HomeMy Public PortalAbout9301 PENTLAND ST_Mechanical__ 76 A 36 4 - CE BPB - 4]I- APpLI TION FOR ` RMIT
HEATING - VENTILATING - AIR CONDIIIOtNG
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COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS �� E. Pentland St Lot 11
BUILDING AND SAFETY DIVISION LOCALITY Temple Cit
NEAREST
CROSSST Cloverly
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY) John Marshall Const . Co.
MAIL
-NO TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS 5926 Temple City Blvd.
ABSORPTION UNIT, BTU CITY Temple City TEL NO
CONTRACTOR O .A.Polndexter;I
AIR HANDLING UNIT CFM ADDRESS BOX 3067
BOILER BTU CITY Pasadena TEL NO 792-2177
1 COMPRESSOR, BTU 36M 5.00 STATE op LIC 7 /
LICENSE NO 22OV62 CLASS C20
VENTILATION SYSTEM DISTRICT No 17P xoNE P cE ss Eo BY
EVAPORATIVE COOLER O 8 T _ I U.FURNACE FAU GRAVITY ,/— CD
FLOOR BTU INSPECTION RECORD U
HEATER SUSPENDEDUNIT
H
WALL w
d
N
Z
Plan cherk fee 250 of abore See reYcrse
PERMI I ISSUINC EEE & 3 00
TOTAL FEE 8. O
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 DATE INS CTOR S SIGNATURE
LATING AIR CONDITIONING
ROUGH
HERf BY, CERT FT HAT AM N ACTING IN VIOLATION
OF CHAPTER 9 OIVI ON OF THE B NESS D PROFESSIONAL FINAL
CODE OF THE STOATE 0 A ORNI
SIGNATURE
OF PERMITTEE PERMIT VALIDATI N cK M o cnsH
/Jt'�
PLAN CHECK IDATION CK M D CASH
' 9.94!,` tv,Y23 a- 1 0 8 00SEE BACK OF APPLICATION FOR DOM EL ETE FEE SCHEDULE
.]EM364�- TI - G ]; APPLICA N FOR "P`E'RMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES FNEAREST
ESS 93'6 Pentland � of #11
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LITY TIl C
ity
1
S ST
FOR APPLICANT TO FILL IN R John Marhha Const Co .
(PRINT OR TYPE ONLY)
NO TYPE OF APPLIANCE OR EQUIPMENTFEE ADDRESS 5926 Temple City Blvd.
CITY Temple City TEL NO 286-9822
ABSORPTION UNIT BTU
CONTRACTOR 0 . A. Poindexter Inc .
AIR HANDLING UNIT, CFM
ADDRESS Box 3O 7
BOILER BTU
CITY Pasadena TEL NO .L—.Jl
COMPRESSOR BTU STATE 220862 LIC `+20
fLICENSE NO CLASS
VENTILATION SYSTEM DISTRICT NO 11111 zONE S9ED BY
EVAPORATIVE COOLER Oq
FURNACE FAU_ZGRA
V�DT VV o
1 FLOOR BTU LDQ� 5. INSPECTION RECORD
to
HEATER SUSPENDED—UNIT_
WALL cJ
W
d
uD
2
Phn check fee 25' Of abo,e See reNerse
PERMIT ISS IJI\C FCC S 3
TOIALCCE
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 1
AND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REIVLATING HEATING VENTI- APPROVALS DATE INSPECTOR 9 SIGNATURE
LATING AIR CONDITI
ROUGH 7
1 HEREBY CER IFY THAT I AM N CTING IN VIOLATION
r OF CHAPTER 9 DIV ION 3 0 THE 1 95 AI PRO FESS'ONAL FINAL
CODE OF THE STATE CAL II
SIGNATURE PERMIT VALIDATI N CK M 0 CASH
OF PERMITTEE
PLAN CHECK V LIDATION CK M 0 CASH
1
I rlf C C > 5/2 N-R 16 4 1 D 8.00-
1 �
SEE BACK OF APPLKATION FOR COMELLETE FEE SCHEDULE