HomeMy Public PortalAbout5812 KAUFFMAN AVE_Mechanical__ y76,A 364- CE 818- 5-73
APPLICATION FOR PERmpr
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES ADDRESS 812 Kauffman Ave
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST
CROSS ST.' Craig 1 ee St.
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY) Mr, and Mrs. Ted Truax
MAI L
NO. TYPE OFAPPLIANCEOR EQUIPMENT - FEE ADDRESS
ABSORPTION UNIT, BTU
CITY Temple City. TEL. NO. 286-7197
-
CONTRACTOR E. L. Payne CO.
AIR HANDVING UNIT, CFM
ADDRESS 166 W. Live Oak
BOILER, BTU
CITY Arcadia TEL. NO. 446-6-118
COMPRESSOR, BTU--8,QOQ STATE LIC.
LICENSE NO. I nqtiR LASS
VENTILATION SYSTEMDISTRICT NO. GROUP ZONE ROCE D BY
EVAPORATIVE COOLER
FURNACE: FAUGRAVITY
FLOOR BTU
INSPECTION ,RECORD
HEATER:' SUSPENDED UNIT_
WALL
1 vent i lat.i ng fan 2.00 °'" 'L�GT' o
0 o
�.
• W
CL
Plan check fee 25% of above. See reverse. z
PERMIT ISSUING FEE S 3 0o
TOTAL FEE 10.00
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
o I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
LATING, AIR CONDITIONING., j ROUGH
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROF SSIONAL FINAL _
CODE OF THE STATE OF LIFORN \'! _
SIGNATURE PERMIT VALIDATION CK. M.O. CASH -
OF PERM I EE tzlg) -
PLAN CHECK--VALIDATION C M.O. CASH
MAW 2-5 D
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE - a
P_5-73
76'" 364- CE 818-A-
APPLICATI FOR P MIT
,HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES FNEAREST
S 58.12 Kauffman Ave.
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION Y Temple City
T.
FOR APPLICANT TO FILL IN OWNER
- (PRINT OR TYPE ONLY) d ed
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS 5812 Kauffman '
CITY Temple City TEL. NO. 286-7197
ABSORPTION UNIT; BTU
CONTRACTOR Payne
AIR HANDLING UNIT, CFM
ADDRESS166
W Live Oak
BOILER, BTU CITY ArTEL- NO. 4'46-6118
COMPRESSOR, BTU STATE LIC.
LICENSE NO. 120228 CLASS C-20
VENTILATION SYSTEM DISTRICT NO. GROUP z E ED"BY'
EVAPORATIVE COOLER X_
FURNACE: FAUGRAVITY INSPECTION RECORD
1 FLOOR BTU .50
HEATER: SUSPENDED 'UNIT_
WALL V N f
d
U
CC
• O
• V
W
d
Z
Plan check fee 25% of above. See revcrse.� '
PERMIT ISSUING FEE S 3 00
TOTAL FEE 10 0 .
PLAN 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 ALL ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
EATING, AIR CONDITIONING. ,
RO UG H.
I HEREBY CERTIFY THAT I AM -NOT,ACTING- IN VIOLATION
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS D PROFESSIONAL Fj A-
INAL
CODE OF THE STATE OF C FOR NIA
SIGNATURE PERMIT VALIDATI CK. M.O. CASH
OF PERMITT
PLAN CHECK VALIDATION CK. M.O. CASH
5 41--o R ! 4 1 D '1 0.5 0 ®�
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE .- •�