HomeMy Public PortalAbout5627 ENCINITA AVE_Mechanical__ 7GA3fi4E1 8IS%) 9/" APPLICATION FOR PERMIT
HEATIN VENTILATING - AIR ON ITIONING
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CON FLOSANGELE
DEPARTMENT OF COUNTY EN I ER
BUILDING AND SAFETY DTVI ON '
FOR APPLICANT TO FILL IN BUILDING
(PRINT OR TYPE ONLY) ADDRESS
LOCALITY
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST Q
CROSS ST.
ABSORPTION UNIT.BTU
OWNER � C �C190Ls5
AIR HANDLING UNIT.CFM MAIL
,
ADDRESS C
BOILER.BTU CITY � TE L.NO.
Y J"
COMPRESSOR.BTU CONTRACTOR L
VENTILATION SYSTEM ADDRESS
EVAPORATIVE COOLER 'CITY TEL.NO,
FURNACE: FAU—GRAVITY STATE LIC.
FLOOR BTU LICENSE NO. CLASS
HEATER: SUSPENDED—UNIT_ ,I DISTRICT NO. GROUP ZONE CESSEO BY
WALL_ v Z�
Cl INSPECTION RECORD O
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Plan check fee 25%of above.
0
' PERMIT ISSUING FEE$ Z
TOTALFEE
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, VENTILATING. AIR
CONDITIONING.
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF APPROVALS DATE INSPECTOR'SSIGNATUR-
CHAPTER 9. DIV N 3, OF THE BUSINESS AND P OFESSIONAL CODE
OF THE STAT Of CAL RNIA. ` ROUGH
SIGNATURE FINAL Z��(
OF PERMITTE
PERM IT;VAL'IDATION,, •cn.• � M.0.. CASK
PLAN CHECK VALIDATION CK. M.O. cases -
0 4 Z�AUG -1 4 1 'U 4l 7.0 0 A!�6