HomeMy Public PortalAbout6023 ENCINITA AVE_Mechanical__ Tfi A 36 - CE 010- S73
APPLICA FOR PER
HEATING - VENTILATING - AIR G OIT'.IONING
COUNTY OF LOS ANGELES ADDRESS 6023 Encinita .tea
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY Temple City
NEAREST
CROSS ST-
FOR APPLICANT TO FILL IN OWNER Henry H. Capl'
(PRINT OR TYPE ONLY)
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS 6023 Encinita
ABSORPTION UNIT, BTU CITY Temple City TEL. No. 285-1745
AIR HANDLING UNIT, CFM CONTRACTOR Bryant Heat. & Air Cond . In
ADDRESS 1350 E. Las Tunas Drive
BOILER, BTU CITY San Gabriel TEL. No. 286-1141
COMPRESSOR, BTU ATE LIC.
LICENSE NO. 221751 CLASS Ci20
VENTILATION SYSTEM DISTRICT NO. GRCUP E PRO BRED BY
EVAPORATIVE COOLER
FURNACE: FAU_GRAVITY
FLOOR BTU y��y���,�T INSPECTION RECORD
,2 HEATER: WALL , lLA Vi— 10 00 - }
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Plan check fee 25% of above. See reverse. a
PERNIFFASSUING FEE S 3 00
01['AL FEF 13 00
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO,
HEREBY ACKNOWLEDGE THAT I HAVE HEAD THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
LATING, AIR CONDITwNf
ROUGH
I HEREBY CERTI T T IOT ACTT NG. IN VIOLATION
OF CHAPTER 9, DIVI 10 F T }L IESS ANO.PRO FESS ONAL FINAL
CODE OF THE STATE
PERMITTE v =
rPERMIT,VALIDATION
ABHSIGNATURE
OF
PLAN CHE ALIDATIO K: M.O. CASH
9 ikviO4 D 1 .UUdr
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SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE