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Home My Public Portal About6203 KAUFFMAN AVE_Mechanical__ CE-8181REV 6/781 ••* : APPLICATf,O'N'FOR'PERMIT HEATING VENT,ILATINGx- 'AIR ;CONDITIONING f" COUNTY OF LOS ANGELES' BUILDING AND SAFETY'• - F_OR`APPLICANTTO FILL' IN :, • ADDRESIN S '�j• j , AA .[PRINT OR TYPE ONLY),•'' ',,'- ' • - - L'OCAL'ITY PNO' 'TYPE`OF APPLIANCE ORE' " FEE NEAREST •• �'' CROSS ST ABSORPTION UNIT,sBTU 'r- -• ��. _ •OWNER. -� - AIR HANDLING UNIT;CFM,` - y -' - ` •y Y- - ADDRESS , •f' Y'' BOILER,BTU r •; •y CITY .� .�- ,TEL NO" •, r %30, �. COMPRESSOR,BTU' �� '�� '�' C'ONTRACTOR. �, LIU'I VENTILATION SYSTEM ADDRESS - - 'EVAPORATIVE'COOLEFZ , CITY .v 7�; 'T'EL NO FURNACE"' FAU GF ; STATE / '-`,LIC /� '4 FLOOR - BTU Q LICENSE NO Ste'' `CL'ASe HEATER SUSPENDED' •�-U NIT_ APPROVALS DATE - INSPECTOR'S SIGNATURE 'WALL , ROUGH,' FINAL .�s 0- INSPECTION - INSPECTION RECORD Plan check`,fee 25'/.,of above<;+ . PERMIT ISSUING'FEE,$: _ TOTAL-FEE' PLAN CHECK-APPLICANT' - • - pLANrCH'ECK'VALIDATION rADDRE ` - - ,a. - s +� ,•,-'�; , AD - - - 'TEL NO ' •ti y HEREBY ACKNOWLEDGE THAT I HAVE READ•THIS APPLICAT[ONpANDTHAT THE ABOVE IS CORRECT AND'•AGREE,TO COMPLY WITH ALL �`ANCES' AND LAWS 'REGULATING •HEATING, VENTILATING,' AIRTIONING- PERMIT VALIDATION'HEREBY, CERTIFY TrAT I A NOT ACTING IN'VIOLATION .OF-ER 9, DIVISION 3 F HEB SINESS D PROFESSIONAL CODE STATE OF CALIF I •� ,7TURE 0 -�RMITTEE• DISTRICT NO - _ - CESSED Y , •- - # • •'• Y;4y 1- " 2:. '. 27 00 ;x. ...'. 2 7'0 0 'CE-818IREV 6/781 t' '_' ©s' ` : - `: A0 LlCA;TION MRPERMLT + ' HEATING "'VENTILATING.' 'AIR CONDITIONING COUNTY OF LOS-ANGELES' r, BUILDING AND'OETYir� BUILDING :FOR AF P00CANT•TO.-FILL-'IN,' AoDREss :. •__i ;'(PRINT.OR TYPE-ONLY)':'• " - "' '• , _ LOCALITY `•NOS 'TY"P,E-OF+•APPLIANCE OR EQUIPMENT'-'-,� ;FEE 4 NEAREST CROSS ST ABSORPTION UNIT,BTU -• +' •-'" ' . z, - �•. OWNERS , •,•.` AIR'HANDLINGUNIT;CFM ' .'MAIL v ADDRESS'• `BOILER,BTU% - :CIT `tl - Y,* TEL'NO a'• _ - - 4 ' COM PRESSOR,lBTU, � •CONTRACTOR - VENTILATION•SYSTEM ADDRESS 'O a, EVAPORATIVE COOLERa . CITY TEL NO FURNACE FAU GRAVITY - _STATE -''LIC FLOOR BTU' /.L S n Gl7 ' LICENSE NO CLASS' HEATER ,' SUS'PEN DED ' UNIT_ - I APPROVALS 'DATE. INSPECTOR'S SIGNATURE a•• ROUGH FINAL •�� ✓��.i IS. O _ 'C• _ '` _ INSPEC nlI,REC RD. Plan ckeck�fee 25%1of above. PERMIT ISSUING FEE$. TOTAL-FEE .PLANCHECKAP„PLICANT' K e�.• j; •- PL"AN CHECK'VALIDATION. - •NAME- ` � - � � � � ,N _ ADDRESS- - CITY-+�. _ .. u� :TEL,NO - . •'I HEREBY,•ACKNOWLEDGE THAT I HAVE READ,THIS APPLICATION AND. + f• - >STATE�THAT THE'ABOVE IS CORRECT AND AGREE'TO_COMPLY;WITH,ALL 's. ORDINANCES ;AND LAWS,REGULATING"•HEATING,•, VENTiLATING.;�AIR - CONDITIONING• +` - 'a. • ' PERMIT•VALIDATION' I HEREBY,.CERTIFY,'THAT�I AM NOT ACTING IN�VIOLATION OF' '-�.ka. q.` 7,'� •q .CHAPTER 9,',DI,VISION 3' ,THE BUSINESS_AVD PROFESSIONAL CODE t"••„ •>< G V 7 !'1 ” OF THE STATE OF CA R A .+ r "d''"'- "'{.• `. ' .� O'O.'o o' 41 SIGNATURE A . `��• !• _ �C .. �T ' ,.OF PERM ITTEE - //�•+..• DISTRICT NO, P SS 8Y` - � r °°,0,2 7(0.0 C'. , ' 0R09_7-9.