HomeMy Public PortalAbout10606 ROSEGLEN ST_Mechanical__ 76A364C
CE-818 (REV.11/78)
os APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING,,.
ADDRESS
(PRINT OR TYPE ONLY)
LOCALITY
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST e
CROSS ST.
ABSORPTION UNIT,BTU
OWNER,
AIR HANDLING UNIT,CFM MAIL
ADDRESS'
BOILER,BTU CITY TEL:'f)10,
COMPRESSOR,BTU CONTRACTOR .
VENTILATION SYSTEM ADDRESS
EVAPORATIVE COOLER CITY. TEL.NO.
FURNACE: FAU GRAVITY STATE LIC.
FLOOR BTU — LICENSE NO. CLASS
HEATER: SUSPENDED UNIT_ APPROVALS DATE INSPECTOR'S SIGNATURE
WALL
d
ROUGH 0
V
FINAL W
J
INSPECTION RECORD
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Plan check fee 25% of above. C
PERMIT ISSUING FEE$ 916
TOTAL FEE
PLAN CHECK APPLICANT PLAN CHECK VALIDATION
NAME
ADDRESS
CITY TEL.NO.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND <ti
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
ORDINANCES AND LAWS REGULATING HEATING. VENTILATING, AIR :� ! • t;
CONDITIONING. PERMIT VALIDATION
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF -
CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL CODE
OF THE STATE OF CALIFORNIA.
SIGNATURE
l OF PERMITTEE
! DISTRICT NO. PROCESSED BY , ? .r
I
7 GA3`64_C H=14_E� APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR COHb TIOHIH
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUrtRINTXN...T OF SUIL.DINO LOCALITY r
N EAR EST f�y�
FOR APPLICANT TO FILL IN CROs ST.
(Print or type only)
OWNER
NO. TYPEJOFAPPLIANCE OR EQUIPMENT FEE MAIL
A D DRESS
ABSORPTION SYSTEM, BTU CITY TEL NO.
AIR HANDLING UNIT, CFM CONTRACTOR
BOILER, HORSEPOWER ADDRESS
COMPRESSOR, HORSEPOWER CITY TEL. NO.
STATELI C.
VENTILATION SYSTEM LICENSE NO. Z Z CLASS
DISTRICT NO. GRO ZONE ED BY
EVAPORATIVE COOLER /Q
FURNACE: FAU GRAVITY L-57
y 'f
FLOOR—BTU INSPECTION
HEATER:.SUSPENDED UNIT
WALL
ti
I
r �
� r
N
O
Z
NEW—ADDITION— PERMIT S 3 00
ALTER--REPAIR TOTAL FEE $ 7 CV
Plan check applicant
Name
Address
City Tel. No.
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAW! REGULATING HEATING, VENTI- APPROVALS ATE I CTOR'S fl RE
LATINS, AIR CONDITIONING. ROUGH
I HERESY CERTIFY THAT I AM NOT ACTING IN VIOLATION , FINAL
OF CHAPTER 9, DIVISION J F THE BUSINESS AND PROFESSIONAL
CODE OF THE STATE OF C 1 RNIA. JACK R. ALLEN,SUP 91 HANICAL ENO'R. I
910NAT UREPERMIT VALIDATION CK. M.O. CASH
OF PERMITTEE
PLAN CHECK VALIDATION
GEE BACK OF APPLICATION FOR CDAI PL ETI F[[SCHEDULE