HomeMy Public PortalAbout5949 OAK AVE_Mechanical__ 78 A364 CE 818 5-73
APPL ATION FOR ERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING D
DEPARTMENT OF COUNTY ENGINEER ADDRESS
2 k
BUILDING AND SAFETY DIVISION LOCALITY TCS
NEAREST
CROSS ST
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL
NO TYPEOFAPPLIANCE OR EQUIPMENT FEE ADDRESS
CITY T NO
ABSORPTION UNIT BTU TC
CONTRACTOR Q( m
AIR HANDLING UNIT CFM ADDRESS // O Ge 'r,wt 40p,, '
BOILER BTU CITY d TEL NO
COMPRESSOR BTU O STATE LIC ww
LICENSE NO S 3 CLASS �/
VENTILATION SYSTEM DISTRICT NOZONE PROC SED BY
EVAPORATIVE COOLER J� 09 GROUP (/
FURNACE FAU GRA Y \V� INSPECTION RECORD
RECORD
FLOOR BTU
HEATER SUSPENDED-UNIT-
WALL
USPENDED UNIT_WALL
O
w
re
O
w
W
CL
h
Plan check fee 25% of above See re%erse Z
PERMI I ISSUING FLE 8 3 00
TOTAL FEE 6-0
PLAN CHECK APPLICANT
NAME T, .{�
ADDRESS Q G� l ri ,!
CITYTEL NO j J
I HEREBY ACKNOWLEDGE THAT 1 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
LAYING AIR CONDITIONING
ws
I HEREBY CERTIFY THAT I AM NOT ACTINO IN VIOLATION ROUGH 7
OF CHAPTER 9 DIVISION 3 OF THE BUSINESS AND PROFESSIONAL FINAL (p 4'� •(
CODE OF THE STATE OF CALIFORNIA
SIGNATURE PERMIT VALIDATION CK M o CASH
OF PERMITTEE
PLAN CHECK VALIDATION CK M 0 CASH
6 7 4 24 41 D 1 5.5 0 etsd
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE