HomeMy WebLinkAbout1077A (5) i
* . �
76A364C
CE-8181REV.6/781
�Ps APPLICATION FOR PERMIT
HEATING - VENTILATING .- AIR CONDITIOMING
� COUNTY OF LOS ANGELES . BUILDING ANC1 SAFETY
�
FOR APPLICANT TO FILL IN eui�oiN�
ADDRESS 763 SUMMERW OD
(PRINT OR TYPE ONLY)
LOGALITY
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST ��n��,a,
CROSS ST. ��
ABSORPTION UNIT.BTU '
OWNER REESE
AIR HANDLING UNIT,CFM MAIL
ADDRESS
1 BOILER,eru 400 ,000
C ITY WALNUT TE�.No.5 9 4—2 0 4
COMPRESSOR.BTU CONTRACTOR WALNUT POOLS
VENTILATIONSYSTEM ADDRESS 21,�50 GDLDEN Sl�k2INGS .
EVAPORATIVE COOLER CITY TEL.NO.
ALN T
FURNACE: � FAU GRAVITY STATE p LIC.
FLOOR BTU LICENSE NO. 319010 CLA55 �5
HEATER: SUSPENDED UNIT�� A?pROVALS DATE IM1SPECTOR'SSIGNATURE
WALL
ROUGH
�^
Lr
FINAL �, �
INSPECTION RECO � s�� "" �
�
,r..�,,,".-' �
�
Plan check fee 25% of above. �
PERMIT ISSUING FEE� t�I C �
TOTAL FEE �� �
PLAN GHECK APPLICANT PLAN CHECK VALIDATION
i NAME /
ADDRE55 21450� GOLDEN S�ZNGS DR. n �
"l� �
CITY �n7ALNUT TEL.NO. CJ9CJ,754 � � �:�"
� �� � r
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIOY AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO CO!vfPLY WITH ALL _ ; r� ( r7 �.
ORDINANCES AND LAWS REGULATING HEATING. VENTILATING, AIR `. ` ,.
coNoiTion�iNc. PERMIT VALIDATION
!! �� V j'g O L+��
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATIOh OF "
CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL CO�E � ,.
OF TH'e STATE OF CALIFORNIA. i 'w ^ �� �;��j �}
SIGNATURE � r
OFPERMIFTEE ..a +-� ; . � �l /' _-�
DISTRICT N0. PROCE55 . L_ `
� .. ... " C—'i ,
�� � �
�
. . ,,-. ,..,
, .. � ., .. �J i , •
_...,C,
tf f , :'+A' i . • • . . .. , . . ._ .
. . � ... .S. . . ' .. �, , ,� _. ... . . . . . "' ' ,
' .� . . ' � �1''' . _ '__ _ . ,
. , C} f '.3 i l� . . . '
- ^.�-; . .�.. - .
' . .., . . _...._ .. .
� 1 W.