HomeMy Public PortalAbout4818 KAUFFMAN AVE_Mechanical__ 76A364E CE81813-9/75 AMI" ATION FOR PE IT
HEATING - VEHTILATIHG - AIR COMOITIONIHG
BUILDING AND SAFETY DIVISION �d✓ /�p��
FOR APPLICANT TO FILL IN BUILDING Kauffman Aveo
(PRINT OR TYPE ONLY) ADDRESS
LOCALITY Temple, City ;
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE NEAREST
CROSS ST. Lower Azusa Rd.
ABSORPTION UNIT, BTU
OWNER J. B. Weber
AIR HANDLING UNIT, CFM MAIL
ADDRESS 6 em 1 B
BOILER, BTU CITY TEL. NO. _
Temple City
2191 A
COMPRESSOR, BTU CONTRACTOR David L. Peacock, Inc.
VENTILATION.SYSTEM ADDRESS
EVAPORATIVE COOLER CITY Arcadia, TEL.,NO, 4"-8752
FURNACE: FAU GRAVITY ATE 7 LIC.
FLOOR BTU 1166 % LICENSE NO. 28'T5o2 CLASS C-20
HEATER: SUSPENDED UNIT_ DISTRICT NO. GROUP &NE CESS ED BY
WALL a
INSPECTION RECORD
W
LL
N
Z
Plan check fee 25%,of above.
PERMIT ISSUING FEE $
TOTAL FEE
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITHALL ORDINANCES AND LAWS REGULATING.HEATING, VENTI-
LATING; AIR CONDITIONING.
I HEREBY CERT Y THAT I AM NOT ACTING IN VIOLATION APPROVALS DATE INSPECTOR'S SIGNATURE
OF CHAPTER 9, DIVI 10 3, OF THE BUSINESS AND PROFESSIONAL - 47 +��
CODE OF THE STAT OF ALI FORNI ROUGH + s
SIGNATURE FINAL
OF PERMITTEE i
PLAN CHECK VALIDATION PERMIT VPLIDATION cK. _ M.0. CASH
CK, M.O. CASH
4= LRR r .'� 4.� :0:, 2'•.. eft"