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HomeMy Public PortalAbout10776 BLACKLEY ST_Mechanical__ 78AA„ 4E ICE-818A)-9/77 APPLICATION FOR PERARIT HEATIMG - VENTILATING - AIR CONDITIONING COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN BUILDING /�J (PRINT OR TYPE ONLY) ADDRESSeI / ; i• LOCALITY NO. TYPE OF APPLIANCE OR EQUIPMENT FEE NEAREST CROSS ST. - • ABSORPTION UNIT, BTU OWNER AIR HANDLING UNIT,CFM MAIL ADDRESS BOILER,'BT ' Ov CITY' T L NO. COMPRESSOR,BTU CONTRACT R VENTILATION SYSTEM ADDRE.� 'EVAPORATIVE COOLER CITY L NO FURNACE FAU GRAV_ITYS � �TATE c..� LIC. FLOOR BTU LICENSE NO. CLA -•-10- HEATER 'SUSPENDED UNIT- - DISTRICT No. eG ouP ZONE P CESSED BY WALL � � �j � G INSPECTION RECORD 0 O . V 1N O Plan check fee'25% of above. W PERMIT ISSUING FEE$ r p i� 1A . TOTAL FEE 17 ,0 ' PLAN CHECK APPLICANT ' NAME ADDRESS. - CITY T I HEREBY ACKNOWLED THAT I HAVE'RE T 5 APPLICATION AND STATE THAT THE ABOVE CORRECT AND A EE O COMPLY WITH ALL ` ORDINANCES AND L REGULATING AT VENTILATING. 'AIR CONDITIONING. ' I I HEREBY C T -Y I AM NO AC NG IN VIOLATION OF APPROVALS DATE INSPECTOR'S SIGNATUR CHAPTER'S, DIV I OF USIN A PROFESSIONAL CODE OF THE STATE ALIFO A. ROUGH - ,'`_SIGNATURE FINAL OF PE RMI C PLAN CHECK VALIDATION% wo CASK PERMIT VALIDATION CK M.O. cnsR — p. 8,©'3 AUG 2 4.',l U 1 7.0 G a 3� CY HOLDER.-d4z4 �-e- 0�' a CY NCIMBER. Co,�7i Z 3 ( VJ—/77,::.:1: ©t COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0910050008 BUILDING AND SAFETY / LAND DEVELOPMENT _ TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT: ILEGAL ID: FEES PAID BUILDING ADDRESS: I ITR 13613 LT 56 I I 10776 BLACKLEY ST 1 I IFEE DESCRIPTION: QUANTITY: UOM. AMOUNT I TEMP CA 917803501 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET PARMERTON I 18573-006-010 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID D3 LOCALITY: TEMPLE CITY, Cl 1 102 COMPRSR < 100 KBTU 1 00 COM 27.00 1 ITENANT: 108 FURNACE/HEATER <100 1.00 UNI 27.00 IISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON. 1 I 130 AIR INLETS/OUTLETS 13 00 UNI 56 55 110/05/09 SR 10/05/10 I TOTAL FEES 138.30 1 I (OWNER: TEL. NO. I IFINAL DATE FINAL BY: CODE: 1 IROSENBLUM MARK I;LUPE M (626) 453-8890- 1 1 110776 BLACKLEY ST- I I ITEMP 917803501 - 1 IDESCRIP ON OF WORK I 14 TON A/C 9000 BTU FURNACE I 1APPLICANT. TEL. NO. 1 ILESLIE P. VALENTINE (626) 201-5174- 16344 N. LEMON AVE I ISPECIAL CONDITIONS: 1 ISAN GABRIEL CA I I I I I I ICONTRACTOR: TEL. NO- I (APPROVALS DATE INSPECTOR SIGNATURE 1 ITEMPO AIR CONDITIONING AND.HEATING (626) 285-1218- 1 1 15937 N. OAK AVE. LIC. NO - 1 IFAU/WALL FURNACE I I ITEMPLE CITY, CA 91780 27488OC20 I II ICOMBUSTION AIR OPENINGS (ARCHITECT OR ENGINEER: TEL. NO: 1 IDUCT WORK - I LIC NO: 1AC/COMPRESSOR I 1 I I I ITHERMOSTAT 1 I I I i I IFIRE DAMPERS' ISMOKE DETECTION DEVICES I COMMERCIAL HOOD I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I IREPORT ID: DPR264 ROUTE TO: BS0508 I I I I I