HomeMy Public PortalAbout6138 GOLDEN WEST AVE_Mechanical__ 76A364-'C€616 -1/70
APPLICATION FOR PERMIT
HEATING VENTILATING AIR CONDITIONING
COUNTY OF LOS ANGELES F
SS
DEPARTMENT OF COUNTY ENGINEER -
BUILDING AND SAFETY DIVISION ITY
JOHN A. LAMBIE, COUNTY ENGINEER SCOLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGST.
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAI L
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
CITY TEL. NO.
ABSORPTION SYSTEM, BTU
CONTRACYO
AIR HANDLING UNIT, CFM
ADDRE���
BOILER, HORSEPOWER CITY TEL. NO�a �
COMPRESSOR, HORSEPOWER STATE �� LIC. �^
LICENSE NO 1 CLASS G
VENTILATION SYSTEM DISTRICT NO. CLASS GROUP ZONE PROCESSED BY
EVAPORATIVE COOL a ( Q,
FURNACE: FAU_GR VJ�TYOZ (,� INSPECTION RECORD
FLOOR BTI I ((JJ
HEATER: SUSPENDED UNIT_
WALL
O
U
CC
CD
U
NEW-ADDITION- PERMIT $ 3 00 N
Z_
ALTER-REPAIR- TOTAL FEE $
PLAN CHECK APPLICANT
NAME
ADDRESS
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- APPROVALS D T I PECTOR'S IGNATURE
LATING, AIR CONDITION,
NG.
ROUGH
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVISION 3, THE BUSINESS AND PROFESSION L FINAL fLL, �'�
CODE OF THE STA E ORNIA.
SIGNATURE - JACK R. ALLEN,SU ERVISING MECHANICAL ENG'R.
OF PERMITTE
;;�:
PERMIT VALIDATIONCK: M.O. CASH
PLAN CHECK VALIDATION
�f 8 8 8 8« FES25 4 1 D 7.00N
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE