HomeMy Public PortalAbout9812 LA ROSA DR_Mechanical__ )B A369 - CE BIB - 9-01 �-Ap CATION F PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING7 G . A !"D 2 S A T ej
DEPARTMENT OF COUNTY ENGINEER ADDRESS L ` 0 U �,
BUILDING AND SAFETY DIVISION LOCALITYNEAREST
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I CROSS ST. 3 /� L U w ) K)
FOR!APPLICANT TO FILL IN OWNER L(J�,C3;� /Z
(PRINT OR,TYPE ONLY) -
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No. TYPE�OF APPLIA NCE OR EQUIPMENT FEE ADDRESS L 1..� LA- . FpOS✓� ��
CITY -Tx-,-7 p
L _p C,.. EL. NO.
ABSORPTION UNIT, BTU
1 CONTRACTOR -Tp jC_ f, (.pM _ C
AIR HANDLING UNIT, CFM
ADDRESS 'Z0 A AJ, .
BOILER, BTU cc
CITV5. 4L •aa M/CNiG TEL. NO.
COMPRESSOR, BTUSTATE OOO LICENSE NO. C.. 6 O) 4- CLASS -ZQ
VENTILATION SYSTEM DISTRICT NO. GROUP 0rvE ss Eo BY
EVAPOORATIVE COOLER6JVZ
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/ FURNACE: FAU GR VITY INSPECTIORD U
FLOOR BTU DO 5 U(� ON REC
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HEATER: SUSPENDED—UNIT— CD
WALL—
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ALL['Ian check fee 25% of above. Ser. reverse.
PERMIT ISSUING FF.E S 3 00
TOTAL FEE
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALLORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
LATING. AIR CONDITIONING.
ROUGH
I HEREBY CERTIFY THAT I AM NOT AC ING IN VIOLATION
OF CHAPTER 9, DIVISION 3, OF THE B INESS ND PROFESSIONAL FINAL L
CODE OF THE STATE OF CAL�I A.
SIGNATURE PERMIT VALIDATION cK. M.D. DASH
OF PERMITTEE
PLAN CHECK VALIDATION NrKj M.0. CASH
zjr 3 9 6 2T: ;rC 4 d l o 1 3.0 Cb 21
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SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE I