HomeMy Public PortalAbout5530-5605TEMPLE CITY BLVD_Mechanical -T c
76A364 - CESIB - 3-69 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONIN
COUNTY OF LOS ANGELES BUILDIN Temple Cit 800
DEPARTMENT OF COUNTY ENGINEER ADDRE
BUILDING AND SAFETY DIVISION
JOHN A LAMBIE COUNTY ENGINEER LOCALITY Temple Cit
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING CkOSSSST E. Live Oak
FOR APPLICANT TO FILL IN OWNER R; C; McCloskey*' Inc.
(PRINT OR TYPE ONLY) MAIL
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NO TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS 870 E. Mariposa- -
ABSORPTION SYSTEM BTU CITY Altadena TEL NO 798-0839
2 AIR HANDLING UNIT CFM 830 4 00 CONTRACTOR 0. A• Poindexter; Inc.
BOILER HORSEPOWER ADDRESS Box 3067
2 COMPRESSOR HORSEPOWER 10 00 STATE CITY P a TEL NO -
2127
LIC
LICENSE NO 220862 CLASS C20
VENTILATION SYSTEM DISTRICT NO GROUP ZONE RD SBED BY
EVAPORATIVE COOLER
FURNACE FAU GRAVITY_ INSPECTION RECORD
FLOOR BTU
HEATER SUSPENDED—UNIT—
WALL
USPENDED_UNIT_WALL
O
U
w
a
NEW_AODITION_ PERMIT 5 3 00 Z
ALTER--REPAIR_ TOTAL FEE $ 17 00
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND
STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING VENTI- APPROVALS AT INE TORS IGNATURE
LATING AIR CONDITIONING
HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION/OF ROUGH
CHAPTER 9 DIVISION 3 OF THE 8 SINE55 AND OFESSI AL FINAL
CODE OF THE STATjftE C FOR
SIGNATUREJACK R ALLEN, SUPERVISING MECHANICAL ENG R
OF PERMITTEE
PERMIT VALIDATION MO CASH
PLAN CHECK VALIDATION
LAC.o n P P 4 N DEC 21 4 1 D 1 7.0 0� Q
SFE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE T2�