAT I AM NOT ACTING IN VIOLATION OF ROUGH
9IVIS N3, OF THE USINESS AND PROFESSIONAL FINAL-
THE CALIFE JACK R. ALLEN, SUPERVISING MECHANICAL ENG'R:
ITTE
PERMIT VALIDATIONcK. M.O. CASH
PLAN CHECK VALIDATION
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE