HomeMy Public PortalAbout9729 VAL ST_Mechanical__ 76 A 35 yCE EIB -1/73 C
APPLICA ON FOR PERMIT�
HEATING - VENTILATING - AIR CON01110NING
COUNTY OF LOS ANGELES [EBUIL.DING
DEPARTMENT OF COUNTY ENGINEER ESS777
BUILDING AND SAFETY DIVISION CALITARESTFOR APPLICANT TO FILL IN NER
(PRINT OR TYPE ONLY)
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NO TYPE&SIZE OF EQUIPMENT FEE ADDRESS
SEE BACK OF APPLICATION
CITY TEL NO
FORCE AIR FURNACE BTU
CONTRACTO
COMPRESSOR BTU
ADDRESS
VENTILATION FAN CITY O� EL NO
LIST ALL OTHERS BELOW STATE ]4��
LICENSE NO I AO GROUP ZONE
INSPECTION RECORD
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PLAN CHECK APPLICANT Z•
NAME
ADDRESS
CITY TEL NO
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCESAND LAWS PEOUI-ATING HEATING VENTI APPROVALS DATE INSPECTORS SIGNATURE
LATINO AIR CONDITIONING ^
RoucH
I HEREBY CERTIFY THAT I AM NOT ACTINO IM VIOLATION
OF CHAPTER 9 DIVISION 3 F THE BUSINESS AND PR ESSION FINAL
CODE
OF THE 9TAT PFOB NIA C
SIGNATURE PERMIT VALIDAT'tON cK M 0 CASH
SI PERMITTEE
PLAN CHECK VALIDATION c. M D CASH
076PRrT 941 D 12.00A98
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V(/ APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING A,ST�
(PRINT OR TYPE ONLY) ADDRESS 9729 E VAL• ST.
LOCALITY
NO YPEpF APPLIANCE OR EQUIPMENT FEE NEAREST
CROSS ST
ABSORPTION UNIT, BTU
OWNER SCEDI%N WIUJAM
AIR HANDLING UNIT, CFM MAIL
ADDRESS '''''�LL .��"�
BOILER, BTU CITY �E' QTY TEL NO 446-3402
1 COMPRESSOR, BTU_I iii 7 50 CONTRACTOR M TRAM HCC
VENTILATION SYSTEM ADDRESS 9034 N PFrK RT)
EVAPORATIVE COOLER{ CITY S EL 1`ONM TEL N0579-79+82
1 STATE
FLOORFURNACE FAU BTU +wLIC
• 7 50 LICENSE NO 265094 CLASS C-20
HEATER SUSPENDED—UNIT— 01s rRlcT nG GROUP NE PR ce ED er
WALL
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INSPECTION RECORD ly
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Plan check fee 25% of above
PERMIT ISSUING FEE
TOTAL FEE 19 50
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AMD LAWS REOULATIMO HEATING VEMTI-
LATINO AIR COND ITIONNG
1 HEREBY CERTIFY THAT I AM NOT ACTINO IN VIOLATION APPROVALS DATE INSPECTOR S SIGNATURE
OF CHAPTER 9 DIVISION 3 OF HE MES AND PROFESSIONAL
CODE OF THE STATE 0 LIF NI ROUGH
SIGNATURE
Or
OF PERMITTEE FINAL 0.0
PLAN CHECK VAL194TION CK M 0 DAs„ RMIT VALIDATION cK M 0 CASH
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