HomeMy Public PortalAbout6333 LIVIA AVE_Mechanical__ I6_A364- CE 8 18- 5-73
- APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES ADDRESS X333 L/ -
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY leo, e 0,J
NEAREST / \
CROSS ST./, 40-i ales,
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL _
No TYPE OFAPPLIANCE OR EQUIPMENT - FEE ADDRESS /� L (// L/C- (3
CITY `ek, e `� TEL. NO.aCJS 3 �'
ABSORPTION UNIT, BTU SPf
CONTRAC OR
AIR HANDLING UNIT, CFM
ADDRESS
BOILER, BTU CITY TEL. NO
COMPRESSOR, BTU STATE LIC
LICENSE NO. CLASS
VENTILATION SYSTEM DISTRICT NO GROUP'- ZONE PROCESSEDBY
EVAPORATIVE COOLER ' { G��
FURNACE. FAUGRAVITY l/ /C�i
FLOOR BTU INSPECTION RECORD
HEATER: SUSPENDED NIT_
WALL DU
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Plan check fee 25% of above. See reverse.
PERMIT ISSUING FEE S 3 00
TOTAL FEE
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO
I 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 DATE INSPECTOR'S SIGNATURE
LATING, AIR CONDITIONING
ROUGH
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE STATE ALIFOR NIA
SIGNATURE PERMIT VALIDATION CK. M 0 CASH
OF PERMITTEE
PLAN CHECK VALIDATION CK M 0 CASH /
o 8.00 ,6
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
COUNTY OF LOS ANGELES TEMPLE CITY - # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0909160011
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT -
ILEGAL ID I FEES PAID 1 BUILDING ADDRESS 1
ITR 12115 LT 6 11 6333 LIVIA AV
I - IFEE DESCRIPTION- QUANTITY UOM AMOUNT TEMP CA 917801328 1
(ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET
15382-021-036 101 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H2 LOCALITY TEMPLE CITY, Cl
1 130 AIR INLETS/OUTLETS 4 00 UNI 17 40
ITENANT 141 VENTILATION FAN 1 00 FAN 15 75 (ISSUED ON PROCESSED BY PLAN BY. EXPIRES ON
I 147 ALTER EXIST DUCT SYS 1 00 SYS 27 00 109/16/09 SR 09/16/10 1
1 TOTAL FEES 87 90 1 I
IOWNER TEL 1 - _1FINAL DATE FINAL BY. CODE _ 1
1MANDY, FANG (626) 423-3-9347- I I��/�'/✓1�( A1
16333 LIVIA AV 1 Q
ITEMP 917801328 1 ID2SCRIPTION OF WORK
I 1ALTERATION OF EXIST DUCT SYSTEM FOR NEW ADDITION 1 VENTILAT11
I ION FAN AND 4 AIR INTLETS
(APPLICANT TEL NO 1 I I
IFANG (909) 569-2069- 1 I I
124321 CLAYWOOD DR. - 1 ISPECIAL CONDITIONS 1
IDIAMOND BAR CA 91765
1CONTRACTOR TEL NO- 1 (APPROVALS DATE INSPECTOR SIGNATURE 1
IFONG, MANDY (626) 423-9347- 1 1
16333 LIVIA AVENUE LIC NO 1 IFAU/WALL FURNACE I I
ITEMPLE CITY, CA 91780 NONE I 1 I I
I 1 ICOMBUSTION AIR OPENINGS I I 1
ARCHITECT OR ENGINEER. TEL NO. i DUCT WORK I 1 1
LIC NO: I IAC/COMPRESSOR
ITHERMOSTAT I 1 I
IFIRE DAMPERS I 1
I I I
I 1 ISMOKE DETECTION DEVICES I I 1
COMMERCIAL HOOD 1
I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
1 (REPORT ID DPR264 ROUTE TO BS0508 1 I I I
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