HomeMy Public PortalAbout6121 SAINT JAMES DR_Mechanical_7/14/1970_ 76A364 - CEB18 - 3-69 PL
APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION
JOHN A LAMBIE COUNTY ENGINEER LOCALITY
COLEMAN W JENKINS,SUPERINTENDENT OF BUILDING NEAREST
CROSS STA" t L
FOR APPLICANT TO FILL IN OWNER U rr
(PRINT OR TYPE ONLY) MAIL
NO TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
ABSORPTION SYSTEM BTU CITY TEL NO Z L'0'eV
AIR HANDLING UNIT CFM CONTRACTOR
BOILER HORSEPOWER ADDRESS
CITY TEL NO
COMPRESSOR HORSEPOWER
L CENSE NO ` ` CLASS C Zu
VENTILATION SYSTEM DISTRICT NO GROUP ZONE PR ESSED
EVAPORATIVE COOLER
FURNACE FAV )AVITY INSPECTION RECORD
FLOOR BTUy�J1
HEATER SUSPENDED-UNIT-
WALL
USPENDED_UNIT_WALL
1 �
d
0
O V
O
0
w
NEW_ADDITION_ PERMIT S 3 00 Z
ALTER_REPAIR_ TOTAL FEE S /
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
IHEREBY 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-
LATING AIR CONDITIONING APPROVALS GATE INSPECTOR S SIGNATOR!
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH
CHAPTER 9 OIV ISIO 3 OF THE BUSIN/ESS AND PROFESSIONAL FINAL
CODE OF THE STATE CAL - O
SIGNATURE ^�{� JACK R ALLEN SUP MECHANICAL EN6'R
OF PERMITTEE �Y/^O�1C-
PERMIT VALIDATIO EK M 0 CASH
PLAN CHECK VALIDATION
t Arm s 7 9 7�R X14 a l 0 1 550- p
IEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE