HomeMy Public PortalAbout4911 DOREEN AVE_Mechanical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0906080006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: FEES PAID _ BUILDING ADDRESS:
ITS: 13645 IT: 52 4911 DOREEN AV
I (FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ( TEMP CA 917804117
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: LOWER AZUSA
18585-024-038 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, Cl
1 102 COMPRSR < 100 RETD- 1.00 COM 27.00 1
ITENANT: 108 FURNACE/HEATER <100 1.00 UNI 27.00 11SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1
130 AIR INLETS/OUTLETS 10.00 UNI 43.50 106/08/07 SR 12/05/07
135 AHU < 2000 CFM 1.00 AUG 12.90 1
OWNER: TEL. NO: 141 VENTILATION FAN 4.00 FAN 63.00 1F AL DATE FINAL BY: CODE:
DE ARTOLA„ VENANCIO (213) 215-9813- 147 ALTER EXIST DUCT SYS 1.00 SYS 27.00 1
14911 DOREEN AV I TOTAL FEES 228.15 1 r( -
ITEMP 917804117 1 ID2SCRIPTION OF WORK
IADD NEW HVAC SYSTEM FOR NEW ADDITION & ALTERATION OF EXIST
IDUCT SYSTEM
(APPLICANT: TEL. NO:
IDE ARTOLA, (213) 215-9813-
14911 DOREEN AVE. ISPECIAL CONDITIONS:
(TEMPLE CITY CA 91780 - 1
111 CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE
IDE ARTOLA, VENANCIO (213) 215-9813- 1
14911 DOREEN AVENUE LIC. NO FAU/WALL FORNACE I
ITEMPLE CITY, CA 91780 NONE I
1 (COMBUSTION AIR OPENINGS 1 1
ARCHITECT OR ENGINEER: TEL. NO: (DUCT WORK
INIETO, JOSE (310) 650-9288- 1
18910 BEVERLYWOOD STREET LIC. NO: AC/COMPRESSOR
ILOS ANGELES CA 90034 C-36968 I
THERMOSTAT �r1
AFIRE DAMPERS
(SMOKE DETECTION DEVICES 1
COMMERCIAL HOOD
I I 11111 I 11111 11111
I I 11111 I I 11
� � 11111 I I I
I I 1111 I I I
IREPORT ID: DPR264 ROUTE TO: BS0508
I I I I I I
76 A364 - CE BIR - 9-7I APPLICATION FOR PERMIT
HEATING • VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILING
ADDRESS /
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST A
CROSS ST.
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL /
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
CITYTEL. NO.
ABSORPTION UNIT, BTU
CONTRACTOR 1
.AIR HANDLING UNIT, CFM
ADDRESS �� h
BOILER, BTU CITY / r
TEL NO.
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COMPRESSOR, BTU STATELICENSE NO. �' t7'?or/ CLASS
CLASS Ag
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VE N T I LA TI O N.SY ST EM DISTRICT NO_ GRauP ZONE PROCESSED BY
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EVAPORATIVE COOLER �(J �
FURNACE: FAU GRAVITY O
FLOOR BTU INSPECTION RECORD V
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HEATER: SUSPENDED—UNIT—
WALL—,'5
USPENDED—UNIT_WALL U U
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PIBD check lee 25- of above. See reverse.
PERMIT ISSUING FEE S 3 00
TOTAL, FEE U(f
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 ORDINANCESANO LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
LATING, AIR CONDITIONING.
ROUGH 7 «
HEREBY CERTIFY THAT AM NOT ACTING I V OLATION
OF CHAPTER 9, DIVI5101 OF IME BUST NE///```��� AND P 0 ss1FNAL .FINAL -/
CODE OF THE STATE OE ,OF
IIA. /f
SIGNATURE /`/ PERMIT VALIDATION cK. M.F. CASH
OF PERMITTEE
PLAN CHECK YOLIDATION BK. M.O. CASH
8 5-7oP1 Y' 7 4 1 0 8,0 0 a88
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SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE