HomeMy Public PortalAbout9165-9167 LAS TUNAS DR_Mechanical__ 76 A364- CE 818-1/75
APPLICATION 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&SIZE OF EQUIPMENT FEE ADDRESS
SEE BACK OF APPLICATION
CITY TEL NO.
FORCE AIR FURNACE, BTU
CONTRACTOR 1
COMPRESSOR, BTU
ADDRESS
a
VENTILATION FAN CITY J TEL. NO n
LIST ALL O HERS BELOW STATE 1#1l LIC 2
LICENSE NO p CLASS 3
� ~ II T NO GROUP ZONE PROCE' 0 BY
INSPECTION RECORD
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Plan check fee. See reverse. z
PI;R\IIT ISS11-1VNG F'H, S 0
'IOTM, I"FP, d
PLAN CHECK APPLICANT
NAME
ADDRESS
CI TY 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
1 HEREBY CERTIFY T T I A NOT A G IN VIOLATION
OF CHAPTER 9, DIVISION OF TH US'
N A D PROFESSIONAL FINAL UPI�lGA- �- � -s
.CODE OF THE STATE OF C IFORN A
SIGNATURE PERMIT VALID ION CK. M 0 CASH
OF PERMITTEE
PLAN CHECKOLIDATION CK M 0 CASH
042"rf_B 441 D ®
/ 1 2.009
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75 A364- CE 818-1/75 -
APPLIC ION FOR P FAIT
HEATING - VENTILATING - @SIR CONDITIONING
COUNTY OF LOS ANGELES EIUILDI-ADDRESS p -moo
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST—
CROSS ST.
F R APPLICANT TO FILL IN Y OWNER
(PRINT OR TYPE ONLY)
NO TYPE&SIZE OF EQUIPMENT MAIL FEE ADDRESS C 7
SEE BACK OF APPLICATION
CITY
FORCE AIR FURNACE, BTU
CONTRACTO
COMPRESSOR, BTU
ADDRESS
VENTILATION FAN CITY TEL. NO
LIST ALL OTHERS BELOW STI�'TE LIC
LICENSE NO, v �l CLASS
II �� MrMIrT NO GROUP ZONE PROLE ED BY
INSPECTION RECORD
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Plan check fee. See reverse. z
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10'1 41, 1"1:I:
PL ICAN
N 4M E / \P
ADDRESS
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CITY TEL NO///� l 1
I HEREBY ACK WLEDGE TH HAVE READ THIS APPLICATION 0
AND STATE THAT THE ABOVE CORRECT AND AGREE TO COMPLY -
WITH ALL ORDINANCES AND LAW LATING HEATING, VENTI- APPR ALSDATE INSPCl'0R'9e9I6NATURE
LATING, AIR CONDITIONING JV ��
ROUGH
I HEREBY R71FY HA NOTE ACTIN N VI ION
OF CHAPTER DIVISI OF SI NSS AN RO S NAL FINAL -
CODEOF T STAT
S
f PERUITTE PERMIT VALIDATION M•O CASH
PLAN CH E VALIDATION CK M 0 CASH X7`3
1 4 15 4 1 D 1-2.0 0
76 A364= CE 818-1/75
APPLICATION ORPERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
ADDRESS 9i��- �d j `i;vq s'
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST
CROSS ST
FOR APPLICANT TO FILL IN OWNER `,� e,<j�•n/.�u�t/
(PRINT OR TYPE ONLY) V•\
MAIL
NO TYPE&SIZE OF EQUIPMENT FEE ADDRESS
SEE BACK OF APPLICATION
/ FURNACE, BTU ZY CITY TEL NO. /
CONTRACTOR
COMPRESSOR, BTU
ADDRESS
VENTILATION FAN
CITY - TEL. NO
LIST ALL OTHERS BELOW STATE LIC,
LICENSE NO. CLASS
DI ICT NO GROUP ZONE :)CESSED BY
INSPECTION RECORD
O
• U
O
I-
U
• - W
Plan check fee. See reverse. i
PF.R\II"I'
T 0'I A I. I•'I•:I•:
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
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVISION 3,-OF THE BUSINESS AND PROFESS ONAL FINAL ���-
CODE OF THE STATE OF CAA
SIGNATURE PERMIT VALIDAT O CK 0 CASH
OF PERMITTEE
PLAN CHECK VALIDATION CK M 0 CASH
A '
65 8r IAN 1341 0 1 12.00 ®�