HomeMy Public PortalAbout6266 HART AVE_Mechanical__ 76 A364'= CE 818'- 5-73 - -
APP CATION FORRMIT
HEATING -VENTILATING - AI COMOITIONING
COUNTY OF LOS ANGELES BUI'L'DING' `;
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST
CROSS ST.
FOR APPLICANT TO, FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT F.EE ADDRESS
CITY TEL. O.
ABSORPTION UNIT, 'BTU
CONTRACTOR
AIR HANDLING UNIT, CFM
ADDRESS
BOILER, BTU CITY
e
COMPRESSOR, BTU STATL LIC. 0.-,3 ..
LICENSE NO. L CLASS-
VENTILATION SYSTEM
DISTR ICTNO. I GE.QUP ZONE -PRODS
EVAPORATIVE COOLER v v i
c,
FURNACE: ;FAU_GRAVITY
FINSPECTION
FLOOR BTU RECORD
HEATER: SUSPENDE UNIT_
'WALT
CD
v
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Plan check fee`25%'of above. See reverse.
PERMIT•ISSUING FEE $ 00
-TOTAL FEE
PLAN CHECK APPLLCANT
NAME
=."ADDRESS
CITY. TEL.NO.
1.HE REBY ACKNOWLEDGE THAT I 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..
ROUGH
I •HEREBY CERmw
THATOT ACTI N VIOL TION ` �-
OF CHAPTER .9, DIESS N P OFES ' FINAL �� (� �.' / 6�J�e/ ,���z
CODE OF THE STAT
SIGNATURE �" PERMIT VALIDATIONcK. M.O. CASH
OF PERMITTEE
a
PLAN CHE ALIO TION cK. M.0. CASH
w0i ?F "ENSATION
5'7 &"�;.AK 1 4.' . i: .7 O H
POLICYHOLDER: Gv_
POLICY NUMBER: V^V c
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 1209200023
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: 1 FEES PAID BUILDING ADDRESS: 1
ITR: 5904 LT: 238 UN: .002 1 6266 HART AV I
I _(FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917801630 1
ASSESSOR INFORMATION NUMBER: 1 1 NEAREST CROSS STREET: 1
15384-009-010 101 PERMIT ISSUANCE FEE 27.80 1 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl
1 108 FURNACE/HEATER <100 1.00 UNI 27.00 _ 1
1TENANT: I TOTAL FEES 54.80 (ISSUED ON: PROCESSED BY: PLAN BY: 1
109/20/12 SR 1
10WNER: TEL. NO: 1 - IFINAL DATE FINAL BY: CODE: 1
CHANG CHIEN MING C;CHI CHE T (626) 285-6789- 1 1 /�r,(% ( G,�^
6266 HART AV (/- 1`-`� I Y')
I
1TEMP 917801630 1 (DESCRIPTION OF WORK 1
IC/O DIRECT VENT FURNANCE 1
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1APPLICANT: TEL. NO: 1 I I
1GUZMAN, IRENE (323) 728-1585- I I I
1SPECIAL CONDITIONS: 1
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I I I OA 1
(CONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE
IMARAVILLA FOUNDATION (323) 721-8883- 1 1
15729 UNION PACIFIC AVE LIC. NO I FAU/WALL FURNACE
ICOMMERCE, CA 90022 622969 C20 ( I I. I
I I 1COMBUSTION AIR OPENINGS
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1ARCHITECT OR ENGINEER: TEL. NO: 1 (DUCT WORK 1
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1 LIC. NO: 1 1AC/COMPRESSOR 1 1 1
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I I 1FIRE DAMPERS
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I I 1SMOKE DETECTION DEVICES 1 I I
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I I ICOMM,ERCIAL HOOD I I I
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(REPORT ID: DPR264 ROUTE TO: BS0508
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