HomeMy Public PortalAbout6026 BURTON AVE_Mechanical__ 176A064-CE8I8 -1/]0 APPLICATION FOR PERMIT [�
HEATING - VENTILATING - AIR CONDITIONING ILJI
COUNTY OF LOS ANGELES BUILADDRESS 6026 Burton
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY San Gabriel
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BuILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY) MAI L
Mr. & Mrs. Bre 'cha
628 N. Burton, San Gab.
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS '
CITY San Gabriel TEL. NO.
ABSORPTION SYSTEM, BTU
CONTRACTOR
AIR HANDLING UNIT, CFM
ADDRESS 4265No. Baldwin Ave.
BOILER, HORSEPOWER CITYE1 Monte 91731 TEL. NO. 443-0078
COMPRESSOR, HORSEPOWER STATE LIC.
LICENSE NO. 231 741 CLgSS C 36
VENTILATION SYSTEM DISTRICT NO. CLASS I GROUP ZOJNE PROCESSED BY
EVAPORATIVE COOLER ' l ( - Z/
FURNACE: FAUGRAVITY ^
FLOOR BTUSn&&Z� OL) INSPECTION RECORD
HEATER: SUSPENDEO_UNIT
WALL
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NEW -ADDITION- PERMIT 5 3 00 y
Z_
ALTER—REPAIR_ TOTAL FEE S /IJ1
PLAN CHECK APPLICANT (/V
NAME
ADDRESS
CITY TEL.NO.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALLORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
LATINS, AIR CONDITIONING. ROUGH
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVISI 3. OF TME BUSINESS AND PROFESSIONAL FINAL r ,
[DOE DF THE STATE I AL RNIA
SIGNATURE JACK R. ALLEN,SUPERVISIN ECHANICAL ENG-R.
OD PERMITTEE
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK ALIDATION ^
Lbo.-55 5 .1APR 2041 8.00 S
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE