HomeMy Public PortalAbout4959 ROBINHOOD AVE_Mechanical__ 76 A054_.=-C .81B - 9-71 A (CATION FO �RMIT
HEATING - ENTILATING:- AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER : ADDRESS'
BUILDING AND SAFETY DIVISION :LOCALITY �� � C
NEAREST
i CROSS ST. Lmg
FOR APPLICANT TO FILL IN OWNER �^
(PRINT OR TYPE ONLY)
MAIL f o
No. TYPEOFAPPLIANCEOR EQUIPMENT FEE ADDRESS 7
CITY !'TEL. NO.
ABSORPTION UNIT, BTU
CONTRACT
AIR HANDLING UNIT, CFM AMA
ADDRESS
BOILER, BTU CITY TEL. NO.
COMPRESSOR, BTU G� STATE LIC.
LICENSE NO. CLASS 9rZo
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE P SSED BY.
1
EVAPORATIVE COOLER
FURNACE: FAU_ AVITY vINSPECTION RECORD
01 FLOOR BTU dU U
HEATER: SUSPENDED UNIT_ ice-,
WALL v
W
CL.
ti.
• Z
E
Plan check fee 25% of above. See reverse.
PERMIT ISSUING FEE 8 3 00
TOTAL FEE /3
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
DIELATING,
BY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
E 'THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS ATE IN ECTOR'S SIGNATURE
IR CONDITIONING.
ROUGH
EBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
ER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIO L FINAL
THE STATE OF CA IFORNIA.URE PERMIT VALIDATION CK.MITTEE
PLAN CHECK VALIDATION CK. M.O. CASH
2 2 073- SEP 17 4 1 D13.0 o Q
SEE BACK OF APPLICATION FOR__EOM-PLETETEE SCHEDULE
5 i�t
4 �
76A364 — CE8•L8 — 3-69 APPLICA ON -FOR PER IT
HEATING - VENTILATING - AIR CONDITIONI
s
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY
COLEMAN W.JENKINS,SUPERINTENDENT OF BUILDING NEAREST
CROSS ST
FOR APPLICANT TO FILL IN
(PRINT OR TYPE ONLY) OWNER
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
i
ABSORPTION SYSTEM, BTU CITY TEL. N0.
r AIR HANDLING UNIT,'CFM CONTRACTOR
ADDRES
BOILER, HORSEPOWER CITY of
EL. NO / n0z
COMPRESSOR, HORSEPOWER STATE
LICENSE NO. CLASS
VENTILATION SYSTEM DISTRICT NO. GROUP ZONEESSED BY
EVAPORATIVE COOL TT
IQ�
FURNACE: FAU VIT
FLOOR BTU INSPECTION RECORD
h
HEATER: SUSPENDED UNIT / „7� �kc' �
WALL
G
�3
a
c
' LL
NEW—ADDITION— PERMIT $ 3 00 V,
ALTEREPAIR_ TOTAL FEE
PLAN CHECK APPLICANT
NAME
t
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,VENTI— APPROVALS DATE IN ECTOR'S SIGNATURE
LATING, AIR CONDITIONING.
I HEREBY CERTIFY THAT I AM NOT ACTING IN.VIOLATION OF ROUGH 3
CHAPTER 9, DIVISION 3, THE BUSINESS AND PROFESSIONAL FIN4 "L f'
CODE OF THE ST TE IFO IA.
SIGNATURE ACK R. A LEN, SUPERVIS MECHANICAL ENG-R.
OF PERMITTE • '"S-J /
PERMIT VA DATION CK. ' M.o. CASH
PLAN CI E K VALIDATION �/
0 4 6 273 .fiFR D '8.()0 A
'?E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE