HomeMy Public PortalAbout9145 HERMOSA DR_Mechanical__ �J�fiA 3824CE81 B'-1/J0, APPLICATIONFOR PERMIT
HEATING - VENTILATING - AIR CONOITIONING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY--)—&,V
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING. NEAREST
CROSS ST. y
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL
NO. TYPEOFAPPLIANCEOR EQUIPMENT FEE ADDRESS V P
CITY TEL. NO. G
ABSORPTION SYSTEM, BTU
CONTRACTOR C
AIR HANDLING UNIT, CFM
ADDRESS
BOILER, HORSEPOWER CITY 'J - TEL. NO. �a D
COMPRESSOR, HORSEPOWER STATE LIC.
LICENSE NO. . d CLASS
VENTILATION SYSTEM DISTRICT NO, CLASS GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER Fd B
FURNACE: FAUGRAVITV
FLOOR BTU - INSPECTION RECORD
HEATER: SUSPENDED_UNIT
WALL
l7 U
LC
O
F-
U
NEW—ADDITION--- PERMIT $ 3 00
y
1 Z
ALTER—REPAIR— TOTAL FEE $ a
PLAN CHECK APPLICANT
NAME
ADDRESS -
CITY LANDR
1 HEREBY ACKNOWLEDGE THAT 1 HAVPPLICATION
AND STATE THAT THE ABOVE IS CORRECTO COMPLY
WITH ALL ORDINANCES, AND LAWS REGING, VENTI- APPROVALS DATE I CTOR'S SIGNATURE ,
LATING, AIR CONDITION NO.
ROUGH
I HEREBY CERTIFY THAT I AM NN VIOLATION
OF CHAPTER 9, DIVISION 3, OF THE IS USO FES- NAL FINAL .
CODE OF TH ATE OF CALIFORNIA. �1
SIGNAT JACK R. ALLEN,SUPER (SING MECHANICAL' ENG'R.
OF PE
L.
PERMIT VALIDATIO cli M.O. CASH
PLAN CHEtK VALIDATION
Lk,D9347� OCT2041 D 10.50-
SEE BACK OF APPLICATIDN FOR COMPLETE FEE SCHEDULE ..