Loading...
HomeMy Public PortalAbout10124 LIVE OAK AVE_Mechanical__ 78A384F.ICE-918A1=11/76 APPLICATION IDP IC TION FOR PERMIT HEATING - NEWTILAT[l NG - AIR CONDITIONING COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN AooRess 10124 H& E. LIVE OAK �. (PRINT OR TYPE ONLY) l./ 'LOCALITY =1ECITY NO. TYPE OF APPLIANCE OR EQUIPMENT FEE NEAREST- CROSS ST. ,SI -+C�C.0 ABSORPTION UNIT,BTU OWNER =RSEN, HOMER •'AIR HANDLING UNIT,CFM MAIL �7� ADDRESS SAME BOILER,BTU . • T,� CITY R*L�11iIDT L� CITY TEL.NO 445-1066 COMPRESSOR,BTU—3_i7.0 7 50 CONTRACTOR �1Ll�L+U ^TlJ11HOC VENTILATION SYSTEM ADDRESS 2034 N. PECK RD. EVAPORATIVE-COOLER CITY , L+ E MNIE TEL.NO. CIA-7002 , FURNACE: FAU GRAVITY /� STATE O P�l� 1-AJ1V1L LIC..J 7 7 1 FLOOR BTU'__100-,A00 7150 LICENSE NO. 65Q94 CLASS G'-20 HEATER SUSPENDED UNIT— DISTRICT No GROUP /ZONE PROCE ED BY • WALL—' `tJ OU INSPECTION RECORD 0 /o - 0 Plan check fee 25% of above. PERMIT ISSUING FEE$ 4 50Z . TOTAL FEE PLAN CHECK APPLICANT - NAME ' r • ADDRESS ' CITY TEL.NO. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND _ STATE THAT THE ABOVE IS CORRECT AND AGREE T,0 COMPLY WITH ALL , ORDINANCES AND LAWS REGULATING HEATING, VENTILATING, AIR , CONDITIONING. - - .1 HEREBY'CERTIFY THAT I AM NOT ACTING IN VIOLATION OF APPROVALS DATE IN TOR'S SIG CHAPTER 9, DIVISION 3, OF THE BUSINESS AND ESSIONAL CODE ' OF THE STATE OF CALIFORNIA. ROUGH SIGNATURE FINAL'OF PERM ITTE ' PLAN Hd�E CCK VALIDATIONN CK. MO. CASH PE RNfl IT VALIDATION CK MO CASH ATION iOL DER: 4 2 9,r-.DEC 1 4 1 ID 1 9.5 O A POLICY NUMBER G 1 g o o "0.6,0. Z ©s