HomeMy Public PortalAbout5460 TEMPLE CITY BLVD_Mechanical__ l
A A 313 !CE e I S- B-73
A KATION F ERMIT
HEATING - VENTILATING • AIR CONDITIONING
COUNTY OF LOS ANGELES BUIN
ADDRESS
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALIT
NEAREST
CRO55 ST
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY(
MAIL _
NO YPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS -
CITY TEL NO
ABSORPTION UNIT BTU
CONTRACTOR
AIR HANDLING UNIT, CFM q
ADDRESS V�
BOILER BTU CITY DD TEL NO a3
COMPRESSOR, BTU STATE LIC
LICENSE NO CLASS 0D
VENTILATION SYSTEM rDISTIICT NO GROUP zONE PRD SSED BY
EVAPORATIVE COO 0� y
FURNACE FAU_G I Y
FLOOR BTU INSPECTION RECORD
HEATER SUSPENDED—UNIT—
WALL
O
U
C
O
H
U
W
CL
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Plan (heck fee 25', of aho�e See re%l r.e =
PFltNil I ISSDINC F F 6 S 3 IOIAI I-FL
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING VENTI APPROVALS DATE INSPECTOR 5 SIGNATURE
LATING AIR CONDITIONING
ROUGH 3 Z-7
HEREBY CERTIFY THAT AM NOT ACTINO R VIOLATION u
OF CHAPTER B DIVISION 3 F THE BUSINESS AND PRD(ESSIONAL FINAL 0�4- / K
CODE OF THE SIT 01 ORNI• ,
SIGNATURE PERMIT VALIDATION CK M D CASH
OF PERMITTEE
PLAN CHECK VALIDATION CK M 0 CASH
1.2'9XMAR 1941 0 '8.00A-%
8EE BACK 01 ARL ICAT ION FOR COMPLETE EEE SCHEDULE