HomeMy Public PortalAbout9122 HERMOSA DR_Mechanical__ COUNTY OF LOS ANGELES TEMPLE CITY -- # 0508 MECHANICAL PERMIT
• DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0505190013
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS: -
TR: 5905 LT: 84 9122 HERMOSA DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801918
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOMA
5387-016-030 - 01 PERMIT ISSUANCE FEE 2].]5 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, C
02 COMPRSR < 100 KBTU 1.00 COM 2].00
TENANT: 08 FURNACE/HEATER <100 1.00 UNI 2].00 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
30 AIR INLETS/OUTLETS 5.00 UNI 21.75 05/19/05 JK 11/15/05
41 VENTILATION FAN 1.00 FAN 15.75
OWNER: TEL. NO: TOTAL FEES 119.25 FINAL DATE FINAL BY: CODE:
SHEN, PATRICIA _
(626) ]5]-5536- - 9�1 ,��
(9 9122 HERMOSADR / !
TEMP 917801918 DESCRIPTION OF WORK
INSTALL AIR CONDITIONING AND HEATING FOR THE GUEST HOUSE
APPLICANT: TEL. NO:
LIN (909) 946-5]89-
1]46 N. EUCLID AVE SPECIAL CONDITIONS:
UPLAND, CA 91784
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
PAUL LIN CONSTRUCTION CO. (909) 946-5789-
1946 N. EUCLID AVENUE LIC. NO FAU/WALL FURNACE
UPLAND, CA 91784 4209008
COMBUSTION AIR OPENINGS
ARCHITECT OR ENGINEER: TEL. NO: DUCT WORK
KENT WE ARCHITECT (626) 966-4975-
12]4 E. CENTER COURT LIC. NO: AC/COMPRESSOR
STE. 211 NONE
COVINA, CA 91724 THERMOSTAT
FIRE DAMPERS
SMOKE DETECTION DEVICES
COMMERCIAL HOOD
REPORT ID: DPR264 ROUTE TO: BS0509
]6A389E (CE'SIBAI- 11/76 APPLICATION FORVAFEIKERS COMPENSATIOtl
HEATING - VENTILATING - AIR CONDITIONING
POLICY HOLDER:
COUNTY OF LOS ANGELES
'DEPARTMENT OF c:o@GktG)11 JMBER... 1a G1 14�. 2'2 7 Off.-..
BUILDING AND SAFETY DIVISION - -
-
FORAPPLICANTTO FILL IN BUILDING
(PRINTORTYPE ONLY) ADDRESS
LOCALITY
NO. 'TYPE OF-APPLIANCE OR EQUIPMENT FEE
NEAREST
CROSS ST. f'`r
ABSORPTION UNIT, BTU
OWNER �
AIR HANDLING UNIT,CFM' MAIL
ADDRESS'
BOILER,BTU
CITY - . 'TEL NO.
COMPRESSOR, BTU /
CONTRACTOR
VENTILATION SYSTEM ADDRESS .
EVAPORATIVE COOLER V C O.
FURNACE: FAU_GRAVITY STATE /- LIC �J
FLOOR BTU LICENSE NO. G (P CLASfy
HEATER: SUSPENDED_UNIT_ ...�` DISTRICT NO. GROUP ZONE PFoce`seo av
WALL U J
U g L- Q
INSPECTION RECORD G
O
V
c
O
Plan check fee 25% of above. W
PERMIT ISSUING FEE$ Z
TOTAL FEE / a —
PLAN CHECK APPLICANT '
NAME
ADDRESS '
CITY TEL.NO.
IHEREBY 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. VENTILATING, AIR
CONDITIONING.
I HEREBYCERTIFY THAT I AM NOT ACTING IN VIOLATION OF APPROVALS DATE WPECTOR'S SIGNATURE
CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSION CODE ROUGH ��7
OF THE STATE OF CALIFORNIA. -
SIGNATURE - -
OFPERMITTE / ✓� FINAL
PLAN CHECK VALIDATION CK. NO, CASK PERMIT VALIDAT O cK, m.o. cases
21•4g3JUN 27,4;1
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