HomeMy Public PortalAbout9015 GARIBALDI AVE_Mechanical__ 7SAM"_ CXI"'-'/T' APP ATION FOR ERMIT
HEATING - VENTILATING - AIR CONDITIONING
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN
(PRINT OR TYPE ONLY)
LOCALITY
NO. TYPEOFAPPLIANCE OR EQUIPMENT FEE NEAREST ,
CROSS ST. O s 4 t/�'►
ABSORPTION UNYT, BTU OWNER
C/C .rr►
AIR HANDLING UNIT, CFMMA
/'
I
ADDRESS
O I C� 'V
BOILER, BTU CITY. / Com'} TEL. NO. ,
COMPRESSOR, BTU CONTRACTOR
VENTILATION SYSTEM ADDRESS ZZ 'b
EVAPORATIVE COOLER CITY td yj jn TEL. NO. v
FURNACE: FAU_GRAVITY
STATE
FLOOR BTU LICENSE N CLASS
HEATER: SUSPEND UNIT -DISTRICT NO, SRO P zONEESSEo eY
WALL__7!*_ p
INSPECTION RECORD
Pian check fee 25% of above.
PERMIT ISSUING FEE $
TQTAL FEE
PLAN CHECK APPLICANT
NAME
A DDFRESS
CITY TEL.NO.
I HIRISY ACKNOWLEDGE THAT I HAVE READ THIS'APPLICATION
AND STATE THAT THE ABOVE 13 CORRECT AND ASRES TO COMPLY
WITH ALL ORDINANCES AND LAWS REGOLATINS HEATING, VENTI-
LATIN$, AIR CONDITIONING.,
I HERS
EBY CERTIFY THAT I AM NOT ACTING PN VIOLATION APPROVALS DATE UPICTOA'S 5I0HATURK
Oe-CHAPTER D, DIVISION 3, OF THE DUSIME;I PROFESSIONAL
CODE OF THE STATE O�LIF�JI NIA. ROU'H f
SIGNATURE FINAL -
OF PEI_MITTEE
PLAN CHECK VALIDATION PERMIT VALIDATION CK. M.O. CASH
GK, M.O. CASH
COUNTY OF LOS ANGRIS&S TEMPLE CITY 0508 MLLCEANICAL PERMIT
DEPART!KENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1006020002
BUILDING AND SAF'ET.'Y / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING A ORILSS:
TR: 5904 LT: 102 UN: .002 9015 GARIBALDI AV
FEE DESCRIPTION: QUANTITY: DOOM: AMOUNT: TEP CA 917801546
A98E99OR INFORMATION NUMBER: IgEAI i±4't' CROSS ST=: ROQ1*+FnD
5384-006-015 01 PERMIT ISS11ANCE FEE 27.75 THOON S PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, C
02 COFIDRHR Y 100 LBTU ; k'. 1.00 COM 27.00
TE2U09T: 08 FURNACE/HEATER <100 1.00 UNI 27.00 ISSUED ON: PROCESSED BY: PLAN BY:
TO� FEES 81.75 06/02/10 SR
OSdiER: TEL. NO: FINAL 13Y; CODE:
LUK, EMILY (626) 255-7999-
9015 GARIBALDI AV
TEMP 917801546 PTION OF NORK
CHANCES OUT AIR COND=ON-D?G AND HEATINl3 SYSTEM
APPLICANT: TEL. NO:
TEMPO AIR CONDITIONI&O 4 Hf3T. (626) 285-1218-
5937 N. OAK AVE. SPE= CONDITIONS:
TEMPLE CTTY CA 91780 �,•/n�
CObTTRAC'TOR: TEL. NO: APP�RO ALS DATE INSPECItiOR SIGNATURE
TEMPO AIR CONDITIONING AND HSATIM (626) 285-1218-
5937 N. OAK AVE. LIC. NO FAU i0.LL FURNACE
TENPT•E CITY, CA 91780 274880020
COMBUSTION AIR OPENINGS
ARCHITECT OR ENOI =: TEL. NO: DUCT WORK
LIC. NO: AC/COFPRSBSOR -0
THER}DSTA,T V
FIRE DAMPERS
SMOKE DETECTION DEVICES
COMMERCIAL HOOD
REPORT ID: DPR264 ROUTE TO: 1390508