HomeMy Public PortalAbout4816TEMPLE CITY BLVD_Mechanical TeA.a -ICEeI a-e as
APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
•� Com, COUNTY..OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING /
' JOHN A LAMBIE COUNTY ENGINEER ADDRESS T�,
COLEMAN W JENKINS, SUPUINTeNDeNT OF BUILDING LOCALITY Ci7C
FOR APPLICANT TO FILL IN CROSSEST NJ ay c(
(Poor Gr typ• only)
OWNER BL J OP�GJ/vI3E
NO TYPEiOF APPLIANCE OR EQUIPMENT FEE
MAI l
ADDRESS Sa,,.e
ABSORPTION SYSTEM BTU CITY 44'Q TEL NO 0�6
AIR HANDLING UNIT, CFM CONTRACTORI�� CU
BOILER HORSEPOWER ADDRESS #
t 14.E=I •/( V,O
COMPRESSOR, HORSEPOWER D CITY VATE fop TEL NO 76 jIV
LIC
VENTILATION SYSTEM LICENSE NO V III(D CLASS
DISTRICT NO GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER (/ �7 /O �
FURNACE FAU_GRAVITY �6d c-z-
FLOOR_BTU HiSFECTION RECORD
HEATER SUSPENDED—
UNIT-WALL fAlIZ91 p
O
U
d
W
LL
N
Z
NEW_ADDI TION PERMIT $ 3 00 ,
ALTER—REPAIR TOTAL FEE $ (�
Plan check applicant
Name
Address
City Tel No
1 HEREBY ACKNOWLEDGE THAT I HAVE READJAN. PR.FEI
TION
AND STATE THAT THE ABOVE IS CORRECT ANDPLY
WITH ALL ORDINANCES AND LAWS REGULATINNTI- APPROVALS DATE I RS SIGNATURE
LATINO AIR CONDITIONING
ROUGH
NCRIBY CERTIFY THAT I AM NOT ACTION
OF CHAPTER G DIVISION 9 THE BUSINESS GNAL FINAL
CODE OF THE STATE OF CAL F RHIA
JACK R ALLEN,SUIPERVISI, CHANICAL ENG'R
OF PE RMRITTEE PERMIT VALIDATIO CK M O CASH
PLAN CHECK VALID ON
9.1 61.6 APR 44 1 D 1 0.50^' p
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
([Ue,tJ�a-,-•t/