HomeMy Public PortalAbout9421 BLACKLEY ST_Mechanical__ t- 708 641;( E "1;;808) 11/7f/ i APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
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BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING 9421 BALCKELY ST.
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LOCALITY
NO TYPE OF APPLIANCE OR EQUIPMENT FEE
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ABSORPTION UNIT BTU vSiaT ,RQBiiFT
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BOILER BTU CITY E1v?��-.r�p••��gTLYI TEL NO 287-3670
COMPRESSOR BTU ��� ' CONTRACTOR 11�t"L.VL' HC.C. +
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EVAPORATIVE COOLER CITY S. EL J((.'��EJlY1. ,CA.TEL No579-7/9+82
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FLOOR CE FAU BTUGRAVITY STATE LICENSE NO '2"5"94 """ CLASS C-20
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` HEATER SUSPENDED UNIT- DISTRICT NO GROUP ZONE PROCESSED BY
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5 INSPECTION RECORD, O
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Plan check fee 25% of above a d30
PERMIT ISSUING FEE$ 7 00
TOTAL FEE27 00 G1�Zh�v Z
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
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
I HEREBY CERTIFY-THAT I AM NOT ACTING IN VIOLATION OF APPROVALS DATE INSPECTOR 5 SIGNATURE
CHAPTER 9 DIVISION 3 OF THE BUSINESS AND PROFESSIONAL CODE ROUGH
OF THE STATE OF CALIF NIA [
4 41
SIGNATURE FINAL
OF PERM ITTE P `
PLAN CHECK VALIDATIOpf CK Mo CASHT PERMIT VALIDATION CK Mo CASH
u sa ? COMPEN ;AT ION
5,4 5 to"AUG ib 41 D 2 7.0 0 ,at�,-
'OLICY HOLDERj4v G rr _
'OLICY NUMBER;D//,f a.0 d v1P;79''2-1 ®5
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0708160009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID
FEES PAID BUILDING ADDRESS
ON FILE
1 9421 BLACKLEY ST
IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917803141
IASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET
18590-003-005 101 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY, Cl
102 COMPRSR < 100 KBTU 1 00 COM 27 00
ITENANT :08 FURNACE/HEATER <100 1 00 UNI 27 00 JISSUED ON PROCESSED BY PLAN BY EXPIRES ON
TOTAL FEES 81 75 108/16/07 SR 02/12/08 1
OWNER TEL NO 1 I DA ! FIN!�y CODE
ISMITH MARIE A (626) 287-3670-
19421 BLACKLEY ST I I 1
ITEMP 917803141 1 D CRIPTI N OF IWORK 1
1 REPLACE EXISTING ATTIC FURNACE & COOLING COIL AND CONDENSER 1
1 I I
APPLICANT TEL NO I I
ICONNOR AIR CONDITIONING (626) 286-3157- 1 1 1
14931 N ENCINITA AVE I ISPECIAL CONDITIONS 1
ITEMPLE CITY CA 91780 1 1 1
ICONTRACTOR TEL NO 1 (APPROVALS DATE INSPECTOR SIGNATURE
ICONNOR AIR CONDITIONING (626) 286-3157- 1 1
14931 ENCINITA AVE LIC NO FAU/WALL FURNACE I
ITEMPLE CITY, CA 91780 403735 C2O II 1
ICOMBUSTION AIR OPENINGS 1 1 1
I I I I
1ARCHITECT OR ENGINEER TEL NO 1 (DUCT WORK 1 I I
LIC NO 1AC/COMPRESSOR 1 1
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1THERMOSTAT 1 I 1
IFIRE DAMPERS 1 1 1
ISMOKE DETECTION DEVICES 1 1
1
1COMMERCIAL HOOD 1 1 I
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I I I I I I
1 1 I I I I
1 1 I I I I
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IREPORT ID DPR264 ROUTE TO BS0508
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