HomeMy Public PortalAbout6431 OAK AVE_Mechanical__ 76A364 'CE818 - 3-59-
APPLICATION FOR PERMI
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES 5ADDRESS
G
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER Y
COLEMAN W.JENKINS,SUPERINTENDENT OF BUILDING
422 A2
T.
FOR APPLICANT TO FILL IN
(PRINT OR TYPE ONLY)
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ABSORPTION SYSTEM, BTU AIR HANDLING UNIT, CFM TOR
ADDRESS
BOILER, HORSEPOWER
CITY TEL. NO.
COMPRESSOR, HORSEPOWER STATE LIC.
LICENSE NO. CLASS
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER
FURNACE: FAU GRAVITY .
FLOOR BTU INSPECTION RECORD
HEATER: SUSPENDED UNIT
WALLpo
F
t
i
. F
t
L
NEWXADDITION_ PERMIT $ 3 00
ALTER_REPAIR_ TOTAL FEE $
PLAN CHECK APPLICANT
NAME
ADDRESS f
CITY TEL.N;411
1HEREBY AC OWLEDGE THAT HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS RRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES ANDL S REGULATING HEATING,VENTI-
LATING,AIR CONDITIONING. APPROVALS. DATE SPECTORIS SIGNATURE
IHEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH
CHAPTER 9, DIVISIONt3, OFBUSINESS A PROFESSIONAL FINAL
CODE OF THE STATE0AL IA.
SIGNATUREJACK R. ALLEN, SUPERVISI MECHANICAL ENGIR.
OF PERMITTEE
ff PERMIT VALIDATION M.o. ASH
PLAN CHECK VALIDATION
lAco. 2 6 -43' M. 25 4 1 'D 5.00^
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE