HomeMy Public PortalAbout6151 SULTANA AVE_Mechanical__ 6A364 - CE818 - 3-69 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONIN
COUNTY OF LOS ANGELES BUILDING r
DEPARTMENT OF COUNTY ENGINEER ADDRESS (a d� / �• UL- A
BUILDING AND SAFETY DIVISION t7
, COUNTY ENGINEER LOCALITY /G G l.i¢
COLEMAN W.JENKINS,SUPERINTENDENT OF BUILDING NEAREST /
CROSS ST. � /
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)' c ,J%A
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS IVO. SV►e ";Q
ABSORPTION SYSTEM, BTU CITY• � /fes &!� TEL. NO.Z$ -4e`57a
AIR HANDLING UNIT, CFM CONTRACTOR R • o ,,/ �.�'�
BOILER, HORSEPOWER ADDRESS
q rf"
COMPRESSOR, HORSEPOWER CITY TEL. NO.
STATE LIC.
LICENSE NO. /-7 CLASSC-36
VENTILATION SYSTEM DISTRICT NO..�/ GROUP ZONE I
( �PRROOCCE SSED BY
EVAPORATIVE COOLER �/�.
FURNACE: FAU GRAVITY VV r l CCCGGG���
FLOOR BTU INSPECTION RECORDD
HEATER: SUSPENDED UNIT
WALL )
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NEW ADDITION— PERMIT $ 300 Z
ALTER_REPAIR_ TOTAL FEE $ 15 ov
PLAN CHECK APPLICANT
NAME
ADDRESS
o
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 ORDINANCES AND LAWS REGULATING HEATING,VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
LATING,AIR CONDITIONING.
1 HEREBY CERTIFY THAT 1 AM NOT AC ING IN VIOLATION OF ROUGH
CHAPTER 9, DIVISION 3, THE NOT AC)'5 AND PROFESSIONAL
CODE OF THE STATE OF F IA. FINAL Al
SIGNATUREJACK R. ALLEN, SUP VISING MEC ANICAL ENG'R.
` OF PERMITT E C.-.�
PERMIT VALIDATION cK. M.O. CASH
PLAN CHECK VALIDATION
Lrll.O4 4 4 r:)r-1.3 fE31 4 1 D 1 5b 0N
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
76A364 - CE818 - 3-69 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS -fG
BUILDING AND SAFETY DIVISION v
JO!!? L. ff3+ , COUNTY ENGINEER LOCALITY F1 �sT
COLEMAN W.JENKINS,SUPERINTENDENT OF BUILDING NEAREST ' It
CROSS ST.
FOR APPLICANT TO FILL IN '
(PRINT OR TYPE ONLY) OWNER
MAIL C
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
ABSORPTION SYSTEM, BTU CITY TEL. N0.��
AIR HANDLING UNIT, CFM CONTRACTOR ��/1/U.
BOILER, HORSEPOWER ADDRESS
CITY TEL. NO.'7-8-t- 7-
COMPRESSOR, HORSEPOWER STATE ,r LIC.
LICENSE NO. ®�/ !, CLASS G
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER O
s
FURNACE: FAU GRAVITY
FLOOR BTU INSPECTION RECORD
HEATER: SUSPENDED UNIT
WALL
i
c
F
c
PERMIT $ 3 00 i
NEW_ADDITION_ �
ALTER_REPAIR_ TOTAL FEE $
�'. PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING,VENTI- APPROVALS DAYE INSP TOR'S S GN TURE
EATING, AIR CONDITIONING. /
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH -
q CHAPTER 9, DIVISION 3, 0 HE BUSIN 55 AND PROFESSIONAL FINAL
CODE OF THE STATE OF R IA.
SIGNATURE JACK R. ALLEN, SUPERVISING M CHANICAL ENG'R.
OF PERMITTEE
PERMIT VALIDATION / CK. .o' M.O. CASH
PLAN CHECK VALIDATION
.00N. jjjLo 4 4 4 5-0 r EB 16 4 1 D 8.00-
:E
E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE