HomeMy Public PortalAbout5231 BALDWIN AVE_Mechanical__ (2) t
�7eA4%-C.818-1470 APPLICATION FOR PERMIT
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HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES ADDRESS Ilrtn>
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING NEAREST
CROSS ST_
FOR APPLICANT TO FILL IN OWNER MR. & MRS. AL VASQUEZ
(PRINT OR TYPE ONLY)
MAIL
NO TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS 5231 N Baldwin
ABSORPTION SYSTEM BTU CITY Tem l e City TEL NO 287-7758
CONTRACTOR E L PAYNE COMPANY
AIR HANDLING UNIT CFM
ADDRESS 166 w Live Oak Ave.
BOILER HORSEPOWER
CITY Arcadia TEL NO 4�-6118
COMPRESSOR HORSEPOWER STATE LICENSE NO l LO228 LI A Q
VENTILATION SYSTEM DISTRICT NO CLASS OROU ZON PROLE ED er
EVAPORATIVE COOLER �.-�
FURNACE FAU GR VITY INSPECTION REC D
FLOOR B'. si I J'
HEATER SUSPENDED UNIT_ - /V J G
WALL
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4
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NEW—ADDITION— PERMIT $ 3 00 ?
ALTER—REPAIR— TOTAL FEE $
001
PLAN CHECK APPLICANT
NAME
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ADDRESS
CITY TEL NO
I 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 D TE PECTORSS NATURE
LATING AIR CONDITIONING
ROUGH
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATIONI'll L
OF CHAPTER 9 DIVISION 3 OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE STATE OF CALIFORNIA
SIGNATURE JACK R ALLEN S PERVISING ECHANICAL ENG R
OF PERMITTEE
PERMIT VALIDATION cK M O CASH
PLAN CHECK VALIDATION
err290 ? 3 AUG23 41 O 8OOA
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE