HomeMy Public PortalAbout5333 FRATUS DR_Mechanical__ 76 A 30.v C E 8 1 8,- 5-13 _ • C/�� '
F: ,' ;r APPLICATION FOR PERMIT
HEATINUN —VENTILATING - AIR CONDITIONING
COUNTY OF,LO-,S ANGELES BUILDING
DEPARTMENT OF COUNTY. ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY'_
NEAREST
CROSS ST —h
FOR APPLICANT TO FILL IN OWNER-
-(PRINT OR TYPE ONLY) ,
MAIL
No TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
CITY TEL NO
ABSORPTION UNIT, BTU
CONTRACTOR L;j z ��
AIR HANDLING UNIT, CFM,
ADDRESS _
BOILER, BTU CITY j TEL. NO "r• 33
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-
COMPRESSOR, BTU, avQ STATE r _ (i LIC co
LICENSE`NO. �a CLASS "3/(!
VENTILATION SYSTEM DISTRIC7,N0 �,,GROUR ZONE IRO SSED BY
.R
EVAPORATIVE COOLER
FURNACE FAU GRAVIW INSPECTION RECORD'
FLOOR
HEATER SUSPENDED UNIT- S'
WALL /�C 5* 1
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_ - F�S'�A at P s- " xc" di'f rv►C o
0
Lu
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Plan.check fee 25% of ahove"-,See reverse , z
'- PERMIT ISSUING FEE S 3 00
-TOTAL. FEE 1)
1�
PLAN CHECK APPLICANT`
NAME
ADDRESS
CITY TEL NO
I HEREBY ACKNOWLEDGE i THAT'I HAVE READ THIS APPLICATION _ ✓�^�rn -
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS, DATE INSPECTOR'S SIGNATURE
LATING, AIR CONDITIONING
ROUGH - ----
'IC HEREBY CERTIFY AT I,AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVISI 3 OF THE BU SS AND PROFESSIONAL FINAL
CODE OF THE STATE CAI IA
SIGNATURE h PERMIT VALID ION CK M O CASH
OF PERMITTEE '
PLAN CHEC ALIDATION C M o cnsH
9, 5 •1,V JU1I-123 41. .J� C7
-
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE