HomeMy Public PortalAbout5809 ROWLAND AVE_Mechanical__ Or 000f e
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76A364--=CVIB - 3-69 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES FADDRESS
5809 North Rowland
DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER Temple CitCOLEMAN W.JENKINS,SUPERINTENDENT OF BUILDING CLQ
FOR APPLICANT TO FILL IN
(PRINT OR TYPE ONLY) OWNER MTS. Marian Webb
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS 5809 N. Rowland
ABSORPTI.ON SYSTEM, BTU CITY Temple City TEL. NO. 286-7006
AIR HANDLING UNIT, CFM
CONTRACTOR Bryant Htg. & Air Cond.. Inc.
ADDRESS 1350 E. Las Tunas Drive
BOILER, HORSEPOWER CITY San Gabriel L. NO. 286-1141
1 COMPRESSOR, HORSEPOWER 3-tnn 4 00 STATE
LICENSE N0. 221751 CLASS C20
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER
1 FURNACE: FAU GRAVITY INSPECTION RECORD
FLOOR BTU 8 2 M 4 00
HEATER: SUSPENDED UNIT
WALL
Furnace is re cement
of existing furnace .
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0
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NEW—ADDITION= PERMIT $ 3 00
ALTER REPAIR_ TOTAL FEE $ 1 OO
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.N0.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCESAND LAWS REGULATING HEATING,VENTI-
LATING,AIR CONDITIONING. APPROVALS DATE IP617CTOR' SIGNATURE
IHEREBY CERTI T I A T TING IN VIOLATION OF ROUGH
CHAPTER 9, DII I F U ESS AND PROFESSIONAL FINAL
CODE OF THE AT
SIGNATOR N JACK R. ALLEN, SUPERVISING MECHANICAL ENG'R.
OF PERM TEE
PERMIT VALIDATION �` M.O. CASH
PL HECK VALIDA
1 Af'...10 .4 9 �JUN 2 4 4 1 D 1 1.0O N
F:EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE