HomeMy Public PortalAbout6043 GOLDEN WEST AVE_Mechanical__ 76A3°4-CE8,8 APPLICATION FOR PERMIT
HEATING;,- VENTILATING - AIR CONDITIONING
'COUNTY,OF LOS ANGELES BUILDING
DEPARTMENT OF'COUNTY ENGINEER ADDRESS
6043 golden Weat -
'BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY'ENGINEER
COLEMAN W. JENICINS, SUPERINTENDENT OF BUILDING NEAREST
CROSS ST.
FOR 'APPLICANT TO FILL IN OWNER
(RRINT OR TYPE ONLY) Wallu It
- r MAIL � • � -
NO.' TYPE OFAPPLIANCE-OREQUIPMENT FEE ADDRESS 6043 Golden West
CITY L. NO."*
ABSORPTION SYSTEM, BTU'
CONTRACTOR
Standard,Air, Iny-
AIR HANDLING UNIT, CFM
ADDRESS
BOILER, HORSEPOWER CITY TEL. NO.p
Temple City
COMPRESSOR, 'HORSEROWER STATE LIC.
LICENSE NO. 260913 CLASS
VENTILATION SYSTEM DISTRICT NO CLASS GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER
FURNACE:' FAUGRAVITY INSPECTION AE60RD
FLOOR-' BTU
HEATER: SUSPENDED-UNIT-
WALL
USPENDED UNIT_WALL
0
U
O
- U
• - V7
NEW . A DOITION_ PERMIT $ 3 00 - Z
ALTER-REPAIR_ TOTAL FEE $ ,
,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- APPROVALS DATE INSPECTOR'S SIGNATURE
LAT ING,, AIR CONDITIONING '
�. ROUGH �.
•I HEREBY- CERTIFY TH I AM NOT ACTING IN VIOLATION -
OF CHAPTER 9, DIVISION F THE BUSINESS AND PROFESSIONAL FINAL - ',, t-
CODE OF THE STATE OF,C L ORNIA
SIGNATURE' JACK R. ALLEN,SUPE RVISI CHANICAL ENG'R.
OF, PERMITTEE '
PERMIT VALIDATION cK M.0. CASH
PLAN CHECK VALIDA ON
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE "