HomeMy Public PortalAbout9106 LAS TUNAS DR_Mechanical__ •76 A3W4 - C">`818 - 9-71 APPLICATION FOR PERM
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HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY) MAIL
NO. TYPEOFAPPLIANCEOR EQUIPMENT FEE
ADDRESS
CITY ��4 ,2 TEL. NO.
ABSORPTION UNIT, BTU
`` CONTRACTOR __/G 4-W L
AIR HANDLING UNIT, CFM
ADDRESS
BOILER, BTU CITY SO TEL. NO. ��'-�
COMPRESSOR, BTU STATE •!/p ,/ LIIC.
LICENSE NO. �� Q �y CLASS
VENTILATION SYSTEM �� DISTRICT NO. GROUP ZONE CESSED BY
EVAPORATIVE COOLER
FURNACE: FAUGRAVITY C:)
FLOOR BTU INSPECTION RECORD
HEATER: SUSPENDED UNIT_ O
WALL w
o..
Z
Plan check fee 257o of above. See reverse.
PERMIT ISSUING FEF: S 3 00
TOTAL FEE O
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 3
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS ANO PROFESSIONAL FINAL .�_
CODE OF THE STATE OF C IFORNIA.
SIGNATURE PERMIT VA ATIO CK. M.O. CASH
OF PERMITTEE (.^'�.�
PLAN CHEC V LI ATION CK. M.O. CASH '
�i
8 5 673 JUN �,5 4 1 D 1 8.00A
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
76 A364 - CE fi,B - 9-71 APPLICA ION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING `
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST
CROSS ST:
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
CITY TEL. NO.
ABSORPTION UNIT, BTU .11
CONTRACTOR-7w,
AIR HANDLING UNIT,-CFM
ADDRESS T
BOILER, BTU
CITY � TEL. NO.
COMPRESSOR, BTU OV STATELIC.
LICENSE NO. 7 CLASS
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE CESSED BY
EVAPORATIVE COOLER ad c—
FURNACE: FAUGRAVITY O
INSPECTION RECORD
FLOOR BTU U
HEATER: SUSPENDED UNIT_ c:)
F-
W A L L c:3
Lu
Z
Plan check fee 25% of above. See reverse.
PERMIT ISSUING FEE S 3 00
TOTAL FEE
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.
EATING, AIR CONDITIONING.
ROUGH
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION '
OF CHAPTER 9, DIVISIO 3, OF THE BUSINESS NO PROFESSIONAL FINAL 7 _
CODE OF THE STATE C LIFOR NIr, .
SIGNATURE PERMIT VALIDAT K. M.0. CASH
OF PERMITTEE /
PLAN CHECK VALIDATION CK. M.O. CASH
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE -
-'76 A364 - CE%18 -•4-71 pppLl TION .FOR MIT .
HEATING - VENT,ILATING - AI CONDITIONING
COUNTY OF LOS ANGELES BUILDIN7G6,
DEPARTMENT OF COUNTY ENGINEER ADDRESBUILDING 'AND SAFETY DIVISION LOCALINEAR ESCROSS S
FOR APPLICANT TO FILL IN , OWNER
(PRINT OR TYPE ONLY) - MAIL _Sy¢R�C/�
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
CITY - TEL. NO.
ABSORPTION UNIT, BTU'
CONTRACTOR
AIR HANDLING UNIT, CFM
ADDRESS "s-7`i<
BOILER, BTU
fAECITY C^�3 pSTATE TEL. NO.
COMPRESSOR, BTU -�F7�� ! 3 CASSVENTILATION SYSTEM O. �G-R^OUP ZONE PRO SED BYE PORATIVE COOLERf-_� .C-
URNAC.E: FAUGRAVITY / oFLOOR BTUINSPECTION RECORD
HEATER: SUSPENDED UNIT_ oWALLrn
Plan check fee 25% of above. See reverse.
PERMIT ISSUING FEE S 3 0TOTAL, FEE
'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 INSP CTOR'S SIGNATURE
LATING, AIR CONDITIONING. -
ROUZoe
I HEREBY CERTIFY THAT I GH AM NOT ACTING IN VIOLATION _
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE STATE OF LIFOR NIA.
SIGNATURE PERMIT VALIDATION cK. M.o. CASH
OF PERMITTEE
PLAN CHECK VALIDATION J/ M.O. CASH
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE