HomeMy Public PortalAbout9556 LIVE OAK AVE_Mechanical__ 76 A364-- CE 9>.B - 9-7; APPLICATION FOR PERMIT
HEATING'- VENTILATING - AIR CONOITIONIN
7
COUNTY OF LOS ANGELES ADDRESS
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS ..
CITY TEL. NO.
ABSORPTION UNIT,, BTU
CONTRACTOR
AIR HANDLING UNIT, CFM
ADDRESS
BOILER, BTU CITY TEL. NO.
COMPRESSOR, BTU STATE LIC
LICENSE NO. CLAS-5,
VENTILATION SYSTEM DISTRICT NO.
PT ZONE ocessED B
EVAPORATIVE COOLER S 04 '
FURNACE. FAU GRAVITY 77 0
FLOOR-BTU- INSPECTION RECORD
HEATER: SUSPEUNIT_ O
WALL "�- �-�y " c~.'
W
d
C/J
Z
Plan check fee 25% of above. See reverse.
PERMIT ISSUING FEE S 3 00 _
TOTAL FEE
PLAN CHECK APPLICANT
NAME i-
ADDRESS 7 4
CITY TEL NO �SyD
I HEREBY ACKNOWLEDGE AT I HAVE READ THIS APPLICATION -
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL'ORDINANCES AND LAWS REGULATING HEATING, VENTI-- APPROVALS DATE NSPECTOR'S SIGNATURE
LATING, AIR CONDITIONING
ROUGH
IHEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND P OFESSIONAL FINAL Q
CODE OF THE STATE OF LIFO
SIGNATURE PERMIT VALIDATIO CK. M 0 CASH
OF PERMITTEE
PLAN CHECK VA IDATION ` CK M 0 CASH
Lr�l,a 77 A 6APR 28 i 4 1 8.00-
-SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE L
i
76 A364- CE 818- 5-73 q1f
APPLICAT ON FOAIT
HE I - VENTILATING NOITIONING
COUNTY OF LOS ANGELES ADDRESS
DEPARTMENT OF COUNTY ENGINEER
LLIQ
BUILDING AND SAFETY DIVISION LOCALITY `
NEARE T P.
CROSS S
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL
NO TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
CITY TEL. NO l
ABSORPTION UNIT, BTU
. CONTRACTOR
AIR HANDLING UNIT, CFM
ADDRINA a
BOILER, BTU CI TEL. NO
0�b
COMPRESSOR, BTU STATE 01 LIC
LICENSE NO. CLASS
VENTILATION SYSTEM DISTRICT NNOOO GROUP ZONE CESSED BY ,
EVAPORATIVE COOLER �OU �3
FURNACE: FAU_GRAVITY
FLOOR BTU INSPECTION RECORD
r
HEATER: SUSPENDED UNIT_
WALL >-
- a
L O
I U
_ O
U
W
d
Plan check fee 25% of above. See reverse. ! z
PERMi'r ISSUING FEE S 3 00 k
TOTAL FEE
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-AL ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE INS P C� E
LATING, AIR CONDITIONING
ROUGH
I HEREBY CERTIFY THAT I ING IN VIOLATION
OF CHAPTER 9, DIVISION 3, OF HE BUSI NES A �PROFES�SIOL
FI L• ' ,!
CODE OF LIF RNIA
SIGNAT PERMIT VALIDATI DK• ^
OF PERMITTEE
•• • o 7,0 0.2
PLAN CHECK VALIDATION CK M.O CASH