HomeMy Public PortalAbout10727 LORA ST_Mechanical__ 5AS64—CE6181 8-88 •" A /
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES
QEPARTMENT. OF COUNTY ENGINEER rADDRESS
ILDING
BUILDING AND SAFETY DIVISION ST
JOHN A. LAMBIE. COUNTY ENGINEER 1072.7 Lara
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGCALITYNEAREST
.FOR APPLICANT TO FILL IN OSS ST.
(Print or type only)
OWNER
No.. TYPEJOFAPPLIANCE.OR EQUIPMENT FEE
MAIL
ADDRESS _
ABSORPTION SYSTEM, BTU'79. CITY TEL. NO.
AIR HANDLING UNIT, CFM CONTRACTOR
BOILER, HORSEPOWER ADDRESS - p O.BOX .,r21" •
COMPRESSOR, HORSEPOWER CITYTemtkl 1% C1 TEL. NO.
9815-1941
STATE VENTILATION SYSTEM LCE SENO. 260913 -- LI
LASS
DISTRICT NO. I GROUPj!� ZONE P CESSED BY
EVAPORATIVE COOLER . �Q� /0
FURNACE: FAU GRAVITY � �./ r 0 �/ f( Q. '
FLOOR—BTU LOOM 5 00 INSPECTION RECORD
HEATER:.SUSPENDED UNIT /
WALL
CD
v
Old
O
LLI
Al
C.
G7
Z
C .
NEW—ADDITION— PERMIT. $ 3 00 '
ALTER—REPAIR— TOTAL FEE $ • � 11 u.Ina de l�¢ r L
Plan check applicant h,+
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 LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
LATING,AIR CONDITIONING.
ROUGH �
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION FINAL �. b
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONA
CODE OF THE STATE OF CALIFO
JACK R. ALLEN,SUPERVISI CHANICAL ENG'R'.
SIGNATURE �.l.C� �Gl� PERMIT VALIDATION CK. M.O. CASH
OF PERMITTEE
PLAN CHECK VALIDATION f �
5 91 1 JUL
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE "