HomeMy Public PortalAbout5819 OAK AVE_Mechanical__ 76 A364 - CE 818- 5-73
APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES B
UILDING
DEPARTMENT OF COUNTY ENGINEER
DDRESS
BUILDING AND SAFETY DIVISION /I�j l� /1
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 ,:r/ f-r j^t A""C
I BOILER, BTU CITY f TEL. NO. 7"
?
COMPRESSOR, BTU STATE _ LIC.
t` LICENSE NO. _� CLASS � 22
II, VENTILATION SYSTEM DISTRICT NO. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER �f. t P f;, 7 -
i� FURNACE: FAU'' GRAVITY INSPECTION!)RECO RD
FLOOR BTU £�,G'%..�� l� eJ� >_
HEATER: SUSPENDED UNIT_ 0-
I WALL o
w
J
UI-
Lr
Q
[C
C)
Plan check fee 25c of above. See reverse.
LLJt—
f PERNIIT ISSUING FEE $ 3 00
TOTAL FEE .00
4' PLAN CHECK APPLICANT
NAME
ADDRESS
L
CITY TEL.NO.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
�F
WITH ALLORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
LATING, AIR CONDITIONING.
ROUGH
I HEREBY CER Y THAT AM NOT ACTING IN VIOLATION
OF CHAPTER 9, D ISION 3, OFHE BUST SS AND. FESSIONAL FINAL �JJ�
CODE OF THE ST LE CALIFORNIA " ^��
SIGNATURE / PERMIT VALIDATION CK. M.O. CAs
OF PERMITTEE
PLAN CHECK VALIDATION CK. M.O. CASH
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE