HomeMy Public PortalAbout9161 JAYLEE DR_HVAC_9/16/1971_ventilation sys,heater r
:6G�64 - CEA',B -•3-69 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING i I
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY 1
COLEMAN W. JENKINS,SUPER INTENDENT.OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN '
DA(PRINT OR TYPE ONLY) OWNER_
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS Ze4l 6, 7,qy4dC-2g 12R,
ABSORPTION SYSTEM, BTU CITY TEL. NO. ,? -
AIR HANDLING UNIT, CFM CONTRACTOR
a ADDRESS
BOILER, HORSEPOWER
CITY
1,PL. N0.
COMPRESSOR, HORSEPOWER STATE LIC.
LICENSE NO. CLASS
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE LOSSLD
EVAPORATIVE COOLER
FURNACE: FAU GRAVITY
FLOOR BTU INSPECTION RECORD
HEATER: SUSPENDED UNIT -
WALL
a
O
V
O
V
w
a
N
.NEWZADDITION PERMIT $ 3 00 Z
ALTER_REPAIR_ TOTAL FEE $ O �O
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL. N0.
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,VENTI—
LATING, AIR CONDITIONING. APPROVALS - DATE INSPECTOR'S SIGNATURE
8 I HEREBY CERTIFY THAT 1, AM NOT ACTING IN VIOLATION OF ROUGH �•� �/ e � <<
CHAPTER 9, DIVISION OF THE BUSINESS AND PROFESSIONAL FINAL y�
CODE OF THE STATE ALIFOR IA. j�.JT�
SIGNATURE JACK R. ALLEN, SUPERVISINA MECHANICAL ENG'R.
OF PERMITTEE '
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION
LACQ 2 4 1 :5:,,.- SEP 16 4 1 0 1 0.0 0- CQ
5EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE