HomeMy Public PortalAbout6310 SALTER AVE_Mechanical__ }6-A364 ctaIa'— 9-71 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES FEAR
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DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION Y
T.
FOR APPLICANT TO FILL IN OWNE C_--p 0 Ar
(PRINT OR TYPE ONLY)
• MAIL
NO. TYPEOFAPPLIANCEOR EQUIPMENT FEE ADDRESS
CITY TEL. NO.
ABSORPTION UNIT, BTU
CONTRACTOR
AIR HANDLING UNIT, CFM
ADDRESS
BOILER, BT CITY TEL. NO.
COMPRESSOR, BTU STATE LIC.
LICENSE NO CLASS
VENTILATION SYSTEM DISTRICT NO. GROUP I ZONE cESSED BY
EVAPORATIVE COOLER 05 peal( V.
FURNACE: FAU_GRAVITY INSPECTION RECORD
FLOOR BTU U
HEATER: SUSPENDED UNIT_
WALL
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Plan check fee 25% of above. See reverse.
PERMIT ISSUING FEE 3 3 00
TOTAL FEE
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
I HEREBY ACKNOWLEDGE THAT AVE READ-THIS APPLICATION
AND STATE THAT THE ABOVE 1$ C0 ECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
LATING,AIR CONDITIONING.
ROUGH
I HEREBY RTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER 9, E BUSINESS AND PROFESSIONAL FINAL
CODE OF TH A CoA I RNIA.
SIGNATU E PERMIT VALIDATION CK. M.O. CASH
OF PER ITTEE
PLAN CHECK VALIDAT CK. M.O. CASH
! A(`„ 2 0 4 8731 JUL 5 4 1 D 1 0.50-
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
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76A�64-,CF818• 3-69 K)A PLICATIO FOR PERMIT
HEATING - VENTILATING - AIR CONDITI ING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING. AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY
COLEMAN W.JENKINS,SUPERINTENDENT OF BUILDING NEARESTE
CROSS ST.
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
ABSORPTION SYSTEM, BTU CITY TEL. NO.
AIR HANDLING UNIT, CFM CONTRACTO,
BOILER, HORSEPOWER ADDRESS
CITY TEL. NO
COMPRESSOR, HORSEPOWER
STATE LIC.
LICENSE NO. r CLASS
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE CESSED BY
EVAPORATIVE COOLER �j^
S FURNACE: FAU • GRAVITY _(�
FLOOR BTU 00 INSPECTION RECORD
HEATER: SUSPENDED UNIT
WALL
L
a
C
F
L
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3 00 v
NEW—ADDITION— PERMIT $ �
ALTER-REPAIR_ TOTAL FEE $ Q
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.N0.
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ,
L
E THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
ORDINANCES AND LAWS REGULATING HEATING,VENTI- APPROVALS DATE INS CTOR'S GNATURE
IR CONDITIONING.BY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL
HE STATE OF IFORNIA E JACK R. A L , SUPERVI ECHANICAL ENG'R.
TTE
PERMIT VALI TION CK. M.D. CASH
PLAN CHECK VALIDATION '
r., z 2 .4 73 � - 4 1 D 1 0. 0-
-E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE