HomeMy Public PortalAbout5317 LOMA AVE_Mechanical__ 76A364-CE81 B-1-68 APPLICATION FOR PERMIT
• HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERBUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING "LOCALITY
FOR APPLICANT TO FILL IN CROSS STS.
(Print or type only)
OWNER
NO.. TYPE,OF APPLIANCE OR EQUIPMENT FEE
IL
ADDRESS
ABSORPTION SYSTEM, BTU CITY TEL. NO:
AIR HANDLING UNIT, CFM CONTRACT(YR
BOILER, HORSEPOWER ADDRESS
, y ry
COMPRESSOR, HORSEPOWER CITY
STATE LIC.
VENTILATION SYSTEM LICENSE NO. ® CLASS
DISTRICT NO. GO ZONE P S D BY
R
EVAPORATIVE COOLER
FURNACE: FAU GRAVITY e CIL.
FLOOR-BTU INSPECTIO RECO D O
U
HEATER: SUSPF,�NDED UNIT
WALL bpi ✓1 +/yG O
U
LLJ
WA
l
EW ADDITION_ PERMIT $ 3 00 ,9
' L J
ALTER—REPAIR— TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH. ALL COUNTY ORDINANCES AND STATE LAWS REGULATING Y;
HEATING, VENTILATING, AIR CONDITIONING.
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL
CODE OF THE STATE OF CALIFORNIA. APPROVALS DATE SPECTO 'S SIGNATURE
SIGNATURE J ,I JAC
ROUGHOF PERMITTEE Y• -
FINAL W
i JACK R. ALLEN
CK
./ M.O.M.O. CASH SUPERVISING MECHANICAL ENG'R.
N - LIQ.
77 6 3 DEC 2 6 4 1 D `l•G.�ry
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE � ��Yl��