HomeMy Public PortalAbout9158 BIDWELL ST_Mechanical__ 7e A364 - CE 81e- 5.79
APPLICATION FOR PERMIT
HEATING - VENTILATING- AIR CONOITIONING
COUNTY OF LAS ANGELES
rADD,RESS
LDINGDEPARTMENT OF COUNTY ENGINEERBUILDING AND SAFETY DIVISION CALITY7,21
AREST
OS ST.
FOR APPLICANT 70 SILL IN OWNER
(PRINT OR TYPE ONLY) ,
No. YFEO F APPLIANCE OR EQUIPMENT FFA
MAIL
DRES$
CITY TEL.. NO.
ABSORPT{ON UNIT, BTU
CONTRACT ^�
AIR HANDLING UNIT, CFM
ADDRESS
.BOILER, BTU CITY TEL. NO,
COMPRESSOR, BTU-do d STATE- LIC.
CENSE NO. J Odd CLASS
VENTILATION SYSTEM DISTRICT NO. SROUP NE [[ED Y
EVAPORATIVE CQOLE-R �(
FURNPCE: rAU- (-gRAVITY INSPECTION IffiCORD
FLOOR . BTU
HEATER; SUSPENDED UNIT_
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Plea check fqe 25% of above. Seereverse. _
PERMIT ISMNGFEE f s bo
TOTAL FEE
PLAN CHECK APPLIOANT
NAME
ADORES
CITY TEL.NO.
I HERf[Y ACRNOw LtDOE THAT I HAVE READ THIS AFFLICATION -
AND [TATE THAT THE AWOV[ IS CORRECT ANp AGREk TO COMPLY
WITH .ALL 0RNNANCES AND LAWS R[GULAT.Hi4 H[ATING,.VEILTI- APPROVALS - DAT[ INSPECTORS SIGMATU R)<
LAT.ING, AJR'CO ND ITIONINS.
Ft0 UG Ft
4 HKIR[SY. CERTIF THAT 1 AM NOT ACTING JN VIOLATION
OF CHAFT[R D, Da 9, Q D III as AND "OF[BSIONAL FINAL, `
GOD[ QF THE ST t OF A ,I
SIGNATURE h PERMIT VALIDATION cic. M.0. CASH
6 r PERMITT
LAN CHE VAl iI :IIATION " M.0. CASH
a Z 4:1 8.0 Q
2KE SA CA OF APP CAT ION FOR COM RLETE FEE SCHIEDU L[ -
COUNTY OF LOS ANGELES TII4PLE CITY 0508 MECHANICAL PERMTT
DEPARTMENT OF PUBLIC WORLB 9701 IAS TUNAS ME 0508 0804240010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 ETT:
LEGAL ID: FESS PAID BUILDING ADDRESS:
TR: 12977 LT: 10 9158 BIDWEL ST
FEE DF-90U PTION: QUANT=: UCH: AMOUNT: TEMP CA 917802454
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
5387-018-006 01 PERMIT ISSUANCE FEE 27.75 T10HAS PAGE: 596 GRID: J3 LOCALITY: TENPLE CITY, C
02 COKWRSR < 100 T,BTU 1.00 COM 27.00
TENANi': 08 FURNACE/HEATER <100 1.00 UNI 27.00 ISSUED ON: PROCESSED BY: PIAN BY: EXPIRES ON:
30 AIR TNT• /OUTLET9' 9.00 UNI 39.15 04/24/08 VG 10/21/08
TOTAL FEES 120.90
OWNm: TEL. NO: DATE FINAL BY: CODE:
TOSKTE JACK L)EVELYN P (626) 287-9438-
9158 BIDWELL ST In e
T 301P 917802454 DESCRIPTION OF WORK
HVAC CHANGE OUT ttITI-I DUCTIk
APPLICANT: TEL. NO:
CONNOR ASR CONDITIONING (626) 286-3157-
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
CONNOR AIR CONDITIONING (626) 286-3157-
4931 ENCSNITA AVE LIC. NO FAD WALL FURNACE
TEMPLE CITY, CA 91780 403735 C20
COKBUSTICN AIR OPENING
ARCHITECT OR ENGINEER: TEL. NO: DUCT WORT
LIC. NO: AC COlCaL%S&OR
THEaWSTAT
i
FIRE DAMPERS
SNOTS DETECTION DEVICES
COMERCIAL HOOD
REPORT ID: DPR264 ROUTE TO: B80508
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