HomeMy Public PortalAbout5929 RENO AVE_Mechanical__ 76 k364- CE 8 1 a-f/75
APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING C
DEPARTMENT OF COUNTY ENGINEER ADDRESS V
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BUILDING AND SAFETY DIVISION -LOCALITY lefy\ g. tr L
NEAREST
CROSS ST.
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FOR APPLICANT TO FILL IN OWNER �9,r.
(PRINT OR TYPE ONLY) MAIL SC
NO. TYPE&SIZE OF EQUIPMENT FEE ADDRESS C1-6
SEE BACK OF APPLICATION
10 000 CITY � peMeA -111 )AL.NO.
FORCE AIR FURNACE, BTU f
�-I CONTRACTOR Y, q_ ED 5 ft)9- �O ND
COMPRESSOR, BTU 1 ADDRESS /� SING
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VENTILATION FAN CITY - TEL. NO.
100V 1IV 9�(-�—loges
LIST ALL OTHERS BELOW STATE LI C.
LICENSE NO. U S3 117 CLASS
DISTRICT NO. GROUP ZJNE &ESSED BY
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INSPECTION R CORD
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Plan check fee. See reverse. z
PE11111'I' ISSUI\C FEI-: g
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PLAN
+11':PLAN CHECK APPLICANT
NAME ..0I 5 1R. A' 1 NF9
ADDRESS`%-1kV v-),, •G u T(1z1I
CITY Q-Qv I AIA TEL.N09. 664nn* ti
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITTf ALL ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
LATING,AIR CONDITIONING.
ROUGH
I HEflEBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONALFINAL
CODE OF THE STATE OF CALIFORNIA.
SIGNATURE ✓1i. .. � .p PMIT VALIDATION CK. M.O.. CASH
OF PERMITTEE I Y 1-C..IA'�
PLAN CHECK VALIDATION CK. M.O. CASH
1 4 8." F. 541 D 23.2 5 AS-0
76A364E ICE^-61SA)-9/77 APPLICATION FOR PERMIT
' HEATING - VENTILATING - AIR'CONDITIONING
COUNTY OF LOS ANGELES-
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING
(PRINT-OR TYPE ONLY) ADDRESS
LOCALITY ,v
NO. TYPE OF APPLIANCE.OR EQUIPMENT. FEE
NEAREST '
CROSS ST.
ABSORPTION UNIT,BTL 9
OWNER jI
AIR HANDLING UNIT,CFM MAIL e✓/�/
ADDRESS
BOILER,BTU -CITY' m TEL:NO.
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-
COMPRESSOR,BTU
CONTRACTOR'
VENTILATION SYSTEM ADDRESS v . '
EVAPORATIVE COOLER CITY TEL.NO.
FURNACE: FAU_GRAV ITY STATE. L•f' LIC.
FLOOR BTU LICENSE NO. CLASS
HEATER: SUSPENDED UNIT'— DISTRICT NO. P ZONE ESSED BY
WALL QO R (
INSPECTION RECORD d'
as
Plan check'fee 25%of above.
PERMIT ISSUING FEE$ d
TOTAL FEE
PLAN CHEC A P AN
NAME JI
ADDRESS .
CITYTEL.NO.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND V
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
ORDINANCES AND LAWS REGULATING HEATING, VENTILATING, AIR �.
CONDITIONING.
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF, APPROVALS DATLY INSPECTOR'S SIGNATURE
CHAPTER-9, DIVIS OF THE BU ESS AND PROFESSIONAL CODE ROUGH
OF THE STATE OF A ORNIA.
SIGNATURE FINAL
.OF PERMITTE r
PLAN CH K VALIDATION CK. M.O. ,GASH PERMIT VALIDATION EK. M.O. CASH .
@FSR., SER CC} fdl ' 'h�p^ un'l
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POLICY HOLDER.
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