HomeMy Public PortalAbout9320 BROADWAY_Mechanical__ 76A364 - CE618 - 3-69 �� II
APPLICATION FOR PERMI
HEATING -.VENTILATING - AIR CONDITIONING
.COUNTY OF 'LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS 9320 E. Broadway
BUILDING AND SAFETY DIVISION Temple Cit
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY P y
COLEMAN W.JENKINS, SUPERINTENDENT OF BUILDING, NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER E. Marchetti
(PRINT OR TYPE ONLY)
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS 9320 E. Broadway '
ABSORPTION SYSTEM, BTU CITY Tem e City TEL. NO. 287-4183 '
AIR HANDLING UNIT, CFM CONTRACTOR PAYNE' COMPANY
9242 Beverly Blvd:,
ADDRESS
BOILER, HORSEPOWER
CITY B .H. 90210 TEL, No. 275-5331
1
COMPRESSOR. H SEPOWER 3 5.- 0 STATE -'LIC.
(CHANGELICENSE NO. 120228 CLASS C-20
VENTILATION SYSTEM - DISTRICT NO. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER '
FURNACE: FAU GRAVITY ..
INS PECTION.RECORD
FLOOR' BTU
HEATER: SUSPENDED_UNIT
WALL
0
O
H
V
w
a
Z
NEW—ADDITION— PERMIT $ 3 '00
ALTER_REPAIR_ TOTAL FEE S S O •.• ..
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 CONDITIONING. APPROVALS DATE INSPECTOR'S SIGNATURE
I HEREBY CERTIFY THAT"I AM NOT ACTING IN VIOLATION OF ROUGH '
CHAPTER 9, DIVISION 3, OF THE BUSINESS�AONfI PROFESSIONAL FINAL -' A
CODE OF THE STATE O'FTC-ALIFORN IA. {�{.�(33 LL�F ' " - '.
SIGNATURE (l' ^ L�I, A ` I �1 . ,A , , ^ ^ JACK R. ALLEN, SUPERVI ECHANICAL ENG'R.
DF'PERMITTEE L.Y, 1•��� 11i1�-�+-^-�" ✓- 1
PERMIT VALIDATION � CK. �' M.D. CASH
PLAN CHECK VALIDATION .0
It20 4 1 D r, ,
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE