HomeMy Public PortalAbout5119 MCCLINTOCK AVE_Mechanical__ 7GA364E (CE-6,SAI_„/76 APPLICATION FOR PERMIT
HEATING - VEc - AIR CONDIT Od�l NG
COUNTY OF LOS GELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING
(PRINT OR TYPE ONLY) ADDRESS
5119 N_ Mc Clintock
LOCALITY Temple City
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
CROSS ST. Blacke} St.
ABSORPTION UNIT,BTU
OWNER Barbara Mueller
AIR HANDLING UNIT,CFM MAIL
ADDRESS 5119 N. McClintock
BOILER,BTU CITY TEL.NO.
Temple Cit
COMPRESSOR,BTU CONTRACTOR
E L PAYNE COMPANY
VENTILATION SYSTEM ADDRESS 166 W
_ Live Oak Ave-
EVAPORATIVE COOLER CITY Arcadia TEL.NO. 446-6118
.1.6-6 O
O
FURNACE: FAU X GR ITY STATE LIC.
1 FLOOR BTU LICENSE NO. 12 02 8 CLASS
HEATER: SUSPENDED UNIT- DISTRICT NO., GROUP ONE,
PRO ESSED BY
WALL
INSPECTION RECORD d
O
E'I�Lfi-C C-G VE-�T"1 1/E. O
Plan check fee 25%of above.
E-
Lu
PERMIT ISSUING FEE$ Z
TOTAL FEE
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
IHEREBY 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, VENTILATING, AIR
CONDITIONING.
I HEREBY CERTIFY THAT I AM NOT ACT IN VIOLATION OFhROUGH
ALS DATE INSPECTOR'S SIGNATURE
CHAPTER 9, DIVISION 3, OF THE BUSINESS A P FESSIONAL CODE OF THE STATE OF CALIFORNISIGNATURE F
OF PERMITTE
PLAN CHEC ALID ION ^ CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
a'1101'FfJr.-_IRS COMPENSATION
9 2:�3rDEC 30 4.l D 1 2.0 0
POLICY HOLDER:
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POLICY NUMBER: a -31 0790 07 _7(, rD