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CE 818(REV 6/76) , I APPLICATION FOR ,PERMIT '
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HEATING - FVENTILATING,,- AIR CONDITIONING,
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COUNTY OF LOS ANGELES BUILDING AND SAFETY
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FOR APPLICANT TO FILL IN BUILDING a
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Plan check fee 25% of above
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I HEREBY KNOWLEDGE THAT I, AVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL r
ORDINANCES AND LAWS REGULATING HEATING VENTILATING AIR
CONDITIONING PERMIT VALIDATION,
I HEREBY CERTIFY THAT I AM NOT ACTING INI`VIOLATION OF r r 242 4,b A
CHAPTER 9 DIVISION 3 OF BU SS AND PROFESSIONAL CODE _ a
OF THE STATE OF CAL OR 1 t # 0, 0 O "4 1
SIGNATURE
OFPERMITTEE p t LSO 017,00 !`
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0603300015
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
TR 6561 LT 47 5946 AGNES AV
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802217
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LAS TUNAS
8587-031 019 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID A2 LOCALITY TEMPLE CITY
02 COMPRSR < 100 KBTU 1 00 COM 27 00
TENANT 08 FURNACE/HEATER <100 1 00 UNI 27 00 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
30 AIR INLETS/OUTLETS 10 00 UNI 43 50 03/30/06 VG 09/26/06
TOTAL FEES 125 25
OWNER TEL NO FINAL DATE FINAL BY CODE
CHEN LILIAN
5946 AGNES AV
TEMP 917802217 DES ILT ON OF WORK
IN TAL NEW HVAC
APPLICANT TEL NO
NORMAN LIU SERVICE CORP (626) 579 1559-
4901 ARDEN DR SPECIAL CONDITIONS
TEMPLE CITY CA 91780
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
NORMAN LIU SERVICE CO (626) 579-1599
4901 ARDEN DR LIC NO FAU/WALL FURNACE
TEMPLE CITY CA 91780 559374C20 * .(
COMBUSTION AIR OPENINGS
ARCHITECT OR ENGINEER TEL NO DUCT WORK
LIC NO AC COMPRESSOR
THERMOSTAT
FIRE DAMPERS
SMOKE DETECTION DEVICES
COMMERCIAL HOOD
* ADDITIONAL DATA ON FILE
REPORT ID DPR264 ROUTE TO BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0902050003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
ILEGAL ID FEES PAID BUILDING ADDRESS
ITR 6561 LT 47 5946 AGNES AV ,
IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802217
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET
18587 031 019 101 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID A2 LOCALITY TEMPLE CITY Cl
102 COMPRSR < 100 KBTU 1 00 COM 27 00
ITENANT 108 FURNACE/HEATER <100 1 00 UNI 27 00 11SSUED ON PROCESSED BY PLAN BY EXPIRES ON 1
130 AIR INLETS/OUTLETS 4 00 UNI 17 40 102/05/09 SR 08/04/09
141 VENTILATION FAN 2 00 FAN 31 50 1
1OWNER TEL NO TOTAL FEES 130 65 IFTNAL DATE FINAL BY CODE 1
1CHEN YU L (626) 272 7550
15946 AGNES AV
ITEMP 917802217 IDESCRIPTION OF WORK
1 INSTALL AIR CONDITIONING AND HEATING SYSTEM
APPLICANT TEL NO
1CHEN (626) 272 7550
15946 AGNES AVENUE 1 ISPECIAL CONDITIONS 1
TEMPLE CITY CA 91780
1APPROVALS DATE INSPECTOR SIGNATURE
1CONTRACTOR TEL NO � I I
1WAKUOK U (626) 688 4386 1 1
12609 GAGE AVE LIC NO 1FAU/WALL FURNACE
IEL MONTE CA 91733 863280 B I
1 1COMBUSTION AIR OPENINGS
(ARCHITECT OR ENGINEER TEL NO IDUCT WORK
(DLC DESIGN (626) 383 6972 1 1 1
1308 N MAPLEWOOD AVE LIC NO 1AC/COMPRESSOR 1
IWEST COVINA CA 91790 NONE
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(THERMOSTAT
IFIRE DAMPERS
ISMOKE DETECTION DEVICES 1 1
ICOMMERCIAL HOOD
I I I I I I
I I I I I I
I I I I I 1
I I I I I 1
I I I I I 1
I I I I I 1
I I I I I I
IREPORT ID DPR264 ROUTE TO BS0508
I I I I I 1