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HomeMy Public PortalAbout9232 BLACKLEY ST_Mechanical__ 76A364E (CE.-B1BA)-11/76 'APPLICATION FOR PERMIT HEATING - VENTILATING - ABR*CONDITIONING COU OF LOS ANGJEINEEIR DEPARTM T OF COUNTY BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN BUILDING Z� 7_ d./k (PRINT OR TYPE ONLY) ADDRESS °rLOCALITY �,, eo L NO. TYPE OF APPLIANCE OR EQUIPMENT FEE NEAREST GjN/CROSS ST.ABSORPTION UNIT,BTU OWNERAIR HANDLING UNIT,CFM MAIL _ADDRESS BOILER,BTU CITY _ _COMPRESSOR,BTUCONTRACTOR -sG7-JD�� VENTILATION SYSTEM ADDRESS P0 , p 0 , I EVAPORATIVE COOLER CITY �' p✓Q�� _ S--al- 9JO-3 TEL.NO.�C � ' 7s-. FURNACE: V"GRAVITY. STATE LIC. VITY FLOORCom .-� LICENSE NO. S CLASS b' / HEATER: SUSPENDED UNIT— DISTRICT NO. GROUP ZONE ROC 'SED BY WALL INSPECTION RECORD IL O CJ 0 A Plan check fee 25% of above. V eaa PERMIT ISSUING FEE$ TOTAL FEE - PLAN CHECK APPLICANT NAME C u 2 LJ C G �S T•Q wC 7—, J�?/' ADDRESS �� �X. _3, , CITY 5' ,V/,3,/ ,&7 'TEL.NO.33 9 7 IHEREBY 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, VENTILATING, AIR CONDITIONING. IHEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF APPROVALS DATE INSPECTOR'S SIGNATURE CHAPTER 9, DIVISION 3, OF THE BUSINESS AND ROFESSIONAL CODE J 7, �.. OF THE STATE OF CALIF NIA. ROUGH IZ� SIGNATURE FINAL r OF PE RMITTE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION/ cK. M.o. CASH I 8 .5,"OCT 3 4 41 a, 1 '2.0 Q ©5 COUNTY OF LOS ANGELES TEMPLE CITY - # 0508 MECHANICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1301240006 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 11492 LT: 6 BL: C 9232 BLACKLEY ST I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917803136 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I 18590-009-007 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J_4 LOCALITY: TEMPLE CITY CAI 1 108 FURNACE/HEATER <100 1.00 UNI 27.00 (TENANT: I TOTAL FEES 54.80 (ISSUED ON: PROCESSED BY: PLAN BY: 1 1 101/24/13 SR (OWNER: TEL. NO: IFINAL DATE/ FINAL Y: CODE: I ILIEOU ALICE T;LIEOU PHILLIP H 19232 ELACKLEY ST ITEMP 917803136 I IDESCRIPTION OF WORK I i IREPLACE FURNACE I (APPLICANT: TEL. NO: 1 I I ILIU, NORMAN (626) 579-1559— I 110932 GRAND AVE ISPECIAL CONDITIONS: 1 ITEMPLE CITY CA 91780 I 1 f I 1 I V�2S oL� I ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1 INORMAN LIU SERVICE CORP (626) 579-1559— I 1 110932 GRAND AVE LIC. NO I IFAU/W FURNACE 1- I ITEMPLE CITY CA 91780 559374 * 1 1 1 ICOMEUSTION AIR OPENINGS I 1 1 (ARCHITECT OR ENGINEER: TEL. NO: I DUCTWORK I I I I LIC. N0: IAC/COMPRESSOR I I 1 1 1THERMOSTAT 1 1 1 i I I r I I I IFIRE DAMPERS 1 1 ISMOR.E DETECTION DEVICES I 1 1 COMMERCIAL HOOD 1 1 I I I I I I I I I I I I I I I I I I I I I I I I s I I I I I I I I I I I I I I I I I I :* ADDITIONAL DATA ON FILE I I I I I I :REPORT ID: DPR264 ROUTE TO: BS0508