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76A36lE ��[,-618AI- 11/T6 APPLICATION FOR PERMIT
r HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES p
DEPARTMENT OF COUNTY ENGINEER Temple City LiC�#29H2
BUILDING AND SAFETY DIVISION.
FOR APPLICANT TO FILL IN BUILDING
(PRINT OR TYPE ONLY) ADDRESS 10102 La Rosa Avenue
LOCALITY Tem le City .
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
CROSS ST.
ABSORPTION UNIT.BTU
OWNER Roccig Sanello
AIR HANDLING UNIT.CFM MAIL
ADDRESS 10102 La Rosa Avenue
BOILER,BTU / CITY Temple City TEL..NO.
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1 COMPRESSOR.BTU T •000 10 X00 CONTRACTOR Barnes Heating & Air Cond
VENTILATION SYSTEM ADDRESS 712 North Loren
EVAPORATIVE COOLER CITY Azusa TEL.NO. 337-6732
1 FURNACE: FAU_Gp❑nXITx� STATE rn LIC.
FLOOR BTU �.. lo.()() LICENSE No.2J/573 CLASS C-2C
HEATER: SUSPENDED—UNIT— DISTRICT No. GROUP IONIC "ICE SED By
WALL
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INSPECTION RECORD G
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Plan check fee 25% of above.
PERMIT ISSUING FEE s7 •00 s
2_
TOTAL FEE 2 .00
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO,
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND "
STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL
ORDINANCES AND LAWS REGULATING HEATING. VENTILATING, AIR -
CONDITIONING.
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF APPROVALS DATE INSPECTOR'5 SIGNATURE
CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL CODE
OFTHESTATEOFCAL ORNIA. ROUGH
SIGNATURE FINAL
OFPERM=
PLAN CHECK VALIDATION CK. MO. ASH PERMIT VALIDATION CK. M.o. cnsH
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POLICY HOLL ECS: e44 o N Iv e w
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POLICY NUMBER: �75�ql'.'7� --J o o 4-- cn
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 9911240004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL FEES PAID BUILDING ADDRESS:
TR: 10821 LT: 80 BL: .001 10102 LA ROSA DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803303
ASSESSOR INFORMATION NUMBER: i NEAREST CROSS STREET:
8585-013-001 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 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 3.00 UNI 13.05 11/24/99 UT 05/22/00
TOTAL FEES 94.80
OWNER: TEL. NO: FINAL DATE FIN BY: CODE:
SANELLO ROCCO;MARY J (818) 575-009-j-
10102 LA ROSA DR
TEMP 917803303 DESCRIPTION OF WORK
NEW HEATING AND COOLING SYSTEM
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
PNGELES Cp
CONTRACTOR: TEL. NO: mos APPROVALS DATE INSPECTOR SIGNAT E
SAME AS OWNER -
LIC. NO FAU/WALL FURNACE
/ CO T[ON AI OPENINGS a4 C4�
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ARCHITECT OR ENGINEER: TEL. NO: r 'l \ DUCT WO
LIC. N0 AC/COMPRESSOR
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REPORT ID: DPR264 ROUTE TO: OS0508