HomeMy Public PortalAbout10566 LIVE OAK AVE_Mechanical__ 76A36dCE8;8_8`.68' APPLICATION FOR PERMIT
HEATING - !VENTILATING - AIR CONDITIONING
"COUNTY OF LOS ANGELES
DEPAF2TMENT,OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING i
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 1D
COLEMAN W. JENKINS, SUPERINTENDENT QF BUILDING LOCALITY t
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
(Print or type only)
OWNER
NO TYPE1OFAPPLIANCE OR EQUIPMENT FEE
MAIL
ADDRESS
ABSORPTION SYSTEM, BTU CITY TEL. NO.
AIR HANDLING UNIT, CFM CONTRACTOR
BOILER, HORSEPOWER ADDRESS S v�I
COMPRESSOR, HORSEPOWER CITY QQ TEL. NQ �3
STATELIC.
VENTILATION SYSTEM LICENSE NO. L5__ CLASS���
DISTRICT NO. GROUP ZONE PROCESSED B
EVAPORATIVE COOLER
FURNACE: FAU GrLAVIT y� (J 1 nc
FLOOR—BTU � 0 INSP5ICTION RECORD
HEATER SUSPENDED—UNIT—
WALL
USPENDED UNITWALL
d
O
U
O
U
CL
CL
N
Z
NEW—ADDITION— PERMIT $ 3 00
ALTER—REPAIR— TOTAL FEE $ 1 71 Vv
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 9ATE IN CTOR'S SGN RE
LATING, AIR CONDITIONING
ROUGH
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION FINAL
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL
CODE OF THE STATE OF CA ORNIA
JACK R. ALLEN,SUPERVIS G M HANICAL ENG-R.
SIGNATURE
OF PERMITTEE PERMIT VALIDATION CK. M O. CASH
PLAN CHECK VALIDATION
9 2 5 61 APR 9 4 ? D TO 0
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE