HomeMy Public PortalAbout9832 LA ROSA DR_Mechanical__ 76A36F-o.e La-.I rT'o�. • - APPLICATION FOR PERMIT {�
R 'HEATING - VENTILATING - AIR CONDITIONING u
COUNTY OF LOS ANGELES BUILDING S
DEPARTMENT OF COUNTY ENGINEER ADDRES
.BUILDING AND SAFETY DIVISION LOCALITY
JOHNA. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY) -
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
CITY'S TEL. NO.
ABSORPTION SYSTEM, BTU
CONTRACTOR
,AIR HANDLING UNIT, CFM -
ADDRESS
BOILER, HORSEPOWER CITY TEL. NO.
COMPRESSOR, HORSEPOWER STATE LIC.'
LICENSE NO. CLASS
VENTILATION SYSTEM DISTRICT NO. CLASS ^GRRO'`UP. ZONE CESSED BY
EVAPORATIVE COOLER 5���[ .�/ '/
FURNACE: FAUGRAVITY ' u
FLOOR BTU INSPECTION RECORD
HEATER: SUSPENDEDUNIT - / d
WALL j
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NEW AOOITION_ PERMIT S 3 00 ?
ALTER- REPAIR TOTAL FEE $ "
PLAN CHECK APPLICANT '
NAME
ADDRESS
CITY- TEL.NO.
AND' HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION '
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL DRDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS D TE SPECTO 5 NATURE.
LATING, AIR CONDITIONING.
ROUGH
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL f(
CODE OF THE STATE 0 CALIFORNIA.'
SIGNATURE C JACK R. ALLEN,SUPERVISIN ,M.ZCHANI CAL ENG'R.
OF PERMITTEE �/' \
PERMIT VALIDATION cK. M.O. CASH
PLAN-CHECK VALIDATION
I A(„7.6 0' IR 423 4,11/y1✓DwW/^�). 7.:C1.
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE /