HomeMy Public PortalAbout4918 ROBINHOOD AVE_Mechanical__ 76A364-`rzBIS 1/70 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS ,
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAI L
NO. TYPE OF APPLIANCE-OR EQUIPMENT FEE ADDRESS
CITY TEL. NO.
ABSORPTION SYSTEM, BTU
CONT .CTOR �?
AIR HANDLING UNIT, CFM
ADDRESS
BOILER, HORSEPOWER CITY TEL.-NO.
COMPRESSOR, HORSEPOWER STATE LIC.
LICENSE NO. CLASS
VENTILATION SYSTEM DISTRICT NO. CLASS GROU ZONE PROCE SED BY
EVAPORATIVE COOLER ��
FURNACE: FAU_GRAVITY
FLOOR BTU INSPECTION RECORD
HEATER: SUSPENDED UNIT_
WALL
' 9
0
C
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C
F
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NEW-ADDITION- PERMIT $ 3 00
co
e_
ALTER-REPAIR- TOTAL FEE S /S l -
PL-4-bL_CHECK APPLICANT (f
NAME
ADDRESS �,
CITY TEL.NO
I HEREBY AC OWLEDGE T I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE S CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES'AND LAWS REGULATING HEATING, VENTI- APPROVALS DAT IN ECTOR'S SIGNATURE
LATING,AIR CONDITIONING. ,
' ROUGH
1 HEREBY CERTIFY. THAT I AM NOT ACTINjq IN VI ATION
OF CHAPTER 9, DIVISION 3, OF THE BUSINES P .ZONAL FINAL
CODE OF•THE STATE OF ALIFOORNINIA.
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SIGNATURE• T JACK R. ALLEN,SUPERVISING MECHANICAL ENG'R.
OF PERMITTEE b 4
'PERMIT VALIDATION M.O. CASH
PLAN CHECK VALIDATION
t-Ar-9 '7 3 Iii` APR 4 1 A 1 0.5 0 n
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
76A364-CE616-1/70
APPLICATION FOR PE-RMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF"COUNTY ENGINEER ADDRESS ,
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY) MAIL
NO. TYPE OF APPLIANCE-OR EQUIPMENT FEE ADDRESS
f IV
CITY TEL. NO.
ABSORPTION•SYSTEM, BTU
CONTRACTOR
AIR HANDLING UNIT,. CFM
ADDRESS
BOILER, HORSEPOWER CITY TEL.:NO.
COMPRESSOR, HORSEPOWER STATE LIC.
LICENSE NO. CLASS
VENTILATION SYSTEM DISTRICT NO. CLASS ST ZONE PROCE SED BY
EVAPORATIVE COOLER
FURNACE: .FAU_GRAVITY i INSPECTION RECORD
FLOOR - BTU
HEATER: .SUS'PEN'DED UNIT_
WALL '
c
c
' u
NEW—ADDITION— PERMIT $ 3 00 v
ALTER—REPAIR— TOTAL FEE $
PL-A.CHECK APPLICANT AA A
(•�
NAME /L4
ADDRESS �.
CITY TE No
I HEREBY ACK40WLEDGET I HAVE READ THIS APPLICATION -
ANO STATE THAT THE ABOVE 5 CORRECT AND AGREE TO COMPLY ,
WITH ALL ORDINANCES AND .LAWS,REGULATING HEATING, VENTI- 'APPROVALS DATE INS ECTOR'S.SIGHATURE
LATINS,AIR CONDITIONING.
ROUGH
1 HEREBY CERTIFY THAT I AM NOT ACTINg IN VI ATION
OF CHAPTER 9, DIVISION 3, OF THE BUSINES PR ZONAL FINAL
CODE OF THE STATE OF LIFO NIA.
SIGNATURE JACK R. ALLEN„SUPERVISING MECHANICAL ENG'R.
OF PERMITTEE 44�
PERMIT VALIDATION M.O. CASH
PLAN CHECK VALIDATION
[AA�,.9 7 3 1V-- A?-R16 4 1 A
i
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE - - -