HomeMy Public PortalAbout9237 LA ROSA DR_Mechanical__ ,.T6 A364!} CE 818- 5-73 -
-APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CO'NOITIONING
COUNTY OF .LOS ANGELES - ADDRESS 923 La Rosa Drive
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY,
NEAREST
CROSS ST.
FOR APPLICANT TO- F ILL IN OWNER
(PRINT OR TYPE ONLY) - AnthonyWhite
MAIL
NO. TYPEOFAPPLIANCEOR'EQUIPMENT FEE ADDRESS 9237 La.Rosa'Drive
CITY Temple City TEL. NO. 285-75 +0•
ABSORPTION •UNIT, BTU
CONTRACTOR Tracie H C C
AIR HANDLING UNIT', CFM
ADDRESS 203+ North Pe
BOILER, BTU CITYTEL. NO.
So. El Monte. 579-7982
1 COMPRESSOR, BTU • 2-1/2 5. 00 STATE LIC. C,-20
LICENSE NO. 26 0 I( CLASS
VENTILATION SYSTEM DISTRICT NO. GROUP- ZONE CESSED BY
EVAPORATIVE COOLER �09 6 /,
FURNACE: FAUGRAV,10TYy� S,OO ���✓JJ C/INSPECTIO"N���///R��`ECORD
1 .FLOOR BTU ZZ3S
HEATER: SUSPENDED UNIT_
WALL -
Y
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Plan check fee 25% of above. See reverse. z
PERIN11T ISSUING FEE $ 3 00
TOTAL FEE .13.00
PLAN CHECK APPLICANT
NAME ,
ADDRESS
n
v
CITY TEL.NO.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ✓/lA��-
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING, HEATING,•VENTI- APPROVALS DATE INSPE5TGR5S SIGNATURE
LATING, AIR CONDITIONING.
• '
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLAROUGH
TION _
OF CHAPTER 9, DIVISION 3, OF T� I :DE PROFESSIONAL FINAL
CODE OF THE STATE OF CALIFORNA
SIGNATURE' PERMIT VALIDATION CK, M.0. CASH
OF PERMITTEE
PLAN CHECK VALIDATION CK. M.0. CASH
PaUG 1 1 D . 1 .n t1
�t
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE - ,
76 A364E".BlB -9-7I APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES FADDRESS
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DEPARTMENT OF COUNTY ENGINEER zo 14BUILDING AND SAFETY DIVISION Y
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY) h
MAIL
NO. TYPE pFAPPLIANCE OR EQUIPMENT FEE
ADDRESS 4,Z 7 L 05)4
CITY T' Cr1 TEL. N0.�8S Zb66
ABSORPTION UNIT, BTU
CONTRACTO �L
AIR HANDLING UNIT, CF.M
ADDRESS Vv'-
BOILER, BTU CITYillm TEL. NO.-7�!
COMPRESSOR, BTU STATE � LIC. �7 (� [
LICENSE NO. CLASS T
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER
FURNACE: FAUGRAVITY FLOOR BTU INSPECTION RECORD o
U
HEATER: SUSPENDED UNIT_ C:)
H-
WALL w
Cl-
c� 000 nu v
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Plan check fee 25% of above. See reverse.
PERMIT ISSUING FEE S 3 00
TOTAL FEE
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO. 26-01'l,i
IHEREBY 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 I PECTOR'S IGNA7URE
LATING, AIR CONDITIONING.
ROUGH
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL
CODE GF THE STATE OF CALIFORNIA
SIGNATURE PERMIT VALIDAT'ONI CK. M.0. CASH
OF PERMITTEE
PLAN CHECK VALIDATION CK. M.O. CASH
_794.8- SEP 1: D 1 0.50 ICY
-
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ,