HomeMy Public PortalAbout5318TEMPLE CITY BLVD_Mechanical 0 / / 11
baAaeAE lic eleA1 IvTe APPLICATION FOR PERMIT illi
HEATING - VENTILATING - AIR CONDITIONING.
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION +`I
FOR APPLICANT TO FILL IN BUILDING
(PRINT OR TYPE ONLY) ADDRESS I NO TYPE OF APPLIANCE OR EQUIPMENT FEE LOCALITY''" l
N EXE ST-'�� t DROSSST (ABSORPTION UNIT BTUOWNERAIR HANDLING UNIT CFM MAILAODRESSBOILER BTU CITY T Y T L NOCOMPRESSOR BTU CONTRACTORVENTILATION SYSTEM ADDRESSEVAPORATIVE COOLER CITY TEL NO
FURNACE FAU_GRAVITY STATE LIC
FLOOR BTU LICENSE NO CLA
HEATER SUSPENDEDUNIT— DISTRICTNO GROUP I0NE P O ESSEO BY
WALL
S O� T /.v
INSPECTION RECO Q
V
O
Plan check fee 25%of above
PERMIT ISSUING FEE$ v�
TOTAL FEE —
PLAN CHECK APP CANT
NAME
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 VENTILATING AIR
CONDITIONING
1 HEREBY CERTIFY THAT I AM NOT AC NG IN VIOLATION OF APPROVALS DATE IN R 5 AIUR
CHAPTER 9 DIVISION 3 OF THE B ESS PROFE ON CODE
OF THE STATE OF AUF NIA ROUGH
SIGNATURE I FINAL
OFPERMRTE
PLAN CHECK VALIDATIO ca MDDABH PERM VALIDATION cK MD cASH
265"rjN
65"rJN �s 41 0 1 9.5 0