HomeMy Public PortalAbout8804 HERMOSA DR_Mechanical__ T6A364'C
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IS(REV.6/781
APPLICA T N FOR PERMIT
HEATING - VENTIL TING - AIR CON ITIONING
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING (j'F/ ^
(PRI NT OR TYR E ONLY) ADDRESS ,QAr �/C o o/e•
LOCALITY [�/�/ CCOOAI
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE /l•
NEAREST
CROSS ST.
ABSORPTION UNIT,BTU /'
OWNER ���. - / -S�- CO
AIR HANDLING UNIT,CFM MAIL 4/ �N ,' n C�
ADDRESS 7 S , /T J /
BOILER,BTU CITVt l _S ._�/Ii ✓s TEL.NO. 4 yS/3
COMPRESSOR,BTU CONTRACTOR G2D(n/�
VENTILATION SYSTEM /% /f �/' x•,11�.���//
ADDRESS
EVAPORATIVE COOLER CITY 1'11011vko a' A TEL.NO.3 _' LVSv'7
FURNACE: FA _GRAVITY D 00 STATE . SGC-S ;ZN/7Z CLASS(„_—�0
FLOOR BTU LICENSE NO. J D E
HEATER: SUSPENDED—UNIT .`APPROVALS DATE INSPECTOR'S SIGNATURE
WALL
ROUGH
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FINAL �'�f�` _� 6
INSPECTION RECOR V
0
0
Plan check fee 25% of above. 9
PERMIT ISSUING FEE s 7 Z
TOTAL FEE ? no _
PLAN CHECK APPLICANT PLAN CHECK VALIDATION
NAME /� • a�✓✓_27
ADDRESS //�LL� •, n
CITY TEL.NO. 2 9 5,9.2 A
IHEREBY 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. - PERMIT VALIDATION 'Q e e1 7.00
1 HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF
OF THCHAPTER 9. C VI CAN 3. OF THE AND PROFESSIONAL CODE •e e s '7�,0060
SIGNATURE
OF PERMITTEE /� Q 4 1 5-80
JDISTRICT NO. PROCE /