HomeMy Public PortalAbout10635 DAINES DR_Mechanical__ ,BARBA_CEB,B_B.BB APPLICATION FOR PERMIT Owe/ [�
HEATING - VENTILATING - AIR'CDNDITIDNIN ILII
•r `COUNTY OF LOS ANGELES �-
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION
JOHN A. LAM BIE. COUNTY ENGINEER ADDRESS
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COLEMANN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY FTemple City 91780
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
(Print or type only)
OWNER Mrs. Verna E. Risinger
NO., TYPEfOF APPLIANCE OR EQUIPMENT FEE
ADDRESS 10635 Daine Dr.
ABSORPTION SYSTEM, BTU CITY Temple City TEL. NO.443-5531
AIR HANDLING UNIT, CFM CONTRACTOR Barr Engineering, Inc.
BOILER, HORSEPOWER 77 ���� ADDRESS 960 S.Santd a prings
1 COMPRESSOR, HORSEPOWER_2AIL 5 DD CITY SFS 90670 TEL. NO.698-1251
STATEZOBH 6 LIC. —
VENTILATION SYSTEM LICENSE NO. CLASS
DISTRICT NO. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER
FURNACE: FAU_GRA VITY
FLOOR_BTUINSPECTIO RECORD
HEATER:.SUSPENDED—UNIT_ q
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NEW—ADDITION— PERMIT $ 33 00
ALTER_R E PAIR TOTAL FEE $ ODO
Plan check applicant
Name
Address
City _ 'Pel. No. ("A
1HEREBY 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- APPROVALS DATE IWECTORl SIGNATURE
LATING• AIR CONDITIONING.
ROUGH
HEREBY CERTIFY AT AM NOT ACTING I VIOL FINAL
OF CHAPTER 9• DIVI SIO • OF THE BUSINESS D OFES NPL
CODE OF THE STATE OF ALI RNIA,
JACK R. ALLEN,5 E I51 HANICAL ENG'R.
SIGNATURE PE VALIDS N c :o. CASH
OF PERMITTEE
PLAN CHECK VALIDATION I
if1Lo ^ 4 7 4 N AUG a D 8.0 0-
SEE BACK OF APPLICATIDN FOR COMPLETE FEE SCHEDULE