HomeMy Public PortalAbout6266 GOLDEN WEST AVE_Mechanical__ CITY OF ;TEMPLE CITY
7h,3p4-yrj1E-1/70 APPLICATIOR FOR PERMIT
. HEATING - VENTILA•TFNG - AIR CONDITIONING
T .C License #8
CO
UNTY OF LOS ANGELES App ESS
RZFAING 26 Golden West
D PARTMENT OP.COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY Temple City
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPKRfN
INT .NDRT OF BUILDING NEAREST
CR033 ST.
FOR APPLICANTTO FILL IN OWNER John S s-
(PRINT OR TYPE ONLY)
MAIL 023 -Bella Vista Drive , .
NO. YREOFAPPLIANCEOR EQUIPMENTFEE ADDRESS +y ,
CITY Arcadia _ TEL. No. 44502772
2
ABSORPTION SYSTEM, BTU
CONTRACTOR & J Ht 8t U e C
AIR HANDLING UNIT, CFM
ADDRESS -- 2379 First St. -
I BOILER, HORSEPOWER CIT. Ila Qelme TEL. NO. 339-6011
COMPRESSOR, HORSEPpWER ATE Lia
CENSE NO. 26165 CLASS C20
VENTILATION SYSTEM STRICT NO. CLASS O zoME SG[D EY
EVAPORATIVE COOLER
I VV
FURNACE: FAU_GRAVITY INEPHCTION,RSCORD
1 FLOOR BTU FtaM
HEATER: .SUSPENDED UNIT_
WALL
4
- 8
NEW—ADDITION— PERMIT S p$ OO y�
ALTER_REPBAIR— TOTAL FEE S 00 Z
PLAN CHI=CK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
I H[R[SY ACKNOWLEDGE THAT 1 HAV[ II[AD THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AiRE[ TO COMPLY
WITH ALL ORDINANCES AND LAWS .REGULATING HEATING, V[NTI- APPROVALS DIT[ CTOR'S S
#KATURK
LATINS,.AIR wNb ITIONING. RO UGH D
I H[R[QY C[R771FY THAT 1 AM T ACTING IN VIOLATION
OF CHAPTER D, DIVrSION S, OF TH[ U IN D AXD PROFESSIONAL F1 NAL
CODE OF THE STAT[ LIFO MIA.
91flNATURE JACK R. ALLEN,BUPERVI IN ECHANICAL ENG'R.
OF PERMITTEis T PERMIT VALIDATION CK. m.6. CASH
PLAN-CHECK- VALIDATION
l -0 1s73• Mff 8 4 1 D
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BEE[ACK DF APPL ICATMIi FOR COM MXT1 F[[5CH[DU LE
76 A3E1 '—'C'E ele - 9-7I APPLICATION FOR PERMIT
' HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
6266 GOLDEN WEST
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER W;jT,T,TAM
(PRINT OR TYPE ONLY)
MAIL
NO. YPEOFAPPLIANCEOR EQUIPMENT PEE ADDRESS
CITY TEMPM CITY TEL. NO. 285-7501
ABSORPTION UNIT, BTU
CONTRACTOR AQUATIC POOLS
AIR HANDLING UNIT, CFM
ADDRESS 101 E. HDNTTNGTON DRIVE
BOILER, BTU CITY ARCADIA TEL. NO. 1
COMPRESSOR, BTU STATE LIC.
LICENSE NO. 2,63 9 CLASS
VENTILATION SYSTEM DISTRICT N0. to
OUP ZONE
nBEo er
EVAPORATIVE COOLER /r;;�f/ o
FURNACE: FAUGRAVITY INSPECTION RECORD V
FLOOR BTU [C
HEATER: SUSPENDED UNIT_ C:)
WALL
CL.
a� 0 vv
Plan check foe 25% of above. See reverse.
PERMIT ISSUING FEE i 1 s 100
TOTAL FEE /Q -5j
PLAN CHECK APPLICANT
NAME AqgatiQ Fools
ADDRESS 101 E. Huntineton drJye
CITY TEL.
I HEREBY ACKNOWLEDGE THAT I HAV! READ THIS APPLICATION
AND STATE THAT TH[ ABOVE IS CORRECT AND AGR!! TO COMPLY
WITH ALL ORDINANCES AND LAWS R[GULATING HEATING, VENTI- APPROVALS T! RiI PI CT011')S RE
LATING, AIR CONDITIO
ROUGH
I HEREBY CERTIFY T I AM NOT • IN VIOLATION
OF CHAPTER �, DIVISION TH B ANO PROFESSIONAL FINAL
qu-
COD! OF TH[ STAT! OF C I R
ry
SIGNATURE PERMIT VALIDATION CK. M.O. CADH
OF PERMITTEE
PLAN CHECK VALIDATION cK. M.O. CASH
t 9('- 2 8 7 +073 AUG 22 4 1 D 1 0.5 0 A
SEI BACK OF APPLICATION FOR COM JM FEE SCHEDULE
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