HomeMy Public PortalAbout5003 FRATUS DR_Mechanical__ 76A364 - CEB18 - 3-69 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS cfi? rA
BUILDING AND SAFETY DIVISION
JOHN A LAMBIE, COUNTY ENGINEER LOCALITY
COLEMAN W JENKINS,SUPERINTENDENT OF BUILDING NEAREST
CROSS ST
FOR APPLICANT TO FILL IN
(PRINT OR TYPE ONLY) OWNER _SjjZAs C(�y
MAIL
NO TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS Sc<.>j _�� FtiA� s I,C IV
ABSORPTION SYSTEM, BTU CITY �� (��� L� TEL NO
AIR HANDLING UNIT, CFM CONTRACTOR t SJ O AS
BOILER, HORSEPOWER
ADDRESS S kc A 6c 'it
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CITY ',r,p,C ALotn: TEL NO
COMPRESSOR, HORSEPOWER STATE LIC
LICENSE NO CLASS
VENTILATION SYSTEM DISTRICT NO GROUP
GROUP ZONE - \PROCESSED BY
EVAPORATIVE COOLER o ,ice
FURNACE FAU GRAVITY V /
FLOOR BTU INSPECTION RECORD
HEATER SUSPENDED UNIT
WALL
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NEW_ADDITION_ PERMIT $ 3 00 Z
ALTER--REPAIR_ TOTAL FEE $ 3
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING,VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
LATING, AIR CONDITIONING
:I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH
CHAPTER 9, DIVISION 3, OF THE BUSI SAND PROFESSION 7 -
CODE E THE STATE C�IFTHE IA FINAL /L
SIGNATURE JACK R ALLEN, SUPERVI MECH ICAL ENG'R
OF PERMITTEE�-
PERMIT VALIDATION CK +� CASH
PLAN CHECK VALIDATION
0 31
L,�;a .; ; �_ 1 3,0 0 N
'FE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
COUNTY CF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0001130004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID• FEES PAID BUILDING ADDRESS
TR 16475 LT 143 5003 FRATUS DR
FEE DESCRIPTION QUANTITY UOM: AMOUNT- TEMP CA 917803722
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET RIO HONDO
8590-031-023 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE: 596 GRID• J5 LOCALITY TEMPLE CITY
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 2 00 UNI 8.70 01/13/00 UT 07/11/00
TOTAL FEES 90 45
OWNER TEL. NO: FINAL DATE FINAL BY. CODE
CABAN ESDRAS;SARAH E 1
5003 FRATUS DR /-m-70619
TEMP 917803722 DESCRIPTION OF WORK
CHANGE OUT OF HEATING SYSTEM - AD IR CONDITIONING
APPLICANT: TEL NO
CYPRESS HEATING & AIR (626) 963-9810-
547 LORRAINE SPECIAL CONDITIONS
GLENDORA, CA
CONTRACTOR
CYYPRESSHEATING AND AIR CONDITIONIN (626)NAPPROVALS DATE INSPECTOR SIGNATURE
963-9810 ®� �����
547 LORAINE AVE LIC NO FAU/WALL FURNACE
GLENDORA, CA. 91741 593268 C20
COMBUSTION AIR OPENINGS
ARCHITECT OR ENGINEER TEL NO I r� DUCT IJORK
LIC. N0� �-- t lllllll ` AC/COMPRESSOR
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VT
ID (1�_ SMOKE DETECTION DEVICES
- - 7 COMMERCIAL HOOD
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* ADDITIONAL DATA ON FILE
REPORT ID DPR264 ROUTE TO BS0508