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HomeMy Public PortalAbout4946 WILLMONTE AVE_Mechanical__ 76A384E(CE-818A1-9/77 APPLICATION FOR PERMIT HEATING �- ENTILATING - Al -ON ITIONING COON LOS ANGELE DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISIO FOR APPLICANT TO FILL IN BUILDING (PRINT OR TYPE ONLY) ADDRESS % LOCALITY �, NO. TYPE OF APPLIANCE OR EQ PMENT FEE NEAREST ti • CROSS ST. ABSORPTION UNIT,BTU OWNER �� 06 AIR HANDLING UNIT,CFM MAIL ADDRESS Jo BOILER,BTU CITY TEL.NO. . i� COMPRESSOR,BTU CONTRACTOR VENTILATION SYSTEM ADDRESS V EVAPORATIVE COOLER CITY TEL.NO. � FURNACE: FAU-GRAVITY STATE LIC. FLOOR BTU LICENSE NO. CLASS HEATER: SUSPENDED UNIT- DISTRICT NO. P ZONE CESSED BY WALL G INSPECTION RECORD I . _ O Plan check fee 25%of above. \ PERMIT ISSUING FEE$ N Z TOTAL FEE 2 PLAN CHECK APPLICANT NAME ADDRESS CITY - T.EL.NO. ir 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 ONDITIONING. I I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF APPROVALS ATE INSPECTOR' S1 ATURE APTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL CODE ROUGH THE STATE OF C IFORNIA. .NATURE FINAL ERMill C K VALIDATION CK. M.O. cnsH PERMIT VALIDATION CK. M.O. CASH 3 COMPENSATION ; 1�r�iA� 6 6:�RPR 18 4.t1 0 ''moi .Q 0'.8 a POLICY HOLDEO _ r _ ., . POLICY NllMOER: 4jo3 zli-0 ®> 78 A.)4- CE 818- 5-73 APPLICATION . R PERMIT • �,: HEATING - VENTILATING - AIR .CONDITIONING- COUNTY OF LOS ANGELES rAD7DRESS /LL ���7 DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION ne C/1`f' ag FOR APPLICANT TO FILL IN OWNER (/'� /� (PRINT OR TYPE ONLY) CDJC,4 12 MAIL NO. TYPE OFA_PPLIANCEOR EQUIPMENT FEE ADDRESS / s,�i��U �a CITY v/17y0G _ T'-C TEL.NO. ABSORPTION UNIT, BTUs' �/ ,,y�� CONTRACTOR 4�� 11111e e2'T/0.9*ld#f-" AIR HANDLING UNIT, CFM ADDRESS BOILER, BTU CITYS- �G �/l TEL. NO. COMPRESSOR, BTU STATE P LIC. LICENSE NO. oL��l (7 CLASS VENTILATION SYSTEM DISTRICT NO. GROUPZONE PROCESSED BY EVAPORATIVE COOLER /) Q �l r FURNACE: FAU_GRAVITY (1 VY INSPECTION RECORD FLOOR BTU HEATER: SUSPENDED UNIT_ WALL O V Lu CC O 1-- C.7 a- a Plan check fee 25% of above.'See reverse. z PERMIT ISSUING FEE $ [fee) TOTAL FEE (O PLAN CHECK APPLICANT NAME ADDRESS 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, VE.NTI= APPROVALS DATE INSPECTOR'S SIGNATURE LATINS,AIR CONDITIONING. I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION ROUGH OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL CODE OF THE STATE OF CALIFORNIA. SIGNATURE PERMIT VALIDATION K. M.O. CASH OF PERMITTEE , PLAN CHECK VALIDATION CK. M.O. CASH_ 9`-3.5'L-0 AUG 30-4--l' ©- 12.010-16% SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 76A3e M-CE818=1/70 APPLICATION FOR PERMIT �) y HEATING - VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING NEAREST . _ CROSS ST. FOR APPLICANT TO FILL IN OWNER (PRINT OR TYPE ONLY) MAI L NO. TYPEOFAPPLIANCE•OR EQUIPMENT FEE ADDRESS CITY TEL. NO. ABSORPTION SYSTEM, BTU CONTRACTOR � AIR HANDLING UNIT, CFM-- ��� ADDRES BOILER, HORSEPOWER CITY TEL. NO. ed O � , ,. ?.l COMPRESSOR, HORSEPOWER STATE LI C. C�D LICENSE NO. CLASS VENTILATION SYSTEM DISTRICT NO. CLASS GROUP ZONE O S,S�EEDD BY EVAPORATIVE COO R FURNACE: FAU i- GR4kVITY Q� INSPECTION RECORD FLOOR BTU HEATER: SUSPENDED UNIT_ o . WALL ' _ c c L c c NEW_ADDITION- PERMIT $ _3 00 ALTER-REPAIR- TOTAL FEE $ U$ PLAN CHECK APPLICANT NAME ADDRESS Cl TEL.NO. EBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION E THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ' L ORDINANCES ANU LAWS REGULATING HEATING, VENTI- APPROVALS DATE I ECTOR'S I ATURE AIR CONDITIONING. RouGH 0vREBY CERTIFY THAT i AM NOT ACTINO IN VIOLATIONTER 9, DIVISION 3, F THE BUSINESS AND PROFESSIONAL FINAL THE STATE OF C ORNIA. URE JACK R. ALLEN,SUPERVISING MECHANICAL ENG-R. MITTEE PERMIT VALIDATION ' cK.' M.O. CASH PLAN CHECK VALIDATION {_ s. 2--- DEC 2g 4 1 D 7.0-0N CL ,SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE/