HomeMy Public PortalAbout5537TEMPLE CITY BLVD_Mechanical 76A364.- CEBIT- 3-69 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
BUILDING
DEPAROUNTY OF LOS TMENT OF COUNTY ENES BU IGINEER ADDRESS NG 5537 Temple City Blvd
BUILDING AND SAFETY DIVISION
JOHN A LAMBIE COUNTY ENGINEER LOCALITY T le Ci
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING CROSS 5T dive Oak Street
FOR APPLICANT TO FILL IN OWNER MACE AERN CHS
LE'
(PRINT OR TYPE ONLY)
NO TYPE OF APPLIANCE OR EQUIPMENT FEE ADDIRESS 5537 T le Ci Blvd
ABSORPTION SYSTEM BTU CITY Temp Cityl Cal TEL N0286-6342
CONTRACTOR Construction
AIR HANDLING UNIT CFM e�T y_'
ADDRESS7131Nannestad St
BOILER HORSEPOWER AO San Oaimlel F.,,� 290-0601
CIT !`A�i'fEL NO
COMPRESSOR, HORSEPOWER SATE '-rte+ LEC
LTC NSE NO 21x5567 CLASS B-I
VENTILATION SYSTEM DISTRICT NO f GROUP PROC SSED BY
EVAPORATIVE COOLER � o X 1—� `/
FURNACE FAU GRjITY�� V lJ
FLOOR a BTU ✓ IN CT ION EC D
HEATER SUSPENDED_U T Z v
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NEW—ADDITION– PERMIT $ 3 00 ?
ALTER REPAIR_ TOTAL FEE $ ' AV
PLAN CHECK APPLICANT !
NAME John W Daggy Construction
ADDRESS 7831 Nannestad St
CITSO San Gabriel Cal TEL NO 280-0604
IHEREBY 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-
LATING AIR CONDITIONING APPROVALS 0 TE IN ECTOR 4 16NATURE
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH
CHAPTER 9 DIVISION 3 OF HE BUSINESS AN PROFESSIONAL FINAL
CODE OF THE STAT F CAL RN IA
SIGNATURE JACK R ALL , SUPER VI EC XANICAL ENG'R
OF PERMITTEE PERMIT VALID cK M o CASH
PLAN CktCK VALIDATION
Li" Q 0 a 8M oC1 2 4 1 n - 13.0 0-
SEE BACK OF APPLICATION'FOR COMPLETE FEE SCHEDULE