HomeMy Public PortalAbout9154 HERMOSA DR_Mechanical__ Tfi A38R - )E BIB-1/J5
APPLICATION FOR PERMIT
HEATING.- VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES - gUiLDIN /J '
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY -
NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER /fn
(PRINT OR TYPE ONLY)
NO. TYPE&SIZE OF EQUIPMENT FEE p Q
SEE BACK OF APPLICATION p y�
J IT Y TEL. NO (7 ��� Y
FORCE AIR FURNACE, BTU 1,5 _
CONTRACTOR C
COMPRESSOR, BTU -
0 ADDRESS
VENTILATION FAN CITY +lTEL. NO
LIST ALL OTHERS BELOW STATE. (��// LIC.
LICENSE NO. �0�� CLASS eE:,52j
DI T ICT NO.
GROUP ZONE PROLE E BY
S' v 7-
INSPECTION RECO
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Plan check fee. See reverse. '
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II.F.11 IT IsSCI\G FEII: 5
'I'OTA I. VE 1.
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE,ABOVE 15 CORRECT,AND AGREE.TO COMPLY _
WITH ALL ORDINANCES AND LAWS REGULATING HEATING, VEN11- .411 VAL DA I R'S SIGNATURE
LATING, AIR CONDITIONING.
ROUGH
I HEREBY CER FT HA I AM NOT ACTING IN VIOLATION .
OF CHAPTER 9, D 1S10N . OF USINESS AND PROFE SI1 N FINAL
CODE OF THE 5T E OF OR 1
SIGNATURE
OF PERMITTEPERMIT VALIDATI cK. M.O. CASH
'
PLAN CHECWVALIDATION M.D. , CASH
25-il,:FEB 141 0 1 9.5 � �
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0009220008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDINGADDRESS:
TR: 5905 LT: 79 9156 HERMOSA DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801920
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ENCINITA
5387-016-025 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 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: EXPIR S ON:
TOTAL FEES 81.75 09/22/00 UT 03/22/01
OWNER: TEL. NO: FINAL DATE FI L BY: CODE:
SIMMONS FRANKLIN R;RAE D
9154 HERMOSA DR Y
TEMP 917801920 DESCRIPTION OF WORK
MECHANICAL FOR HVAC
APPLICANT: TEL. N0:
CONNOR A/C -
SPECIAL CONDITIONS:
PNGELES Co
CONTRACTOR: TEL. NO: SOS t//��,y APPROVALS DATE INSPECTOR SIGNATURE
CONNOR A C (626) 286-3157-
4931 N ENCINITA LIC. NO FAU/WALL FURNACE
TEMPLE CITY 403735 C38
/ COMBUSTION AIR OPENINGS
ARCHITECT OR ENGINEER: TEL. NO: / DUCT WORK
LIC. NO:� '1111117 AC/COMPRESSOR
THERMOSTAT
1r�(1 n O (1 �� WORD—)
(JORD—) � FIRE DAMPERS
U U IIL� U\V(/ IllllJl^lll(111�LI�((\1 SMOKE DETECTION DEVICES
COMMERCIAL HOOD
Q �'
46/ic Elm
Ser Vice Thaot
t
* ADDITIONAL DATA ON FILE
REPORT ID: DPR264 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0009220007
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 5905 LT: 79 9154 HERMOSA DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801920
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ENCINITA
5387-016-025 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 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-.
TOTAL FEES 81.75 09122100 UT 03122/01
OWNER: TEL. NO: FINAL DATE FINA BY: CODE:
SIMMONS FRANKLIN R;RAE D -
9154 HERMOSA DR ��
TEMP 917801920 DESCRIPTION OF WORK
MECHANICAL FOR HVAC
APPLICANT: TEL. NO:
CONNOR A/C -
SPECIAL CONDITIONS:
PNGELES CO
CONTRACTOR: TEL. N0: �QCJ APPROVALS DATE INSPECTOR SIGNATURE
CONNOR A C (626) 286-3157-
4931 N ENCINITA LIC. NO FAU/WALL FURNACE
TEMPLE CITY 403735 C38
/ COMBUSTION AIR OPENINGS
ARCHITECT OR NGINEER: TEL. NO: / DUCT WORK
LIC. N0:// 11111 1 AC/COMPRESSOR
—I�►1L- THERMOSTAT
�r�n n O n (C (\ n j/O (7/7 (C� FIRE DAMPERS
IllJl? U ILIA-J V1111// Il1KC�1 N\�J SMOKE DETECTION DEVICES
U S COMMERCIAL HOOD
a
❑ .CSI �'�_�'..
J,ow-
Service That
* ADDITIONAL DATA ON FILE
REPORT ID: DPR264 ROUTE TO: BS0508