HomeMy Public PortalAbout5412 ARDEN DR_Mechanical__ 76A364-CE818-8-68 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
FADESSJOHN A. LAMBIE, COUNTY ENGINEERCOLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGLITYRvENNEENww ESTFOR APPLICANT TO FILL IN S ST.
(Print or type only)
OWNER
NO., TYPEJOF APPLIANCE OR EQUIPMENT FEE
MAI L
ADDRESS
ABSORPTION SYSTEM, BTU CITY TEL. NO.
AIR HANDLING UNIT, CFM CONTRACTOR
BOILER, HORSEPOWER ADDRESS VAI'
COMPRESSOR, HORSEPOWER CITY ��� `'�? TEL. NO. �7J
STATE /y .,i LIC.
VENTILATION SYSTEM LICENSE NO. / i CLASS
DISTRICT NO. GROUP ZONEPROCESSED BY
EVAPORATIVE COO ER
FURNACE: FAU ► GV��TY 0 S R_
FLOOR—BTU `' �7 O INSPECTION RECORD
HEATER:.SUSPENDED—UNIT-
WALL
USPENDED UNITWALL
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NEW/ /ADDITION PERMIT $ 3 00
ALTER—REPAIR— TOTAL FEE $ 700
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 ORDINANCESAND LAWS REGULATING HEATING, VENTI- APPROVALS DATE I ECTOR'S SIG TURE
LATING, AIR CONDITIONING. G
ROUGH
IHEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE STATE OF C IFOR
JACK R. ALLEN,SUPERVISING MECHANICZ:AS'H�
SIGNATURE
OF PERMITT - PERMIT VALIDATION 'CK. M.o.
PLAN CHECK VALIDATION
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
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76A364 - CE818 - 3-69 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING Z
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION _
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITYT-
C:OLEMAN W.JENKINS,SUPERINTENDENT OF BUILDING NEAREST '
CROSS ST.
FOR APPLICANT TO FILL IN ' r
(PRINT OR TYPE ONLY) OWN R J
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
.ABSORPTION SYSTEM, BTU rJ CITYJ TEL. N0.
CONTRACTORAla' Eid
/
AIR HANDLING UNIT, CFM
ADDRESS
BOILER, HORSEPOWER
CITY F TEL. N0.
COMPRESSOR, HORSEPOWER STAT +� LIC. 10
LICENSE NO.2 S I4619 CLASS 2
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER
FURNACE: FAU GRAVITY �6
FLOOR BTU &VQ C/rl� INSPECTION RECORD
HEATER: SUSPENDED NIT }
WALL a
O
V
cc
F-
V
w
CL
v7
Z
NEW_ADDITIONX PERMIT $ 3 00
ALTER—REPAIR— TOTAL FEE $
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL. NO.
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 D TE INJECTOR'S SIGNATURE
LATING, AIR CONDITIONING.
IHEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH
CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL G
CODE OF THE STATE OF NIA.
SIGNATURE JACK R. ALLEN, SUPERV ISI ECHAN ICAL ENG'R.
OF PERMI 7
PERMIT VALIDATION cK! M.O. CASH
PLAN CHECK LIDATION
I (', 17 5 5 104 1 D: 1 1.0 0'
=E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE