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HomeMy Public PortalAbout9908 DAINES DR_Mechanical__ 7eA3e4 - cEBIB - 3-69 APPLICATION FOR PERMIT HEATING - VENTILATING.- AIR CONDITIONING- COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS ' BUILDING AND SAFETY DIVISION JOHN A. LAMBIE, COUNTY ENGINEER- LOCALITY CO-LEMAN W.JENKINS,SUPERINTENDENT OF BUILDING NEAREST CROSS ST FOR APPLICANT TO FILL IN OWNER (PRINT OR TYPE ONLY) MAIL + l f TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRES q& ' ABSORPTION SYSTEM, BTU CIT TEL N S Opq� CONTRACTOR AIR HANDLING UNIT, CFM ADDR BOILER, HORSEPOWER -- CIT CIT TEL. NO COMPRESSOR, HORSEPOWER ©DSTATE //y +� /� LICENSE (L!Cl�� CLASS —O�(� VENTILATION SYSTEM DISTRICT NO. GROUP R zoNE RF{OCESSE Y EVAPORATIVE CO a 4 } FURNACE FAU GRAVITY ff FLOOR EITU' INSPECTION RECORD HEATER SUSPENDED UNIT WALL a O V 0 U Lu a N Z NEW ADDITION PERMIT $ 3 ,00 ALTER_REPAIR_ TOTAL FEE PLAN CHECK APPLICANT NAME ADDRESS CITY TEL. N0. 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 ATE 1 ECTOR'S I TURE LATING, AIR CONDITIONING. I HEREBYACERTIFY THAT I AM NO ACTI G N VIOLATION OF ROUGH _ CHAPTER 9 3, OF THE INESA - PROFESSIONAL FINALCODE OF THF CALI FO RN 'SIGNATURE - JACK R. ALLEN, UPER IS ING`MECHAN I CAL ENG'R. OF PERMITT PERMIT VALIDATION CK. M.O. CASH PLAN CHECK VALIDATION } F %ALO :, 2,3 `A:-,I -E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE _ 76 A364 -v CE 8.18 - 9-7I APPLICATION FOR PERMIT HEATING - VENTILATING - AIR CONOMONING COUNTY OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY NEAREST CROSS ST. FOR APPLICANT TO FILL IN OWNER �� (PRINT OR TYPE ONLY) MAIL NO TYPE OFAPPLIANCE OR EQUIPMENT FEE ADDRESS CITY Z�1,er, L. NO. ABSORPTION UNIT, BTU ' ^'� CONTRACTOR 1S/ 4ro;, AIR HANDLING UNIT, CFM ADDRESS/ BOILER, BTU CITY TEL. NO.41; COMPRESSOR, BTU STATELIC LICENSE NO. 7 CLASS VENTILATION SYSTEM DISTRICT NO GROUP ZONE PRO SED BY EVAPORATIVE COOLER Cv� ( a FURNACE. FAU GRAVITY FLOOR BTU INSPECTION RECORD c� HEATER: SUSPENDED UNIT! O WALL w CL. nm Z Plan check fee 257. of above See reverse. PERMIT ISSUING FEE S 3 00 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 DAT NSPECTO 'S SIGNATURE LATING, AIR CONDITIONING ROUGH '7 I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL CODE OF THE STATE OF GAA_6I FOR NI A� - SIGNATURE � d PERMIT VALIDATI CK M O CASH OF PERMITTEE PLAN CHECK VALIDATION c'K M o CASH .tet 2 J .JAN 4 4 1 D, 1 0_5 0- SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE