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HomeMy Public PortalAbout9155 LAS TUNAS DR_Mechanical__ 76 A364- CE 818- 5-73 APPLICATION FOR PERMIT HEATING - VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELES ADDRESS ) ot5, 7—C, .tO}S DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY NEAREST �t CROSS ST. FOR APPLICANT TO FILL IN OWNER �, FL ��L �-Azl (PRINT OR TYPE ONLY) MAIL � .y NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS jp�9 L'.^- �RS ` C9 XP �S CITY ��d,/ (yf} � TEL. NO. H 7 7.5 ABSORPTION UNIT, BTU CONTRACTOR AIR HANDLING UNIT, CFM ADDRESS BOILER,'BTU CITY l TEL. NO. COMPRESSOR, BTUUo STATE LIC. LICENSE NO. CLASS VENTILATION SYSTEM DISTRICT NO, GROUP ZONE PROCESSED BY EVAPORATIVE COOLER FURNACE: FAUGRAVITY U INSPECTION RECORD FLOOR BTU HEATER: SUSPENDED-UNIT- WALL USPENDED UNIT_WALL 0 U O F- U ' W Plan check fee 257. of above. See reverse, z PERMIT.ISSUING FEE S 3 . 00 TOTAL FEE n 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 v .F t I HEREBY CERTIFY HAT I AM NOT ACTING IN VIOLATION ti OF CHAPTER 9, DIVISI OF THE BUSINESS AND PROFESSIONAL FINA . CODE OF THE STATE 0 ALIFORNIA. 4' SIGNATURE PE LInATIO.N CK. M.O. CASH OF PERMITTE PLAN CHECK VALIDATION CK. M.O. CASH AJ8.0 a A ccc aero nc eooi vv 1—cno rnu o,ere ccc 0-1-11 r _ 76A364E 1&•818A1. 11/76 Alla f✓BA IA'AStI®M �®f✓D 161RIfDM�4 _ v , « Q1UUII RR pp g ISS Ip(P�6p 7C A p0 q NWa Wp I(E W ZION 0 C U OF LOS ANGELES DEPARTM T OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN BUILDING (PRINT OR TYPE ONLY) ADDRESS CLOCALITY -�k�jfe- r ' NO. TYPE OF APPLIANCE OR EQUIPMENT FEE NEAREST p - CROSS 5T. (,ti " ABSORPTION UNIT,BTU A OWNER �'g� � LG� • AIR HANDLING UNIT.CFM MAIL ` �s J IGS' ADDRESS BOILER,BTU CITY`/ �� �✓"TEL.NO.2g 2-677 COMPRESSOR.BTU CONTRACTOR VENTILATION SYSTEM ADDRESS Z 7`j�,, i, EVAPORATIVE COOLER CITY �/AI 4,&4 .TEL.NO.R FURNACE: FAU GRAVITY STATE �/ �f LIC. FLOOR BTU LICENSE NO. 2v G CLASS A3 HEATER: SUSPENDED UNIT- DISTRICTNO. GROUP z RZJQCESSED BY WALL �� 1 J A2_ Cz i INSPECTION RECORD V O Plan check fee 25% of above. UA PERMIT ISSUING FEE$ z 07AL FEE ,' g' pv e PLAN CHECK APPLICANT LDDRE SS TEL.NO. HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL NCES 'AND LAWS REGULATING HEFTING, VENTILATING, 'AIR IONING.HEREBY CERTIFY 7 AT I AM NOT CTING IN VIOLATION OF APPROVALS DATE, INSPECTOR'S SIGNATURE ER 9, DIVISIONTHE SINES ND PROFESSIONAL CODE STATE OF CAL' ROUGHTURE FINALZRMITTE -`"r Rr »: x PERMIT VALIDATION CK. M.O. CASH PLAN CHEM VALIDATION CK. M.O. CASH 6 9 0 DEC 1 4 1 U 9.C) 0 a�j6 710L�CY NUMBER.'.* ©s � '�