HomeMy Public PortalAbout10146 LA ROSA DR_Mechanical__ ®l1ii
7SA364'-CE8I8 -1/70 APPLICATION. FOR PERMI I
HEATING -VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER. ADDRESS
BUILDING AND SAFETY DIVISION LOCALI
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINSNEAREST
', SUPERINTENDENT OF BUILDING NEAR ST.
FOR APPLICANT TO FILL IN - OWNER
(PRINT OR TYPE ONLY) •'
MAIL
NO. TY PE OF APPLIANCE OR EQUIPMENT FEE ADDRESS i5
TEL. N
ABSORPTION SYSTEM, BTU
CONTRAC OR
AIR HANDLING UNIT, CFM - L
ADDRESS LC'
BOILER, HORSEPOWER TEL. NO
COMPRESSOR, HORSEPOWER STATE L C. [�
LICENSE N CL ASS„J
VENTILATION SYSTEM - DISTRICT NO. CLASS I GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER
FURNACE: FA Oftl T-Y
FLOOR BTU INSPECTION RIECORD.
HEATER: SUSPENDED-
UNIT-WALL
• a
a
0
U
C
H
U
W
d
NEW—ADDITION_ PERMIT S 3. 00 - Z
ALTER—REPAIR— TOTAL FEE $
PLAN CHECK APPLICANT'
NAME
ADDRESS
CITY TEL.NO. -
I HEREBY ACKNOWLEDGE THAT I_HAVE READ THIS APPLICATION -
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE.TO COMPLY
WITX ALL ORDINANCES AND LAWS REGULATING HEATING. VENTI- APPROVALS- DAT INSP DR'S SIGNATURE
LATING, AIR CONDITIONING.
ROUGH Zz
I HERESY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER S, DIVISION 3, I T BUSINESS AND PROFESSIONAL FINAL 7
{ODE OF THE STATE OR
SIGNATURE _ JACK R. ALLEN,'S UPERVISING MECHANICAL ENG•R.
OF PERMITT -
Iiii PERMIT VALIDATION ' cH. - M.O. CASH
PLAN CHECK VALIDATION
2 u11 1 D -15.50-
SEE
15.50-SEE BACK OFAPPLICATION FOR COMPLETE FEESCHEDULE
COUNTY OF LOS ANGELES - TEMPLE CITY $ 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1005270008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 ENT:
LEGAL ID: FEES PAID
BUILDING ADDRESS:
QTR: 10821 LT: 5 BL: C
I 10146 LA DR
I (FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917801780 3303 I
(ASSESSOR INFORMATION NUMBER I INEAREST CROSS STREET: BALDWIN
18585-013-099 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B9 tACALITY: TEMPLE CITY, C
I 141 VENTILATION FAN 3.00 FAN 47.25
(TENANT: I TOTAL FEES 75.00 JISSUED ON: PROCESSED BY: PLAN BY:
05/27/10 SR
OWNER: TEL. NO: (FINAL DATE FINAL BY: CODE:
KHAN, CHRISTIAN (626) 780-6650- I I I
110146 LA ROSA DR.
ITEMP 917801635 IDESCRIPTION OF WORK
13 VENTILATION FANS FOR BATHROOMS'REMODEL
(APPLICANT: TEL. N0: '
SAME AS OWNER -
ISPECIAL CONDITIONS:
(CONTRACTOR: TEL. NO: - (APPROVALS DATE INSPECTOR SIGNATURE
(SAME AS OWNER -
LIC. NO FAU/WALL FURNACE
(COMBUSTION AIR OPENINGS
(ARCHITECT OR ENGINEER: TEL. N0: IDUCT WORK
I I I
I � I
LIC. NO: IAC/COMPRESSOR
(THERMOSTAT
FIRE DAMPERS
I I
PP B�,A� p� ISMOKE DETECTION DEVICES
EXPIRE d COMMERCIAL HOOD
I I I I I
REPORT ID: DPR264 . ROUTE TO: 850508
I I I I