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76 A354
- CE BIB-1/75
APPLICATION FOR PERMIT
HEATING - VENTILATI,NG - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILD'AD
DRESNG
S 9738 Wooley
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ALITY Temple City .
SS ST.
FOR APPLICANT TO FILL IN OWNER Helen Parikonin
(PRINT OR TYPE ONLY)
TYPE&SIZE OF EQUIPMENT MAIL
� ADDRESS 9738 Wooley
NO. SEE BACK OF APPLICATION '
FEE
CITY Temple City TEL. NO. 446-2203
1 FORCE AIR FURNACE, BTU 82M - 7 50
CONTRACTOR Bryant Heat Air Cond. Inc
COMPRESSOR, BTU
ADDRESS 13 5 0 E. Las•Tunas Drive
VENTILATION FAN CITY TEL. NO.
_ San Gabriel 7 286-1141
LIST ALL OTHERS BELOW STATE LICENSE NO. . 221751 CLASS C20
DISTRICT N0. GROUP09
ONE OCESSED BY
I
INSPECTION RECORD
O
V
O
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U
W
n.
Plan check fee. See reverse.
- Z
Pi-.,mi 'I' ISSUING FI-:I.: S 4
TOTAL, Fi:f: 12 00
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS JENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE
WITH ALL ORDINANCES AND LAWS REGULATING HEA -P
LA
APPROVALS DATE INSPECTOR'S SIGNATURE
EATING,AIR CONDITION G.
ROUGH n
I HEREBY CERTIF THAT IAM NOT ACTING r f !
OF CHAPTER 9, DIVISI 3, OF THE BUSINESS AN FINALCODE OF THE STAT LIFORNIA.SIGNATURE SGC./ PERMIT VALIDATION CK. M.O. CASH
OF PERMITTE - --
PLAN CHECK VALIDATION CK. .0. CASH
_ 41 D 2.0 ,"d
r,,>,,
761464C 1 •'
CE-8181REV.6/78)
es 'APPLICATION FOR PERMIT �•ti:�
HEATING - VENTILATING -'AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING AND SAFETY �V
FOR APPLICANT TO FILL IN BUILDING
(PRINT OR TYPE ONLY.) ADDRESS M 9738 WOOIe
rt+ Yr"r
LOCALITY Temple City. fx
NO. TYPE OF APPLIANCE OR EQUIPMENT' FEE'
NEAREST
CROSS ST. vL��7 ,. •.
ABSORPTION UNIT,BTU �}.1
OWNER Helen Pankonin `.
AIR HANDLING UNIT,CFM MAIL.
ADDRESS 9738 Wooley. .
BOILER.BTU
CITY `1'em le Arlt TEL.NO. 446-220
1 COMPRESSOR,BTU 3-ton 10 00 CqNTRACTOR Bryant Heat. & Air Cond•
VENTILATION SYSTEM ADDRESS '13 50 E., Lag- Tunas Dr
EVAPORATIVE COOLER CITY TEL.NO.
San Gabriel, 286-11
FURNACE: FAU GRAVITY STATE LIC. C20
FLOOR BTU d-LICENSENO. .. 221751 CLASS
HEATER: SUSPENDED UNIT_ AppROVALS DATE INSP TOR'S IGNATURE
WALL
ROUGH
FINAL.
INSPE TION RECORD
&8
Plan check fee 25%of above.
PERMIT ISSUING FEE$ 71,00 z
TOTAL FEE 1 00
PLAN CHECK APPLICANT . PLAN CHECK VA,�,DATION
NAME . L�1
ADDRESSa ' ��
CITY TEL.NO. 7 9I HEREBY ACKNOWLDGE THAT I HAVE READ TH IS
AN
STATE THAT THE ABOVE ES CORRECT AND AGREE TO COMPILY WIDTH ALL 9264.-8A
ORDINANCES AND LAWS REGULATING HEATING, VENTILATING, AIR
CONDITIONING. PERMIT VALIDATION # O D.0 o 4 1
I HEREBY CE'TIFY THAT I AM NOT ACTING VIOLATION OF
CHAPTER 9, DIVISI• OF'THE BUSINESS AND PROFESSIONAL COD 2 D D ,1 7i 0 O
OF THE STATE OF F RNIA.
SIGNATURE 010 O 17005'
OF PERMITTEE
DISTRICT NO. PROCESS BY •.0208-79
1�r• 0!� .