HomeMy Public PortalAbout6258 HART AVE_Mechanical__ 7GA364H CE818B.-9/75,
APPLICATION �`/^- I
HEATING - VENTILATING - AIR CONDITIONING
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN ADDRESS 6258 North Hart ice_
(PRINT OR TYPE ONLY) -
LOCALITY Tem ple Celt
NO. TYPE OFAPP.LIANCEOR EQUIPMENT FEE NEAREST
CROSS ST.
ABSORPTION-UNIT, BTU
OWNER
D. K. hqKenzie
AIR HANDLING UNIT, CFM MAIL
ADDRESS 6258 North Hart
BOILER, BTU CITY Temple City TEL. ND. 285-1245
COMPRESSOR, BTU CONTRACTOR
Bryant Heat. & Air Cond.
VENTILATION SYSTEM ADDRESS1350• E. Las Tunas Drive
EVAPORATIVE COOLER CITY San Gabriel TEL. NO. 286-1141
FURNACE: FAUGRAVITY �STAT
E 221751 CLASS C+20
FLOOR BTU LICENSE NO.
HEATER: SUSPENDED UNIT_ DISTRICT NO. GROUP ZONE cess ED BY y
WALL
add to existing ducts ste
INSPECTION RECORD•
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Plan check fee 25% of above.
PERMIT ISSUING FEE $
TOTAL FEE
PLAN CHECK APPLICANT o
'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-
LATING, AIR CONDITIONING.
I HEREBY CERTIF THAT I AM .NOT ACTIN IN VIOLATION APPROVALS DATE INSPECTOR'S SIGNATURE
OF CHAPTER 9, DIVISI N 3, OF THE BUST S A PROFESSIONAL
CODE OF THE STATED ALIFOR NIA. ROUGH
SIGNATURE.
OF PERMITTE T FINAL
PLAN CHECK VALIDATION, PERMIT VALIDATION cK. . o. cases
CK. M.O. CASH
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76 A364- CE 818- 5r73
cr APPLICATION FOR PERMIT
HEATING - VtNTILATING - AIR CONOITIONIHG
COUNTY OF LOS ANGELES ADDRESS
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNERwD
(PRINT OR TYPE ONLY)
MAI L
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS Q
CITY TEL. NO - wa
ABSORPTION-UNIT, BTU �?Lf e_, �S
CONTRACTOR ,
AIR HANDLING UNIT, CFM
ADDRESS
BOILER, BTU 3LIS tIU0 . CITY TEL. NOIC\(.
COMPRESSOR, BTU STATELIC.
LICENSE NO. . CLASS
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER
PJ c
FURNACE: FAUGRAVITY INSPECTION RECORD
FLOOR BTU
HEATER: SUSPENDED—UNIT—
WALL
USPENDED UNIT_WALL r
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C.')
CL'
CD
V
W
a
Cn
Plan check fee 255 of above. See reverse.
PERiMIT ISSUING FEE S 3 00
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
LATING, AIR CONDITIONING.
I 'HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION ROUGH `• ,'�_„-�� c � +' J
OF CHAPTER 9, DIVISI 3, OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE STATE 0 CALIFO NIA.
SIGNATURE RvZa� PERMIT VALI A ION CK. M.O. ASH
OF PERMITTEE ���+
PLAN CHECK VALIDATION CK. M.0. CASH y(
9 61`.9`P RW 74.I 0
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