HomeMy Public PortalAbout10657 LORA ST_Mechanical__ 5A364-CE-PUS-8-68 A.PPLICA.TION 'FOR PERMIT
HEATING - VENTILATING.- AIR'CONDITIONIN
.
COUNTY OF.LOS ANGELES
DEPARTMENT. OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ?ADDRESS 10657` l� m MORA
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY. Temple City
FOR APPLICANT TO FILL IN CROSSSEST.
(Print or type,only) :
OWNER John Sell
a NO.. TYPEJOF APPLIANCE OR.EQUIPMENT FEE,
MAIL
ADDRESS 2023.-Bella. Vista Dr. ,
ABSORPTION SYSTEM, BTU CITY' Arcadia TEL. N.O.445--:-2 2-
AIR HANDLING UNIT, CFM CONTRACTOR=J & J 'Htg & A/C Serv.COr
BOILER, HORSEPOWER ADDRESS 237.9 Fi:rSt -St. ,-
r 1 COMPRESSOR, HORSEPOWER. CITY jja Verne TEL. N , —6O
STATE LIC. -
VENTILATION SYSTEM
LICENSEf NO. '2 CLASS 020.
DISTRICT NO. GROUP ZONE P CESS BY
EVAPORATIVE COOLER _,
FURNACE: FAU GW
VITY -
1- FLOOR_BTUOM 5.00• o INSPECTION RECORD
HEATER:.SUSPENDED UNIT
WALL
x
C�D.
W
NEW x ADDITION PERMIT. S 3 00
ALTER—REPAIR— TOTAL.FEE $ 13.00 '
Plan-check applicant
Name
Address
City Tel.-No.
I HEREBY ACKNOWLEDGE THAT:1 HAVE READ THIS APPLICATION -
AND STATE THAT THE'ABOVE IS CORRECT AND AGREE TO COMPLY -
WITH ALL ORDINANCES'-AND LAWS REGULATING HEATING, VENTI- APPROVALS DATFIPECT R' SIGNATURE '
LATING,AIR CONDITIONING.
ROUGH
I HEREBY CERTIFY THAT 1 AM NbT ACTING IN VIOLATION 'FINAL
OF CHAPTER 9, DIVISION-S, OF THE BU NESS AND PROFESS ONAL "
CODE OF THE STATE OF CALIFOR A. JACK R. ALLEN;,SUPERVISI M CHANICAL ENG•R.
SIGNATURE
OF PERMITTE -PERMIT VALIDATIO :CK. M.O. CASH
PLAN CHECK VALIDt1TI®
8.4 1. ;D 1
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE