HomeMy Public PortalAbout5712 CAMELLIA AVE_Mechanical__ 76A364 - CE818 - 3-69 APPLICATION FOR PERMIT u
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OR LOS ANGELES BUILDING f L
DEPARTMENT OF COUNTY ENGINEER ADDRESS u
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY
COLEMAN W.JENKINS,SUPERINTENDENT OF BUILDING NEAREST
CROSS ST. AU
7ABSOR
APPLICANT TO FILL IN �S11:71
(PRINT OR TYPE ONLY) OWNER
MAIL
F APPLIANCE OR EQUIPMENT FEE ADDRESS
PTION SYSTEM, BTU CITY TEL. NO.,471�lld CONTRACTOR D 1 Cl
NDLING UNIT, CFM (� n
ADDRESS v rJ/V17-�
/ BOILER, HO R
CITY l TEL. NO.
COMPRESSOR, HORSEPOWER r� �{ �jr� /
LICENSE NO. 0? CLASS G Y."- �fa
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE PROC SSED BY
III EVAPORATIVE COOLER O A
FURNACE: FAU GRAVITY
FLOOR BTU INSPECTION RECORD
EATER: SUSPENDED UNIT
WALL
O
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0
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NEW—ADDITION— PERMIT 3 00
ALTER--REPAIR— TOTAL FEE S G O
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL. N0.
I HEREBY AC"OWLEDGE 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- APPROVAL$ DATE INSPECTOR'S SIGNATURE
LATING, AIR CONDITIONING.
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH
CHAPTER 9, DIVISION S, OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF STATE OF CALIFORNIA. �7
SIG u JACK R. ALLEN, SUPERVISING MECHANICAL ENG'R.
OF Pel
PERMIT VALIDATION C M.O. CASH
PLAN CH K VALIDATION
0',8:.-. 6C--- JUN11 4 1 D 1 0-50-
EF BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE