HomeMy Public PortalAbout6017 ROSEMEAD BLVD_Mechanical__ 76�A364-CES 1B-1/70 PLIC ION FOR PERWr
HEATING - VENTI ATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALI
JOHN A. LAMBIE. COUNTY ENGINEER
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COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING NEAREST
CROSS ST,
FOR APPLICANT TO FILL 1N OWNER _
(PRINT OR TYPE ONLY)
MAIL
NO. TYPEOFAPPLIANCE-OR EQUIPMENT FEE ADDRE
C TEL. NO. 7�
ABSORPTION SYSTEM, BTU.
CONTRA T a
AIR HANDLING UNIT, CFM
ADDRES
BOILER, HORSEPOWER TY TEL. N
COMPRESSOR, HORSEPOWER STATE Q LI t.
LICENSE NO .CLAS&
VENTILATION SYSTEM DISTRICT NO. CLASS GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER ,®O �i f a� '
FURNACE: FAU_GRAVITY INSPECTION RECORD
FLOOR BTU
HEATER: .SUSPENDED UNIT_
WALL 0
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NEW—ADDITION— PERMIT $ 3 00 i
ALTER_REPAIR_ TOTAL FEE $
PLAN CHECK APPLICANT
NAME
ADDRESS
Cl
TEL.NO.
EBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
E THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY
WITHL ORDINANCES AND LAWS REGULATING HEATING, VENT[- APPROVALS E INSPECTOR'S SIGNATURE
AIR CONDITIONING.REBY CERTIFY THAT I AM NOT ACTING IN VIOLATIONROUGHTER 9, DIVISION 3 OF TX BUSINESS AND PROFESSIONAL FINALTHE STATEOFFOR
URE JACK R. ALLEN,SUPER ISING MECHANICAL ENG'R.
MITT
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION R r�
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SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE '
r TEMPLE CITY
76A364 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES FADDRESS
DEPARTMENT OF COUNTY ENGINEER 6017 N. ROSEMEAD
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER TEMPLE ITY
COLEMAN W.JENKINS,SUPERINTENDENT OF BUILDING
FOR APPLICANT TO FILL IN OWNER MRS. S RES
(PRINT OR TYPE ONLY)
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS 6017 N. ROSEMEAD
ABSORPTION SYSTEM, BTU CITY TEMPLE CITY TEL. NO.
AIR HANDLING UNIT, CFM CONTRACTOR C
•
BOILER, HORSEPOWER ADDRESS 9852 ALPACA ST
CITAt EL MONTE TEL. NO. 444-8420
COMPRESSOR, HORSEPOWER p /+
C
LICENSE NO. 21-9328 CLASS -20
VENTILATION SYSTEM - DISTRICT NO. GROUP ZONE PROCESSED
}BY
EVAPORATIVE COOLER _6^(9 V //
FURNACE: FAU GRAVITY
INS CTION RECORD
FLOOR BTU
HEATER: SUSPENDED UNIT 2 ��
WALL �- 4 00
L
0
F
' u
0
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NEW_ADDITIOPD� PERMIT $ 3 00
ALTEREPAIR_ TOTAL FEE $
PLAN CHECK APPLICANT
NAME Q
ADDRESS /
CITY TEL.N0. D 'Zrz C�i37JLQ
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LA ULATING-HEATING,VENT[- APPROVALS DATE INSPECTOR'S SIGNATURE
LATING, AIR CONDITIONING.
I HEREBY CERTIFY THAT T ACTING IN VIOLATION OF ROUGH
CHAPTER 9, DIVISION HE BU INESS AND PROFESSIONAL FINAL
CODE OF THE STAT C L ORNIA.
SIGNATURE :I P // JACK R. ALLEN, SUP��ECHANICAL ENG'R.
OF PERMITTEE �/�/I
PERMIT VALIDATION M.O. CASH
PLAN CHECK VALIDATION
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.••EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE - 00 ,