HomeMy Public PortalAbout9148 WOOLLEY ST_Mechanical__ � .
Atbac
CE j818(REV.11/78)
as APPLICATION OR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING /
(PRINT OR TYPE ONLY) ADDRESS
LOCALITY /
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
CROSS ST. $�
ABSORPTION UNIT,BTU -.�
OWNER
AIR HANDLING UNIT,CFM MAIL 11
ADDRESS C/
BOILER,BTU ,
�y CITY jp /y d� TEL.NO
COMPRESSOR,BTU Gf CONTRACTOR IF
VENTILATION SYSTEM ADDRESS
EVAPORATIVE COOLER CITY TEL.NO.
FURNACE: FAU GRAVITY STATE LIC.
FLOOR BTU LICENSE NO. CLASS
HEATER: SUSPENDED UNIT APPROVALS DTE INSPECT g' SIGNATURE
WALL
ROUGH w 7
f�
FINAL
1J
INSPECTION RECORD C9
Plan check fee 25%of above. y
PERMIT ISSUING FEE$ -
TOTAL FEE 7
PLAN CHECK APPLICANT PLAN CHECK VALIDATION
NAME C/v�G'' .Bp/C
2'881.8A
ADDRESS ®O�L '# o
CITY TEL.NO.2Z
2 9=42 - - 2700
1 HEREBY 69KNOWLEDGE THAI HAVE READ THIS APPLICATION AND
STATE THAT THE:ABOVE IS CORRE T AND AGREE TO COMPLY WITH ALL o 0 0 2 7,O O
ORDINANCES AND LAWS REGULATING'HEATING, VENTILATING, AIR
CONDITIONING. PERMIT VALIDATION
1 HEREBY CERTIFY THAT I AM NOT ACTING IN 'VIOLATION OF 0201 -8 O
CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL CODE
OF THE STATE OF QVFO IA.
SIGNATURE �^
OF PERMITTEE
tM
DISTRICT NO. PROCESSED BY
76 �;i84- CE�B18-1/75
APPLI TION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS W
BUILDING AND SAFETY DIVISION 'LOCALITY
NEAREST
CROSS ST. C N
FOR APPLICANT TO FILL.IN OWNER
(PRINT OR TYPE ONLY)
MAI L
NO. TYPE&SIZE OF EQUIPMENT. FEE ADDRESS Cl/Iff
.� L
SEE BACK OF APPLICATION
CITY TEL. NO.
FORCE AIR FURNACE, BTU
CONTRACTOR
COMPRESSOR, BTU `
ADDRESS
VENTILATION FAN /
CITY r TEL'. NO. �[O
LIST ALL OTHERS BELOW STATE LIC.
LICENSE NO. CLASS
DISTRICT NO. GROUPZONE PROCESSED BY
� UP L - �
INSPECTION RECORD
0-
0
U
O
. F-
' U
W
t�
Plan check fee. See reverse. -
Z
PE11MIT ISSUING FEE S 3 00
TOTAI. 1'E'E (1(J
PLAN CHECK APPLICANT
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 ORDINANCES AND LAWS.REGULATING HEATING, VENTI-rNA
VALS DATE INSPECTOR'S SIGNATURE
LATING.AIR CONDITIONING. �y
f '>b
I HEREBY CERTIFY THAT I AM NOT ACTINN VIOLATION
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS P OFESSIONAL
CODE-OF THE STATE CALIFORNIA.
SIGNATURE ALIDATION CK. M.O. CASH
OF PERMITTE
PLAN E VALIDATION -CK. M.D. CASH
2 '6.5V;"_'JUL . :..7 4..1 D. 8.0.0.A98