HomeMy Public PortalAbout4963 SERENO DR_Mechanical__ 79A364 - CEBIR - 3-63 APPLICATION FOR PERMIT
• • ' f HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING 6 •Q NC 6
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION
JOHN A LAMBIE COUNTY ENGINEER LOCALITY
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING NEAREST -
CROSS ST
It 1414 -All
FOR APPLICANT TO FILL IN
rPRINT OR TYPE ONLY) OWNER
MAIL
NO TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
6 SPJI' uo
ABSORPTION SYSTEM BTU CITY TEL NO
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AIR HANDLING UNIT CFM CONTRACTOR
BOILER HORSEPOWER ADDRESS ze ^
CITY TEL NO
COMPRESSOR HORSEPOWER STATE LIC
LICENSE NO CLASS
VENTILATION SYSTEM DISTRICT NO GROUP ZONE ESSED By
EVAPORATIVE COOLER
FURNACE FAU t GRAVITY
FLOOR INSPECTION RECORD
HEATER SUSPENDED—UNIT—
WALL
UNIT_WALL
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NEW_ADDITION_ PERMIT $ O3P 00 Z
ALTER_REPAIR_ TOTAL FEE S p
PLAN CHECK APPLICANT
NAME 6 w vt. e I/'
Ir
ADDRESS .-Y�
CITY TEL NO
I HEREBY 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 0 TE ECTOR' IGHATURE
I HEREBY CERTIFY THAT 1 AM NOT ACTING IN VIOLA T IN OF ROUGH
,CHAPTER 9 DIVISION OF THE BUSINESS AND PROFE NAL FINAL
CODE OF THE STATE 0 CALIFORNIA
SIGNATURE JACK R ALLE"UPERVISING MECHANICAL ENG
OF PERMITTEE PERMIT VALIDATION CK M 0CASH
PLAN C CK VALIDATION
.00—PLilo `-' 8 6 2= NOV 21 4 1 D . 8.00—
PE
E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
+ 7EAJ64-CE918-1/7Q APPLICATION FOR PERMIT
BEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING 6
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALIT
JOHN A LAMBIE COUNTY ENGINEER
COLEMANW JENKINS, SU PORI NTENDONT OF BUILDING NEAREST `t
CROSS ST
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL
NO YPEOFAPPLIANCEOR EQUIPMENT FEE ADDRE
CITY TEL NO
ABSORPTION SYSTEM BTU
CONTRACTOR
AIR HANDLING UNIT, CFM
ADDRESS
BOILER HORSEPOWER CITY TEL NO
COMPRESSOR, HORSEPOWER STATE LIC
LICENSE NO CLASS
VENTILATION SYSTEM DISTRICJTI NO CLASS GROUP zoic I PROCESSED BY
EVAPORATIVE COOLER
FURNACE FAU_GRAVITY INSPECTION RECORD
FLOOR BTU
/ HEATER SUSPENDS IT_ ov
WALL
0
U
Lr
IC-J�
U
W
d
N
NEW—ADDITION— PERMIT S 3 00 ?
ALTER_REPAIR_ TOTAL FEE $ 17 -
PLAN CH CK APPLICANT
NAME
AD E C(YG7
ITY TEL NO I -
I HEREBY ACKNOWLEDGE THAT)] HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING VENTI- APPROVALS DATE I PECTOR TUBE
LATINO AIR CONDITIONING
ROUGH
I HEREBY CERTIFY THAT I AM NOT ACTINO VIOLATION
OF CHAPTER G DIVISION 3 OF THE BUST SS AN P FE33IONAL FINAL
CODE OF THE STATE OF ALIFORNIA /
SIGNATURE L 1 _ JACK R ALLEN,SUPER SING MECHANICAL ENG'
OF PERMITTEE UUU]]
PERMIT VALIDATION CK M o CASH
PLAN EC VALIDATION
[ 8x,_ 9022, w 541 D ^7.00~ Q
SEE BACK OF APPLICATION FOR COMPLETE TE SCHEDULE \