HomeMy WebLinkAboutNo Permit Number (2196)76A364C
CE-8161REY.6/7B1 APPLICATION FOR PERMIT
�S HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES
FOR APPLICANT TO FILL IN
(PRINT OR TYPE ONLY)
NO. TYPE OF APPLIANCE OR EQUIPMENT
ABSORPTION UNIT, BTU
AIR HANDLING UNIT, CFM
1 COMPRESSOR, BTU 60M
VENTILATION SYSTEM "
EVAPORATIVE COOLER
l FLOORCE: FAU BTU lY(IZ1L GRg._____
HEATER: SUSPENDED UNIT_
BUILDING AND SAFETY
BUILDING
ADDRESS 1330 S. Red Bluff
LOCALITY
FEE
NEAREST
CROSS ST. Colima Ed. & Lemon Ave.
OWNER Presleyof Southern Ca.
MAIL
ADDRESS P•0. BOX 2200
CITY TEL.NO.eA^ r
Newport
.Beach
CONTRACTOR
Tru--Temp
ADDRESS
P.O. BOX 4
CITY 17ulI e'1"
ton
STATE
LICENSE NO.
222290
APPROVALS t DATE
ROUGH
(FINAL
INSPECTION R
TEL. N0.526-7779
C ASS C-20
SPECTOR'S SIGNATURE
RD
Plan check fee 25% of above.
PERMIT ISSUING FEE;
TOTAL FEE
`'vo
PLAN CHECK APPLICANT
PLAN CHECK VALIDATION
�952F
NAME
+.
F • • • • ," )
ADDRESS
• • U 8 C
� c S
CITY TEL. NO.
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL
ORDINANCES AND LAWS REGULATING HEATING, VENTILATING, AIR
CONDITIONING.
PERMIT VALIDATION
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF
CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL CODE
OF THE STATE OF CA
SIGNATURE��-r0
OF PE RMITTEE
HSTRICT NO. PROCESSED BY
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