HomeMy Public PortalAbout5478 BARELA AVE_Mechanical__ ■0C■-•1PA'-°m. APPLICATION .FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COYNTY OF LOS ANQELJ<S TEMPLE.C=Y
DEPARTI ENT QF CdUNTY ENGINEEN
BUILDING AND SAFETY DIVISION
FOR APPLJCANT TO FIIr1 ITV BUILDING Rss �f. B�t•e�a
(PRINT OR TYPE ONLY) ,
La�-ITY Temple City
NO.. TYPE OF APPLIANCE OR EQUIPMENT FEE '
NEAREST _ -
. CROSS ST. -
ABSORPTION UNFT,137U
OWNER MR. t�f1.i1i1+7r ~BMO
AIR H,�NDL.ItiG UNIT,CFM MAIL C,'
ADDRESS 5478 N• 1�a3'e18
BOILER,BTU . .• ,-,p p -
CfTY T22le Cit TEL NO. 286-81 O
COMPRESSOR,BTU. 4 �O D� CONTRACTOR
AAA C♦ IJONED
VENTILATION SYSTEM ADDRESS 10160 O E. Valley Blvd.
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EVAPORATIVE COOLER CfTY El Monte TEIr NO. - 800
FURNACE: FAU GRIT
AVY A STATE WG.
FLOOR BTU /D C p kICENSE NO. 293 CLASS -
HEAJER: SUSPENDED UNIT- DMMCT NO. ZOR PROCESSED BY
WAt i
INSPECTION RECORD
Plan check fee 25%of above.
PERMIT ISSUING FEE pp
TOTAL FEE pp
PLAN CHECK APPLICANT,.'
NAME
ADDRESS
ITl Tt-L No.
I HF BY ACKNOWLEDGE THAT I:HAVE READ THIS APPLICATION AILD '
ATE THAT THE ABOVE LS CORRECT AND AGREE TO COMPLY WITH ALL'
+ RDINANCFS AND LAWS REGULATING HEATING, -VENTILATING, AIR
CONDRIONING-
I HEREBY GE TMT I AM NOT ACTING'IN VIOLATION OF APPROVALS Dere MSP E CTOR'S$I.NATO k1E
CHAPTER D, DTVI - N OF THE BUSINESS AND PROFESSIONAL CODE ROU¢H
OF.THE STATE OF F RNLI _
B1GNATURE FINAL
O F P E RM ITTE f'
PLAN CHECK VALIDATIQN CR. U-0: CAI" PERMIT VALIQATIO � M.O. crLsl
''WnrRKIc R'S "MMEEMSAT'ION
LILY HOLDS -� `� 1'@� 12 4� 0 , j.{ Aft
OLICY NUM BER: `l Z S -96'79 .
f
7,Q./cP'W C E E 18- W 9
�* AP CATI N FOR PE
• H I G - VENTILATING - AIR ITIONING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
SV 0
BUILDING AND SAFETY DIVISION LOCALITY
N EA R EST
OSS ST.
FOR APPLICANT TO FILL IN OWNS
(PRINT OR TYPE ONLY)
MAIL
NO. TYPEOFAPPLIANCEOR EQUIPMENT FEE ADDRESS
CITY TEL NO.
ABSORPTION UNIT, BTU
CONTRACTOR et
AIR HANDLING UNIT, CFM
A DR
BOILER, BTU
CITTEL. NO. 0/1
COMPRESSOR, BTU-113STATE LIC.
LICENSE NO CLASS
VENTILATION SYSTEM DISTRICT NO.. SROUP zoHJF Oc ED SY
EVAPORATIVE COOLER a�V d 1J `
FURNACE: FAUGR Y INSPLrCT10N RECn
FLOOR BTU
HEATER: SUSPENDED—UNIT—
WALL
USPENDED UNIT_WALL
S
O
W
d
Z
Plan check fqe 25?6 of above.. See reverse.
PERMIT ISSUING FEE i s 00 id
TOTAL FEE j
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE AB
OVE IS CORRECT AND AGREE TO COMPLY
WITHALL ORDINANCES AND LAWS AEGULATINS HEATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
LAT ING, AIR CONDITIONJNG.
ROUGH
IHERESY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHATTER D, DIVISION S, OF THE SU91N SS AND PROFESSIONAL FINAL
CODE of THE STATE ALIF IA.
ni
910NATURE PERMIT V LI ION CK. .0. CASH
OF PERMITTECy ` rl
c
PLAN CHECK VALIDATION CK. M.O. CASH
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SEE SACK OF APPLICATION FOA C01.IPLETE FEE SCHEDULE