HomeMy Public PortalAbout6261 GOLDEN WEST AVE_Mechanical__ 76AaeaC
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m� APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN, BUILDING
(PRINT OR TYPE_ ONLY) ADDRESS
IgtI.L,Air"
LOCALITY
NO. TYPE OF APPLIANCE OR EQUIPMENT -FEE
NEAREST JJ
CRO55 ST.
ABSORPTION UNIT,BTU
OWNER
AIR HANDLING UNIT,CFM MAIL
ADDRES
ILER,BTU — CITY LC TEL NO.
COMPRESSOR BTU CONTRACTOR
VENTILATION SYSTEM ADDRESS
d
EVAPORATIVE COOLER - CITY TEL NO. :CO
FURNACE: FAU GRAVITY STATE I LIC.
FLOOR BTU 1LICENSENO. CLASS
HEATER: SUSPENDED UNIT_ APPROVALS DATE IMSP ECTO R'S S IO NATU RE
WAI I
ROUGH
FINAL
INSPECTION RECORD V
Plan check fee 25% of above.
PERMIT ISSUING FEE$ 7 _
TOTAL FEE
PLAN CHECK APPucArrr PLAN CHECK VALIDATION
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 wrrH ALL
ORDINANCES AND LAWS REGULATING HEATING, VENTILATING, AIR
coNDrrIONINc. PERMrf'VALIDATION
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF
CHAPTER 9, DNISIQN si E.BUSINESS AND PROFESSIONAL COBE
OF THE STATE OF CArJFORN
SYGNATURE Z 0`*Q _
OF PERM=.E
WE D LSfR1CT IFO. PROCESSED BY # O O O O 41
2 o - 27100
o 0 o 27.Q06