HomeMy Public PortalAbout5837 TREE ROSE TER_Mechanical__ ]DAa6G—CE8I[ —I/T0 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS, SUPeRINTD:ND..T OF BUILDING NEAREST
CROSS ST
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL
NO YPEOFAPPLIANCEOR EQUIPMENT FEE ADDRESS
CITU �,,eTEL NO (7;7—
ABSORPTION SYSTEM BTU
CONTRACTOR
AIR HANDLING UNIT, CFM
ADDRESS
BOILER, HORSEPOWER CITY TEL NO
COMPRESSOR, HORSEPOWER- ST T LIC J r
LICENSE NO A CLASS
VENTILATION SYSTEM DISTRICT NO CLAS a GROUP Ne P aee0 BY
EVAPORATIVE COOLER —�
FURNACE FAU_GRAVITY INSPECTION RECORD
FLOOR BTU
HEATER SUSPENDED—
UNIT-WALL
a
0
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OF
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NEW —ADDITION— PERMIT $ 3 00 H
2
ALTER—REPAIR— TOTAL FEE S
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND ADRE[ TO COMPLY
WITH ALL ORDINANCES AND LAWS RLGULATINO HEATING VENTI- APPROVALS DATE OSPLCTOR S SIGNATURE
LATINO AIR CONDITIONING
ROUGH
1 XlCERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER
B DIV HE B 81N! AHO OILDDIONAL FINAL =�
CODE OF THE
DT F I MIA
SIGNATURE JACK R ALLEN,SUPER VI SI HANICAL ENG'R
OF PERMITT E
PERMIT VALIDATION cK M o CASH
PLAN CHECK VALIDATION
IN
Ar, 0 5 1 473 APR 11 4 1 A 8.0 0
SEE BACK 01 APPLICATION FOR COM METE RE SCHEDULE
76A.384-CEVS-I BB APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ADUILDING
DRESS 5837 Tree Rose Terrace
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS, SUPRRINTLNDENT OF BUILDING LOCALITY
San Gabriel
FOR APPLICANT TO FILL IN CROSS ST W MUBCatle
(Print-, type only)
OWNER S B Weber
No TYPE,OF APPLIANCE OR EQUIPMENT FEEMAIL
ADDRESS 926 Tem le City Blvd.
ABSORPTION SYSTEM BTU CITYTEL NO
Tem le Cit
AIR HANDLING UNIT, CFM CONTRACTORSt ne Bros Air Co
nd.
BOILER, HORSEPOWER ADDRESS 9852 Alpaoml
COMPRESSOR, HORSEPOWER CITY El MonteTELTEL NO TTATE
LIC
VENTILATION SYSTEM LCENSE N0219328 CLA
DISTRICT NO GROUP ZONE Pif ROC SS D BY
EVAPORATIVE COOLER
FURNACE FAU—GRAVITY
FLOOR—BTU INSPECTION RECORD
HEATER SUSPENDED—UNIT—
WALL O
W
d
rn
0
NEW—ADDITION PERMIT $ 3 00
ALTER—REPAIR TOTAL FEE S 7 00
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS COR CT AND AGREE TO COMPLY
WITH ALL COUNTY ORDI MANCE! THTC LAW! REGULATING
HEATING VENTILATING AIR COdvo IHEREBY CERTIFY THATTINO IN VIOLATION
OF CHAPTER 9 DIVISION30AND PROFEDBIONAL
CODE OF THE STATE Of C APPROVALS DATE INSPECTOR S SIGNATURE
SIGNATURE ROUGH
OF PERMITTEE
FINAL L
IDATIONJACK R ALLEN
C7KINI0 CASH
SUPERVISING MECHANICAL ENG R
6373' S&l2a1 A 7.00- Q
9EE BACK OFAPPLICATION FOR COMPLETE FEE SCHEDULE