HomeMy Public PortalAbout5227 KAUFFMAN AVE_Mechanical__ 76A364.-GE818-1/:0 ,APPLICATION FOR PERMIT '
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES ADDRE7-: �DEPARTMENT OF COUNTY ENGINEERBUILDING,AND SAFETY DIVISION LOCALJOHN A. L"AMBIE.•COUNTY ENGINEERCOLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING NEARECR OSS FOR APPLICANT TO FILL IN, ' OWNER
(PRINT OR,TYPE ONLY) '
MAIL _
N0 T.YPE0FAPPLIANCE-OR.EQUIPMENT FEE ADDRESS -
,CITY TEL. NO. ' '
ABSORPTION SYSTEM,.BTU
CONTRACTO
AIR HANDLING UNIT, CFM
ADDRESS ffO ®�
BOILER, HORSEPOWER 'CITY `, } TEL. NO.
,COMPRESSOR, HORSEPOWER STATEL ICENSE NO. 2�7�•- J a� CLASS
VENTILATION SYSTEM DISTRICT NO. CLASS GROUP I ZONE 'PROCESSED BY
EVAPORATIVE COOLER
FURNACE:. FAU_GRAVITY
FLOOR BTU INSPECTION RECORD
HEATER: SUSPEN EDUNIT_ j�
WALL V(/
O
O
LLJ
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NEW-ADDITION PERMIT $ 3 00 N
Z_
ALTER-RE PAIR_ TOTAL FEE $ •
PLAN CHECK APPLICANT '
NAME
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 DATE INS PECTOR'S SIGNATURE
LATING, AIR CONDITIONING.
I HEREBY' CERTIFY THAII AM T A TING IN VIOLATION ROUGH
OF CHAPTER-9, DIVISION3, THE SINE D NAL FINAL '
CODE OF THE STA E OF CA FOR I
SIGNATURE JACK R. ALLEN,SUPERVI7CK
EC ANICAL ENG-R.
OF PERMITTEE .
PERMIT VALIDATION �.0. CASH ,
PLAN CHECK V A ION
4 4 1 A 8.0 0- '17 �
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE '