HomeMy Public PortalAbout5626 CAMBURY AVE_Mechanical__ 76A364-C E81 B-8-68 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONOITIONIN ✓//
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
(Print or type only) -
OWNER
NO... TYPEJO F APPLIANCE OR EQUIPMENT FEE MAIL ,i I
ADDRESS (p
ABSORPTION SYSTEM, BTU CITY EL.
."r
AIR HANDLING UNIT, CFM CONTRACTOR
BOILER, HORSEPOWER ADDRESS L�
COMPRESSOR, HORSEPOWER CITY TE NO.y 1.2 Tog
STATE . LIG.
VENTILATION SYSTEM LICENSE N . ,J CLASS '
DISTRICT NO GROUP ZONE •PRO ES D BY
EVAPORATIVE COOLER
FURNACE: FAU_GRAVITY
FLOOR—BTU INSPECTION RECORD
HEATER:.SUSPENDED_UNIT_
WALL
C
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W
d
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Z
NEW ADDITION— PERMIT S. 3 00
ALTER—REPAIR— TOTAL 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, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
LATING, AIR CONDITIONING. )
ROUGH
HEREBY CERTIFY THAT I AM HOT ACTING IN VIOLATION
OF CHAPTER 9, DIVISION 3, OF THE SINESS AND PflO FE5510NAL FINAL
CODE OF THE STATE OF CALI ORNI
JACK R. ALLEN,SUPERVISIN HANICAL ENG-R.
SIGNATURE C
OF PERMITTEE PERMIT VALIDATID CK. M.O. CASH
PLAN CHECK VALIDATIO
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE /'%