HomeMy Public PortalAbout9121 BLACKLEY ST_Mechanical__ 76A364Z - CE81BB-9/73 APPLICATION FOR PERMIT -
�f HEATING - VENTILATING - AIR CONDITIONING
Y 1
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO,FILL°INN BUILDING
(PRINT OR TYPE ONLY) ADDRESS 9121 E. Blackley
NO TYPE OFAPPLIANCEOR EQtlUIPMENT FEE LOCALITY Temle City
NEAREST
CROSS ST
ABSORPTION UNIT, BTU
OWNER , C W; Zachary ,
AIR HANDLING UNIT, CFM MAIL
ADDRESS 9121 E. Blackley
BOILER,,BTU CITY Temple City TEL NO 286-6378
1 COMPRESSOR, BTU 30M 7§1 CONTRACTOR
Bryant Heat. & Air Cond
VENTILATION SYSTEM ADDRESS 1350 E. Las Tunas Drive
EVAPORATIVE COOLER CITY San Gabriel TEL NO 286-1141
FURNACE FAU GRti4)(�TSTATE LIC
1 FLOOR-BTU tjUjVlY 7 50 LICENSE NO 221751 CLASS C20
r
HEATER SUSPENDED UNIT_ DISTRICT NO GROUPNE 67ESSED BY �-
WALL e v
Oo y _tea
0
INSPECTION RECORD
w
a
Plan check fee 25% of above
PERMIT ISSUING FEE $ 4 50
TOTAL FEE '19 50
PLAN CHECK APPLICANT
NAME
ADDRESS Y
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-
LATING,AIR CONDITIONING
HEREBY CERTI THAT I AM NOT ACTING VIOLATION' APPROVALS DATE INSPECTOR'S SIGNATURE
OF CHAPTER 9, DIVI 10 3, OF THE BUSINESS �N P OFE�SSIONALCODE OF THE STATE CALIFORNIA ROUGH
SIGNATURE RMITTEFINAL,-, e 7 � �
PLAN CHECK VALIDATION PERNIIT`VALIDATI _ `_�K ,M o` CASH
CK M O CASH
>4,3. 3rJUL 9.5 4
1
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0202270008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT
L,G L ID: FEES PAID BUILDING
ON FILE 9121 BLACKLEY ST
_ FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803015
ASSESSOR NEAREST CROSS STREET: ENCINITA
5388-011-032 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H5 LOCALITY: TEMPLE CITY
02 COMPRSR < 100 KBTU 1.00 COM 27.00
08 FURNACE/HEATER <100 1.00 UNI 27.00 S : PROCESSED ON:
30 AIR INLETS/OUTLETS 6.00 UNI 26.10 02/27/02 JK 08/26/02
TOTAL FEES 107.85
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE
LAU; STANLEY (626) 309-1162- _f'�1�2
9121 BLACKLEY ST / C/
TEMP 917803015 DESCRIPTION OF WORK
HVAC SYSTEM
APPLICANT: TEL NO:
SAME AS OWNER
SPECIAL CONDITIONS:
�
CONTRACTOR: TEL. NO: ` ®� �•ly� APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER + !� AL
LIC. NO
I
L FURNACE
COMBUSTION AIR OPENINGS
ARCHITECT GINEER TEL NO -� DUCT WORK
LIC NO: 111111 AC/COMPRESSOR
FIRE� [PU O M V V G��S i DAMPERS
I V
O 16COMMERCIAL HOOD
7 I!
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REPORT ID: DPR264 ROUTE TO: BS0508