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70"364-CE818 -1/7 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING I�JI
COUNTY OF LOS ANGELES BUIL 55 Cf V
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL p�
NO. TYPEOFAPPLIANCEAR EQUIPMENT FEE ADDRESS %fpr/✓�
CITY TEL. NO.
ABSORPTION SYSTEM, BTU
CONTRACTOR
AIR HANDLING UNIT,. CFM
ADDRESS
BOILER, HORSEPOWER CITY ®f� f�fj� TEL. NO. '"-,r
COMPRESSOR, HORSEPOWER STATE LIC.
LICENSE NO. CLASS
VENTILATION SYSTEM DISTRICT NO. CLASS GGRROUP ZONE PROCESSED BY
EVAPORATIVE COOLER S.l _L--
FURNACE: FAU_GRAVITY INSPECTION RECORD
FLOOR BTU
HEATER: SUSPENDED UNIT_
WALL vo
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NEW _ADDITION_ PERMIT $ 3 00 N
Z_
ALTER—REPAIR— TOTAL FEE $ '710
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
1 HEREBY 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 O TE PECTO SSI NATURE
LATING, AIR CONDITIONING.
ROUGH
HEREBY CERTIFY THAT NOT ACTING IN VIOLATION
OF
CH
9, DIVISION 3, OF THE
BU E55 ANO PflO FE5510 NAL FINAL
OFJam%
CODE OF THE STATE 0 "LIFO IA.
SIGNATURE C z JACK R. ALLEN,SUPERVI ING MECHANICAL ENG-R.
OF PERMITTEE
PERMIT VALIDATION CK., M.0. CAS
PLAN CHECK AIALIDATION
hr- 0 7 8 9" JUU.1 0 4 1 D 7.00-
SEE
.00^'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 9904220002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 6755 LT: 28 9840 HOWLAND DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803232
ASSESSOR INFORM TION N BER: NEAREST CROSS STREET: BALDWIN
8589-009-029 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 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:
30 AIR INLETS/OUTLETS 12.00 UNI 52.20 04/22/99 UT 04/22/00
TOTAL FEES 133.95
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
PAYNE THOMAS W;SHIRLEY G TRS (818) 286-3605- kltl
9840 HOWLAND DR w
TEMP 917803232 DESCRIPTION OF WORT ,
INSTALL NEW HVAC SYSTEM IN RESIDENC
APPLICANT: TEL. NO:
HUNTINGTON A/C AND HEATING (626) 285-5049-
350 AGOSTINO RD. _ SPECIAL CONDITIONS:
SAN GABRIEL, CA --
P�IGELES Co
HUNTING OR: TEL. N0: yQ�j APPROVALS DATE INSPECTOR SIGNATURE
440-450 AG AIR CONDITION, INC. (626) 285-5049-
440-450 AGOSTINO RD LIC. NO TAU/WALL FURNA E
SAN GABRIEL, CA 91776 644769 C20
COMBUSTION AIR OPENINGS
ARCHITECT OR ENGINEER. TEL. N0: I DUCTWORK
LIC. NO: 111,11j AC/COMPRESSOR
THERMOSTAT
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REPORT ID: DPR264 ROUTE TO: BS0508