HomeMy Public PortalAbout5027 SANTA ANITA AVE_Mechanical__ 76A364-c9.e18-1/7-0 APPLICATION FOR PERMIT .
HEATING - VENTILATING - AIR CONDITIONING
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COUNTY OF LOS ANGELES FNEAR
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DEPARTMENT OF COUNTY ENGINEER S
BUILDING AND SAFETY DIVISION TY
JOHN A. LAMBIE;COUNTY ENGINEER T
' COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINT.
FOR APPLICANT TO FILL INOWNER
(PRINT OR TYPE ONLY)' MAIL
NO. TYPE OF APPLIANCE-OR EQUIPMENT FEE ADDRESS
CITY TEL. NO.
ABSORPTION SYSTEM, BTU
CONTRACTOR
AIR HANDLING UNIT, CFM / '
ADDRESS
1157 2*3�0
BOILER, HORSEPOWERiggga A7Z9CITY
COMPRESSOR, HORSEPOWER STATE LIC.
LICENSE NO. CLASS
VENTILATION SYSTEM DISTRICT NO. CLASS GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER `j Z)
FURNACE: FAU_GRAVITY INSPECTION RECORD
FLOOR BTU
HEATER: SUSPENDED UNIt-
WALL
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NEW—ADDITION— PERMIT $ 3 00
ALTER—REPAIR— TOTAL FEE $
PLAN CHECK APPLICANT
NAME
ADDRESS
Cl TY TEL.NO.
LLATING,
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 DATE INSPECTOR'S SIGNATURE.
IR CONDITIONING. ROUGHEBY CERTIFY THAT 1 AM NOTACTING IN VIOLATION
ERS, DIVISION 9, OF THE BUSINESS AND PROFESSIONAL FINALTHE STATE OF CALIFORNIA. ` ''URE JACK R. ALLEN,SUPERVISINGMEC NICAL ENG'R.
MITTEE
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION
Lt,o463g"• FEB2941 D 10.5.00- c
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE.
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• COUNTY`OF LOS ANGELES
D�PARTMENT_OF Cd'UNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS �L
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF.BUILDI NG LOCALITY
FAIR
OR APPLICANT TO FILL IN CROSS ST.
(Print.or type only) "
OWNER
FAPPLIANCE OR EQUIPMENT FEE
MAIL
ADDRESS L
PTION SYSTEM, BTU CITY EL. NO.
NDLING UNIT, CFM CONTRACTOR
BOILER, HORSEPOWER ADDRESS
COMPRESSOR, HORSEPOWER CITY TEL. NO.
STATE LI C.
VENTILATION SYSTEM LICENSEf NO CLASS
DISTRICT NO. GROUP ZONE -PROCESSED BY
EVAPORATIVE COOLER ;/� A
FURNACE: FAU GRAVITY - O
FLOOR—BTU INSPECTION RECORD
HEATER:.SU PENDE UNIT
WA L
CL
O
U
O
CJ
W
. CL.
NEW_ADDITION PERMIT. $• 3 00
ALTER—REPAIR— TOTAL FEE $
Plan check applicant
Name —
Address
City Tel. No '
I HERE ACKNOWLEDGE THAT 1 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 INSPECTOR'S SIGNATURE
LATING, AIR CONDITIONING.
ROUGH
I HEREBY CERTIFY THAT 1 AM NOT ACTING IN VIOLATION FINAL 11
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL 6'
CODE OF THE STATE OF CALIFORNIA. JACK R. ALLEN,SUPERVI I CHANICAL ENG-R.
SIGNATURE PERMIT VALIDATION CK. M.O. CASH
OF PERMITTEE
PLAN CHECK VALIDATION
0334 54 -1, D 7.03.0
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ✓/�/(�,/A�K/Y�•V
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