HomeMy Public PortalAbout6254 ENCINITA AVE_Mechanical__ QQ.
)BA364-CEBIB-1-68 APPLICATION HEATING VENTILA - PERMIT
TINGAIR CONOITIONING
3
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 6254 North Encinita
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF.BUILDING LOCALITY Temple City
FOR APPLICANT TO FILL IN CROSS ST. Gyl c'
(Print or type only)
OWNER oSe h eja
No.. TYPEIOF APPLIANCE OR EQUIPMENT FEE
MAIL
ADDRESS 6254 N. Encinita
ABSORPTION SYSTEM, BTU CITY Temple NO.
Temple City
AIR HANDLING UNIT, CFM CONTRACTOR B ant Heating & Air Cond.
BOILER, HORSEPOWER ADDRESS 1350 E. Las Tunas Drive
1 COMPRESSOR, HORSEPOWERL-.1/L- 4.00 CITY San Gabriel TEL. NO. 286-1141
STATE -
VENTILATION SYSTEM LICENSE NO. 221751 CLASS C-20
DISTRICT NO. GROUP ZONE PROCESSED BY
EVAPO;i'-G VE COOLER L✓ fj D�
FURNACE: FAU_GRAVITY
FLOOR—BTU INSPECTION RECORD V
HEATER: SUSPENDED—UNIT—
WALL
�Q
n
d4110 ( O
/J U
N
f_
_ J
NEW_ADDI TION PERMIT $ 3 00
ALTER—REPAIR TOTAL FEE $ 7 00 '
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THATTHE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
HEATING, VENTILATING, AIR CONDITIONING.
I HEREBY CERTI AT I AM NOT ACTING IN VIOLATION I
OF CHAPTER 91 OIV ION 3 OF HE USINESS AND PROFESSIONAL
CODE OF THE 5TAT OF CA IF NI APPROVALS DATE INSPECTOR'S SIGNATURE
SIGNATURE ROUGH
OF PERMITTEE Al A01 A FINAL
rV7yLIDATION JACK R. ALLEN
cH M.O. CASH SUPERVISING MECHANICAL ENG•R.
I elf, 3 7 4 3 F--617. 4 1 D 7.0 0 Q
SEE BACK OF APPLICATION FOR COMPLETE,FEE SCHEDULE_- - _
All
V