HomeMy Public PortalAbout5921 1/2-5923 SULTANA AVE_Mechanical__ A4
76,AP64-,CE 8 18- 5-73 -
APPLICATION FOR PERMIT JJJ
y HEATING - VENTILATING - A--IR CONDITIONING
COUNTY OF LOS ANGELES BUILDING 5923 Sultana Temple Cit Ca.
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY emp.e C ty
NEAREST
CROSS ST. Garibaldi
FOR APPLICANT TO FILL IN OWNER Harvey NC Nelly
(PRINT OR TYPE ONLY)
MAIL
NO. TYPEOFAPPLIANCEOR EQUIPMENT FEE
ADDRESS Same As Above _
CITY TEL. NO. �
ABSORPTION UNIT, BTU
CONTRACTOFGus Goldin Enter rese INC.
AIR HANDLING UNIT, CFM ADDRESS - .170 W.• Live,Oak Ave.
BOILER, BTU CITY A TEL. NO. _
1780
COMPRESSOR, BTU STATE 250046 LIC: C-36
LICENSE NO. CLASS .
VENTILATIONfSYSTEM DISTRICT NO. GROUP ZONE P OCE5 . D BY
-EVAPORATIVE COOLER •O8 R-3 R-1
FURNACE: FAU_GRAVITY INSPECTION RECORD(,/
FLOOR BTU
HEATER: SUSPENDED UNIT_
WALL / y
O
C')
O
- ev
u.a
c..
Plan check fee 25% of above. See reverse. z
PERMIT ISSUING FEE 8 oe— ,
TOTAL FEE
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
LLATING,
BY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
E THAT THE ABOVE IS CORRECT AND AGREE'TO COMPLY
L ORDINANCES AND LA EGULATING HEATING,, VENTI- APPROVAL$ DATE ! INIPECTOR'S SIGNATURE
IR CONDITIONING. ROUGH y�m/1-7 1 _ .REBY CERTIFY THAT I AM T •A I • IN VIOLATION
ER 9, DIVIS N 3,.OF THE SINE D PROFESSIONAL THE STAT F CALIFOR NI' FINAL ����UREPERMIT VALIDATIO.Ii ; cK� M.O. CASH
MITTE
PLAN CHECK_ ALIDA ION CK. M.O. CASH
'S CORriPENSATION
State Comp.-#461027-77
POLICY HOLDER: 2 4 ti AUG '10 4..1 0- 1 7 0 0 A�
POLICY NUMBER:
76A364E ICE461SA)-•11/76 APPLICATION FOR PERMIT
*: 5 HEATING - VENTILATING '- AIR CONDITIONING
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEEqS'9d- 3 Z
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING
ADDRESS �V (/ /�NJq tJsL.
(PRINT OR TYPE ONLY)
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE LOCALITY I MP — C_ / T
NEAREST
CROSS ST.
ABSORPTION UNIT,BTU OWNER
AIR HANDLING UNIT,CFM MAIL /^ Q U L
ADDRESS U ( o�� T y#
BOILER,BTU CITY — , TEL.NO. ,g Lit
COMPRESSOR,BTU7
CONTRACTOR __ 6f,QLD e RS
VENTILATION SYSTEM. ADDRESS 0 cl 0 , '7__'0 W Nf
EVAPORATIVE COOLER CITY /Pc) M O V TEL.NO.6,,13 VgY3 ]
FURNACE: FAU_GRAVITY STATE LIC.
FLOOR BTU LICENSE NO. 3�3 '7 p 8 CLASS V
HEATER: SUSPENDED UNIT— DISTRICT NO. GROUP ZONE OC ED BY
WALL 'S. 05 :
INSPECTION RECORD
00
Plan check fee.25%of above.
PERMIT ISSUING FEE$
TOTAL FEE
PLAN CHECK APPLICANT
NAME
ADDRESS pip D W AM
CITY b 10 TE L.NO.,$.53.�6
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, VENTILATING, AIR
CONDITIONING.
I HEREBY CERTIFY THAT 1 AM NOT ACTING IN VIOLATION OF APPROVALS DTE Itl
qjPECTPR'SSIGNATURE
CHAPTER 9, DIVISION 3, OF THE BUSINESSND PROFESSIONAL CODE
OF THE STATE OF CALI�___C_ p
SIGNATURE ROUGH
i FINAL ••,� p,.,�'
OF PERM ITTE _
PLAN CHECK VALIDATION cK. o. CASH PERMIT VALIDATI N ' cK' ' M.O. CASH
746Er-_KC 1y 41 9.00All-
®s
I6A364—CE9.1"B-1-68 APPLICATION FOR PERMIT
HEATING - VENTILATIN-G - AIR CON! I01T .NING
COUNTY OF LOS ANGELES
DEPARTMENT OP COUNTY ENGINEER BUILDING /-
BUILDING AND SAFETY DIVISION ADDRESS � �3 UL yr
JOHN A. LAMBIE, COUNTY ENGINEER �+
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
FOR.APPLICANT TO FILL IN _ CROSRSEST.
(Print or type only)
OWNER
NQ.. TYPE,OFAPPLIANCE OR EQUIPMENT FEE,
MAIL � 2
ABSORPTION SYSTEM;BTU
ADDRESS d
CITY TEL. NO.
AIR HANDLING UNIT, CFM CONTRACT a
ze
BOILER, HORSEPOWER ADDRESS
COMPRESSOR, HORSEPOWER CITY p TEL. NO.'7,TLl
STATE
LIC
VENTILATION SYSTEM LICENSE NO. 3 p CLASS J
DISTRICT NO. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER �^ �J
FURNACE: FAU GRAVITY
FLOOR—BTU INSPECTION RECORD v
HEATER: SUSPENDED UNIT
WALL O
1 i CC-1
CL
N
.Z
NEW—
.ADDITION— PERMIT $ .3 00
ALTER—REPAIR— TOTAL FEE $'
a -
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION -
AND STATE THAT THEABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING _
HEATING, VENTILATING, AIR CONDITIONING. _
1 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. APPROVALS DATE INSPECTOR'S SIGNATURE
SIGNATURE ROUGH
OF PERMITTEE '
FINAL — y,& aw ,l
VALIDATION JACK R. ALLEN
CK. M.O. CASH. SUPERVISING MECHANICAL ENG'R.
r
SEE BACK OF APPLICATION FOR COM PLETE FEE SCHEDULE