HomeMy Public PortalAbout9921 DAINES DR_Mechanical__ O
76A364,-CE8,18�f`68 - APPLICATION•FOR PERMIT -
HEATING -,VENTILATING - AIR CONDITION G
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER s ADDRESS 9921 Daines Drive
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY 'Temple City,-Calif.
FOR APPLICANT TO FILL IN CROSSEST.
(Print or type only)
OWNER ., H. Zofchak -
NO. TYPE,OF APPLIANCE OR EQUIPMENT FEE
MAI L
ADDRESS D 'v
ABSORPTION SYSTEM, BTU CITY ,Tem le Cit 287-4584
AIR HANDLING UNIT, CFM CONTRACTOR
BOILER, HORSEPOWER ADDRESS
COMPRESSOR, HORSEPOWER CITY TEL. NO.
STATE LIC.
VENTILATION SYSTEM_ _ �- LICENSE NO. CLASS
DISTRICT NO. GROI�J� ZONE PROCESSED B
EVAPORATIVE COOLER ✓ l /
FURNACE: FAU GRAVITY
FLOOR—BTU INSPECTION 13,ECORD
U
HEATER. SUSPENDED UNIT
WALL G C CD
re lace existing wall heater A .0 .
with Commonwealth 35K Wall htr . z
K
NEW—ADDITION_ PERMIT $ 3 00
e M f
ALTER—REPAIR— TOTAL FEE $ 7 00
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL-COUNTY ORDINANCES AND STATE LAWS REGULATING
HEATING, VENTILATING, AIR CONDITIONING
I HEREBY C RTI I NOT ACTING IN VI ATION `
OF CHAPTER 9, IVI 3, F HE USINES�AND OFSIO AL
CODE OF THE S T CA F RN _APPROVALS DATE _INS PE 'S IGNATU RE
SIGNATURE ROUGH '
OF PERMIT E.
]FINAL
• /�•J'g)LIDATION Jac R. ALLE
r CFS M O. CASH SUPERVISING MECHANICAL ENG'R. -
.._ 1,�J� L'i�,o 7 7 4 2,-.-' DEC 2 3 4 .1 D 7.0-0-
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SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE