HomeMy Public PortalAbout4918 FIESTA AVE_Mechanical__ V C
76 A364 CE 818.1/75 t
APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CON0I1IONING
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COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS ( ��� �✓
BUILDING AND SAFETY DIVISION LOCALITY — /--� P( Ct
NEAREST
CROSS ST
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL
NO TYPE&SIZE OF EQUIPMENT FEE ADDRESS
SEE BACK OF APPLICATION
CITY LL
FORCE AIR FURNACE BTU TEL NO
CONTRACTOR V
COMPRESSOR BTU
ADDRESS ` z(-�5
VENTILATION FAN CITY TEL NO Q�
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LIST ALL OTHERS BELOW STATE LIC
�j LICENSE NO I CLASS C S
STRICT NO GROUP ZONE PRO SED BY
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INSPECTION RECO
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Plan check fee See reverse -V
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PLAN CHECK APPLICANT /J
NAME
ADDRESS
CITY TEL NO
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOV IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCE AND LA EGULATING HEATING VEN71 APPROVALS DATE INSPECTOR S SIGNATURE
EATING AIR CO NDITI NTNG
ROUGH
I HEREBY CER FY THAT I AM OT A TING IN VIOLATION
or
OF CHAPTER 9 DIVI ION 3 OF THE SINESS AND PROFESSIONAL FINAL
CODE OF THE STATE OR
SIGNATURE PERMIT VALIDATI cK CASH
OF PERMITTEE
PLAN CHECK VALIDATION o CASH
-9 2,6r'--APR 26 4,1,9 15.7 -5A
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ME 0508 9808060012
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE (818) 285 0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
TR 14647 LT 10 4918 FIESTA AV
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803816
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LOWER AZUSA
8590 018 001 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID A5 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 6 00 UNI 26 10 08/06/98 VG 08/06/99
TOTAL FEES 107 85
OWNER TEL NO FINAL DAT BY CODE
KAHN MARGARET WILLIAM J (626) 287 6222
4918 FIESTA AV r L
TEMP 917803816 -b-NURT15TIUN Ur WUKK
REPLACE FAU AND ADD A/C
APPLICANT TEL NO
AMERICAN RESIDENTIAL SERVICES OF CA (626) 797 1033
SPECIAL CONDITIONS
CONTRACTOR TEL NO / ® .! ' �� ���� APPROVALS DATE INSPECTOR SIGNATURE
787RUOODBURYRD , STE
AMERICAN
A11LIC N0
SERVICES OF CA (626) 13 �� \ FAU/WALL FURNACE
ALTADENA CA 91001 645050020
COMBUSTION AIR OPENINGS
ARCHITECT OR TEL NO / t i �� D C WORK
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REPORT ID DPR264 ROUTE TO BS0508