HomeMy Public PortalAbout10715 LA ROSA DR_Mechanical__ TBA l31)I:B,9_9_88 APPLICATION FOR PERMIT ,eAj--
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HEATING - VENTILATING - AIR CONDITIONING ��ry
FOUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN
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JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS !�
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY e C
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. rs m m a
(Print or type only) 1
OWNER I I
NO. TYPEIOF APPLIANCE OR EQUIPMENT FEE
MAIL
ADDRESS C`
ABSORPTION SYSTEM, BTU CITY_r.
TEL. NO.L�t/b
AIR HANDLING UNIT, CFM CONTRACTOR •�7
BOILER, HORSEPOWER ADDRESS
COMPRESSOR, HORSEPOWER CITY TEL. NO,
STATE LIC.
VENTILATION SYSTEM LICENSE NO. CLASS
DISTRICT NO. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER
FURNACE: FAU_GRAVITY fogE
1.-
FLOOR—BTU INSPECTION RECORD If
HEATER:,SUSPENDED—UNIT_
WALL X Y
d
O
U
OI
U
d.
N
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NEW_Y ADDITION PERMIT $ 3 00
ALTER—REPAIR TOTAL FEE S 709
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 INSPECTOR'S SIGNATURE
LATING, AIR CONDITIONING.
ROUGH '�-r3-r1j
1 HEREOY DIVISION
THAT NOT ACTING IN VIOLATION FINAL
OF CHAPTER 9, OIOF THEE BUSINESS AND PROFESSIONAL
CODE
OF THE STATEE OF OF CALIFORNIA '
( C. /? ,/ JACK R. ALLEN,SUPERvl51 CHANICAL EN 'R.
SIGNATURE CL- (/�C- lL-t,_C-.w•� PERMIT VALIDATION CK. M.O. CASH
OF PERMITTEE_
PLAN CHECK VALIDATION
0 7 '1 JUL 22 4 1 D 7,00-
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE il�i'