HomeMy Public PortalAbout4834 CAMELLIA AVE_Mechanical__ APPLICATION FOR PERMIT
HEATING- VENTILATING - AIR CONDITIONING
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN - BUILDIN
A
(PRINT OR TYPE ONLY)
DDRESS'G 4834 LLL4 AVE.
LOCALITY
NO. TYPE OF APPLIANCEOREQUIPMENT FEE NEAREST ,
CROSS ST. l.t.L��'- L
ABSORPTION UNIT, BTU-
OWNER WILSCN' MCL
AIR HANDLING UNIT, CFM - MAIL _
ADDRESS SAPS
BOILER, BTU CITY =LE CITY TEL. NO.28 _
5990R
1 COMPRESSO , BTU 7 50 CONTRACTOR HCC LO
VENTILATION.SYSTEM ADDRESS' 2034 N. PECK 1D.
EVAPORATIVE COOLER CITY S. .EL NSJNIE TEL. NO. 579-7982
FURNACE: -FAU X GRAVITY_ STATE 265094 LIC' C-20
FLOOR BTU 7 0 LICENSE NO. CLASS y
HEATER: SUSPENDED_UNIT DISTRICT NO. GROUP ZONE PROCE D BY
O
WALL-
L)
INSPECTION RECO D
d
y
Z
Plan check fee 25% of above.
PERMIT ISSUING FEE 5
TOTAL FEE 19750
PLAN CHECK APPLICANT r
NAME -
ADDRESS
CITY TEL.NO.
I HEREBY AC KNOW LEDGE.THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCESANO LAWS REGULATING HEATING, VENTI-
LATING, AIR CONDITIONING. '
HEREBY CERTIFY TNAT 1 AM NOT G IN VIOLATION APPROVALS DATE INSPECTOR'S SIG
OF CHAPTER 9, DIVISION 3', OF THE BUS, 55 A 0`P FESSIONAL w
CODE OF THE STATE OF CA IF qNl DUGH '1
SIGNATURE /
OF PERMITTEE FINAL
PLAN CHECK VALIDATLON CK.- M.0. CASH PERMIT VALIDATI N EK. M.O. -DASH
9"t 3'O;r.tUN 94'.-1 P: .:9.5 0 A-_4 ._
A .,