Loading...
HomeMy Public PortalAbout9724 WEDGEWOOD ST_Mechanical__ 6 A364- CEO16-1/75 APPLICATION FOR PERMIT HEATING - VENTILATING'- AIR CONDITIONING COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS I,(J cXJ BUILDING AND SAFETY DIVISION LOCALITY NEAR EST CROSS ST. FOR APPLICANT TO FILL IN OWNER �J'�i1 ��• (PRINT OR TYPE ONLY) MAIL NO. TYPE&SIZE OF EQUIPMENT FEE ADDRESS SEE BACK OF APPLICATION /40 ' . FORCE AIR qFURNACE, BTU • +7� U CITY EL. NO CONTRACTOR COMPRESSOR, BTU qtr T0010 / ADDRESS Ua F VENTILATION FAN CITY TEL. NO. LIST ALL OTHERS BELOW STATE C� LIC. LICENSE NO. V CLASS I STR I CT NO. GROUP ZONE PROC SED BY ':sr'©5 .-E e / INSPECTION RECO IL O U O F C) W a. Plancheck fee. See reverse. z PE)I IT ISSI,-ING FI:1•: S TOTAL FEE V C/• Q PLAN CHECK APPLICANT NAME ADDRESS CITY TEL.NO. I HEREBY ACKNOWLEDGE THAT I HAVE READ THISAPPLICATION 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. j - - •` ROUGH I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF CHAPTER 9, DIVISION S, OF, THE BUSINESS AND PROFESSIONAL ` FINAL CODE OF THE STATE OF CA •ri RNIA. SIGNATURE 41_ PERMIT VALID."TI ' CK. M.O. CASA OF PERMITTEE P •'H� 1 -1( ,{ ;1�I }, IA'I�°10NCASH POLICY HOLDER: .3 .AUC 4.4 a. © 1 9.5 . n POLICY NUMBER.- . �°-I./`�� 6A364-CEB18-1-68 APPLICATION FOR PERMIT • HEATING - VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS '? 7a 44 WAFP6E a),O 0 D JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY � G FOR APPLICANT TO FILL IN CROSS S Bfzfy (Print or type only) OWNER No. TYPE,OF APPLIANCE OR EQUIPMENT FEE MAIL ADDRESS ABSORPTION SYSTEM, BTU CITY TEL. AIR HANDLIN IT, CFM CONTRACTOR � a�eavic.� / BOILER, HORSEPO R � ADDRESS / 3 j. /1N 7- .+ COMPRESSOR, HORSEPOWER CITY Vit CIO t/1AM, TEL. NO. STATE LIC. VENTILATION SYSTEM LICENSE NO D d� CLASS d. DISTRICT NO. GROUP ZONE PROCESSED BY EVAPORATIVE COOLER oI X— / &!;r FURNACE: FAU GRAVITY FLOOk—BTU INSPECTION RECORD v HEATER: SUSPENDED—UNIT- WALL USPENDED UNITWALL C v Cn • W C1. ' Z NEW—ADDITION— PERMIT $ 3 00 ALTER—REPAIR— TOTAL FEE $ f 0 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HEATING, VENTILATING, AIR CONDITIONING. r ICH HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIO L CODE OF THE TE OF CALIFORNIA. APPROVALS DATE INSPECTOR'S SIGNATURE SIGNAT ROUGH !° OF PER 1 ,.FINAL VALIDATION JACK It. ALLEN C .O. CASH SUPERVISING MECHANICAL ENG'R. 0:50' LA ' SEP 19 4 1 D 10-50- !EE SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE