HomeMy Public PortalAbout6156 KAUFFMAN AVE_Mechanical__ 16A364 - qE8;8.- 3-651 APPLICATION FOR PERMIT
/ HEATING - VENTILATING - AIR CONDITIONING
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COUNTY OF LOS ANGELES 7ADDRE
61 6 N:' Kauffman
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER Temple Cit
COLEMAN W. JENKINS,SUPERINTENDENT OF BUILDING
FOR APPLICANT TO FILL IN John Marshall Const:" Co:`
(PRINT OR TYPE ONLY) OWNER
MA
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS 926 =N. Teffi 1® L'1tp Blvd.
ABSORPTION SYSTEM, BTU -• CITY Temple City_ TEL. N0. 286-9822
CONTRACTOR Q•;A• POindexterh"• Inc.
AIR HANDLING UNIT, CFM
ADDRESS Boz 06
BOILER, HORSEPOWER
CITY Pasadena TEL. -NO. 792-2177
COMPRESSOR, HORSEPOWER STATE LIC.
LICE SE NO. 220862 C ASS C20
VENTILATION SYSTEM DISTRICT NO. GROUP
ZONE OCESSED Y
EVAPORATIVE COOLER
65r,(5( ��
FURNACE: FAU GRAVITY
Z FLOOR BTU -BOM' INSPECTION RECORD
HEATER: SUSPENDED UNIT
WALL
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NEW_ADDITION_ PERMIT $ 3 00 Z
ALTER_REPAIR_ TOTAL" FEE $ 8*' 0
PLAN CHECK APPLICANT
+ NAME
ADDRESS
CITY TEL. NO.
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION s
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING,VENTI- APPROVALS DATE IN CTOR'S SIGNATURE
LATING, AIR CONDITION
I HEREBY CE IFY THAT I M NOT ACT G IN VIOLATION OF ROUGH -
CHAPTER 9, ISI ON 3, OF T E BUSI AND OFESSIONAL FINAL
CODE OF THE STATE OF CAL RN IA V111k 7�
SIGNATURE JACK R. ALLEN, SUPERVISING MEAHANICAL ENG'R.
OF PERMITTEE ��`�n^• --
PERMIT VALIDATION K. M.O. CASH
PLAN CHE VALIDATION
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE