HomeMy Public PortalAbout9102 EMPEROR AVE_Mechanical__ 76A364-CE818-1/70 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES ADDRESS I/OZ l �C'O�Z �y
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING CROSS ST
FOR APPLICANT TO FILL'IN OWNER
(PRINT OR TYPE ONLY) � ' o
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NO TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
CITY �� TEL 'NO��'6' ��
ABSORPTION SYSTEM, BTU
CONTRACTOR
AIR HANDLING UNIT, CFM
ADDRESS
BOILER, HORSEPOWER CITY TEL. NO
COMPRESSOR, HORSEPOWER STATE LIC
LICENSE NO. CLASS
VENTILATION SYSTEM DISTRICT NO CLASS GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER
FURNACE FAU_GRAVITY 6
FLOOR BTU INSPECTION RECORD
HEATER SUSPENDED UNIT_
WALL !/ U
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NEW .ADDITION- PERMIT $ 3 00 Cl-
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ALTER-REPAIR- TOTAL FEE $
PLAN CHECK APPLICANT V
NAME T
ADDRESS
CITY TEL NO
I 'HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 1
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE I PECTOR'S SIGNATURE
LATING, AIR CONDITIONING
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION ROUGH
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE STATE 0 CALIFORNIA
SIGNATURE ' JACK R. ALLEN,SUPERVISING MECHANICAL EN
OF PERMITTEE /C/ ' Com+ _ ^
PERMIT VALIDATION CK M O sr1
PLAN CHECK VALIDATION
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SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1307010008
BOILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
(LEGAL ID I FEES PAID 1 BUILDING ADDRESS 1
ITR 14396 LT 1 I 9102 EMPEROR AV
I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917800000 1
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET 1
15382-015-001 101 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE GRID LOCALITY TEMPLE CITY, Cl
1 102 COMPRSR < 100 KBTU 1 00 COM 27 00 1
(TENANT 108 FURNACE/HEATER <100 1 00 UNI 27 00 JISSUED ON PROCESSED BY PLAN BY
I 130 AIR INLETS/OUTLETS 10 00 UNI 44 00 107/01/13 SR
I TOTAL FEES 125 80 1 1
(OWNER TEL NO I IFINAL DATE FIN CODE
IHOUSDEN, DEBORAH (310) 991-2685- 11
19102 EMPEROR AVE 1 / 1
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ISAN GABRIEL CA 91775 1 1� RION OF WORK I
ITO FINALIZED EXPIRED PERMIT ME 0507010002 FOR A NEW HVAC
1 I ISYSTEM I
(APPLICANT TEL NO 1 I
(SAME AS OWNER - I
I ISPECIAL CONDITIONS I
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I I I I
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ICONTRACTOR TEL NO I APPROVALS DATE INSPECTOR SIGNATURE 1
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I LIC NO 1 IFAU/WALL FURNACE I1
I I
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1 (REPORT ID DPR264 ROUTE TO BS0508 I 1 1 1
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•COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0507010002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
TR 14396 LT 1 9102 EMPEROR AV
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917800000
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET
5382-015-001 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE GRID LOCALITY TEMPLE CITY, C
02 COMPRSR < 100 KBTU 1 00 COM 27 00
TENANT 08 FURNACE/HEATER <100 1 00 UNI 27 00 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
30 AIR INLETS/OUTLETS 10 00 UNI 43 50 07/01/05 JK 12/28/05
TOTAL FEES 125 25
OWNER TEL NO FINAL DATE FINAL BY CODE
VINCENT, DEBORAH (626) 285-2557- �����
9102 EMPEROR AVE
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TEMPLE CITY CA 91780 DESCRIPTICWMIMWOIW
INSTALL NEW RVAC SYSTEM
APPLICANT TEL NO
ECONO AIR (800) 503-2666-
3101 ENTERPRISE ST SPECIAL CONDITIONS
BREA, CA 92821
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
ECONO AIR (800) 503-5826-
3101 ENTERPRISE STREET LIC NO FAU/WALL FURNACE
BREA, CA 92821 445220 C10 `
COMBUSTION AIR OPENINGS
ARCHITECT OR ENGINEER TEL NO DUCT WORK
LIC NO AC COMPRESSOR
THERMOSTAT
FIRE DAMPERS
SMOKE DETECTION DEVICES
COMMERCIAL HOOD
* ADDITIONAL DATA ON FILE
REPORT ID DPR264 ROUTE TO BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1306050007
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
ITR 14396 LT 1 9102 EMPEROR AV
I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917800000
ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET
15382-015-001 101 PERMIT ISSUANCE FEE 27 60 THOMAS PAGE GRID LOCALITY TEMPLE CITY, Cl
1 130 AIR INLETS/OUTLETS 2 00 UNI 8 80 1
1TENANT 141 VENTILATION FAN 1 00 FAN 15 80 11SSUED ON PROCESSED BY PLAN BY
147 ALTER EXIST DUCT SYS 1 00 SYS 27 00 06/05/13 SR
I TOTAL FEES 79 40 I
OWNER TEL NO IF NAL AT F Y CODE
IHOUSDEN, DEBORAH (310) 991-2685- I
19102 EMPEROR AVE 1
ISAN GABRIEL CA 91775 I I S RIPTION OF WORK
I (ALTERATION OF EXIST DUCT SY TEM, 2 AIR INLETS AND 1 VENTILA I
1 1 (TION FAN I
(APPLICANT TEL NO 1 I I
ISAME AS OWNER
I I 1SPECIAL CONDITIONS I
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ICONTRACTOR TEL NO I 1APPROVALS DATE INSPECTOR SIGNATURE
(SAME AS OWNER - I I I
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I I (COMBUSTION AIR OPENINGS I I 1
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I I I I I I
I I I I I I
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I I I I I I
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1 (REPORT ID DPR264 ROUTE TO BS0508 I I I I
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