HomeMy Public PortalAbout9822 LAS TUNAS DR_Mechanical__ '6A 364—CEB1H-888 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONOITIONI
COUNTY OF LOS.ANGELES"
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 2
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
(Print or type only) ,
OWNER
NO. TYPEJOFAPPLIANCE OR EQUIPMENT' FEEMAI L
ADDRES � � .�•—
ABSORPTION SYSTEM, BTU CIT TEL. NO./
AIR HANDLING UNIT, CFM CONTRACTOR, /
BOILER, HORSEPOWER ADDRESS `
i
COMPRESSOR, HORSEPOWER
CITY TEL. NO
STATE / / LIC- C 2 c7
VENTILATION SYSTEM LICENSE NO. t/ �" 6 CLASS
DISTRICT NO. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER
FURNACE: FAU GRAVITY 0 V�
FLOOR—BTU. 7 INSPECTION RECO
HEATER: SUSPENDED UNIT
L L '1 7'd E
/ 4
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NEW_�AD�DITION PERMIT $ 3 00
ALTERS REPAIR 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 ALLORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSP TOR'S SIGNATURE
LATING, AIR CONDITIONING
ROUGH -
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION FINAL
OF CHAPTER 9, DIVISI 3, OF THE BUSINESS AND PROFESS'I ONAL
CODE OF THE STATE O ALIFOR NIA
A JACK R. ALLEN,SUPERVISIN ECHANICAL ENG'R.
SIGNATURE PERMIT VALIDATIO CK. M O. CASH
OF PERMITT '
PLAN CHECK VALIDATION
E,.Ar,:4 8'a 21:2 -MAY 7 :4 1 a
SEE BACKOFAPPLICATION FOR COMPLETE FEE SCHEDULE Ie��i;��� •