HomeMy Public PortalAbout9415 OLEMA ST_Mechanical__ A-I -_-tw a/7� �
76 A:4 - 0818. 9-71 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES FEAR
941 olema
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION Y Temple Cit
. Oak
FOR APPLICANT TO FILL IN OWNER John 1Iarshall Const.
(PRINT OR TYPE ONLY)
MAI L
NO. TYPE OFAPPLIANCEOR EQUIPMENT FEE ADDRESS 5926 Temple City Blvd.
ABSORPTION UNIT, BTU
CITY Tem-ple Crit, TEL. NO. 286-9822
CONTRACTOR
AIR HANDLING UNIT, CFM ADDRESS BOX 3067
BOILER, BTU CITY Pasadena TEL. NO. 2_21
77
COMPRESSOR, BTU STATE LIC.
LICENSE NO. 220862 CLASS C20
00
VENTILATION SYSTEM DISTRICT N0,� GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER C/ a
1 FURNACE: FAU�GRAVITY
FLOOR BTU INSPECTION RECORD
HEATER: SUSPENDED UNIT_
WALL v
Lu
CL.
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Plan check fee 25% of above. See reverse.
PERMIT ISSUING FEE $ 1 s 100
TOTAL FEE 1 81.00
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS D TE IN ECTOR'S SIGNATURE
EATING,AIR CONDITIONING.
ROUGH f'
I HEREBY CERTIF H I AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVI, N 3, OF THE BUSI ESB AN PJOFESSIONAL FINAL
CODE OF THE STATE 0 CALIFO NIA. -
SIGNATURE PERMIT VALIDATI . cK. M.o. CASH
OF PERMITTEE
PLAN CHECK V 1DATION CK. M.0. CASH
LAU0 7 n- o 9- SEP 14. 4 1 D 8.00-
SEE
00N01SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEOULE