HomeMy Public PortalAbout5622 ROSEMEAD BLVD_Mechanical__ CASBA-C,.B,B-B-eB APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIIGNIN
COUNTY OF LOS ANGELES _5-6r ,'
tEPARTIiENT OF-COUNTY ENGINEER
-BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS .562-1-N. Rosemead Blvd.
'COLEMAN W. JENKINS, SUPERINTENDENT QF BUILDING LOCALITY
Temple City 91780
FOR APPLICANT TO FILL IN CROSSSEST.
(Print or type only)
OWNER Clyde Casner
NO. TYPEJOFAPPLIANCE OR EQUIPMENT FEE
AD RESs5630 N. Rosemead Blvd. ,
ABSORPTION SYSTEM, BTU
CITYTem l e City 91 $O TEL. NO. CU -12
AIR HANDLING UNIT, CFM CONTRACTOR E. L. PAYNE COMPANY
BOILER, HORSEPOWER ADDRESS 9242 Beverly Blvd. ,
1 COMPRESSOR, HORSEPOWER 4 7 50 CITY Beverly Hills 902ML. NO. 275-5331
VENTILATION SYSTEM LICE SI=NO. 120228 CLASS C-2STATE LIC. 0
DISTRICT NO. GROUP ZONE PRO ESSED B
EVAPORATIVE COOLER
FURNACE: FAU GRAVITY / � J
FLOOR—BTU SPECTION RECORD
HEATER: SUSPENDED UNIT 1J /�
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(1) Lennox Gas/Electric Unit
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NEW—ADDITION— PERMIT $ 3 00
ALTER—REPAIR— TOTAL FEE S 10 50
Plan check applicant jr
Name
Address
City 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 jDAjE I C OR'S SIGNATURE
EATING,AIR CONDITIONING.
ROUGH
I HEREBY CERTIFY AT I AM CTING IN VIOLATIONFINAL
OF CHAPTER 9, DIVISIO OF THE SIN S ANA jjy§j ZONAL
CODE OF THE STATE AL1 N off LL 773s
JACK R. ALLEN,SUPERVISI ECHANICAL ENG'R.
SIGNATURE CL PERMIT VALIDATIO CK. M.O. CASH
OF PERMITTE
r. .
EMPEX
PLAN CHECK VALIDATION
l 20s&19 41 D 1 0.50N V
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE �/�A9��A/✓Fw