HomeMy Public PortalAbout4836 KAUFFMAN AVE_Mechanical__ 76A366E - CD;8f86-9/75 APPLICATION
ICO® PERMIT
HEATINGP ICVE6N `T/IPL1ATINGrAIR
RIGCfIOVINDITIONING
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING
(PRINT OR TYPE ONLY) ADDRESS Kauffman Ave
LOCALITY Temple City
NO. TYPE OFAPPLIANCE OR.EQUI'P.MENT FEE NEAREST - -
CROSS ST.' Lower Azusa Rd..
ABSORPTION UNIT, BTU
OWNER J. B. Weber
AIR, HANDLING UNIT, CFM, MAIL
ADDRESS 5926 Temple City Blvd. .
BOILER, BTU CITY Temple City TEL. NO. 286-2818
COM PRESSOR, BTU- V-21/,111 'CONTRACTOR David L. Peacock I
VENTILATION SYSTEM ADDRESS 124 Wheeler
EVAPORATIVE COOLER ITY Arcadia. TEL. NO. 286-2818
FURNACE: FAU GRAVITY STATE,' p •LIC. '
FLOOR NSBTU iS LICENSE NO. 2S 02 CLASS
HEATER: SUSPENDED UNIT_ DISTRICT N0. GROUP ZONE 2ESSED BY a-
O
WALL6 ,09 v
0
INSPECTION RECORD c."
W
' N
Z.
Plan check fee 25% of above.
PERMIT ISSUING FEE
TOTAL FEE•
PLAN-CHECK APPLICANT 2 '�
NAME
ADDRESS
CITY TEL..NO.
I HEREBY ACKNOWLEDGETHAT I HAVE READ THIS APPLICATION
AND STATE .THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALLORDINANCES AND-LAWS REGULATING HEATING, VENTI-
LATING, AIR CONDITIONING.. - -
I HEREBY CERTIFY THAT I AM NOT 'ACTING. IN VIOLATION_ APPROVALS DATE INSPECTOR'S SIGNATURE
OF CHAPTER 9, DI VI OF THE BUSINESS AND PROFESSIONAL
CODE OF THE STATE 0SIO LC IFO INIA. - _ ROUGH
SIGNATURE
OF PERMITTEE/ ` FINAL
PERMIT VALIDATION K,� M,O, CASH
PLAN CHECK VALIDATION CK, � M.O. CASH