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HomeMy Public PortalAbout5021 FIESTA AVE_Mechanical__ 78A364EACE-8'1SAI:.9/77 APPLICATION I'®tl'6 PERMIT HEATING - VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN BUILDING ADDRESS O4L_ Ltv e(PRINT OR TYPE ONLY) LOCALITY 1 NO. TYPE OF APPLIANCE OR EQUIPMENT FEE NEAREST CROSS ST. ps ABSORPTION UNIT,BTU /� OWNER SG' e 1/, I° AIR HANDLING UNIT,CFM MAIL ADDRESS e. BOILER,BTU /� CITY TEL.NO. ) d COMPRESSOR,BTU /(/' -ter CONTRACTOR O �. VENTILATION SYSTEM ADDRESS I EVAPORATIVE COOLER CITY TEL.NO. FURNACE: FAU GRAVITY STATE LIC. FLOOR BTU LICENSE NO. CLASS HEATER: SUSPENDED UNIT- DISTRICT NO. GROUP ZONE CESSEDBY WALL �3 7- cINSPECTION RECORD O Plan check fee 25% of above. PERMIT ISSUING FEE$ Z TOTAL FEE PLAN CHECK APPLICANT NAME ADDRESS ...yyy Ile CIT �l1 TEL. I HEREI§Y ACKNOWLED HAT 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 HEREBYCERTIFY THAT I AM NOT ACTING IN VIOLATION OF ` _ APPROVALS DATE INSPECTOR'S SIGNATURE CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL CODE r r OF THE STATE OF CALIFOO NIA. /f (/9, / ROUGH SIGNATURE // / - ✓C/ f FINAL® -" OF PE RM ITTEF�/«> ��• �'�-- o.11 "11 PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. H �� 5 5 5 JUL ,I U 4 1 U 2 7.0 () A 18 ©s I 76 A364 CE 818- 5-73 APPLICATI-qN FOR PERMIT HEATING - VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELESILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION L LOCALITY NEAREST CROSS FOR APPLICANT TO FILL IN OWNER (PRINT OR TYPE ONLY) MAI L NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS Z;�/ CITY TEL. NO. ABSORPTION UNIT, BTU CONTRACTOR AIR HANDLING UNIT, CFM ADDRESS BOILER, BTU CITY TEL. NO. COMPRESSOR; BTU STATE LIC. LICENSE NO. CLASS...,_ VENTILATION SYSTEM DISTRICT NO. GROUP ZONE,( PROCEjSEO By EVAPORATIVE COOLER 14, FURNACE: FAU-GRAVITY FLOORBTUI INSPECTION RECORD HEATER: SUSPENp -LINIT- WALL cz) O Plan cli(--(,,k fee 25% of above. Se(; reverse, PERMIT ISSUING FEE S 3 DO T TOTAL FEE ( jo PLAN CHECK APPLICANT NAME '7"/ ADDRESS CITY,,/,i-- TEL. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION NO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ITH ALLORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE LATING A I R CONDITIONING. ROUGH I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION F CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL ODE OF THE STATE OF-CALIFORNIA SIGNATURE PERMIT VALIDATION CK. M.>I� CASH OF PERMITTEE f, I-set PLAN CHECK VALIDATION CK. M.O. CASH n ;ata ICI 4 1