Loading...
HomeMy Public PortalAbout5423 GOLDEN WEST AVE_Mechanical__ 76A364C.1 CE-818 (rtV 11/78) APPLICATION FOR PERMIT HEATING - VENTILATING _ AIR CONDITIONING COUNTY OF LOS ANGELES BUILDING AND,SAFETY ; FOR APPLICANT TO FILL IN, BUILDING 1 ., r ADDRESS' (PRINT OR TYPE ONLY) , LOCALITY 4 NO TYPE OF APPLIANCE OR EQUIPMENT FEE NEAREST CROSS ST ABSORPTION UNIT,BTu' au ' OWNER AIR.HANDLING UNIT,CFM MAIL' r ADDRESS. l BOILER,BTU CITY TEL NO COMPRESSOR,'BTU CONTRACTOR 111 VENTILATION SYSTEM ' ADDRESS � , EVAPORATIVE COOLER CITY "SAY-, b TEL NO FURNACE FAU GRAVITY STATE LIC FLOOR 'BTU LICENSE NO CLASS HEATER SUSPENDED UNIT_ APPROVALS DATE INSPEbTOR S SIGNATURE ` WALL ca �.►• • ROUGH d FINAL �� O INSPECTION REC f/D u O _. Plan check fee 25% of above PERMIT ISSUING FEE$ • �' TOTAL FEE PLAN CHECK APPLICANT PLAN CHECK VALIDATION NAME ADDRESS _ • ' CITY TEL Nd � �7 o n 81 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND +8 (`V ry STATE THAT THE ABOVE,-IS CORRECT AND AGREE TO COMPLY WITH,ALL + �{ ORDINANCES AND LAWS REGULATING HEATING,.VENTILATING AIR -#.0,0 G 0".4.1 CONDITIONING PERMIT VALIDATION I HEREBY CERTIFY THAT-I AM NOT ACTING IN VIOLATION OF 0,2 T n r1 CHAPTER 9' DIVISIg43, OF THE INESS'AND PROFESSIONAL CODE OF THE STATE OF IFOR solo o-2ZO,OU SIGNATURE _ o OF PERMITTEE DISTRICT NO V PROCESSED BY I , 76A364E A-818A1-9/77 APPLICATION FOR PERMIT . HEATING - VENTILATING - AIR CONDITIONING ty COUNTY"OF LOS AKIGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISIO / FOR APPLICANT TO FILL IN FA ILDING (PRINT OR TYPE ONLY) DRESS rhe+„{, Q C'J,yo'-` we "a CALITYyNO. TYPE OF APPLIANCE OR EQUIPMENT FEE AREST OSS ST. ABSORPTION UNIT, BTU - OWNER AIR HANDLING UNIT,CFM MAIL ADDRESS 14?.5 BOILER,BTU CITY Arotdin TEL.NO. COMPRESSOR,BTU 94C) ti.sf CONTRACTONrjZnA_r, fitgo & y"",,, VENTILATION SYSTEM ADDRESS 717. ?XlIrth IM*n EVAPORATIVE COOLER CITY A== TEL. NO. � -6" FURNACE: FAU Gq*j�,G�" I Y STATE g+� LIC. ry FLOOR BTU _JL °�4 j �j LICENSE NO?'� ,,,,e{,„7 CLASS 4-20 HEATER: SUSPENDED UNIT— DISTRICT NO. GROUP ZONE PROCESSED BY WALL �. a INSPECTION RECORD V _ W J Ian check fee 25% of above. PERMIT ISSUING FEE$ 7 c0 TOTAL FEE LLI PLAN CHECK APPLICANT "DAME ADDRESS TEL.NO. IHEREBY 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, VENTILATING, AIR CONDITIONING. I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF APPROVALS DATE INSPECTOR'S SIGNATURE CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL CODE OF THE STATE OF CALIFORNIA. ROUGH SIGNATURE - FINAL OF PERMITTEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIO CK. MO CASH t s 'I ©s