HomeMy Public PortalAbout4801 RIO HONDO AVE_Mechanical__ 76A964JE (CE r-'A:SA).11/78 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
_ COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL INBUILDINGS O1NRio Hondo t.
(PRINT OR TYPE ONLY) ADDRESS
NO. TYPE OF APPLIANCE OR EQUIPMENT - FEE LOCALITY Temple City-
NEAREST aJ
CROSS ST.
ABSORPTION UNIT,BTU. OWNER Ralph Wise
AIR HANDLING UNIT,CFM MAIL
ADDRESS $Ol RIO Hondo St.
BOILER,BTU CITY Temple City TEL.Noz86-7267
COMPRESSOR.BTU CONTRACTOR Universal Plumbing
VENTILATION SYSTEM ADDRESS 2631 Lee Ave .
EVAPORATIVE COOLER CITY So. El Monte TEL.NO. 575-360
FURNACE: FAU_GRAVITY STATE LICENSE NO. 316018 r-LA
FLOOR BTU SSC36 &Sj,o
HEATER: SUSPENDE UNIT- DISTRICT NO. GROUP ZONE PROBY
WALL
INSPECTION RECORD
V
Plan check fee 25%of above.
PERMIT ISSUING FEE$ (`�Q
TOTAL FEE ? N
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
L
E THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
NANCES AND LAWS REGULATING HEATING, VENTILATING, AIR
DITIONING.
1 HEREBY CERTIFY T I AM NOT ACTING IN VIOLATION OF APPROVALS DATE INSPECTOR'S SIGNATURE
TER 9, DIVISION 3, HE BUSIN ND PROFESSIONAL CODE ROUGH
HE STATE OF CALIFO IA.
ATURE r
ERMITT FINAL
PLAN CHECK VALIDATION CK. CASH PERMIT VALIDATI CK. M.O. CASH
h o- 9 1 2 Or-JUL 26 '4 q. D 17.0 0 nig
7 7S�0 0 3 es