HomeMy Public PortalAbout5801-5803-5805TEMPLE CITY BLVD_Mechanical '6A36 -CE818-1-68 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CON .T-IONING
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION �-
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS J��/® ® @ 01,
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY QSl '
FOR APPLICANT TO FILL IN CROSS SNEAREST
T.
(Print or type only)
OWNER C
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NO. TYPE,OF APPLIANCE OR EQUIPMENT FEE
MAI L �f
Q� ADDRESS /'67 Ileleo ve
ABSORPTION SYSTEM, BTU 10 CIT �� TEL. NO.
A it
AIR HANDLING UNIT, CFM rano �df� CONTRACTOR SANDERS fAIIiING ®-
BOILER, HORSEPOWER ADDRESS 228 Mulford Ave.9 Lynwood, Calif. 902
COMPRESSOR, HORSEPOWER CITY 635.E-165rEL.6N-2501
STATEof lD LIC. �1zJ c�
VENTILATION SYSTEM LICENSE NO. CLASS- I-%sclw
DISTRICT N GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER � d ��
FURNACE: FAU GRAVITY ( 7
FLOOR—BTU INSPECTION RECORD v
HEATER: SUSPENDED UNIT
WALL Is CD
cnO-
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NEWdLADDITION_ PERMIT $ 3 00
ALTER—REPAIR— TOTAL FEE $
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APAM ON
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
HEATING, VENTILATING, AIR CONDITIONING.
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVISION 3, OF THE BUST .SS AND PROFESSIONAL
CODE OF THE STATE OF CA •ORNIA. APPROVALS DATE INSPECTOR'S SIGNATURE
SIGNATURE2F;� 0
ROUGH
OF PERMITTEE
FINAL
/GA�IDATION JAC R. ALLEN
CK M.O. CASH SUPERVISING MECHANICAL ENG'R.
"^. 0 z 2 L J IJ;l 27 4 _ D 2 4: 0•-
IEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE