HomeMy Public PortalAbout5415 WELLAND AVE_Mechanical__ 76A364r4.ICE•%6I A-)-9/77 A I' ATI®N D:®Il I' T
HEATING - �' TI�UM - AN CONDITIONING
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING C WEU
�7r
(PRINT OR TYPE ONLY) ADDRESS 54 �7YYEU-MD -AVE.
LOCALITY
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE Fc
NEAREST
CROSS ST. 0-7
ABSORPTION UNIT,BTU
OWNER HAM'TTHEBERT
AIR HANDLING UNIT,CFM MAIL �+A7
ADDRESS ►7t�L71:a
BOILER,BTU
IZI CITY MK E CIWL..NO.
1 COMPRESSOR,BTU -3-511 ' CONTRACTOR
TRME r��'� *TH 7 .PECK
pI�
VENTILATION SYSTEM ADDRESS 203x• N. PECK-ED.
EVAPORATIVE COOLER � ` CITY .5; EL L.NO: r�
1 FURNAFLOORCE: FAU BTUGR ""(�(� q02 LCA NSE NO. 2U5o94 CLASS C-20
HEATER: SUSPENDED UNIT- DISTRICTNO. /GROUP ZONER SSED BY
WALL �"1 g
INSPECTION RECORD d
O
• V
06
Plan check fee 25%of above. 7 —
PERMIT ISSUING FEE$
TOTAL FEE
PAN CHECK APPLICANT S-7 6-6 ,
1
NAME
ADDRESS
CITY TEL.NO.
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 I AM NOT ACTING IN VIOLATION OF APPROVALS DATE INSPECTOR'S SIGNATURE
CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL CODE ROUGH
OF THE STATE'OF CALI I
SIGNATURE fi FINAL
OF PERMITTE
• fE
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
•, 7 7 4110 JUL 41. O 2 `j.0 0 AN
POLICY HO►LDEFk� a,-
POLICY NUMBER: o / �o Gl�a�� L1 ®S
C-577 . All�D.