HomeMy Public PortalAbout4927 FIESTA AVE_Mechanical__ 76A364C i^
CE `818(REV'i 1/78)
®� APP TION FOR PER
HEATING - VE TILATING - AIR NDITIONI G
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDINGDDRESS 4927 Fiesta
(PRINT OR TYPE ONLY) A �t
t LOCALITY ernple C 1
NO TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
CROSS ST
ABSORPTION UNIT BTU �t
OWNER C yy . hhomas
AIR HANDLING UNIT CFM MAIL ))��
ADDRESS ''-f' 2 Fiesta ��/
BOILER BTU CITY temple City TEL No286 0946
COMPRESSOR BTU CONTRACTOR Valley Heatingi Co
VENTILATION SYSTEM ADDRESS 1116 S San Gabriel Blv
EVAPORATIVE COOLER CITY San Gabriel TEL N02881
1 FURNACE FAU X G PAV ITxSTATE1�,78()[� LIC
FLOOR BTU C 20
�JvV LICENSE NO 77 CLASS
HEATER SUSPENDED UNIT_ APPROVALS DATE INSPECTOR S SIGNATURE
WALL r
ROUGH ��O_ \ •/i ,+�.��1'Il�
FINAL _7 .. 0
v
INSPECTION RE RD cc
0
Plan check fee 25% of above
PERMIT ISSUING FEE$ 1 7 z
TOTAL FEE
PLAN CHECK APPLICANT PLAN CHECK VALIDATION
NAME
ADDRESS
CITY 'TEL NO ;2951 1 A
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND # o o o o 4 1
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
ORDINANCES AND LAWS REGULATING HEATING-"'VENTILATING AIR 2 0 - 1700
CONDITIONING / PERMIT VALIDATION
I HEREBY CERTIFY AT I AM NQT ACTING IN VIOLATION OF toIa o 1 / 00U
CHAPTER 9 DIVISION 3,f0'F THE BUS] ESS AND PROFES Ib AL CODE
OF THE STATE OFC I bRNIA f
SIGNATURE
/ y/ 0325'-80
OF PERMITTEE
DISTRICT NO PROCESSED Y