HomeMy Public PortalAbout5339 ALESSANDRO AVE_Mechanical__ 76 A364-CE 818- 5-73
APPLICKATING
FOR P RMIT
HEATING - VENTI - AIR CONDITIONING
COUNTY OF LOS ANGELES FNEAREST
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
/I/
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL
NO TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS �3,3 �[ 5•�/.C�af��') .
CITY TEL NO
ABSORPTION UNIT BTU G7
CONTRACTOR ��
AIR HANDLING UNIT, CFM
ADDRESS
BOILER BTU CITY �✓ TEL NO
� COMPRESSOR, BTU � Q STATE perLIC
LICENSE NO Z�! Z7Z� CLASS C
VENTILATION SYSTEM DISTRICT NO GROUP ZONE P OCESSED BY
EVAPORATIVE COOL p8 �— I
FURNACE FAU GR ITY
/ FLOOR BTU ODS INSPECTION RECORD
HEATER SUSPENDED—UNIT—
WALL
USPENDED UNIT_WALL
r
n..
O
U
O
1--
Plan
Plan check fee 25% of abo%e See reverse
PERMI] ISSUING FEF S
7 OTAL FEE
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 VENII APPROVALS DATE INSPECTOR S SIGNATURE
LATING AIR CONDITIONING
ROUGH
I HEREBY CERTIFY THAT I AM N TING IN VIOLATION
OF CHAPTER 9 DIVISION 3 TH I SS AND PROFESSIONAL FINAL
CODE OF THE STATE OF RNA
SIGNATURE PERMIT VALIDATION CK M 0 CASH
OF PERMITTEE
PLAN CHECK VAL ATION CK M 0 CASH
1.2 9't"-M 21 4 1 0 1 9.5 0 ,&�t,
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE v v O