HomeMy Public PortalAbout5134 ARDEN DR_Mechanical__ 76A364 - C E818 - 3-69 APPLICATION. FOR PER IT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES FOR
DEPARTMENT OF COUNTY ENGINEER 'a1 '
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER Y vhP^\Pt.` �\
COLEMAN W.JENKINS,SUPERINTENDENT OF BUILDING .
FOR APPLICANT TO FILL IN
OWNER
(PRINT OR TYPE ONLY)
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS a A Qse-- _
ABSORPTION SYSTEM, BTU
yt'I—T
AIR HANDLING UNIT, CFM CONTRACTOR
ADDRESS I`;--L-1Z �.
BOILER, HORSEPOWER
CITY TEL. N0.9(,-U d�
COMPRESSOR, HORSEPOWER STATELIC.
LICENSE NO. Lj4=, CLASS
VENTILATION SYSTEM DISTRICT NO. GROUPQ ZONE PROCESSED BY
EVAPORATIVE COOLER 0
FURNACE: FAU GRAVITY
INSPECTION RECORD
FLOOR BTU
HEATER: SUSPENDED UNIT
WALL >
IL
C
cc
C
H
L
LL
a
V
NEW—ADD ITION_ PERMIT $ 3 00 2
ALTER_REPAIR_ TOTAL FEE $ �D
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- APPROVALS DATE/, I ECTOR'S SI ATURE
LATING, AIR CONDITIONING.
1 HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH
CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL °•
CODE OF THE STA
--T-EOFOF CALIFORNIA.
SIGNATURE \�r 1,( J 7 JACK R. ALLEN, SUPERVI ECHANICAL ENG'R.
OF PERMITTEEC
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION
5 5 8. 3 cc—:D vLL21 4 1 Q 1 0.50-
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ��