HomeMy Public PortalAbout6020 LOMA AVE_Mechanical__ 7GA364-CE818-8-68 APPLICATION,FOR PERMIT '
HEATING - VENTILATING - AIR CONDITIONtId
COUNTY QF LOS ANGELES
.,. .
DEPARTMENT OF COUNTY ENGINEER BUILDING 4
BUILDING AND SAFETY DIVISION .
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 6O2O NLoma Ave.
COLEMAN W. JENKINS, SUPERINTENDENT OF•BUILDING LOCALITY
Temp 1 e C I t
NEAREST
FOR APPLICANT TO FILL IN CROSS ST..
(Print or type only)
OWNER R. L. Farmer
No., TYPEJOFAPPLIANCE OR EQUIPMENT FEE
MAIL
ADDRESS
ABSORPTION SYSTEM, BTU CITY TEL. NO.
emple—Ca ty9.1-7-80 A� 9074
AIR HANDLING UNIT, CFM CONTRACTOR E. L. PAYNE COMPANY
BOILER, HORSEPOWER ADDRESS 9242 Beverly Blvd.
COMPRESSOR, HORSEPOWER CITY B.H 021 0 TEL. NO. _ 331
VENTILATION SYSTEM'
STATE E 1 20228 LI C 20
NO. . CLASS
t
jI DISTRICT NO. GRO~ P ZONE PROC SS D B
EVAPORATIVE COOLER
FURNACE: FAU GRAVITY-5
l FLOOR—BTU 4 00 I IN CT.ION RECORD
HEATER:.SUSPENDED—UNIT—
WALL
USPENDEDUNIT WALL 78 y
1. O
gn c1 P[oI_�. i-t f r a�LL4_f_ux_a c U
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Lu .
w
D-
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Z
NEW—ADDITION— PERMIT $ 3 00
ALTER—REPAIR— TOTAL FEE $
7, 00
Plan check applicant
Name
Address
City Tel. No.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION -
AND STATE THAT THE ABOVE ISCORRECTAND AGREE TO COMPLY
WITH ALL ORDINANCESAND LAWS REGULATING HEATING, VENT]- APPROVALS DATE I CTOR'SSIG ATURE -
LATING, A'IR CONDITIONING. -
•
I HEREBY CERTIFY THAT I AM NOT ACTING IN. VIOLATION. ROUGH FINAL O
OF CHAPTER 9, DIVISION3, OF THE .BUSINESS RO}'ESSIONAL
CODE OF THE STATE OF CALIFORNIA. , 1 J -
SIGNATURE E v '�P Y -OMPA JACK R. ALLEN,SUPERVIS CHANICAL'ENG-R.
OF PERMITTEE ' PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION
rl�t 2 4 1 0 °7.0 O N 7.
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE I ���
I
76 A364` CE"8tG^- 9-71
APPLICATION-FOR PERMIT.
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT.OF COUNTY ENGINEER ADDRESS ( rYj 4
BUILDING AND SAFETY DIVISION LOCALITY;
1
NEAREST
CROSS ST. •'
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY) _
MAIL
NO. TYPEOFAPPLIANCEOR EQUIPMENT FEE ADDRESS O.
CITY e TEL. NO. -A,?
ABSORPTION UNIT, BTU + b
CONTRACTORV
AIR HANDLING UNIT, CFM
ADDRESS D
AL iq VIE-
BOILER, BTU CITY rC TEL. NO. gF
aq
COMPRESSOR, BTU 8 STATE LIC.
Q �� LICENSE NO. CLASS
VENTILATION SYSTEM � •
DISTRICT NO. GROUP ZONE ESS ED BY
EVAPORATIVE COOLER C� �-
a
FURNACE: FAUGAVITY O
FLOOR BTU VU INS CTION REC D "
r �
HEATER: SUSPENDED UNIT_ -p O
WALL > ` v
W
.. Z
Plan check fee 25% of above. See.reverse.
PERMIT ISSUING FEE 8 s oo
TOTAL FEE !rU
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
I HEREBY ACKNOWLEDGE- THAT IHAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALLORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE. NSPECTOR'S IGNATURE
LATING, AIR CONDITIONING.
1' ROUGH
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL, FINAL
CODE OF THE STATE OF CALIFORNIA.
SIGNATURE (�
OF PERMITTEE � PERMIT V DATION CK. M.O. CASH
, , \l(llJ+ "Z�_
PLAN CHECK VALIDATION CK. M.O. CASH
ISEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE