HomeMy WebLinkAbout397CITY OF SAN LUIS OBISPO Business License ❑
EJJ
Heating and Comfort Cooling Permit StreettFlerd ❑
This permit is issued with the undersigned applicant's agreement and acknowledgement that all work will be done in accordance
with City Ordinances, including any special requirements and other applicable laws. This permit becomes invalid if work is not
started within 60 days. This permit does not include permission to make any structural alterations or install electrical, sewage
or sidewalk facilities.
N° 39'7
A�
FEE $ ---------------
Number S C H E D U L E
Each
FJes
2 o 9 4 A ON —
- :
Date --- -----
---- --
Issuing Permit
Issuing
-- . -- Heating Appliance "` (
V
2.0o
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I.. _
--� _
------ Air Outlet
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______ Combustion Products Vent .
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Owner
------ Commercial Gravity Venting System
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______-___
-_--_- Commercial Forced Venting — Under 4000 CFM
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__________
Location
------ Commercial Forced Venting — Over 4000 CFM
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_-__---___
----__ Ventilation to comply with Occupancy — Forced
__________
__________
Occupancy ��-��
------ Ventilation to comply with Occupancy — Gravity . .
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______ Gas Piping — 1 to 5 outlets (1.50) — 6 or more @ .30
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Contractor ------- _� ________
------ Stack Construction under 15. . .
______ Stack Construction over 15.
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p
Address A?- 0- _
Compressor under 20 H.P. and under 500,000 BTU .
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------ Compressor over 20 H.P. and under 1,000,000 BTU
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Special Requirements __-_-__ _
------ Compressor over 50 H.P. and over 1,000,000 BTU .
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__________
-_-___ Expansion or Chilled Water Coil
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------ Cooling Tower .
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Evaporative Coolers .
______ Special Inspection — Per Hour
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____-_-_-_
Other
TOTAL
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� _-,0r"4C_ --
--------------------------------------------------------- City Clerk. --- ------ ' --'-----------------=��''�t---- Inspector o f Buildings.
In accordance with the requirements of Section 3800 of the California Labor Code, I, the
undersigned, hereby state with regard to Chapter 9, Division 3 of the Business and Pro-
fessions Code:
1. I have a valid California State Contractor's License in full force and effect with
the following classification and license number:
Classification _------_`�'-`®_---_-_-- License No.11a�_
2. I am exempt from these provisions by reasons of the following:
a. I am the owner of the property described in this permit application and I am
building or improving structures thereon for my own occupancy and not to be
offered for sale.
URANCE COVERAGE —Check appropriate box (one must be checked, Sec.
3800 Calif. Labor Code).
V"I Certificate of workmen's compensation insurance, copy thereof or certifi-
cate of consent to self -insure from Director of Industrial Relations, has
teen filed with the City and is still in effect.
❑ I certify that in the performance of the work for which this permit is is-
sued, I shall not employ any person in any manner so as to become subject
to the workmen's compensation laws of California. I understand that fail-
ure to comply with applicable workmen's compensation laws shall cause
revo ation lithe permit.
Applicant - -- - - - -- --Z------------------
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