HomeMy Public PortalAbout5750 PRIMROSE AVE_Mechanical__ (2) 6A3,64•CEB1B41-6BAPPLICATION FOR PEI$IwIT
HEATING - !VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS 5750 sm Primrose
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING . LOCALITY Temple Cit
FOR APPLICANT TO FILL IN cRo sEST.
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(Print or type only)
NO. TYPE OFAPPLIANCE OR EQUIPMENT FEE OWNER Gerald B. Beech _
ADDRESS 5750 Primrose
ABSORPTION SYSTEM, BTU CITY
Temple Cit TEL. NO. 286-7447
AIR HANDLING UNIT, CFM CONTRACTOR Bryant Heating & Air Cond.
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BOILER, HORSEPOWER ADDRESS 1350 E. Las Tunas Drive
1 COMPRESSOR, HORSEPOWER_3 4@0 CITY San Gabriel EL. NO. 286-1141
STATE LIC.
VENTILATION SYSTEM LICENSE NO. 221751 CLASS C-20
DISTRICT NO. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER /`
FURNACE: FAU GRAVITY f l (�F�C�e¢/Ifi
FLOOR—BTU I NSPECTI ORDc
HEATER: SUSPENDED—UNIT-
WALL
USPENDED UNITWALL l! + I + C
a
c
03Z
NEW—ADDITION— PERMIT $ 3 00
ALTER—REPAIR— TOTAL FEE $ 7 00
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNT ORDINANCES AND STATE LAWS REGULATING
HEATING, VENTI I G, AIR CONDITIONING.
I HEREBY CERT HA NOT ACTING IN V ATION
OF CHAPTER , DI 3, BUSINESS AND PRO SSIONAL
CODE OF THE ST C IA. APPROVALS DJyr E I P CTOR'S SIGN URE
SIGNATUR ROUGH Yee
OF PER
FINAL
VALI ATION JACK R. ALLEN
CK. .O. CASH SUPERVISING MECHANICAL ENG'R.
iEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ✓' �• �'� �'�
76.A364= CE 616- 5-79 ,
APPLICATION FOR PERMIT
HEATING .- !VENTILATING a AIR CONDITIONING
COUNTY OF LOS ANGELES ,ADDRESS 5750 Primrose Ave.
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY' Temple City
NEAREST
... CROSS ST. Live Oa k
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY) Mr. Joseph Schneider
MAI L
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS same
CITY TEL. NO. 285-6796
ABSORPTION UNIT, BTU
CONTRACTOR E. L. Payne CO.
AIR HANDLING UNIT, CFM ADDRESS 166 W. Live Oak
BOILER, BTU CITY ArCad la TEL. NO. 446-6118
1 COMPRESSOR, BTU 36,000 5.00 STATE LIC.
LICENSE NO. 120228 CLASS C-20
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE SSED BY
EVAPORATIVE COOLER
1 FURNACE: FAU_GRAVITY
FLOOR BTU I?n,O n 7 )r0 INSPECTION RECORD
HEATER: SUSPENDED UNIT_
WALL
0
U
CC
0
U
W
Cr_
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Plan check fee 25% of above. See reverse.
PERMIT ISSUING FEE.$ 3 00
TOTAL FEE 15 50
` 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 INSPECTOR'S SIGNATURE
LATING,AIR CONDITIONING.
I HEREBY CERTIFY THAT 1 AM NOT ACTING IN VIOLATION ROUGH �., ,�•�, r�! L� `i�, t„f
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE STATE OF ALIF_OR IA.
SIGNATURE PERMIT VALIDATION cK. M.O. cnsH
OF PERMI EE /!
� a
'PLAN�C V CK ALIDATION CK. M.O. CASH
2 9.a: SftiN : 41 D 155.5 0 ®98
SEE BACK OF APPLICATION FOR COM PLETE FEE SCHEDULE 1,