HomeMy Public PortalAbout5350 ENCINITA AVE_Mechanical__ 7GA364-CE818-8-68 APPLICATION FOR PERMIT
•; I. HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
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BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY !—
r. N EAR EST t
FOR APPLICANT TO FILL IN CROSS ST.
(Print or type only)
OWNER � T
No. TYPEJOF APPLIANCE OR EQUIPMENT FEE MAIL a
ADDRESS /'L[
ABSORPTION SYSTEM, BTU CITY TEL. NO.
AIR HANDLING UNIT, CFM CONTRACTOR
BOILER, HORSEPOWER ADDRESS `
COMPRESSOR, HORSEPOWER CITY TEL. NO. 2
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VENTILATION SYSTEM LICENSE NO CLASS`'
DISTRICT N^O/. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER
FURNACE: FAU GRAVITY (f/f007
FLOOR BTU I INSPECTION RECORD
HEATER:.SUSPENDED UNIT—
WALL
NIT WALL !� _
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NEW—ADDITION— PERMIT $ 3 00
ALTER—REPAIR— TOTAL FEE $
Plan check applicant
Name
Address
City Tel. No.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALLORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
LATING, AIR CONDITIONING.
RO UG H
I HEREBY CERTIFY THAT AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVISION 3, O THE BUSINESS D PROFESSIONAL FINAL
CODE OF THE STATE OR IA.
JACK R. ALLEN,SUPERVISING MECHANICAL E
SIGNATURE "-'� -PERMIT VALIDATION CK. M.O. CASH
OF PERMITTEE
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PLAN CHEEK VALIDATION
[.Af':9 b d 7:n Wi 7 4 r 0 7.00;
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE /`�������/�✓Y�'GC�,/V
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76A364-CE818' 1-68 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FN�EAREST
DING
BUILDING AND SAFETY DIVISION ESS 5350 Encinita
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGLITY Temple City
FOR APPLICANT TO FILL IN SSS . Olive
(Print or type only)
OWNER James Bartoii
NO.. TYPE,OFAPPLIANCE OR EQUIPMENT FEE
MAIL
ADDRESS 5350 Encinita
ABSORPTION SYSTEM, BTU CIT`Temple City TEL. NO.AT5-3964.
AIR HANDLING UNIT, CFM CONTRACTOR Rodine Builders
BOILER, HORSEPOWER ADDRESS5327 N. Peck Rd.
COMPRESSOR, HORSEPOWER CITY El Monte TEL. NO.(1,2-3862
STATE LI C. B-1
VENTILATION SYSTEM LICENSE NO.2 0 CLASS
DISTRICT NO. GROUP yJZONE PROCESSED BY EVAPORATIVE COOLER
FURNACE: FAU GRAVITY O
FLOOR—BTU INSPECTION RECORD
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HEATER: SI�SPENDED UNIT
WAL1 4.00 O
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Z
NEW—ADDITION S PERMIT $ 3 00
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 CER FY THAT I AM NOT ACTING IN VIOLATION
OF HER
9, VI ION 3, OF THE BUSINES PROFESSIONAL
CODE OF THE ATE F CALIFORNIA. APPROVALS Tx IN CTOR'S TURE
SIGNATURE j ROUGH
OF PERMITT FINAL
mz
YALIDATION JACK EN
611K. M.O. CASH SUPERVISING MECHANICAL ENG'R.
1. 9 5 1 1 AF R 2 2 4 1, D 7 0 ? '
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE