HomeMy Public PortalAbout4809 KAUFFMAN AVE_Mechanical__ 76A364E,- CC2B16B-,9/75 - A PUPAL I.IP OBI, I 01`1 P E IT
- HEATIMG - VEM I ILATIMG - AIR COROITIONING
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BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING
(PRINT OR TYPE ONLY) ADDRESS - Kauffman Ave.
LOCALITY Temple City
NO. TYPE OFAPPLIANCEOR EQUIPMENT FEE NEAREST
cRoss ST.
Lower- Azusa Rd.
ABSORPTION UNIT, BTU
OWNER
AIR HANDLING UNIT, CFM MAIL
ADDRESS 5926 Temple'City Blvd.
BOILER, BTU CITY Temple City TEL. NO. 286.2818
COMPRESSOR, BTU
CONTRACTOR
David L
. Peacock, Inc,
VENTILATION SYSTEM ADDRESS 124 Wheeler
EVAPORATIVE COOLER - CITY Arcadia TEL. NO. W—p
FURNACE: FAU_GRAVITY STATE LIC. O
FLOOR BTU 0. 287502 CLASS
HEATER: SUSPENDED UNIT_ DISTRICT NO. GROUP NE cESSED BY
WALL r� CD o
( C.7
INSPECTION RECORD, v
d
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Plan check fee 25% of above.
PERMIT ISSUING FEE'$
TOTAL FEE
PIAN 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, VENT]-
LATING. AIR CONDITIONING. -
I' HEREBY CERTI THAT' I-AM NOT ACTING IN VIOLATION APPROVALS DATE . INSPECTOR'S SIGNATURE
OF CHAPTER 9S
DIVI ION 3, OF THE BUSINESS AND PROFESSIONAL ROUGH �►� ��
CODE OF THE STAT .OF ALIFORNIA.
SIGNATURE 1. /® 76
OF PERMITTE FINAL -- � - �/
PERMIT VALIDATION m.o. CASH
PLAN CHECK VALIDATION CK. M.O. CASH