HomeMy Public PortalAbout5318 CAMELLIA AVE_Mechanical__ 70A364-CEIIS-6-66 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONTIONING
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUI G��
F E
JOHN A. LAMBIE, COUNTY ENGINEER AD
COLEMAN W. JENKINS, SUP&RINTKNDENT OUILDINO LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
(Print or type only)
OWNER
No.. TYPEIOFAPPLIANCE OR EQUIPMENT FEE
MAI L ADDRESS
ABSORPTION SYSTEM, BTU CITY TEL NO
Ay—
AIR HANDLING UNIT, CFM CONTRACTO t
BOILER, HORSEPOWER ADDRESS
COMPRESSOR, HORSEPOWER CITY TEL. NO.
STATE LI C.
VENTILATION SYSTEM LICENSfNO. CLASS
DISTRICT NO. GROUP ZONE ;_1_0z
R
EVAPORATIVE LE �—
FURNACE: FA GRAVITY �� D A/
FLOOR—BTU INSPECTION REC
HEATER:.SUSPENDED UNIT �t
WALL
. c�
W
CL
VJ
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NEWADDITIO PERMIT $ 8 00
ALTER--REPAIR TOTAL FEE S
Plan check applicomt
Name
Addreee
City Tel. No.
I HERESY 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 DAT[ P[CTOR'S JASKATURE
LATING, AIR CONDITIONING. ROUGH
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION FINAL
OF CHAPTER 9, DIVISION 6, OF THE BUSINESS AND PROFESSIONAL
CODE OF THE STATE OF CALIFORNIA. JACK R.
RV.i*TALLIEN,SUPERVISE ECHANICAL EKG-R.
310NATOF PERMITTEA&URE
PELllVALIDA�O CK m.o. CASH
OF PERMITTEE
PLAN CHECK VALIDATION
Af j 8 4 -99% AFB 2 0
SEE MACK OF APPLICATXW FOR COMPLST[FEE SCHEDULE