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HomeMy Public PortalAbout4917 BALDWIN AVE_Mechanical__ (2) � T ie A364 CIE ele +/75 APPLICATION F PERMIT HEATING - VENTILATING - AIR CON01110NING COUNTY OF LOS ANGELES BUILDING iZ ( ' DEPARTMENT OF COUNTY ENGINEER ADDRESS qt . R BUILDING AND SAFETY DIVISION LOCALITYNEAREST CROSS ST 1►ot��R Y�LkSa FOR APPLICANT TO FILL IN OWNER l 674 (PRINT OR TYPE ONLY) T • .a and v0 TYPE&SIZE OF EQUIPMENT FEE MAIL -.` V� ADDRESS q� . a SEE BACK OF APPLICATION CITY e4 TEL NO FORCE AIR FURNACE BTU �1��/��,�' CONTRACTO COMPRESSOR BTU ADDRESS VENTILATION FAN CITY TEL NO IST ALL OTHERS BELOW STATE LIC i LICENSE NO CLASS DISTRICT NO GROUP ONE SSED BY i^ _' Y i .SJ a8 INSPECTION RECORD r f r 4 O U O I- U W a Plan check fee See reverse z F'I H\ll I ItiSl,l\C H 1 1 C r 101 11 I I I ` PLAN CHECK APPLICANT NAME ADDRESS s h 2 CITY TEL NO 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 INSPECTORS SI ATURE LATING AIR CONDITIONING I HEREBY CERTIFY THAT I AM NOT ROUGH TING IN VIOLATION -� OF CHAPTER 9 DIVISI. 3 OF"SSS ESSIO L FINAL I CODE OF THE STAT LIBORSIGNATURE PERMIT VALIDATION, cK M D CASH OF PERMITTEEPLAN CHECK VALIDACASH 0 1 5 JAN 3 4 1 © 1 '5 7 5A jo F � Q✓�' 1 L COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0001140008 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285 0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS TR 9848 LT 20 4917 BALDWIN AV FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917804009 ASSESSOR INFORMATION NUMB NEAREST CROSS STREET LOWER AZUSA 8589 025 020 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID B5 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 47 ALTER EXIST DUCT SYS 1 00 SYS 27 00 01/14/00 UT 07/12/00 TOTAL FEES 108 75 OWNER TEL NO FINAL DATE FINAL BY CODE LIN, ) , 4917 BALDWIN AV 1 TEMP 917804009 UUZl6KlrlION OF WORK CHANGE OUT OF EXISTING HEATING AN COOLING SYSTEM APPLICANT TEL NO J D AIR CONDITIONING (626) 821 6443 2818 HOLLY AVE SPECIAL CONDITIONS ARCADIA CA 91007 CONTRACTOR TEL NO Q�f1VA� APPROVALS DATE INSPECTOR SIGNATURE J D AIR CONDITIONING (626) 821 0074 2818 HOLLY AVE LIC NO FAU/WALL FURNACE ARCADIA CA 91007 630471 C20 COMBUSTION AIR OPENINGS ARCHITECT OR ENGINEER TEL NO DUCT WORK LIC NO 1111111 AC/COMPRESSOR THERMOSTAT T n Q L�(C W G �K 2 FIRE DAMPERS I�fL U IUU^uu( SMOKE ECTION DEVICES O o COMMERCIAL HOOD� � O ❑ i REPORT ID DPR264 ROUTE TO BS0508