HomeMy Public PortalAbout6362 GOLDEN WEST AVE_Mechanical__ 76A364-CE515_8.68 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR -/CONDITIONING
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING `
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS G/
COLEMAN W. JENKINS, SUI•MMINTIMDUNT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN cRoss sT.
461 VIA11,
(Print or type only)
OWNER
No.. TYPEJOFAPPLIANCE OR EQUIPMENT FEE
MAIL
A DDRE
ABSORPTION SYSTEM, BTU CITY P TEL NO.
r
AIR HANDLING UNIT, CFM CONTRACTOR
BOILER, HORSEPOWER ADDR
COMPRESSOR, HORSEPOWER CITY TEL. NO.
STATE LI C.
VENTILATION SYSTEM LICENSE NO. CLASS
DISTRICT N.O. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER
FURNACE: FAU GRAVITY t Q
FLOOR-BTU INSPECTION RECORD
HEATER:.SUSPENDED-UNIT-
WALL
USPENDED UNITWALL
A 30 0 o 8
W
a
N
x
NEWADDITION PERMIT S H 00
ALTER--REPAIR TOTAL FEE S Q
Plan check applicant
Name
Address
City Tel. No.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STAT[ THAT THE ABOVE I8 CORRECT AND AGREE TO COMPLY
WITH ALLORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DAT[ [TORT SIGNATURE
LATIN@, AIR CONDITIONING. DOUGH
I HEREBY CERTIRON3,
T I AM NOT ACTING IN VIOLATION FINAL
OF CHAPTER fl, DIVI F THE SUS.. AMD PRO FEl110IlALCOD[ 6FTH[ STAT[ RMI JACK R. ALLEEN,SUPERVISI MECHANICAL ENG'R.
SIGNATURE PERMIT VALIDATIO Cf( M.O. CA9H
OF PERMIT TEE
PLAN CHECK VALIDATION
3 3 3 SQ JAN 29 4 1 D 1 0.504 q
SU SACK OF APPLICATION FOR COM PLKTE FIE SCHEDULE