HomeMy Public PortalAbout5434 MCCULLOCH AVE_Mechanical__ 7BASB4-CEO,B-ri'° A M ICATION F 4ERMIT y
HEATING - VENTILATIN - AIR CONDITIONING
Unit #12 - Bldg. C
COUNTY OF LOS ANGELES AD7Tem-iale
.. .McCulloch Ave.
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOy Cit
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN OWNER R. C. McCloskey, Inc.
(PRINT OR TYPE ONLY)
- MAIL 1�
NO. TYPE OFAPPLIANCE.OR EQUIPMENT FEE ADDRESS Box 52`1'6
CITY Pasadena 1I91107TEL. No. 792-2885
ABSORPTION SYSTEM, BTU
CONTRACTOR 0. A. Poindexter, Inc.
AIR HANDLING UNIT, CFM
- ADDRESS BOxI 3067
BOILER, HORSEPOWER CITY Pasadena '91103 TEL. NO. 792-2177
l COMPRESSOR,-HORSEPOWER 2 5 .00 STATE LICENSE NO. 2208'I I-IC.CLAC20
VENTILATION SYSTEM DISTRICT NO. CLASS 17up ZONE PR EBBED BY
EVAPORATIVE COOLER �09 .61
FURNA1 FLOORCE: FAU BTU R ITY 5 ,00
INSPECTION RECORD
HEATER: SUSPENDED—UNIT—
WALL
USPENDED UNIT_WALL
n
C
C
D
C
PERMIT $ 3 00 I o
NEW—ADDITION— I Co
ALTER—REPAIR— TOTAL FEE $ 13-00
PLAN CHECK APPLICANT
NAME
ADDRESS
I
L
TEL.NO.
EBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
E THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
L ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE IN PECTORIS SIGNATURE
AIR CONDITIONING. ROUGH �REBY CERTIF THAT I AM NOT CTING IN VIOLATION
TER 9, DIVISIO 8, 0 THE B SS AN PROFESSIONAL FINAL -,J �- �+,�'�r )+�,tyTHE STATE OFURE JACK R. ALLEN,SUPERVISIN ECHANICAL ENG•R.
MITTEE
PERMIT VALIDATION CK. M.0. CASH
PLAN CHE VALIDATION
3-B'4XAUG ' .6 4:.1 0 1 3.0 0 i118
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE