HomeMy Public PortalAbout5826 CAMELLIA AVE_Mechanical__ aI&-i-am APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
O OS ANO NTGEES
DEPARTMEOCOUNTYENGIN
EER
CUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING5826 CAMELLIA AVE.
(PRINT OR TYPE ONLY) ADDRESS
LOCALnY TEMPLE CITY
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
CROSS ST.
ABSORPTION UNIT,BTU
OWNER STROBEHN, GEORGE
AIR HANDLING UNIT,CFM MAIL SAME
ADDRESS
BOILER,BTU CITY TEMPLF CITY TEL NO287-0098
1 COMPF2ESSOR,BTU 3 IO OO CONTRACTOR TRANE HCC
VENTILATION SYSTEM ADDRESS 2034 N. PECK RD.
EVAPORATIVE COOLER CITY SO. EL MONTE, TEL NO.
FURNACE: . FAU_X GRAVITY STATE LIC
lo oo LICENSE
ANO. 265094 CLABSC-20
I FLOOR BTU ]Q QQ.
HEATER: SUSPENDED UNIT— DLSTRICT NO. CROUP zon[ SSED BY
VVALL
INSPECTION RECORD
Plan check fee 25% of above.
PERMIT ISSUING FEE$ 7 00
TOTAL FEE 27.00
PLAN CHECK APPLICANT
NAME
ADDRESS -
L
TEL NO.
REBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
AT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
CES AND LAWS REGULATING HEATING, VENTILATING, AJR
NING.
EREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF APPROVALS DATE INSPCCTOR'S SIGNATURE
9, DIVISION D, OF THE BUSINESS AND PROFESSIONAL CODE ROUGH
TATE OF CALIFORNIA. '
RE FINAL• F
HTE
PLAN CHECK VALIDATION CK. Y.O. CA-Si PER IT VALIDATIO C�Y.o. CASK
ATIOM
POLICY HOLDER " —9,,r,� 5 2 SMA �i3 4 •1 to 27-0 O •
96
'PQLtCy NUMBER; .