HomeMy Public PortalAbout10061 LA ROSA DR_Mechanical__ ,C`G%76A364 - CEBIB - 3-69 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE. COUNTY ENGINEER LOCALITY r LE C
COLEMAN W. JENKINS,SUPERINTENDENT OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER I 1 A
(PRINT OR TYPE ONLY)
MAIL aa� 1
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS Qy 1?0'3
ABSORPTION SYSTEM, BTU CITY _�' L E C TEE/L. NO.L/ls�
AIR HANDLING UNIT, CFM CONTRACTOR IL hCI / G
ADDRESS E V
BOILER, HORSEPOWER
CITY AG_ TEL. N0.
COMPRESSOR, HORSEPOWER rr LCENSE NO. 2''S b9 CLASSVENTILATION SYSTEM DISTRICTTNO. GROUP ZONE
EVAPORATIVE COOLER
FURNACE: FAU GRAVITY_ v
FLOOR BTU SPE TI N RET RD
HEATER: SUSPENDED_UNIT_ 90 Q
WALL VU
O
V
r
V
w
a
NEW_ADD IT ION_ PERMIT $ 3 00 Z
ALTER_REPAIR_ TOTAL FEE $
PLAN CHECK APPLICANT �7
NAME CNA — t" _(- 1 �2
ADDRESS I - A-1
CITY NAS`( (-A G'T_5, TEL. NO.y,433146
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION I
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY I
WITH ALL ORDINANCES AND LAWS REGULATING HEATING,VENTI-
LATING, AIR CONDITIONING. APPROVALS DATE INSPEC DR'S SIG ATURE
IHEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH
CHAPTER 9, DIVISION 3, OF THE BUSINESS A PROFESSIONAL FINAL
CODE OF THE STATE OF CALIFORNIA. /y1./ i
SIGNATURE J/ JACK R. ALLEN, SUPFR�l MECHANICAL ENG'R.
OF PERM ITTE A JO/
PERMIT VALIDATION CK. M.O. casx
PLAN CHECK VALIDATION
IAr, 2453o GCT 28 A 1 D 7.CJ0
'EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE