HomeMy Public PortalAbout9802 LA ROSA DR_Mechanical__ '°A°°AE CliI '/'° APPLICATION .FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
BUILDING AND SAFETY DIVISION
i FOR APPLICANT TO FILL IN BUILDING
(PRINT OR TYPE ONLY) ADDRESS
LOCALITY
NO. TYPE OF APPLIANCEOR EQUIPMENT FEE NEAREST
CROSS ST. '
ABSORPTION UNIT, BTU
OWNER �
AIR HANDLING UNIT, CFM - MAIL
�a
ADDRESS
BOILER, BTU Cl ` TEL. NO.
COMPRESSOR, BTU CONTRACTOG'
VENTILATION SYSTEM ADDRESS �� •�'"�
EVAPORATIVE COOLER CITY /STATE ' TEL. NO.FURNA �.{
FLOORCE: FAU BTU RAVITY LICENSE NO. C9-s -({c CLALIC. .?J
Y
H ATER: SUSPENDED-UNIT- DISTRICT NO. GROUP zoxE PROCESS EO 0Y o-
O
WALL U
I
INSPECTION RECORD UPlan check fee 25% of above.
PERMIT ISSUING FEE STOTAL FEEPLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICAANOSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMWITH ALL ORDINANCES AND LAWS REGULATING HEATING, VELATING, AIR CONDITIONING.
I HEREBY CERTIFY THATAM T A TING IN VIOLAAPPROVALS DATE INSPECTOR'S SIGNATURE
OF CHAPTER 9, DIVISIONBOF THE B Nf 5 ANO PRO FE SSI
CODE OF THE STATE OF CALI ROUGH
SIGNATURE
OF PERMITTEE I FINAL !Z-
PERMIT VALIDATION M.G. CASH
PLAN CHECK VALIDATION Drc. M.D. DnsH '
3-7 1�jft 30 41. 0 15.7 !_5 A96
COUNTY OF LOS ANGELES TEMPLE CITY N 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1103150002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 9481 LT: 9 BL: .001 1 9802 LA ROSA DR
I IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917803920
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: GOLDEN WEST
18589-022-003 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
1 141 VENTILATION FAN 1.00 FAN 15.80
(TENANT: I TOTAL FEES 43.60 11SSUED ON: PROCESSED BY: PLAN BY: 1
103/15/11 SR
ITEL. N0: FINAL DATE FINAL BY: CODE
LI, T :
LI, ONGZHAO (626) 757-7630-
15650 SULTANA AVE.
TEMP 917803920 1DESCRIPTION OF WORK
REPLACE ONE VENTILATION FAN
APPLICANT: TEL. NO:
1SAME AS OWNER -
ISPECIAL CONDITIONS:
I
I I
CONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE
(SAME AS OWNER -
LIC. NO FAU/WALL FURNACE
COMBUSTION AIR OPENINGS
I
ARCHITECT OR ENGINEER: TEL. NO: IDUCT WORK
I I �
LIC. NO: 1AC/COMPRESSOR
I I I
THERMOSTAT
IFIRE DAMPERSI
I I I
ISMOKE DETECTION DEVICES
COMMERCIAL HOOD
I I I I I I
I
EXPPIRED
I
1 1 I I I I
3 J/6
I
I I I
1
IREPORT ID: DPR264 ROUTE TO: BS0508
I I I I I I