HomeMy Public PortalAbout9130 LAS TUNAS DR_Mechanical__ 76A364 - CE818 - 3-69 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES FNEAREST
DEPARTMENT OF COUNTY ENGINEER b U l� 1 "r A
BUILDING AND SAFETY DIVISION f
JOHN A. LAMBIE, COUNTY,ENGINEER _ 1 h`
COLEMAN W.JENKINS,SUPERINTENDENT OF BUILDING
FOR APPLICANT TO FILL IN
(PRINT OR TYPE ONLY) OWNER
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
ABSORPTION SYSTEM, BTU CITY TEL. NO.
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AIR HANDLING UNIT, CFM CONTRACTOR 84 12 (A"� 11�
ADDRESS 4� VJ W �- '�
BOILER, HORSEPOWER �
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CITY Ja\VfIi 1 fl�F11dki- ll, j TEL. NO.? L Ib
COMPRESSOR, HORSEPOWERyy ^�
LICENSE NO. 1 IJ CLASS
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE ROC SSED BY
EVAPORATIVE COOLER �` '
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FURNACE: FAU GRAVITY
l BTU INSPECTION RECORD
FLOOR
HEATER: SUSPENDED UNIT
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NEW—ADDITION— PERMIT $ 3 00 Z
ALTER_REPAIR_ TOTAL FEE $
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL. N0.
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCE _AND LALATING HEATING,VENTI- APPROVALS DATE NS ECT
OR'S SIGNATURE
LAT ING, AIR CONDITI ING.
I HEREBY CERTIFY AT I (j_
ACTING IN VIOLATION OF ROUGH
CHAPTER 9, IVISIO OF TESS AND PROFESSIONAL
CODE OF THE STAT CALIFOFINAL
SIGNATURE JACK R. ALLEN, SUPE RV ISI MECHANICAL ENG'R.
OF PERMITT v
PERMIT VALIDATIONCK. M.O. CASH
PLAN CHECK V LIDATION
0 70873 -PR 23 41 D 13&0
'--E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE