HomeMy Public PortalAbout10133 LA ROSA DR_Mechanical__ TB A354 - CE 818-1/T5
APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES :BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS Q
BUILDING AND SAFETY DIVISION " LOCALITY
NEAREST
CROSS ST. /eokle
G/ A 1
FOR APPLICANT TO FILL IN OWNER l
(PRINT OR TYPE ONLY)
MAIL /
NO. TYPE&SIZE OF EQUIPMENT FEE ADDRESS
SEE BACK OF APPLICATION
CITY / TEL. NO.
FORCE AIR FURNACE, BTU
CONTRACT 13
COMPRESSOR, BTU
ADDRESS
VENTILATION FAN CITY T
TEL. NO.
LIST ALL OTHERS BELOW LIC-
LICENSE NO. J b CLASS G �✓ ti
-7CI iRICT NO. GROUP "BE ROCE 0 BY
/ 3s. 0ao Tz" ciJ IPJ T. � /
INSPECTION RE COR
0-
0-
0 O
F-
U
W
0_
Plan check fee. See reverse.
PI:R)IIT IS,SITS(. FIA: S SO
TOTAL FBI! O
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
XEREBY AC H.YOW LEDGE THAT HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL OROINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSPE 0P'S SIGNATURE
LAT ING, AIR CONDITIONING.
ROUGH
HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION r q
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS A • RO FE SIGNAL FINAL �fJ//LE' � ' �'�.
CODE OF THE STATE - -
sICNATURE _ : PERMIT VALIDATION c� sH
OF PERMITTE
PLAN CHECK VALIDATION CK. M.O. CAB
2 1 NAN 2141 � 1 2.006
COUNTY OF LOS ANGELES TEMPLE CITY 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0909100010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LECAL ID: FEES PAID BUILDING ADDRESS:
ITR: 10821 LT: 12 BL: A 1 10133 LA ROSA DR 1
(FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: I TEMP CA 917803305
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18585-007-018 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl
1 102 COMPEER < 100 KBTU 2.00 COM 54.00
(TENANT: 108 FURNACE/HEATER <100 2.00 UNI 54.00 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1
1 130 AIR INLETS/OUTLETS 12.00 UNI 52.20 109/10/09 SR 09/10/10
132 APPL VENT (OTHER) 1.00 UNI 12.90 1
10WNER: TEL. NO: 141 VENTILATION FAN 4.00 FAN 63.00 (FINAL DATE FINAL BY: CODE:
IKWOK, TERENCE (323) 697-2120- 1 TOTAL FEES 263.85
110133 LA ROSA DR. Il�
TEMPLE CITY CA 91780 CRI TION OF WORK
INSTALL AIR CONDITIONING AND HEATING SYSTEM
I
1APPLICANT: TEL. NO: 1 I
IKWOK (323) 697-2120- 1
110133 LA ROSA DR. I ISPECIAL CONDITIONS: 1
ITEMPLE CITY CA 91780 1
(CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
IT T L CONSTRUCTION CO. (626) 284-1097- 1
1405 N CAMPBELL AV LIC. NO IFAU/WALL FURNACE _
ALHAMBRA, CA 91801 626157BEIC
(COMBUSTION AIR OPENINGS
I
1ARCHITECT OR ENGINEER: TEL. NO: 1 - (DUCT WORK I I I
IKWOK, TERENCE (323) 697-2120-
260 E GARVEY AVE. LIC. 6 iAC/COMPRESSOR (�
MONTEREY PARK, CA 91755 C24796 �Y�1-�'I_Ik-� SFJ{
I THERMOSTAT
I
(FIRE DAMPERS
I
ISMO KE DETECTION DEVICES
II IcoM4excIAL xooD I I I
I I I I I I
I I I I I 11
I I 11 I I I
I I I I I I
I I I I I I
I II I I I I
I I I I I I
I I I I I I
I I I I I 11
I I I I I I
I I I I I
I I I I I I
I I I I I I
(REPORT ID: DPR254 ROUTE TO: HG0509 I
I I I I I I
_ COUNTY OF LOS ANG"LES TEMPLE CITY it 0508 MECHANICAL PERMIT
DEPARTMENT OF PURL. C `f.-KS 9701 LAS TUNAS ME 0508 040923[:009
OL`; AJING AND SAFETY / /.AND DIVE'OPMENT TEMPLE CITY CA 91780
FHO;iE: (626) 285-0488 EXT;
LEGAL IU:�-- "�-- -- Fn-0 P ;D --- BL'"[DING ADDRESS:
TR: 10821 LT: 12 BL: A 101-i3 LA ROSA DR
FEE DESCRIPTION: OUANT'TY: 7.7M: AMOUNT: *.P CA 917803305
ASSESSOR iN'O�MATION—NUMBER'.BEP.: NEAREST CROSS STREET: B.A.LDWIN
8585-007-019 -- 01 PERMIT ISSUANCE FEE 27.75 TLOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CIT'' C
02 CCMPRSR < 100 KBTU 2.00 Com 54.00
TENANT: 08 FURNACE/HEATER-<100 2.00 i!:1 54.00159A!E( C`!: PROCESSED BY: PLAN EY: EXP!P•ES ON:
31 AIR INLETS/OUTLETS '.00 Sr 37.05 09 23/04 JK 03/22/05 i
TOTAL FEE: 172.80
OWNER: __--_,L. .NO: d CODE:
-EXPM
GONZALES, W;: (626) 1,51-0391-
10133 LA OSA ijR!VE
TEMPLE CITY CA 91750ON OF 'WORK
NEI-' HVAC SYSTEM
APPLIC^NT__-- --1EL. NO:
SAME AS "INER -
SP CIA.L UUNDITIONS: ----- --'--
I
ROVAi S AT INSPECTOR SICNA IUBc
SAME AS OWNER
LIC. NO Jh.+:AWAL! FURNACE
SCO}iSUST!ON AIR OPENINGS
i I
ARCHST="C1 OR ERG;F:EER: TEL. .lO: iI:uCT 'n'URK
L!C. N0: jA.^.iCOMPi;ESSOR — I.
RM
0.41.1PER5
I
�'="OKE DETIiC1ICN DEVICES —!
�COP.'cRC 1.4L HCOD�
i
—` — —� REPORT ID: DPR264 _ROUTE ?C: BS0508 _—_-- ---- —