HomeMy Public PortalAbout5818 PRIMROSE AVE_Mechanical__ 76A364 - CES18 - 3-69
• APPLICATION FOR PERMI llll
HEATING - VENTILATING - AIR CONDITIONING
1
COUNTY OF LOS ANGELES FILDG /
DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION /JOHN A. LAMBIE, COUNTY ENGINEER YCOLEMAN W.JENKINS,SUPERINTENDENT OF BUILDINGT. 49
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY).
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
ABSORPTION SYSTEM, BTU CITY TEL. NO.
CONTRACTOR
AIR HANDLING UNIT, CFM
BOILER, HORSEPOWER r ADDRESS ���
CITY TEL. N
COMPRESSOR, HORSEPOWER STATE LIC.
LICENSE S CLASS
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER
r
FURNACE: FAU GRAVITY 111
O
FLOOR BTU 1�0 O0 INSPECTION RECRD
HEATER: SUSPENDED-UNIT-
WALL
USPENDEDUNITWALL
C
0
F
C
u
0
u
t
NEW-ADDITION- PERMIT $ 3 00
ALTER_REPAIR_ TOTAL FEE $
PLAN CHECK APPLICANT
NAME
ADDRESS J
C ITY TEL -6. f
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
LNDE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
ORDINANCES AND LAWS REGULATING HEATING,VENTI- pppROVALSDATE INSPECTOR'S SIGNATURE
IR CONDITIONING.BY CERTIFY THAT 1 AM NOT ACTING IN VIOLATION OF ROUGH ��(�� ? ' .9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL
HE STATE 0 ALIFORNIAE JACK R. ALLEN, SUPERVI NG MECHANICAL ENG'R.
TTEE
PERMIT VALIDATION CK M.O. CASH
PLAN CHECK VALIDATI
2 0.3 3 c-. AUG 2 0 4 1, D 1 3.0 0
'EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE v 4 `