HomeMy Public PortalAbout5528-30 ROSEMEAD BLVD_Mechanical__ �'E c
76A364 - CEO 18 - 3-69 APPLICATION FOR PER IT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES FADDRESS,6'-'5'30
DING ?
DEPARTMENT OF COUNTY ENGINEER ESS 3O P
BUILDING AND SAFETY DIVISION
JOHN A LAMBIE COUNTY ENGINEER LITY
COLEMAN W JENKINS SUPERINTENDENT OF BUILDINGEST JJ -
S ST
FOR APPLICANT TO FILL IN R ,v
(PRINT OR TYPE ONLY)
NO TYPE OF APPLIANCE OR EQUIPMENT FEE Q�
ABSORPTION SYSTEM BTU CITY TEL NO
AIR HANDLING UNIT CFM CONTRACTOR
ADDRESS P.Q
BOILER, HORSEPOWER t �J�J
CITY TEL NO ,r3 �/
/ COMPRESSOR HORSEPOWER G
STATE
LIC �Z
LICENSE NO ^' CLASS
- o'-'
VENTILATION SYSTEM DISTRICT NO GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER O �C-3 ,
FURNACE FAU GR VITV
FLOOR BTU 0 INSPECTION RECORD
HITATER 5USPENOEO_UNIT_
WALL
}
d
0
V
0
G
w
NEW_ADDITION_ PERMIT S 3 00 Z
ALTER REPAIR_ TOTAL FEE $ 13 BB
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AMO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING,VENTI-
LATING AIR CONDITIONING APPROVALS GATE IN 9PECTOR'S SIGNATURE
I HEREBY CE T I AM NG IN VIOLATION OF ROUGH
CHAPTER 9 ISION 3 OF THEUSI A pOFE5910�NAL FINAL
CODE OF T STATE OF ALIFORN
SIGNATUR JACK R ALLE SUPERVISI ECHANICAL ENG R
OF PERM? TEE PERMIT VA LIDA ON CK M 0 CASH
PLAN CHECK VALIDATION
'IAf, 202473, JU 1 D 13,OOe 6
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
TB AJOA -'JtH BIB - 9 TI APPLICATION FOR PERMIT y
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING C
DEPARTMENT OF COUNTY ENGINEER ADDRESS d
BUILDING AND SAFETY DIVISION LOCALITY Qm P
NEAREST
CROSS ST
FOR APPLICANT TO FILL IN OWNER _� �,E,c _
(PRINT OR TYPE ONLY)
MAIL
NO TYPEOFAPPLIANCE OR EQUIPMENT FEE ADDRESS �T �- TEL NO _Se
OFj 0.4
CITY Qrn
ABSORPTION UNIT BTU ll..C/
CONTRACTOR
AIR HANDLING UNIT CFM r
ADDRESS
BOILER, BTU CITY Y a f NO
COMPRESSOR, BTU -31[� Om G �`00 STATE p p L C
d NO �J�a a CLASS
VENTILATION SYSTEM DISTRICT Na
GR zONE syl,p er
EVAPORATIVE COOLER /l OS (2
FURNACE FAU GR VITY �J CD
FLOOR-- - O� INSPECTION RECORD
s
HEATER SUSPENDED—UNIT—
LICENSE
WALL U
W
d
L7
Z
Plin check IeP 25� of aho,e Ser rc�L,e
PER\II I ICSUINC FF F S 3 00
IOTAI FFE
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCESANO LAWS REGULATING HEATING VENTI- APPROVALS DATE INSPECTOR S SIGNATURE
LATING AIR CONDm ONJNG
HEREBY CERT AT AM NO ACTINO IN VIOLATION ROUGH
OF CHAPTER 9 D SION OF THE BU 9 D PROFE*SI L FINAL
CODE OF THE S E 01 C IF NIA
SIGNATURE PERMIT VALIDATION CK M O CASH
OF PERMIT E
PLAN CHEC VALIDATION cK CASH /lAn
I �( 3 1 3 9°3 SEP 12 4 1 0 1 3O`7O A Q
�`2ACN O!APPLC4ifON FOR COM PLFTE MESCHEDULE