HomeMy Public PortalAbout5142 KAUFFMAN AVE_Mechanical__ 76A364E- CE,t Sla 9/75. APPLICATION iFOR PERMIT.
HEATING - CONDITIONING
VIeIdTILAT'IIdG - AIR GOVT 0
"BUILDING AND SAFETY DIVISION
o
FOR "APPLICAN.T TO FILL IN BUILDING. '
(PRINTOR TYP,E'ONL•Y). ADDRESS 514 Kauffman
LOCALITY " Temple City
.NO. TYPE O'F A.P.PL.IA.NCE OR EQUIPMENT FEE ,NEAREST•
CROSS ST:
ABSORPTION UNIT, BTU
OWNER Herman Rodriguez .
AIR HANDLING UNIT, ,CFM MAIL-
ADDRESS 5142 Kauffman-
BOILER; BTU Temple ple City TEL. NO. : 287-2594 .-
'
COMPRESSOR, BTU. -1 2'tOI1 .7 50
CONTRACTOR Bryant Heat & Air Cond Inc
1 �
I
VENTILATION SYSTEM, ADDRESS 1350 E. Las Tuna s'Drive
EVAPORATIVE COOLER CITY San.Gabriel TEL_. NO.286=11;41. _
AT�}� :221751.ATE LIC.'
S C.2:0
1 FURNACE: FAU BTU �VU7M• 1,1 2.5 S•CENSE NO.
HEATER: SUSPENDED UNIT. DISTRICT NO. GROUP ZONE PROCE ED BY
WALL
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INSPECTION RECORD.. : W.
Z
Plan check fee'25% of.above.
PERMIT ISSUING FEE-.$ 4 50
TOTAL FEE 23 25
7.
PLAN'C,HE-CK A'PPLICANT
NAME
ADDRESS
CITY TEL'.NO.
I HEREBY ACKNOWLEDGE THAT I.H'AVEAEAD THIS APPLICATION _
AND STATE THAT-THE'ABOVE IS CORRECT AND AGREE. TO COMPLY
WITH ALLORDINANCES AND LAWS REGULATING HEATING, VENTI-
LATING, AIR
ENTI-LATING, AIR CO NOITI ONI "
HEREBY CERTI.F T AT AM NOT,ACTIN VIOLAT IO,N APPROVALS - 'DATE. ` INSPECTOR'S.SIGNATURE
OF CHAPTER 9,'DIVISI N F THEBUSI NESS AND FESSIONAL
CODE OF THE STATE 0 ALI OR NIA. UGH
SIGNATURE .INAL �./
OFPERMITTEE /a
PERMIT yALIDATIO.N CK. M.0. CASH
. . '
PLAN CHECK VALIDATION CK. M- ' CASH , i
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