HomeMy Public PortalAbout5948 TEMPLE CITY BLVD_Mechanical__ 7(A364 - CEBIB - 3-69
APPLICATION
ION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUI7-
JOHN
DEPARTMENT OF COUNTY ENGINEER ADDI�APAK Cl
BUILDING AND SAFETY DIVISION
A. LAMBIE, COUNTY ENGINEER LOCOLEMAN W.JENKINS,SUPERINTENDENT OF BUILDING NEACRO ,iJ
FOR APPLICANT TO FILL IN
OWNER
(PRINT OR TYPE ONLY)
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS f i
ABSORPTION SYSTEM, BTU CITY TEL. NO.
S "
AIR HANDLING UNIT, CFM CONTRAC OR y
ADDRESS / (f i
BOILER, HORSEPOWER
CITY a l'j_^ TEL. N0. 7
COMPRESSOR, HORSEPOWER
LICENSE NO._~ ," CLASS -246
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE I "PR CESSED BY
EVAPORATIVE COOLER 6'�S C Z
FURNACE: FAU RAVITY '•
FLOOR 'BTU f:J INSPECTION RECORD
HEATER: SUSPENDED UNIT
WALL
• F
c
F
f
t
e
NEW—ADDITION- PERMIT $ 3 00
ALTER_REPAIR_ TOTAL FEE $
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 ORDINANCES AND LAWS REGULATING HEATING,VENTI- APPROVALS DATE I ECTOR'S SIGNATURE
%
LATING, AIR CONDITIONING.
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH
CHAPTER 9, DIVISION 3, F THE BUSINESS AND PROFESSIONAL 'FINAL
CODE OF THE S=*k
SIGNATURE JACK R. ALLEN, SUPERVISING MECHANICAL ENG'
OF PERMITTEE
PERMIT VALIDATION CK. M.O. LASH
PLAN CHECK VALIDATION
.,6-2.4 5.0-1 AUG 10 4 1 D 11.00 4
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE