HomeMy Public PortalAbout8852 HERMOSA DR_Mechanical__ CE-81a IREV.6/781 �) ,
AP ATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDiNG.AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
(PRINT ORTYPE ONLY) ADDRESSy �� "(�'•�
IANCE OR EOUIPMENT FE!IN'EAREST
ROSS ST.NIT, BTUWNER Z7S
AIR HANpLING UNIT,CFM MAIL
ADDRESS
BOILER.BTU CITY TEL.NO.
COMPRESSOR,BTU CONTRACTOR :'!_ T ✓ �'V(,
ou;
VENTILATION SYSTEM ADDRESS / /PJ zs ,r�T
EVAPORATIVE COOLER CITV4. (/ r#cll TEO. Z-j
I FURNACE: FAU \ G V V �{ STATE — LICL N. l
FLOOR BTU (/ LICENSE NO./& CLASS -7V
HEATER: SUSPENDEDUNIT_ APPROVALS NATE INSPECTOR'S SIGNATURE
WALL
ROUGH
FINAL 0
INSPECTION RECORD U V
O
1-
Plan
Plan check fee 25% of above. id
PERMIT ISSUING FEE$
TOTAL FEE
PLwN CHECKAPPLICANTPLAN CHECK VALIDATION
NAME
ADDRESS
X5!6&5A
CITY TEL.NO. #'e eb a 41
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL 2 e o :`� O 0
ORDINANCES LAWS REGULATING HEATING. VENTILATING. AI
CorvDIn ERIry PERMIT VALIDATION •eJ-1-.I �.0 O,xQ
HERE RTI FV AM ACTING IN VIOLATIO OF
CHAPTER 9, DI'I O' 3. 51 E 5 AND PROFESSIONA ODE ,1
OF THE STATED AI ,07i 2.4-7 >/�
SIGNATURE
OFPERMITTEE
DISTRICT NO. PgOCE BY
�� Do°