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HomeMy Public PortalAbout10680 KEY WEST ST_Mechanical__ r _W Ali. .4 76A364EICE-916AI.9/77 •APPLICATION FOR PERPRIT illi HEATING - VENTILATING - AIR COIbDITIONI,NG COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION• FOR APPLICANT TO FILL IN BUILDING (PRINT OR TYPE ONLY) ADDRESS 10680 Ke West - LOCALITY Temple City NO TYPE OF APPLIANCE OR EQUIPMENT 'FEE A NEAREST CROSS ST. gfz ABSORPTION UNIT,BTU OWNER Marilyn Mittip • AIR HANDLING UNIT,CFM AMAIL DDRESS 10980 Key West BOILER,BTU _ �1 CITY emp e City TEL.NO. 1 COMPRESSOR,BTU ' 4-ton 10 00 CONTRACTOR Bryant H7.eat. '& Air Cond.- VENTILATION SYSTEM ADDRESS 1350 E. Las Tunas Drive EVAPORATIVE COOLER CITY San Gabriel TEL.NO 286-1141 1 FURNACE . FAUX G VhT�Y�f 7O 00 STATE LIC LICENSE NO 221751 CLASSC20 vl`/1 L FLOOR BTU HEATER SUSPENDED UNIT- DISTRICT No GROUP ZONE PROCESSED BY WALL INSPECTION RECORD IL O ' Im O Plan check fee 25% of above. PERMIT ISSUING FEE� 7 00 - Z TOTAL FEE 27 00 — PLAN CHECK APPLICANT a 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, VENTILATING, AIR CONDITIONING. _ t ' I HEREBY CERT FY THAT I,'AM 'NOT ACTING'�I V ATION OF, APPROVALS DATE INSPECTOR'S SIGNATURE CHAPTER 9, DI 3, OF THE BUSINESS ;�ROF NAL CODE OF THE STAT CA FORNIA. �' A H SIGNATOR OF PERMI E PLAN CHECK VALIDATION CK Mo. CASH PERMIT VALIDATION cK Mo CASH IRKERS COMPENSA'TIO- `: (+J` j] 6 1 8c"� 11>,'43 4'1 D 7.G 0 ®fat CV NUMBER e, .• t- ©5 7dA364-'Cf67•8-1/70� APPLICATION FOR PERMIT - HEATING - VENTILATING - AIR CONDITIONING , CITY OF TEMPLE CITY— 7671 COUNTY OF LOS ANGELES FLDI 10680 Ke est DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION JOHN A. LAMBIE. COUNTY ENGINEER TempleCOLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING FOR APPLICANT TO FILL IN OWNER John S e'll (PRINT OR TYPE ONLY) , MAIL NO. TYPE OFAPPLIANCEDR EQUIPMENT FEE ADDRESS 202 Bella' Vista Dr' CITY Arcadia TEL. NO. 445-2M- ,-, ABSORPTION SYSTEM, BTU • CONTRACTOR J ,& J Ht & AIC Sery .Cor. AIR HANDLING UNIT,;CFM ADDRESS 2379 First St . , BOILER, HORSEPOWER CITY TEL. NO. . La Verne 339-6011 COMPRESSOR, HORSEPOWER STATE95 LIC. LICENSE NO.. 2616CLASS C20 VENTILATION SYSTEM DISTRICT NO. CLASS GROUP ZONE PROCESSED BY EVAPORATIVE COOLER FURNACE: FAU X'GRA IT FLOOR BTM0,g 5.00 INSPECTION RECORD 1 HEATER:'SUSPENDED UNIT_ WALL ate.. O • U LLJU NEW _ADDITION- PERMIT $ 3 00 ` N p `Z ALTER-REPAIR= TOTAL FEE S 8.00 ' PLAN CHECK APPLICANT NAME ADDRESS CITY TEL.NO. I HEREBY AC KNOWLEDGE,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 INS TOR'S SIGNATURE LATING, AIR CONDITIONING. ' ROUGH I HEREBY +CERTIFY THAT I AM NOT ACTING IN VIOLATION OF CHAPTER 9, DIVISION 3, OF BUSINESS AND PROFESSIONAL FINAL CODE OF THE STATE OF CALIF. I SIGNATURE JACK R. ALLEN,SUPERVISING ECHANICAL ENG'R. OF-PERMITT '/ ' mmmiiiiiiiM PERMIT-VALIDATION CK. M.O. CASH PLAN CHECK VALIDATION ,OQNSi _a ? g N: DCr 2 4 1 D 8-.00— SEE EE BACK OF APPLICATION FOR COMPLETE FEE•SCHEDULE '