HomeMy Public PortalAbout5448 ENCINITA AVE_Mechanical__ 76A3 4E CE e818A) 11/76
�, APPLICATION FOR PERMIT
HEATING - VENTILATING - AUDITIONING
COUNJOVOF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ,
FOR APPLICANT TO FILL IN
FBUILDING(PRINT OR TYPE ONLY)NO TYPE OF APPLIANCE OR EQUIPMENT FEEABSORPTION UNIT BTU
AIR HANDLING UNIT CFM MAIL
ADDRESS
BOILER BTU CITY TEL'NO G
COMPRESSOR BTU � CONTRACTOR
VENTILATION SYSTEM ADDRESS Z-Z !/L�.-L���f.��"✓
EVAPORATIVE COOLER CITYTEL NO
FURNACE FAU GRAVITY STATE �j LIC Y'
/ FLOOR BTU `:Z 4 0n723 LICENSE NO �-d J�"�Z CLASS
HEATER SUSPENDED UNIT- DISTRICT NO GROUP ZONE CE5SEDBY
WALL fl
INSPECTION RECORD' d
O
a
O
Plan check fee 25% of above m
PERMIT ISSUING FEE$ Z
TOTAL FEE
PLAN CHECK APPLICANT "
NAME
ADDRESS
f
CITY TEL NO
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 VENTILATING AIR '
CONDITIONING '
I HEREBY CERTIFY THAT I AM NOT CTING IN VIOLATION OF APPROVALS DATE SPE TOR S SIGNATURE
-CHAPTER 9 DIVISION 3 OF THE LISINE15 AND PROFESSIONAL CODE '
OF THE STATE OF CALIFORNO ROUGH
SIGNATURE FINAL - ....�. ";�'t^• _%---
OF PERMITTEE -
PERMIT VALIDATION SCK:� M0 CASH
PLAN CHECK VALI n+
ATION cK% _ . o CASH:1pn l \ r^
4 9 0 JUL 31 4\1 1 9.5 C
+ `/ V OS