HomeMy Public PortalAbout9465 LAS TUNAS DR_Mechanical__ 7dA364C .
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o5 APPLICA N FOR PERMI
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HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING AND SAFETY,
FOR APPLICANT TO FILL IN BUILDING G
ADDRESS I•?� �, ��
(PRINT OR TYPE ONLY)
LOCALITY
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
CROSS ST
ABSORPTION UNIT,BTU
OWNER
AIR HANDLING UNIT,CFM MAIL
ADDR
BOILER.BTU �./ LL CIT ',h. •NO/-2 •+t
2— COMPRESSOR,BTU 6O� "�' / t� CONTRACT 00,
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EVAPORATIVE COOLER CITY I TEL.NO
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FLOOR- BTU �(juN•i J'uM O �� LICENSE NO 2 CLASS 2—;D
HEATER: - SUSPENDED UNIT_ APPROVALS DATE. INSPECTO R'S SIGNATURE
WALL
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FINAL O ^S��
INSPECTION RECOR u
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Plan check fee 25% of above..
PERMIT-ISSUING FEE$ #A
TOTAL FEE
PLAN CHECK APPLICANT PLAN CHECK VALIDATION
NAME
ADDRESS _ ` V
CITY TEL.NO. �y 2F �•"�
IHEREBY.ACKNOWLEDGE THAT I.HAVE READ THIS APPLICATION AND .
STATE THAT THE ABOVE IS CORRECT AND'AGREE TO COMPLY WITH ALL 511 Q 8.A.
ORDINANCES AND LAWS REGULATING HEATING. VENTILATING, AIR
CONDITIONING. PERMIT VALIDATION # o o o 0 4 1
I HEREBYCERTIFY THAT I AM NOT ACTING IN VIOLATION .OF
CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL CODE - 2 D D.5 Z 0.0
OF THE STATE OF CALIFO IIA. '
SIGNATURE - I
OF PERMITTEE O.O O'5 7,0 0 U
DISTRICT NO, P D BY 0625-79
2 5-7 9
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76A364C
CE-818(REV.6/78) - -
o5 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN. BUILDING
ADDRESS
(PRINT OR TYPE ONLY)
LOCALITY -
NO, TYPE OF APPLIANCE OR EQUIPMENT' FEE
NEAREST
CROSS ST.
ABSORPTION UNIT,BTU -
OWNER
AIR HANDLING UNIT,CFM MAIL
ADDRE S
BOILER,BTU CITY
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/, ��.. �a J
COMPRESSOR,BTU 01 Wy 0 CONTRACT
VENTILATION SYSTEM
ADORES
EVAPORATIVE COOLER CITY TEL.NO
FURNACE: FAU GRAVIT '� I, STATE . LIC.
U
FLOOR BT _ �[0 LICENSE NO. CLASS(± 2-0
HEATER: SUSPENDED UNIT_ APPROVALS DATE INSPECTOR'S SIGNATURE
WALL
ROUGH
FINAL 0
INSPECTION RECORD
cc
Plan check fee 25% of above.
PERMIT ISSUING FEE$ z
TOTAL FEE
PLAN CHECK APPLICANT PLAN CHECK VALIDATION
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 ALL -
ORDINANCES AND CAWS REGULATING HEATING, VENTILATING. AIR 54.Q 7 A
CONDITIONING. PERMIT VALIDATION
I HEREBYCERTIFY THAT I AM NOT ACTING IN VIOLATION OF # o o to sof 4. 1
CHAPTER 9, DIVISION 3, OF THE BUSINESS AND
ND PROFESSIONAL CODE - 2 0 03 /I O.Q
' OF THE STATE OF CALIFORNIA. � "
SIGNATURE
OF PERMITTEE
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DISTRICT NO. PRO Y o o o3700 0
06125•-•79 .
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