HomeMy Public PortalAbout6304 SALTER AVE_Mechanical__ 76 A364- CE 818- 5-73
APPLICATION RMIT
HEATING - VENTILATING - AIR CONDITI NING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY TEMPLE C 1 TY '
NEAREST
CROSS ST. .
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY) /
MAIL
NO. TYPE OFAPPLIANCEOR EQUIPMENT FEE ADDRESS
CITY TEL. NO.
ABSORPTION UNIT, BTU
cONTRACT�NNEY AIR CN N
AIR HANDLING UNIT, CFM ADDRESS 1 1 S ANAHEIM BLVD,
BOILER, BTU CITYANAHLIM TEL. NO:.,
1 COMPRESSOR, BTU M 0 ~
LICENSE NO. 158688 CLASS C20
VENTILATION SYSTEM DISTRICT No. GROUPONE CESSED BY
7AA
EVAPORATIVE COOLER "0 J_ �
FURNACE: FAU_ A ITY
1 FLOOR BTU I 50 INSPECTION RECORD
HEATER: SUSPENDED UNIT_
WALL
0
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CD
W
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Plan check fee 25% of above. See reverse.
PERMIT ISSUING FEE $ a 00
TOTAL FEE . 151 50
PLAN CHECK APPLICANT
NAME
ADDRESS A
CITY TEL.NO. ��-
- y
IHEREBY 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 V IN P C O�S S yWTURE
LATING,AIR CONDITIONING. r ;y.
ROUGH
1 HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION '
OF CHAPTER 9, DIV ON 3, OF THE BUSINESS AND PROFESSIONAL FINAL l
CODE DF THE STAT CALIFORNIA.
SIGNATUREPERMIT VALIbA,1rr0N K. .0, Ir OF PERMITTE4 '10 'ligg, D49::!S2�
PLAN CHECK VALIDATION CK. M.O. CASH
1 7 9'1"-'j& 24.1 0. 1 5.50•ASb-
{
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
4
76A364.,— C�E818 — 3-69 `
APPLICATION FOR ERMIT
HEATING - VENTILATING - AIR CONDITIONpfi
COUNTY OF LOS ANGELES FADDRESS
G
DEPARTMENT OF COUNTY ENGINEER
AoL 1110--
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY. ENGINEER Y
COLEMAN W.JENKINS,SUPERINTENDENT OF BUILDING
9-."Oj;.�A
T.
FOR APPLICANT TO FILL IN
(PRINT OR TYPE ONLY) s"
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ABSORPTION SYSTEM, BTU TEL. NO.
AIR HANDLING UNIT, CFMTOR ,J
ADDRESS
BOILER, HORSEPOWER
CITY TEL. N0.
COMPRESSOR, HORSEPOWER UQSTATE LIC.
LICENSE No,�?.-32 15
CLASS <7 . d
VENTILATION SYSTEM DISTRICT NO. GROUP/t
ZONE CESSED BY
EVAPORATIVE COOLER d y
IJ O
loo
FURNACE: FAU GRAVITY
FLOOR BTU M4 g2 (f INSPECTION RECORD
HEATER: SUSPENDED' UNIT
WALL >
0
c
L
IN
C
F-
L
LL
n
V
NEW—ADDITION— PERMIT $ 3 00 z
ALTER REPAIR_ TOTAL FEE $ 3 Q
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL. NO.
1 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 IN 'CTOR'S S1 N TURE
LATINS, AIR CONDITIONING.
IHEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH
CHAPTER 9, DIVISION 3, THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE STATE OF IFORNI
SIGNATURE i JACK R. AL EN, SUPERV G MECHANICAL ENG'R.
OF PERMITT
PERMIT V L1. �1TIONcK: M.O. CASH
PLAN CHECK VALIDATION
h t', 1 2 3 9?3 PAY 21 4 1 D 13.0 QN
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE