HomeMy Public PortalAbout6440 OAK AVE_Mechanical__ r9/6A364-CEMB 1/70 �.
APPLICATION FOR PERMIT -
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY L l
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN. OWNER
(PRINT OR TYPE ONLY)
MAIL Trm
Allo
a 0/t
NO. TYPE OFAPPLIANCE-OR EQUIPMENT FEE ADDRESS lro '
CITY TEL. NO.
ABSORPTION SYSTEM, BTU
CONTRACTOR jj6 soft"
AIR HANDLING UNIT, CFM
ADDRESS ,fd
BOILER, HORSEPOWER CITY -. TEL. NO. J i�
COMPRESSOR, HORSEPOWER STATE - LIC.
STA E
LICENSE NO. -0 9J-5 CLASS
VENTILATION SYSTEM DISTRICT NO. CLASS GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER
FURNACE: FAU_GRAVITY INSPECTION RECORD
FLOOR BTU
HEATER: SUSPENDED—UNIT—
WALL
USPENDED UNIT_WALL
C
C.
n
F
Ll
NEW—ADDITION— PERMIT $ 3 00 v
s
ALTER—REPAIR— TOTAL FEE $ / v
PLAN CHECK APPLICANT / (/
NAME
ADDRESS
Cl TY TEL.NO.
LAN
BY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION' -
E THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
ORDINANCES AND. LAWS REGULATING HEATING, VENTI- APPROVALS 'DATE INSPECTOR'S SIGNATURE
IR CONDITIONING.
ROUGH
EBY CE FY THAT 1 AM NOT ACTING IN VIOLATION
ER•9, DIV 1 3, 0 T E BUSINESS AND PROFESSIONAL FINAL
THE STATE ALURE JACK R. ALLEN,SU VISING MECHANICAL ENG'R.
MITTEE tAA
PERMIT VA DA
M.0. CASH
PLAN CHECK VALIDATION
LAC 5 7 3 �i Ail 2 8 4 , 0. 1 0_5 0r .
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
7GA364E�•fE91813 9/75 'APPLICATION FOR PERMIT -
HEATING - VENTILATIN•G - AIR CONDITIONING
BUILDING AND SAFETY DI-VISION
FFOR APPLICANT TO FILL IN BUILDING .
(PRINT OR TYPE ONLY) ADDRESS
LOCALITY �'�' r�
E OFAPPLIANCEOR EQUIPMENT FEE NEAREST '
CROSS ST. A/".
ABSORPTION UNIT, BTU
OWNER r '
AIR HANDLING UNIT, CFM MAIL
ADDRESS (J
BOILER., BTU CITY TEL. NO.
COMPRESSOR, BTU �JT7LIT
[ '.
CONTRACTOR ��
VENTILATION SYSTEM - ADDRESS !f ?v 6seullo J'
_ EVAPORATIVE COOLER CITY Jr TEL. NO.
FURNACE: FAU_GRAVITY STATE Y LIC.
FLOOR BTU LICENSE NO. ..`U. CLASS L Z
C� Y
HEATER: SUSPENDED UNIT_ DISTRICT NO. GROUP ZONE ESSED BY a
O
WALL c.2
�. CD
CD
INSPECTION RECORD w
y
Plan check fee 25%of above.
PERMIT ISSUING FEE $
TOTAL FEE
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO..
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-
LATING,AIR
ENTI-LATING,AIR CONDITIONING. '
I HEREBY CERTIFY THAT I.AM NOT ACTING IN VIOLATION APPROVALS DATE INS,PECTOR'S SIGNATURE
OF CHAPTER 9, DIVISION 3, OF-THE BUSINESS AND PROFESSIONAL
CODE OF THE STATE OF CALIFORNIA. - ROUGH '
SIGNATURE
OF PERMITTEE FINAL /t—�''�b` C�..`,,,,
PERMIT VALIDATION M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
'
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