HomeMy Public PortalAbout9409 OLEMA ST_Mechanical__ 76 A364 -,CE 818 - 9-71 APPLICATION FOR PEIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES gDDRE7NG ...40 Olema
DEPARTMENT OF COUNTY ENGINEERBUILDING AND SAFETY DIVISION LOCALTemple City
NEARECROSS Oak
FOR APPLICANT TO FILL IN OWNER John Marshall Const.
(PRINT OR TYPE ONLY)
MAIL
No. TYPE OFAPPLIANCE OR EQUIPMENT FEE
ADDRESS 5926 Temple City Blvd.
ABSORPTION UNIT, BTU CITY Temple .City TEL. NO. 286_9822
CONTRACTOR 0. A. Poindexter,Inc.
AIR HANDLING UNIT, CFM ADDRESS Box 3067
BOILER, BTU
CITY Pasadena TEL. NO. 792-?177
COMPRESSOR, BTU STATE LIC.
LICENSE NO. 220862 CLASS C20
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER �/ ' D u}:
FURNACE: FAU_GRAVITY O
�- FLOOR BTU 80M 5.00 INSPECTION RECORD v
HEATER: SUSPENDED UNIT_ O
WALL v
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Plan check fee 25%of above. See reverse.
PERMIT ISSUING FEE 8 a 00
TOTAL FEE 8.00
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
LLATING,
BY ACKNOWLEDGE THAT I,HAVE READ THIS APPLICATION
E THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS D TE SPECTOR'S IG TURE
IR CONDITIONING.
ROUGH i
EBY CERTIFY A 1AMNOT CTING IN VIOLATION
ER 9, DIVISI 3, OF THE BU SS AND PROFESSIONAL FINAL
THE STATE CALIF NIA
URE PERMIT VALI DAT( N CKM.O. CASH
MITTEE
PLAN CHECK VRLIDATION CK. M.0. CASH
Q 9-8,-;! 14. 4 1 D,. 8D0 a
BEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE