HomeMy Public PortalAbout4936 FIESTA AVE_Mechanical__ 78A384E ICE 818A) 11/76 3 t
APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN7BUILDING
+. (PRINT OR TYPE ONLY) ADDRESS
LOCALITY 1
NO TYPE OF APPLIANCE OR EQUIPMENT
NEAREST
CROSS ST
ABSORPTION UNIT BTU
OWNER
AIR HANDLING UNIT CFM MAIL
ADDRESS FE
BOILER BTU CITY TEL NO
COMPRESSOR BTU {
CONTRACTOR
VENTILATION SYSTEM ADDRESS
EVAPORATIVE COOLER CITY L/ TEL NO,�: 7yS1
FURNACE FAU GRAVITY STATE LIC
FLOOR BTU LICENSE NO CLASS
HEATER SUSPE DED UNIT- DISTRICT No GROUP ZONE, CES5ED BY
WALL
INSPECTIO ECORD
O
u
OC
O
Plan check fee 25% of above ri
PERMIT ISSUING FEE$
TOTAL FEE Q�
PLAN CHECK APPLICANT
NAME 7-OA-1,
1
ADDRESS
CITY /1 ✓1 r TEL NO L
1HEREBY(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 S SIGNATURE
CHAPTER 9DIVISION 3 0 THE BUSINESS AND PROFESSIONAL CODE ROUGH
OF THE STATE OF CALIF C
r
SIGNATURE FINAL 4E/lf/71
OF PERMITTE
PLAN CHECK VALIDATI N CK Mo CASH PERMIT VALIDATI CASH
Mo
3,2 5 N JUN 29 41. 1) 1200A,