HomeMy Public PortalAbout5323 ENCINITA AVE_Mechanical__ CE-8181REV 6/781 _ °' *-•'i '
PPLICA-TION -FOR- RMIT
HEATING - -VENTILATING=,-' AIR;CONDITI0NING:_;
CITY OF,-TEXPLE CITY -IlC.#2982
BUILDING AND SAFETY
FOR"APPL'ICANT'TO FILE IN. BUILDING `
` - (PRINT OR TYPE ONLY), •°' ADDRESS' 5323 N. 'Enci-neta Ave. -
• LOCALITY Temple City
NO
"TYPE OF APPLIANCE OR,EQUIPMENT.' FEE
_ 4
NEAREST ' -
• ,i - CROSS ST�• - � -
ABSORPTION UNIT,BTU : -
OWNER, Dominick ,Chila,
AIR HANDLING UNIT,CFM MAIL -
• ADDRESS 1133 Louise
B IL R.BT i" - CITY ~' A ' adia .TEL NO
2
COMPRESSOR,BTU'- 42/OOO IO OO CONTRACTcBa,rrieS Heating & A C.
VENTILATION SYSTEM
ADDRESS- 712 N. LOreri' Ave.
EVAPORATIVE COOLER CITY Azusa 4TEL NO ,.-6 2 '
'+ FURNACE FAU G AVITY' - STATE -• - LIC
�- FLOOR -• BTU .'10 00 LICENSE NO 257573 CLASS G�20
HEATER' -SUSPENDED UNIT_ j, APPROVALS
DATE INSPECTOR S SIGNATURE
WALL
ROUGH
FINIAL �Q Z /' 'O,
`s• INSPECTION RECO D V
0
Plarr,check fee 2'5% of aboveus
PERMIT'ISSUING FEE$ 7 00
TOTAL FEE 27 00` ,
1P,LAN CHECK APPLICANT., ' PLAN CHECK VALIDATION '
NAME
ADDRESS - r • '�. •~
CITY yi ,` TEL NO _ + ' ,$
8 4 6-;9'A
I HEREBY ACKNOWLEDGE
1 HAVE READ THIS APPLICATION AND
STATE THAT+THE ABOVE IS CORRECT-AND AGREE TO COMPLY WITH ALL n 1# 010 0 0 41 .
ORDINANCES SAND, LAWS 'REGULATING ,HEATING„ VENTILATING, AIR •� ''' `
CONDITIONING ? - • - _ • ' �2io'o32,7, 0'0 a
PERM IT'VALIDATION.
I HEREBY CERTIFY THAT I AM, NOT ACTING IN VIOLATION OF 1
CHAPTER 9, DIVISION 3, OF.^THE BUSINESS AND PROFESSIONAL CODE - - - -2
o,0 0..2,7, 003:
OF THE STATE OFC FORNIA • ^•
SIGNATURE _ `
OF PERMITTEE s ` ,O II',0 3-8 0
DISTRICT NO(/�/ PROLE EDjVl
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0801080002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE. (626) 285-0488 EXT
ILEGAL ID: r FEES PAID BUILDING ADDRESS 1
IBK 43 PG 93 PC: 2 1 5323 ENCINITA AV 1
I IFEE DESCRIPTION QUANTITY- UOM AMOUNT I TEMP CA 917803115 1
(ASSESSOR INFORMATION NUMBER 1 I NEAREST CROSS.STREET
15388-008-030 101 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY, Cl
1 141 VENTILATION FAN 1 00 FAN 15 75 1 1
1TENANT 1 TOTAL FEES 43 50 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 1
101/08/08 SR 07/06/08 1
(OWNER. TEL NO I (FINAL Df FIN2�L� CODE:
1SWANSON RICHARD M,SUSAN J (626) 202-6127- 1 1 �/ `T(D
15323 ENCINITA AV 1 1 ��) TE 1
ITEMP 917803115 I 1DESCRIPTION OF WORK 1
_I I IVENTILATION _FAN
1APPLICANT TEL NO 1 I 1
SAME AS OWNER
I I (SPECIAL CONDITIONS
I
I
(CONTRACTOR: TEL NO. 1 (APPROVALS DATE INSPECTOR SIGNATURE 1
ISAME AS OWNER - 1
` LIC. NO i - FAU/WALL FURNACE
I I I
1 I ICOMBUSTION AIR OPENINGS I 1 1
ARCHITECT OR ENGINEER - TEL NO. IDUCT WORK
I I • I
LIC. NO I 1AC/COMPRESSOR I
I I I
I I ITHERMOSTAT 1 1 1
I I I
1 I 1FIRE DAMPERS I 1 I
I I I
1 I _ ISMOKE DETECTION DEVICES
1 I ICOMMERCIAL HOOD 1
I I I
I I I I I I
I I I I I I
1 I I I I I
1 1 VI I I I
I I I I I I
1 I I I I I
1 IREPORT ID- DPR264 ROUTE TO BS0508
1 I I