HomeMy Public PortalAbout9909 BROADWAY_Mechanical__ 6 A364CErHie S APPLICATION F PERMIT'
HEATING - VENTILATING - AIR CONOITIO11
COUNTY OF LOS ANGELES
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DEPARTMENT OF COUNTY ENGINEER 9909 BroadwaBUILDING AND SAFETY DIVISION Temple Cit_ ,.
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY) Albert Kratochvil
MAIL
NO. TYPE&,SIZE OF EQUIPMENT FSE ADDRESS 9909 Broadway
SEE BACK OF APPLICATION
CITY Temple City TEL. No. 286-1790
FORCE AIR FURNACE, BTU _H.OM, 7 50
-' / CONTRACTOR Brvant Heat. & Air Cond.
COMPRESSOR, RTU _2-y/2 ton- 7 50
ADDRESS 1350 E. Las Tunas
VENTILATION FAN ATE LIC
ECENSE
TY San Gabriel TEL. NO. 286-1141
LIST ALL OTHEgS BELOW NO. 221751 CLASS C20
CI T ICT N0. GROUP 201E E55 E0 BY
INSPECTION RECORD
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Plan check fee. See reverse.
PEIlvrr IssFIYG EEI: S A 5.0
rornl. Eitl: 19 50
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO. .I
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSPECTOR'S IGNATURE
LATING. AIR CONDITIONING,
ROUGH
HEREBY CERT F THAT AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIV) X 3, OF THE BUST NES l�ID PRO FE5510 NAL FINAL
COON OF THE STAT CALIFORNIA.
c SIGNATURE PERMIT VALIDATI cK. M.D. sH
OF PERMITT .
PLAN CHECK VALIDATION CK. M.D. CASH '
0 9 2 r�hrUL• 20 a 1 0 19.5 O Aga
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COUNTY OF LOS ANGELES TEMPLE CITY N 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0509 0706260001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: FEES PAIDBUILDING ADDRESS:
TR: 13805 IT: 11 II9909 BROADWAY
I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: I TEMP CA 917802635
(ASSESSOR INFORMATION NUMBER I INEAREST CROSS STREET: BALDWIN
18588-015-011 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
1 130 AIR INLETS/OUTLETS 1.00 UNI 4.35 1
TENANT: 141 VENTILATION FAN 1.00 FAN 15.75 11SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
147 ALTER EXIST DUCT SYS 1.00 SYS 27.00 106/26/07 SR 12/23/07 1
I I TOTAL FEES 74.85 1 1
1OWNER: TEL. NO: i (FINAL DATE�m` pi[ BY: CODE:
IYAP, HAMIDJAYA (626) 285-2727- 1 1 IfL."'.,`A/` I
19909 BROADWAY
ITEMP 917802635 1 IDESCRIPTION OF WORK
LE
TRATION OF EXIST DUCT SYSTEM, 1 VENTILATION FAN AND 1 AIR
JINL
APPLICANT: TEL. NO:
IYAP (626) 285-2727-
19909 BROADWAY 1 ISPECIAL CONDITIONS: 1
ITEMPLE CITY CA 91780 1
ICONTRACTOR: TEL NO: I APPROVALS DATE INSPECTOR SIGNATVRE
HAMIDJAYA YAP (626) 285-2727- I_
19909 BROADWAY LIC. NO FAU/WALL FURNACE
ITEMPLE CITY, CA 91780 NONE 1 1
COMBUSTION AIR OPENINGS
ARCHITECT OR ENGINEER: TEL. NO: IDUCT WORK
LIC. NO: IAC/COMPRESSOR
I I I
THERMOSTAT
I I I
FIRE DAMPERS
SMOKE DETECTION DEVICES I I
COMMERCIAL HOOD
(III I I
I I I III I (III
111 II I I I
I II II I I I
I I I I
I II I I I I
I I I II III I
(REPORT ID: OPR264 ROUTE TO: BS0508
I I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY k 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1210010003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 13805 LT: 11 9909 BROADWAY
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802635
1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: BALDWIN
18588-015-011 101 PERMIT ISSUANCE FEE 27,80 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
1 130 AIR INLETS/OUTLETS 1.00 PUT 4.40 1
TENANT: 141 VENTILATION FAN 1.00 FAN 15.80 (ISSUED ON: PROCESSED BY: PLAN BY:
47 ALTER EXIST DUCT SYS 1.00 SYS 27.00 110/01/12 SR
TOTAL FEES 75.00 1
TOWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
IYAP, HAMIDJAYA (626) 285-2727- �1('
19909 BROADWAY
ITEMP 917802635 IDESCRIPTION OF WORK
(ALTERATION OF EXIST DUCT SYS' M, 1 AIR INLET AND 1
(VENTILATION FAN FOR NEW ADDITION
APPLICANT: TEL. N0:
IYAP, HAMIDJAYA (626) 285-2727-
19909 BROADWAY 1 (SPECIAL CONDITIONS:
ITEMPLE CITY CA 91780 1
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 111
FAMIDJAYA YAP (626) 285-2727- 1
19909 BROADWAY LIC. NO FAU/WALL FURNACE
TEMPLE CITY, CA 91780 NONE 111 (COMBUSTION AIR OPENINGS
ARCHITECT OR ENGINEER: TEL. NO: IDUCT WORK r /
LIC. NO: IAC/COMPRESSOR Iln
(THERMOSTAT I I I
I I
I I (FIRE DAMPERS I I I
ISMOKE DETECTION DEVICES
COMMERCIAL HOOD
11 I 111 I I 111
1111 I 11111 I I 11111
111 I 11111 I I 11111
111 I I I I I
I I I I I 11
I I I 111
(REPORT ID: DPR264 ROUTE TO: BS D508
I