HomeMy Public PortalAbout9151 WOOLLEY ST_Mechanical__ 76 A3B4r- CE a 1 a-1/75
PLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY-ENGINEER ADDRESS G'• DD
BUILDING AND SAFETY DIVISION LOCALITY � e�
NEAREST
' CROSS ST.
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)/�- ���
MAIL
N0. TYPE&SIZE OF EQUIPMENT FEE ADDRESS
SEE BACK OF APPLICATION
CITY /i TEL. NO.
FORCE AIR FURNACE,-BTU C�
CONTRACTOR
COMPRESSOR, BTU
ADDRESS
VENTILATION FAN CITY Vu TEL. NO.
-LIST ALL OTHERS BELOW STATE LIC..
LICENSE NO. • CLASS
DISTRICT NO. GROUP ZONE PROCESSED BY
INSPECTION RECORD
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0
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W
0.
Plan check fee. See reverse. z
PE11MI I• ISSUING FEF; S 3 00
TOTAL. FIsE 0d
PLAN 04,IECK APPLICANT
NAME ,
ADDRESS
CITY TE
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- APPROVALS DATE INSPECTOR'S SIGNATURE
LATING,AIR CONDITIONING.
IZ}✓ ! '
1 HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION ROUGH
OF CHAPTER 9,,DIV1310. OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE STAT OF ORNI t
SIGNATURE 'PERMIT _VALIDATION CK. O. CASH
OF PERMITTEE -
PLAN CHECK VALIDATION - CK. M.O. CASH
3 4 AUG 2741 0 8.0 0 A98
76A364 - CE81B - 3y69 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS ��
BUILDING AND SAFETY DIVISION '
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY p�
COLEMAN W.JENKINS,SUPERINTENDENT OF BUILDING NEAREST
CROSS STS
�ORLICANT•TO FILL IN OWNE RINT OR TYPE ONLY)
MAIL - / 1
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS h.
ABSORPTION SYSTEM, BTU
C TEL. NO.
CONTRACT .
AIR HANDLING .UNIT, CFM _
BOILER, HORSEPOWER ADDRESS
CITY115�JA TEL. NO ,.�
COMPRESSOR, HORSEPOWER STATE LIC.
LICENSE N CLASS
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER 9 L �,
FURNACE: FAU •GRAVITY
FLOOR BTU INSPECTION RECORD
HEATER: SUSPENDED UNIT
WALL
a
c
L
• a
C
H
L
LL
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NEW—ADDITION— PERMIT $ 3 00 Z
ALTER_REPAIR_ TOTAL FEE $
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.N0.
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,VENTI- LROUGH .
APPROVALS DATE INSPECTOR'S SIGNATURE
LATING,AIR CONDITIONING.
1 HEREBY CERTIFY THAT I M NOT ACTING IN VIOLATION OF CHAPTER 9, DIVISION 3, OF HE BUSINESS AND PROFESSIONAL
CODE OF THE S T AL NIA.
SIGNATURE JACK R. ALLEN, SUPERV I G HANICAL ENG'R.
OF PERMI PERMIT VALIDATION Ck. .0. CASH
PLAN CHECK VALIDATION
Lr1l,o 3 5 1-1 NOV t{ 4 1 D 8.00- - '
SEE,BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 'T ,
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