HomeMy Public PortalAbout9421 OLEMA ST_Mechanical__ 76 A364 - CrE 616 - 9-71 APPLICATION FOR PERMIT .
• V
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
9421 Olema
DEPARTMENT OF COUNTY ENGINEER
DDRESS
BUILDING AND SAFETY DIVISION DDRESS
LOCALITY Temple City
NEAREST
CROSS ST. Oak
FA
APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY) John Marshall Const•
MAI L
TYPE OFAPPLIANCEOR EQUIPMENT FEE ADDRESS 926 Temple Cit Blvd.
CITY Temple City TEL. NO. '286-98?2
PTION UNIT, BTU
CONTRACTOR 0. A. Poindexter, Inc
NDLING UNIT, CFM ADDRESS Box 3067
, BTU CITY TEL. NO.
Pasadena 2-21
ESSOR, BTU STATE LIC.
LICESE NO. 220862 CASS C20
LATION SYSTEM DISTRICT NO. GROUP ZONE PROCESSED BY
RATIVE COOLER saCE: FAU_]LGRAVITY .00 INSPECTION RECORD BTU R()'IW
HEATER: SUSPENDED UNIT_ C)
WALL W
CL
N
Plan check fee 25% of above. See reverse.
PERMIT ISSUING FEE S s 00
TOTAL FEE 8. o
PLAN CHECK APPLICANT
NAME
ADDRESS
CI TY TEL.NO.
I 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 DATE INSPECTOR'S IGNATURE
LATING,AIR CONDITIONING.
ROUGH
I HEREBY CERTI THA I AM NOT ACTING IN VIOLATION
OF CHAPTER 9, OIVIS ON 3, OF HE BUSIN AND ERG SIONAL FINAL
CODE OF THE STATE 0 A IA.
SIGNATURE PERMIT VALIDATI CK. M.0.. CASH
OF PERMITTEE
PLAN CHECK VOCIDATION CK. M.O. CASH
7.: u` ittr-SEP 14. 4 1 -D 8.0'0µ '�
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
76A364_4CE818-1/70
PLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES rN
UILDING />
DEPARTMENT OF COUNTY ENGINEER DDRESS -
BUILDING.AND SAFETY DIVISION OCALITY
JOHN A. LAMBIE. COUNTY ENGINEER EAREST
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGROSS ST.
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY) -
MAIL
NO. TYPE OFAPPLIANCE-OR EQUIPMENT FEE ADDRESS Q�
CITY TEL. NO. .,
ABSORPTION SYSTEM, BTU
CONTRACTOR d C
AIR HANDLING UNIT, CFM
ADDRESS
BOILER, HORSEPOWER CITY TEL. N
,7 o� .
COMPRESSOR, HORSEPOWER STATE +, LIC.
LICENSE NO. CLASS
VENTILATION SYSTEM DISTRICT NO CLASS GROUP ZONE PR ESSEO BY
EVAPORATIVE COOLER " I�L�
FURNACE: FAU-GRAVITY INSPECTION RECORD
FLOOR BTU
HEATER: SUSPENDED UNIT_
WALL
--
A0017,1 °
c
C.
. D
c
c
u
coc
NEW_ADDITION_ PERMIT $ 3 00 s
ALTER-REPAIR- TOTAL FEE $ D
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIKN
AND STATE THAT THE ABOVE IS CORRECT,AND AGREE TO COMPLY'
WITH ALL ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
LATING,AIR CONDITIONING.
1 HEREBY CERTIFY THAT 1 AM NOT ACTING IN VIOLATION ROUGH �m)7.7-°/ � *' •;{
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL in
CODE OF THE STATE OF CALIFORNIA.
SIGNATURE JACK R.'A LEN,,GPERVI CH ICAL ENG'R.
OF PERMITTEE
PERMIT VALIDATION CK. M.O. CASH
PLAN C K VALIDATION
0 7 6 N JUL 1741
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE