HomeMy Public PortalAbout10112 LANDSEER ST_Mechanical__ 76A364 — CE818 —.-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
COLEMAN W.JENKINS,SUPERINTENDENT OF BUILDING' NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER U %S' lG
(PRINT OR TYPE ONLY)
MAIL /
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS A
ABSORPTION SYSTEM, BTU CITY P � TEL. NO.y� � -� 2
CONTRACTOR
AIR HANDLING UNIT, CFM.
ADDRESS i+1
BOILER, HORSEPOWER
CITY TEL. NO.'Z14,1,3
COMPRESSOR, HORSEPOWER STATE LIC.
LICENSE NO. CLASS
VENTILATION SYSTEM DISTRICT NO.r/ GROUP �ZONE PROCESSED BY -
EVAPORATIVE COOLER
FURNACE: FAU GRAVITY
FLOOR BTU INSPECTION RECORD
HEATER: SUSPENDED UNIT
WALL r
CL
0
F—
V
w
CL
N
NEW_ADDITION_ PERMIT $ 3 00
pp Z
ALTER_�EPAIR_ TOTAL FEE $
PLAN CHECK APPLICANT
c
NAME71 — •
ADDR
CITY TEL. NO.
IHEREBY 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.
IHEREBY CERTIFY TH I A NOT ACT[ IN VIOLATION OF ROUGH
CHAPTER 9, DIVISION OF E BUSINES AN OFESSIONAL FINAL1-44
CODE OF THE E C ORNI .
t A
SIGNATUR JACK R. ALLEN, SUPERVISING MECHANICAL G'R.
OF PERM I TEE � - '
PERMIT VALIDATION CK. M.O. CASH
PL"-CHECK VALID ION '
-,
E BACK OF'APPLICATION FOR COMPLETE FEE SCHEDULE - ,