HomeMy Public PortalAbout5518 HILTON AVE_Mechanical__ ]B A!6A - CIE 818- P-)3 n .A
APPLI94TION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
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COUNTY OF LOS ANGELES gUILDIN
DEPARTMENT OF COUNTY ENGINEER DDRESS
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST
CROSS S
FOR APPLICANT TO FILL IN OWNS
(PRINT OR TYPE ONLY)
MAI
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
CITY TEL
ABSORPTION UNIT, BTU
CONTRACTOR
AIR HANDLING UNIT, CFM
ADDRESS
BOILER, BT CITY NC /
COMPRESSOR, BTU STATEQ�) �) LIC. (f
LICENSE NO. �/ GT" CLASS -v�
VENTILATION SYSTEM DISTRICT na. OUP zONE PROLE)ED BY
EVAPORATIVE COOLER s,O� ,_�
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FURNACE: FAUGRAVITY
FLOOR BTU INSPECTION RECORD
HEATER: SUSPENDED—UNIT—
WALL
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Plan check fee 25% of above. See reverse.
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PI:RJIIT ISSUING FEIi, S a Do
'TOTAL FFE
PLAN CHECK APPLICA
NAME
ADDRESS
CI TV TEL.N
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL OROINAN CES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSACTOR'S SIGNATURE
LATING, AIR CONDITIONING.
HEREBY Y THAT I AM NOT ACTING IN VIOLATION ROUGH .'
OF CHAPTER 9, pl HE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE STA 0 IFORNIA.
SIGNATURE PERMIT VALIDATION cK. M.o. CASH
OF PERMIT EE
PLAN CHECK VALIDATIO CK. M.O. CASH
328�AUG 141 0 n 50A98
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 0510310008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 12410 IT: 16 5518 HILTON AV
PEE DESCRIPTION: QUANTITY: GUM: AMOUNT: TEMP CA 917802405
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BROADWAY
8588-002-016 01 PERMIT ISSUANCE PEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, C
30 AIR INLETS/OUTLETS 1.00 UNI 4.35
TENANT: 41 VENTILATION FAN 1.00 PAN 15.75 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
47 ALTER EXIST DUCT SYS 1.00 SYS 27.00 10/31/05 JK 04/29/06
TOTAL FEES 74.85
OWNER: TEL. NO: FINAL ➢ATF✓ FINAL BY: C DE:
YEE FRED RENEE (626) 451-0103- - //n/�
S518 HILTON AV V -4/T
TEMP 917802405 DESCR TION OF WORK
ADD DUCT FOR ADDITIONAL AREA
APPLICANT: TEL. NO:
YEE (626( 823-0895-
9330 BROADWAY SPECIAL CONDITIONS:
TEMPLE CITY CA 91780
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
F T I CONSTRUCTION DEVELOPMENT (626) 451-5882-
9330 BROADWAY LIC. NO FAU/WALL FURNACE
TEMPLE CITY, CA 91780 782660 B
COMBUSTION AIR OPENINGS
ARCHITECT OR ENGINEER: TEL. NO: DUCT WORK
LIC. NO: AC/COMPRESSOR
THERMOSTAT
FIRE DAMPERS
SMOKE DETECTION DEVICES
COMMERCIAL HOOD
REPORT ID: DPR264 ROUTE TO: BS0508