HomeMy Public PortalAbout9215 LAS TUNAS DR_Mechanical__ 76y,364 ,. CE818 - 3-69 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
• COUNTY OF LOS ANGELES B
UILDING
/
DEPARTMENT OF COUNTY ENGINEER S UN�4 S
BUILDING AND SAFETY DIVISION /
JOHN A. LAMBIE, COUNTY ENGINEER /t^ C2
COLEMAN W.JENKINS,SUPERINTENDENT OF BUILDING
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS '30 1. vL'R"V1 /r
ABSORPTION SYSTEM, BTU CITY TEL. NO.
AIR HANDLING UNIT, CFM CONTRACTOR
Ic�
ADDRESS
BOILER, HORSEPOWER �j
CITY .S�1�/C4 -.. a.. �'�i:TEL. NO. Q 72-/4V
COMPRESSOR, HORSEPOWER J
LICENSE NO Z 8"5313 CLASS (f-Z 01
VENTILATION SYSTEM DISTRICT NOO..I GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER V ��
FURNACE FAU G VITY
FLOOR BTU �
� v00 INSPECTION RECORD
� 0-v-0
HEATER- SUSPENDED UNIT
WALL
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0
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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 ORDINANCES AND LAWS REGULATING HEATING,VENTI-
LATING, AIR CONDITIONING. APPROVALS D TE INS TOR'S SIGNATURE
IHEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH
CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFE AL FINAL
CODE OF THE STATE OF CALIFOR
SIGNATURE JACK R. ALLEN, SUPERVIS•ING'�MECHANICAL ENG'R.
OF PERMITTEE PERMIT VALIDATIO CK. \ M.O. CASH
PLAN CHEICK VALID TI aN
b
Lr X 53, hPA 2 0 4 '! 0
17-00
'-E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE