HomeMy Public PortalAbout4931 ENCINITA AVE_Mechanical__ 76A3645:- CE818B 9,75 APPLICATION FOR PERMIT ,
HEATING - VENTILA.TING - AIR CONDITIONING
BUILDING AND SAFETY DIVISION y
FOR APPLICANT TO-FILL IN BUILDING `4 -1 �N. -Enc I n i tali
ADDRESS j 93= A�-e- '
(PRINT OR,TYPE ONLY) -
LOCALITY,Temp 1 e City
NO TYPE OFAPPL'IANCEOR EQUIPMENT FEE '
NEAREST
CROSS ST Lower,,AZusa
ABSORPTION UNIT,'BTU
OWNERNumber One,,Products 'ATTN: John
AIR HANDLING UNIT, CFM" - MAIL J`
ADDRES�931 N. Encinitas
BOILER, BTU CITYTEL NO
Temple City 287-9738
1 COMPRESSOR, BTU Fin, nrin BTU— 7• _ CONTRACTOR E.L. PAYNE COMPANY
VENT]LATION,SYSTEM ADDRESS 166 W, Live ,O
,
EVAPORATIVE COOLER CITY Arcadia TEL NO 446-6118
FURNACE FAU GRAVITY STATE 120228 LIC C-20
FLOOR " BTU LICENSE NO CLASS
HEATER SUSPENDED UNIT_ DISTRICT NO GROUP MINE OCES D Y- 0
WALL Fa /'/ U
O,
INSPECTION RECOR w
2
Z
Plan check fee 25% of above-
.
PERMIT ISSUING FEE $ 1, 4-1-50
TOTAL" FEE 12.100
PLAN CHECK APPLkCANT
NAME
ADDRESS
CITY TEL NO
1`'HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION _
,AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY _
WITH,ALL ORDINANCES AND LAWS REGULATING HEATING, VENTI-
LATING, AIR CONDITIONING
{
DATE
APPROVALS INS PEC�OR'S SIGNATURE ,
I HEREBY CERTIFY .THAT I AM NOT ACTING IN VIOLATION _
OF CHAPTER 9, DIVISION 3, OF THE BU INESS AND PROFESSIONAL ROUGH 1
CODE OF THE STATE OF C I RNIA ,
SIGNATURE ,
OF PERMIT TEE Ox� 1C Y X FINAL
PLAN CHECK VALIDATION' CK M o CASH I'ERMIT,VALIDATION CK M o CASH
5 5 19 �t;1 °�:` 1 2.0,0 A�b
76A;64-C E81B-1-6,8 , APPLICATION FOR PER IT
e HEATING.- VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ,
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE, COUNTY ENGINEER ADDRESS ,
COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALITNEAREST
Y L
FOR APPLICANT TO FILL IN CROSS ST
(Print or type only)
OWNER �L—
NO TYPEOFAPPLIANCE OR EQUIPMENT FEE MAIL
L��� 7 Zi T-` ADDRESS
ABS RPTION SYSTE BTU� Cly CITY ���I EL NO
AIR HANDLING UNIT, CFM tt' OC CONTRACTOR S�
BOILER, HORSEPOWER ADDRESS -�
COMPRESSOR, HORSEPOWER 0 EL N
STA ELI
VENTILATION SYSTEM LICENSE NO Z CLASS �Zt�
DISTRICT NO GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER /�J J.
FURNACE FAU GRAVITY v / I
FLOOR—BTU INSPE TIO ECORD v
HEATER SUSPENDED—UNIT—
WALL
USPENDED UNIT WALL 6 y �r[ O
CgQ U
r r—T 6A/,s oma-- LLJ
NEW—ADDITION— PERMIT $ 3 00
` 4 �
LTER�R PAIR TOTAL FEE $ / O
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTYORDINANCES AND STATE LAWS REGULATING
HEATING, VENTILATING, AIR CONDITIONING
1 HEREBY CERTIFY THAT AM NOT ACTING IN VIOLATION
F CHAPTER 9, 11Ill 0 T U S AND PROFESSIONAL
CODE OF THE E OF C APPROVALS DATE INSPECTOR'S SIGNATURE
SIGNATURE 1 ROUGH
OF PERM TTE
FINAL
/
�IDATIONJACKRALLEN
MOO CCASH SUPERVISING MECHANICAL ENG'R
x L;iv�
63 3 5 SEP 1 0 4 1 D 1 3.5 O N
CFF RArK OF Appl IrATIOH FOR COM PLETE FEE SCHEDULE /