HomeMy Public PortalAbout5334 ENCINITA AVE_Mechanical__ 78A384Ef CB•BB-,ais>s rAPPLICATION FOR PERMIT
HEATING— VENTILATING - AIR CONDITIONING
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN r BUILDING 2 d / /� A
(PRINT OR TYPE ONLY) ADDRESS V �vV 1 !v It-r� ` 1/
LOCALITY T� TY Cf`
NO TYPE 0FAPPLIANCE OR-EQUIPMENT FEE
NEAREST o , t
CROSS ST � �/
ABSORPTION UNIT, BTU 1 `• 11 [[' / 11,�
OWNER N I� C�`� Iii
AIR HANDLING UNIT, CFM MAIL -
" ADDRESS
BO,ILER,'BTU /� CITY TEL NO
COMPRESSOR, BTU B D V Ors , s r
t CONTRACTOR W m
.51
VENTILATION SYSTEM ADDRESS
EVAPORATIVE COO ER CITY TEL NO
FURNACE FAU K GRAVITY '` STATE LIC
FLOOR BTU �C�! LICENSE NO CLASS
HEATER SUSPENDED UNIT_ DISTRICT No GROUP ZONE PRO S BY
WALL D �� �" O
INSPECTION RECOR
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W
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Plan check fee 25% of above
PERMIT ISSUING FEE.$ 'O
TOTAL-FEE
PLAN CHECK APPLICANT
NAME t
ADDRESS o
CITY s TEL NO
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ' t
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING, VENTI-
LATING, AIR CONDITIONING
I HEREBY CERTIFY THAT'I AM NOT ACTING IN V O ATION •APPROVALS DATE INSPECTOR'S SIGNATURE
4OF CHAPTER 9 DIVISION3, OF THE B S AND PRO E IONAL
CODE OF THE STAT OF CALIFOR IA ROUGH _ n
SIGNATURE
OF PERMITTE ' FINAL i
E
PLAN CHE V ID ION CK M o ASH PERMIT VALIDATION cK M 0 cns