HomeMy Public PortalAbout9829 HALLWOOD DR_Mechanical__ 7GA364 - CE818 - 3-69
- APPLICATION FOR P RMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING s�
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY
COLEMAN W. JENKINS,SUPERINTENDENT OF BUILDING NEAREST /
CROSS ST. C-.O 'A
FOR APPLICANT TO FILL IN- OWNER E
(PRINT OR'TYPE ONLY)
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
ABSORPTION SYSTEM, BTU CITY L 2/ TEL. NO.
AIR HANDLING UNIT, CFM CONTRACTOR
BOILER, HORSEPOWER ADDRESS"
COMPRESSOR, HORSEPOWER STATE LIC.
LICENSE NO. CLASS
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER ��D a[`/•/ �I
FURNACE: FAU GRAVITY I
FLOOR BTU - INSPECTION RECORD
HEATER: SUSPENDED—UNIT—
WALL
USPENDEDUNITWALL
rl
O
U
O
H
V
" uj
a
N
NEW—ADDITION— PERMIT $ 3 00 Z
ALTER—REPAIR— TOTAL FEE $
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL. N0.
I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY _
WITH ALL ORDINANCES AND LAWS REGULATING HEATING,VENTI-" APPROVALS DATE INSP TOR'S SIG ATURE
LATING, AIR CONDITIONING.
IHEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH
CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE ST TE OF CALI R A:
SIGNATURE JACK R. ALLEN, SUPERVISING. CHANICAL ENG'
OF PERMITT E � '
10 PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION
LA4 7 16 4 1 D 5.0
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE