HomeMy Public PortalAbout5912 IVAR AVE_Mechanical__ 7 GA364-C E818-8-68 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING F
1 V u
• COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRES
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCA Y
FOR APPLICANT TO FILL IN CROSSSEST.
(Print or type only) '
OWNER
NO.. TYPEJOFAPPLIANCE OR EQUIPMENT FEE
MAIL
ADDR SS
ABSORPTION SYSTEM, BTU ITY TEL. N
AIR HANDLING UNIT, CFM CONTRACTO
BOILER, HORSEPOWER ADDRES
COMPRESSOR, HORSEPOWER Cff
EL. NO.
STATE LIC.
VENTILATION SYSTEM LICENSE NO. CLASS
DISTRICT NO. GROUP ZONE PROCES D BY
EVAPORATIVE COOLER q
FURNACE: FAU GRAVITY
FLOOR-BTU INSPECTION RECORD
HEATER:.SUSPENDED-UN IT
W A L L /Ma c o GG�QJ y
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NEW—ADDITION— PERMIT. $ 3 00
ALTER—REPAIR— TOTAL FEE $
Plan check applicant
Name
Address
City Tel. No.
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 I PECTOR'S SIGNATURE
LATING, AIR CONDITIONING.
ROUGH
IT CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE STATE OF CALIF RNI
JACK R. ALLEN,SUPERVISI CHANICAL ENG'R.
sIG NAT URE -PERMIT VALIDATION CK. M.0. CASH
OF PERMITTE
PLAN CHECK VALIDATION
ry
SEE BACK OF,APPLICA710N FOR COMPLETE FEE SCHEDULE