HomeMy Public PortalAbout10002 LIVE OAK AVE_Mechanical__ CE.81 C \� �C/
CE-818 (REV 11/78)
os APPLIC 10� �0R PER
HEATIMG - VENTILATIMIG - AIR CONDITIONI ID
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
ADDRESS Zj2,0i5 2—
(PRINT OR TYPE ONLY)
LOCALITY
NO TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
CROSS ST
ABSORPTION UNIT, BTU
OWNER
C �V
AIR HANDLING UNIT,CFM MAIL
ADDRESS
BOILER,BTU CITY ` TEL NQ
COMPRESSOR,BTU �d CONTRACTORS
VENTILATION SYSTEM ADDRESS
EVAPORATIVE COOLER CITY O TEL N
IFURNACE FA GRAVITYSTATE LIC
FLOOR BTU C O LICENSE NO V. CLASS Z
HEATER SUSPENDED UNIT_ APPROVALS 'DATE INSPECTOR S SIGNATURE
WALL
ROUGH D.
FINAL
u
INSPECTION RECORD Cd
O
Plan check fee 25% of above
a
PERMIT ISSUING FEE$ Z
TOTAL FEEV7 14d
PLAN CHECK APPLICANT PLAN CHECK VALIDATION
JJ
NAME �ij� �. V� /(�
ADDRESS G(( 1`/ /
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, VENTILATING, AIR 4889.5A
CONDITIONING PERMIT VALIDATION
IHEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF # o o o o 4 1
CHAPTER 9 DIVISION 3 OF THE BUSINESS AND PROFESSIONAL CODE
OF THE STATE OF 1NIA n O 2�7 O O
SIGNATURE 4 {J� L 1'
OF PERM ITTEE I I Q '
'o 27.00 50
DISTRICT NO PROCESSED B
006-80