HomeMy Public PortalAbout5104 DOREEN AVE_Mechanical__ 76A364 - GE918 - 3-69 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING C '1
DEPARTMENT OF COUNTY ENGINEER ADDRESS 5104' Doreen Street
BUILDING AND SAFETY DIVISION
JOHN A.'LAMBIE, COUNTY ENGINEER LOCALITY Temple. Cit
COLEMAN W.JENKINS,SUPERINTENDENT OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER John Mfarshall Const.
(PRINT OR TYPE ONLY)
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENTFEE ADDRESS - 1010 Las Tunas' Dr.
ABSORPTION SYSTEM, BTU CITY San Gabriel TEL. NO. 286-9822
AIR HANDLING UNIT, CFM
CONTRACTOR O .A. Poindexter Inc .
ADDRESS Box 3067
BOILER, HORSEPOWER
CITY Pasadena 110 EL. NO. 2-21
COMPRESSOR, HORSEPOWER
STATE CENSE NO. 220862 CLASS k C+20
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE PROCESSED BY
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EVAPORATIVE COOLER
FURNACE: FAU_.g_GRAVITY
1 FLOOR BTULi 5.00 INSPECTION RECORD �.
HEATER: SUSPENDED UNIT
WALL
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PERMIT $ 3 00 N
NEW_AOOIT ION_ Z
ALTER_REPAIR_ TOTAL FEE S 8. 00
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL. NO.
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING,VENTI-
LATING, AIR CONDITIONING. APPROVALS GATE IN ECTOR'S NATURE
HEREBY CERT Y T T I AM NOT TING IN VIOLATION OF ROUGH ^/ '7/ (�(
CHAPTER 9, DIVI ON
3. F THE B ESS AND PROFESSIONAL �y p� 1
CODE OF THE STAT F C IFOR FINAL / Yl
SIGNATURE JACK R. ALLEN, SUPERVISING MECHANICAL ,-G
OF PERMITTEE
PERMIT VALIDATION M.O. CASH
PLAN CHE,0K VALIDATION
I 00"3: 8� AFR'30 4 1 D 8.00- a
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE