HomeMy Public PortalAbout9820 LA ROSA DR_Mechanical__ >B A B E<=;:ESI B_B-6B APPLICATION FOR PERMIT [�
HEATING - VENTILATING - AIR CONDITIONING ILII
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING A
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY )
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FOR APPLICANT TO FILL IN NEARESTCROSS ST. U-0 L, 6
(Print or type only)
OWNER
NO. TYPE�OF APPLIANCE OR EQUIPMENT FEE
MAIL
ADDRESS
ABSORPTION SYSTEM, BTU CITY TEL. NO.
AIR HANDLING UNIT, CFM CONTRACTOR
BOILER, HORSEPOWER ADDRESS �B ��G 1
I COMPRESSOR, HORSEPOWER C, CITY �.� TEL. NO. J
STATELIC. n
VENTILATION SYSTEM LICENSE NO. CLASS `—
DISTRICT NO. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER ''''
FURNACE: FAU Z GR VI Y f��- —/ ( ,
FLOOR—BTU ^9G INSPECTION RECORD
HEATER%SUSPENDED—UNIT
WALL
Y
a
O
U,
C
O
I--
U
N
Z
NEW ADDITION— PERMIT $ 3 00
A LTER_REPAIR TOTAL FEE $ D
Plan check,applicant
Name
Address j
I
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 D TE .SPECT 'S IGNATURE
LATING,'AIR CONDITIONING. ROUGH
1 HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION FINAL
OF CHAPTER I.
DIVISION F THE BUSINESS AND PROFESSIONAL
CODE OFI THE STATE O ALI R A
iI 'Op-<7
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SIGNAJACK R. ALLEN,5A ER�/(51 HANICAL
OF PE E CASH
TURE � 'PERMIT VALIDA I CK. M.O. CASH
RMITT
PLANICHEC ALIDATION
L; ;q 6 'n 7N wv 2 .4' 1 D 1.3.00- V
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
A
COUNTY OF LOS .ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0406020006-
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL 10: _. FEES PAID BUILDING ADDRESS:, -
TR;
DDR SS:, -TR: 9481 LT: 14 UN: .002 9820 LA ROSA DR
FEE DESCRIPTION: QUANTITY: LOM: AMOUNT: TEMP CA 917803920
ASSESSOR INFORMATION NUMBER: _ NEAREST CROSS STREET: TEMPLE CITY BLVD.
8589-022-008 01 PERMIT ISSUANCE FEE - - - 27.75 THOMAS.PAGE: 597 .'GRID:. A4 -LOCALITY'-TEMPLE CITY, C
02 CCMPRSR < 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:
TOTAL FEES 81.75 06/02/04 VG 11/29/04
i
OWNER: TEL. N0: FINAL DATE FINAL BY: CO
9820 LA R SACKIE D;FLORENCE A (626) 286-1727-
9820 LA ROSA DR
TEMP 917803920 DESCRIPTION OF WORK
REPLACE ROOF MOUNT PACKAGE UNIT HVAC
APPLICANT: TEL. NO:
B K AIR CONDITIONING & HEATING (626) 339-2299-
SPECIAL CONDITIONS:
CONIRACTGR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
B K .AIR CONDITIONING & HEATING (676) 339-2299-
18414 BENSOW ST. LIC. NO ~ FAU/WALL FURNACE
COVINA, CA 91722 815549 C20
COMBUSTION AIR OPENINGS
ARCHITECT OR ENGINEER: TEL. NO: DUCT WORK
LIC. NO: AC/COMPRESSOR
THERMOSTAT
FIRE DAMPERS
SMOKE DETECTION DEVICES --i ^--
COMMERCIAL HOOD
I
REPORT ID: DPR264 ROUTE TO: BS0508