HomeMy Public PortalAbout9063 - 9069 BROADWAY_Mechanical__ 76.36415 ICE!:81 SAP. 11ns APPLICATION FOR PERMIT
HEATING VENTILATING - AIR CONDITIONING
COUNTY OFLOS ANGELES'
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION '
FOR APPLICANT TO FILL IN BUILDING O 7
(PRINT OR TYPE ONLY) ADDRESS
LOOALITY L
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
CROSS ST. '
ABSORPTION UNIT.BTU -.
OWNER "
AIR HANDLING UNIT,CFM MAIL
ADDRESS-ve
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BOILER,BTU CITY L TEL.N D/
COMPRESSOR,BTU _ T 1 CONTRACTOR
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VENTILATION SYSTEM ADDRESS U.
EVAPORATIVE COOLER CITY A r/� TEL.NO _
FURNACE: FAU_GR VITY y� ATE NO.�� LIC.
FLOOR BTU V LCCLASS`X2_0
HEATER: SUSPENDED—UNIT— _ DISTRICT NO. GROUP ZONE PROCESSED BY
WALL
1 SPECTION RECORD d
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Plan check fee 25% of above.. —� "
PERMIT ISSUING FEE$ itSQ Z
TOTAL FEE -
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL,NO.
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE 15 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 INSP '5 SIGNATURE
CHAPTER 9. DIVISION 3, OF THE BUSINESS A PROFESSIONAL CODE
OF THE STATE OF CALIF
ARNIA. ROUGH
SIGNATURE FINAL 'Z��-77
OF PERMITTE
40
PLAN CHECK VALIDATION cK. M.o. cnsH PERMIT NALSD"AWIOfVi y I+wc � `m;D=? I;YASN%V
3 JUL 1 4 1 D
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6 APPLICATION FOR PERMIT
- HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES
1 DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING O
(PRINT OR TYPE ONLY( ADDRES _
LOCALITY
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ,
NEAREST
CROSS ST.
ABSORPTION UNIT.BTU
OWNER'
AIR HANDLING UNIT.CFM MAIL'
ADDRESS
BOILER,BTU CITY TEL.IN _77G/
COMPRESSOR.BT CONTRACTOR
VENTILATION SYSTEM ADDRESS/42/
EVAPORATIVE COOLER CIT Zkgr
TEL.NO M&7 7 41
FURNACE: FAU AVITY STATE /J LIG.
FLOOR BTU /1 LICENSE NO.,+7D CLA55 •��•U
HEATER: SUSPENDED— NIT {L DSTRICTNO. GROUP carve PnOtEssED ev
WALL
sle3
INSPECTION RECORD 0.
V
si
si
Plan check fee 25%of above.
PERMIT ISSUING FEE
TOTAL FEE —
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'SSIGVATURE
CHAPTER 9, DIVISION 3, OF THE BUSINES NO PROFESSIONAL CODE ROUGH Li
OF THE STATE A ORNI
SIGNATURE FINAL /Z—7—?�
OF PERMITT
PLAN CHMK VALIDATION CK. -M.O. CASs PERMIT VALIDATIONcK. 'M.o. .CASH
3;6.1�-JUL 1. 4-1. D. 3 450A
• �1'. YO
COUNTY OF LOS ANGELES TEMPLE CITY 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9901 LAS TUNAS ME 0508 1010110003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT.:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE - 1 \ \ _ 9065 BROADWAY
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802309'
ASSESSOR INFORMATION NUMBER: I •\ ' - \NEAREST CROSS STREET:
15387-026-006 101 PERMIT ISSUANCE FEE .,27 60' 1 ? THOMAS PAGE: 596 GRID: H4 LOCALITY`. TEMPLE CITY, Cl
1 102 COMPEER ,< 100 KBTU ' 1.00 COM 27.00
TENANT: 108 FURNACE/HEATER <100 1.00 UNI 27.00 (ISSUED ON: PROCESSED BY: PLAN BY:'
TOTAL FEES 81.80 110/11/10 SR
OWNER: TEL, NO: FINAL DATE FINAL BY: CODE:
1MORA IS, DEBBIE (626) 995-3725- I (04e—(o
n /O /o
1931 OXFORD DR (�\ a—(
ARCD 910072644 ID SCRIPTION OF WORK
IHVAC CHANGE OUT UNIT ONLY
I
1APPLICANT: TEL. NO:
JORDANAIR, INC. (626) 963-3313-
1129 S. HACIENDA AVE 1SPECIAL CONDITIONS:
GLENDORA, CA 91741
I � I
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1CONTRACTOR: TEL. NO: 1 1APPROVzu.S DATE INSPECTOR SIGNATURE 1
JORDANAIR, INC. (626) 963-3313- 1 1
1129 S. HACIENDA AVE LIC. NO 1FAU/WALL FURNACE O
GLENDORA, CA 91741 560429C20B �
COMBUSTION AIR OPENINGS
I I I I
1ARCHITECT OR ENGINEER: TEL. N0: ,,1DUCT WORK I I I
1 I /y
LIC_ NO: 1 JAC/COMPRESSOR R /'J L ,T\
THERMOSTAT _ I
FIRE-DAMPERS I I I
a '(SNAKE DETECTION DEVICES
' COMMERCIAL HOOD
I I I I I I
I I I I I I
I 6 I I I I
ADDITIONAL DATA ON FILE
_
IREPORT ID: DPR254 ROUTE TO: BE 0508
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