HomeMy Public PortalAbout9929 LAS TUNAS DR_Mechanical__ 76A364 – CE818 – 3-69 APPLIC�NFOR PER
HEATING - VENTILATING - AIR CO DITIONING
COUNTY OF LOS ANGELES BUILDING ^� _
DEPARTMENT OF COUNTY ENGINEER ADDRESS f
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY
COLEMAN W JENKINS,SUPERINTENDENT OF BUILDING NEAREST
CROSS S .
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
ABSORPTION SYSTEM, BTU CITY TEL. NO
AIR HANDLING UNIT, CFM CONTRACTOR )
ADORES
BOILER, HORSEPOWER
CITY TEL. r
COMPRESSOR, HORSEPOWE 00
STATE �t�- . L LIC
LICENS lTTl7 9 CLASS[v vv
VENTILATION SYSTEM DISTRICT.No. ROUP ZONE CESSED BY
EVAPORATIVE COOLER O ��
FURNACE: FAU G VITY
FLOOR BTU INSPECTION RECORD
HEATER, SUSPENDED UNIT }
WALL °-
0
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NEW_ADDITION_ PERMIT $ 3 00
ALTER_REPAIR_ TOTAL FEE $
PLAN CHECK PPLICANT
NAME j
ADDRESS
CITY TEL
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- LNA
VALS DATE INSPECTOR'S SIGNATU
LATING, AIR CONDITIONING.
1 HEREBY CERTIFY THAT I AM NOT ACTING N VIOLATION OF e
CHAPTER 9, DIVISION 3, THE BUSINE S D PROFES AL '
CODE OF THE STATE OF FORNIA. /
SIGNATURE R. ALLEN, SUPERV ING M CHAN ICAL ENG'R.
OF PERMITTEE �
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION
•EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE