HomeMy Public PortalAbout5616 LOMA AVE_Mechanical__ 76A36a=CE8,8-1170APPLICATI®H .P.OR .PERMIT"
HEATING VENTILATING - AIR CGNOITIONING
COUNTY OF LOS.ANGELES BUILDING
DEPARTMENT OF COUNTY. ENGINEER ADDRESS 5 616 N Loma Ave e
BUILDING'•AND:SAFETY DIVISION• LOCALITY. Temple ,City
JOHN A. LAMBIE,.COUNTY ENGINEER
COLEMAN W..JENKINS, SUPERINTENDENT OF BUILDING N$AREST
cRoss ST.-Noel Ave , &° Duffy:. :.
FOR APPLICAN.T'TO FILL IN OWNER
(PRINT OR TYPE ONLY) Ver3'lOt1 A'kG''Y'S -
MAIL 16 N Loma Ave
No. TYPEO'FAPPLIANCEO'R EQUIPMENT FEE ADDRESS, J�i p 1' p
8
CITY Temple ,.City._ TEL. N0:.286 .634'
ABSORPTION SYSTEM, BTU
CONTRACTOR Valley Heati-hg CO.
AIR HA'NDLIN,G UNIT, CFM-
ADDRESS 305 E • Vall,ey Blvd.
-BOILER, HORSEPOWER pQ p
CITY, Sari Ga:brlel TEL. NO: 2 :6 -1277.
88 `6812
1 . COMPRESSOR, HORSEPOWERS 15 OO STATEr7 LIC.
LICENSE NO. 14( 899 CLASS ..G 20
VENT.]LATION SYSTEM 38R,CT6?z' GROUP NE P C S D BY
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EVA PORATIVE,COOLER
'FURNACE: .FAU–X-G � 1 Y
' FLOOR B-T.U , 51 00 INSPECTION RECOF2D
HEATER: .SUSPENDED UNIT_
WALL
CD
-CD
LLJ
NEW—ADDITION— PERMIT' $ 3 .00 N
Z_
ALTER—REPAIR_ -TOTAL FEE $ 13 00
PLAN CHECK APPLICANT
:NAME
ADDRESS f
CITY TEL.NO.
WITH HERE Y,_ACKNOWLEDGE'THAT I HAVE READ THIS APPLICATION -
HEREBY,
THAT THE ABOVE IS CORRECT AND AGR�OCPLY. ORDINANCES AND LAWS•REGULAT,ING HT1= APPROVALS DATE` INSPECTOR'S SIfiNATURE.LATING, AIR CONDITIONING. -
ROUGH `7 9I HEREBY CERTIFYT H'AT I AM'"NOT ACT GION -
'OF,,CHA'PTER 9, DIVISION 3, THE BUSIN SS ND PR ESSION FINAL '
CODE OF'THE STATE.OF FORNIA. - - -.
SIGNATURE - CKtR: ALLEN,SUPERVISI' CHAN CAL ENG-R.- `.
OF,,PERMlTTEE ,•. '
P KNIT VALIDATION; „ GK. M O.. CASA`
PLAN CH =OK VALIDATION
'%
4 1, 0 1 .3:4 p.
SEE BACK OF APPLICATION FORL COM PLETE FEE SCHEDULE