HomeMy Public PortalAbout5744 OAK AVE_Mechanical__ 76 A364 — CE-818 — 9 71 APPLICATION FOR PERMIT
• HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES ADDRESS
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST
CROSS ST I.
FOR APPLICANT TO FILL IN OWNER E
(PRINT OR TYPE ONLY) r7 jZdE2��
MAIL E
NO TYPE OFAPPLIANCEOR EQUIPMENT FEE ADDRESS
7 3
ABSORPTION UNIT, BTU CITY TEL NO
AIR HANDLING UNIT, CFM CONTRACTOR
ADDRESS
BOILER, BTU CITY TEL NO
COMPRESSOR, BTU 3 STATE LIC
LICENSE NO CLASS
VENTILATION SYSTEM DISTRICT NO GROUP ZONE PROCESSED BY
l
EVAPORATIVE COOLER --5 �/ �I
FURNACE FAU_GRAVITY 0 v
FLOOR BTU INSPECTION RECORD
HEATER SUSPENDED UNIT_ CF
WALL W
d
N
Z
Plan check fee 25% of above See reverse
PERMIT ISSUING FEE S 3 00
TOTAL FEE O
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
Y
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
1 HEREBY CERTIFY AT I AM NOT ACT 6 IN VIOLATION
OF CHAPTER 9 DIVISIO OF THE B 1 S D ROFESSIONAL FINAL
CODE OF THE STATE 0 LIFORNI �+
SIGNATURE PERMIT VALIDATI N . cK M O CASH
OF PER
PLAN CHECK VALIDATION CK M O CASH
LACO JM i 4 1 A 1 5.50-
,
6
1
SEE BACK OF APPLICATION FOR COMPLE19-FEE SCHEDULE