HomeMy Public PortalAbout10649 DAINES DR_Mechanical__ ;.:
CE-B 1e1REV.6/161 - -
APPLICATION FOR PERMIT
HEATING VENTILATING - AIR CONDITIONING_' " ;
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING /
F. (PRINT OR TYPE ONLY) ADDRESS 10649 Dalnes Drive
LOCALITY. - Tem 1 e City
NO. 'TYPE OF APPLIANCE OR EQUIPMENT' FEE' _
NEAREST -
CROSS ST, A'l lesandro
ABSORPTION UNIT, BTU
OWNER
AIR.HANDLING UNIT,CFM MAIL / -
. ADDRESS 1064 Da.ines Drive CC -
BOILER, BTU CITY Temp l e- City TEL.NO. - 442-J]2
"1 COMPRESSOR, BTU. / CONTRACTOR E. L.. PAYNE 'COMPANY
VENTILATION SYSTEM I
ADDRESS .'�1/6 W. Live Oak AyeDup -
EVAPORATIVE COOLER CITY Arcadia TEL.,NO. 446-6118
I
FURNACE: FAUX—GRAVITY- STATE. 0 LIC
FU 12022
. O-2b
-10 00 LICENSE NO O CLASS
HE SUSPENDED_UNIT_ 4PPROVALs -:DATE I NSPECTOP'5 SIGNATURE
WALL
. . ROUGH
FINAL .W /V�,. I /r I/////�y.•✓ O
. . INSPECTION RECORD/^ V
O
Plan check fee 250/. of above. -
PERMIT ISSUING FEE ] 00 Z
TOTAL FEE.
PLAN CHECK APPLICANT : O-U PLAN CHECK VALIDATION -
NAME .. '
ADDRESS ,
CITY TEL,NO.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND p
STATE THAT THE,ABOVE IS CORRECT:AND AGREE TO COMPLY WITH ALL ;9,7,,0 9.7.A'-
ORDINANCES AND LAWS-REGULATING 'HEATING. VENTILATING, AIR
CONDITIONING. PERMIT VALIDATION - ^• •toe,q,'1,..
I HEREBY CERTIFY THAT I AM NOT ACTING VIOLATION OFA -
CHAPTER 9. DIVISION.3, THE BUSINESS AND P ESSIO AL CODE 2 - a 21q..1�0 0,
OF THE STATE OFC LIF RN . _
SIGNATURE - -
D1 •O ae - 2-7, 00
OEPERMI E
5TRICTNDCO 1 009- I (YFJ
'.