HomeMy Public PortalAbout5318TEMPLE CITY BLVD_Mechanical (2) iBABa.-cEete_e ee APPLICATION FOR PERMIT `IONI ` u
�. HEATING - VENTILATING - AIR CONDITIONIN
• - COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 18 Temple Cit Blvd*
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
T le Cit
FOR APPLICANT TO FILL IN
NV -ST
(Print or type only)
OWNER
NO TV PEIOF APPLIANCE OR EQUIPMENT FEE
MAIL 0
ADDRESS
ABSORPTION SYSTEM, BTU CITUsan TEL NO
Gabrielp
AA
AIR HANDLING UNIT, CFM CONTRACTOR 0• • PO B
xter Ino.
BOILER HORSEPOWER ADDRESS
COMPRESSOR HORSEPOWER CITY Pasadena, TEL NO _
STATE LIC
VENTILATION SYSTEM LICENSE NO 66 61 CLASS
DISTRICT NO GROUP ZONE PROCE D BY
EVAPORATIVE COOLER r O � Q
FURNACE FAU [meg ITY 00 . G
1 FLOOR—BTU— INSPECTION RECORD
HEATER SUSPENDED—UNIT—
WALL - - >
1
O
V
C
O
H
V
0-
D_
N
2
NEW_ADDITION PERMIT $ 3 00
ALTER—REPAIR TOTAL FEE S 7.00
Plan check applicant
Name
Address
Cu lel No
INEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STAT! THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING YENTI APPROVALS AT CCTOR a SIGNATURE
LAYING AIR CONDITIONING
ROUGH 19
IHERESY CERTIFY THAT NOT ACTING IN VIOLATION
OF CHAPTER G DIVISION 3 OF E USIN AX SIGNAL FINAL
CODE OF THE STA
iE C♦ FO I JACK R ALLEN,SUPERVISING ECHANICAL ENG'R
IF PERMR
OITTE PERMIT VALIDATIO CN M O CASH
PLAN CHECK VALIDATION
I ACS1 7 6 0% S&l 0 4 1 D 7.0 0-
SEE BACK 01 APPLICATION FOR COMPLETE FEE SCHEDULE