HomeMy Public PortalAbout6206 IVAR AVE_Mechanical__ 7.6 A660 --CE 8158 - 9-71 APPLI IOId FOR PI:
• I` HEATING - VENTILATING , AtR OtdDITIO NIRG
COUNTY OF LOS ANGELESBUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS �Q� f,—+
BUILDING AND SAFETY DIVISION LOCALITY L
NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER A ti fl
(PRINT OR TYPE ONLY)
MAIL
NO. TYPE OFAPPLIANCEOR EQUIPMENT FEE ADDRESS(,?'o
CIT TEL. NO- -7 7
ABSORPTION UNIT, BTU [fir
CONTRACTOR I
AIR HANDLING UNIT, CFM J
ADDRESS
BOILER, BTU
CITY^ 11 -.TEL. NO�
COMPRESSOR, BTU 3L poo STATELIC.
LICENSE NO. CLASS
VENTILATION SYSTEM DISTRICT NO. GROUP ONE O SSED BY
i n
EVAPORATIVE COOLER
FURNACE: FAU_GRAVITY
FLOOR BTU�� O 0 o INS PE TI N ECO RD v
HEATER: SUSPENDED UNIT_ 3O
WALL
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Plan check fee 25% of above. See reverse.
PERMIT ISSUING FEE 8 3 00
TOTAI.. FEE '3 Vo.
PLAN CHECK APPLICANT
tt NAME
(I ADDRESS
CITY TEL.NO.
I HEREBY 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; VENTI- APPROVALS DAT SP CTOR'SS NATURE
LATING, AIR CONDITIONING.
ROUGH
IHEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL -
CODE OF THE STATE OF CALIFORNIA.
SIGNATURE (^. PERMIT VALID TON CK. M.0. CASH
OF PERMITTEE C *"�'�^C�� /
PLAN CHECK VALIDATION CK. M.O. CASH �J
u� 1 a 3 6713 ,Ura 2 2 4 1 D 1 3,G CSN
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE