HomeMy Public PortalAbout6237 3/4 OAK AVE_Mechanical__ 76A364 — CE816 — 3-69 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING .>
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION f -
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY
COLEMAN W.JENKINS,SUPERINTENDENT OF BUILDING NEAREST '
CROSS ST.
FOR APPLICANT TO FILL IN OWNER ✓ _�� ,/ � Z, afL�
(PRINT OR TYPE ONLY)
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS cr-
ABSORPTION SYSTEM, BTU CITY r ;STEL. NO. � r
S1/
AIR HANDLING UNIT, CFM CONTRACTOR - . F
ADDRESS .
BOILER, HORSEPOWER
CITY' f
Zl-ecf TEL. NO.
COMPRESSOR, HORSEPOWER_ q
LICENSE NO. >—t?& .w CLASS
VENTILATION SYSTEM DISTRICT N0. GROUP _ PROCESSED BY
EVAPORATIVE COOLER �J !/%// 0
FURNACE: FAU GRAVITY
FLOOR BTU INSPECTION RECORD
HEATER: SUSPENDED UNIT
WALL
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NEWLADDITION_ PERMIT $ 3 00
NEOt-
ALTER_REPAIR_ TOTAL FEE .$ ! ��
PLAN CHECK APPLICANT �.
NAME
ADDRESS .3
ol
CITY (j r TEL.NO.
I HEREBY AC OWLEDGE THAT AVE READ THIS APPLICATION -
AND STATE TH THE ABOVE IS RRELT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING,VENTI- APPROVALS DATE IN PECTOR'S SIGNATURE
LA71NG,AIR CONDITIONING.
I HEREBY CERT, HAT I AM OT ACTING IN VIOLATION OF ROUGH
CHAPTER 9, DI SIGN , OF���RX,
OFESSIONAL FINAL
CODE OF THE S A�DFLISIGNATURE JACK R. ALLEN, SUPERVISING MECHANICAL ENG'R.
OF PERMITTEE -
PERMIT VALIDATION cK. M.O. CASH
PLAN CHE VALIDATION
2. o. " riA} 3 O 4 1 D 1 1..0 0 `
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
BA384-CFB18-8-88 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONIN
COUNTY OF LOS ANGELES fp
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FEAR
' JOHN A. LAMBIE. COUNTY ENGINEER OzLle
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING
'FOR APPLICANT TO FILL IN
(Print or type only) 71
OWNER
NO.. TYPEJOFAPPLIANCE OR EQUIPMENT FEE
MAIL
ADDRESS
ABSORPTION SYSTEM, BTU— , CITY TEL. NO.
W �A
AIR HANDLING UNIT, CFM CONTRACTOR
BOILER, HORSEPOWER ADDRESS D�
COMPRESSOR, HORSEPOWER CITY ®03,�EL. NO.
STATE + LI C.
VENTILATION SYSTEM LICENSSNO. CLASS G �. O
DISTRICT NO. ROUP ZONE PROCESSED BY
EVAPORATIVE COO ER
FURNACE: FAU V�T�I� Q 0 , 0
FLOOR— TU ��/ INSPECTION R ORD
H ER:.SUSPEND D F UNIT
WALL
a
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W
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NEW—ADDITION— PERMIT. S. 3 00
ALTER—REPAIR— TOTAL FEE $ 7
Plan check applicant
Name
Address
City Tel..ND.
LLATING,
BY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
E THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
L ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS T PECTOR' SI ATURE
IR CONDITIONING. ROUGHEBY CERTIFY THAT 1 AM NOT ACTING IN VIOLATIONFINAL
ER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONALTHE STATE OF CALIF IA.
+ JACK R. ALLEN-,SUPERVISING MECHANICAL ENG'R.
URE PERMIT VALIDATION. M.O. CASH
MITTEE
PLAN CHECK VALIDATION
3 5. 2 4C-_ JAN29 4 1 D 7.0 0;" q
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE � •