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APPLICATION FORFERMI-
` HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES, FNEAREST
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DEPARTMENT OF COUNTY ENGINEER J "= " J
BUILDING AND SAFETY DIVISION Lq
JOHN A. LAMBIE. COUNTY ENGINEER ` 1�
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING -C-
CROSS L v r
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL
NO. TYPE OFAPPLIANCE,OR EQUIPMENT FEE ADDRESS
CITY TEL. NO.
ABSORPTION SYSTEM, BTU
CONTRACTOR y e
AIR HANDLING UNIT, CFM �
ADDRESS
BOILER, HORSEPOWER CITY L �f'f Q/�,L' TEL. NO. �r "
COMPRESSOR, HORSEPOWER LICE SE NO. e / �_ C ASS �yr 0
VENTILATION SYSTEM olsTRlcT NO. CLASS GROUP N ROC SED BY
EVAPORATIVE COOLERQ
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FURNACE: FAU_GRAVITY INSPECTION RECOR
FLOOR BTU
HEATER: SUSPENDED UNIT_
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NEW—ADDITION— PERMIT S 3 00 CL
ALTER_REPAIR TOTAL FEE S
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
I HEREBY ACKNOWLEDGE THAT I HAVEREADTHIS APPLICATION
AND STATE THAT THE ABOVE IS.CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAW EGU LAT ING-HEATING, VENTI- APPROVALS -DATE INSPECTOR'S SIGNATURE
LATING, AIR CONDITIONIN
ROUGH
I HEREBY CERTI TH I NO CTING IN VIOLATION
OF CHAPTER 9, DTVI ON 3, O T US N S AND PROFESSIONAL FINAL
CODE OF THE STAT A IF RN
SIGNATURE JACK R. ALLEN,SUPERVISING MECHANICAL ENG'R.
OF PERMITTE
PERMIT VALIDATION //C I<•y M.O. CASH
PLAN CHECK VALIDATION
1 42-
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 0601100008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS: '- ,
TR: 6561 LT: 637 9552 LAS TUNAS DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802106
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: TEMPLE CITY
8587-015-018 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE:. 5.96 - GRID: J3 LOCALITY: TEMPLE CITY, C
02 COMPRSR < 100 KBTU 1.00 COM 27.00 1.
TENANT: 08 FURNACE/HEATER <100 1.00 UNI 27.00 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
CHAMPION TROPHY COMPANY 30 AIR INLETS/OUTLETS 4.00 UNI 17.40 01/10/06 JK 07/09/06
TOTAL FEES 99.15
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
FREEMAN, JAY A (626) 287-2171- �j /
540 HIDDEY VALLEY DR r- L�2 6 6
AZUSA, CA 91702 DESCRIPTION OF WORK
INSTALL HVAC SYSTEM FOR THE NEW ADDITION
APPLICANT: TEL. NO:
L.D.H. CONSTRUCTION (626) 286-7119-
9634 OLIVE STREET SPECIAL CONDITIONS:
TEMPLE CITY CA 91780 -
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
L. D. H. CONSTRUCTION (626) 286-7119-
9634 OLIVE ST LIC. NO - - FAU/WALL FURNACE i
TEMPLE CITY, CA 91780 562071 8
COMBUSTION AIR OPENINGS
ARCHITECT OR ENGINEER: TEL. NO: DUCT WORK
LIC. NO: AC/COMPRESSOR
THERMOSTAT
FIRE DAMPERS
SMOKE DETECTION DEVICES
COMMERCIAL HOOD
�. REPORT ID: DPR264 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0509130006
BUILDING AND SAFETY" / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: - FEES PAID BUILDING ADDRESS:
-
TR: 6561 LT: 637 - 9552 LAS TUNAS DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802106 -
ASSESSOR INFORMATION NUMBER: NEAREST, CROSS STREET: TEMPLE CITY
8587-015-018 - 01 PERMIT ISSUANCE FEE - - - 27.75 THOMAS PAGE:-596' GRID: 'J3 - 'LOCALITY" TEMPLE.�CITY, C
_ 41 VENTILATION FAN - 2:00 FAN 31.50
TENANT: 47 ALTER EXIST DUCT SYS 1.00 SYS 27.00 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
CHAMPION TROPHY COMPANY TOTAL FEES 86.25 09/13/05 JK - 03/12/06
OWNER: TEL. NO: - FINAL DATE FINAL BY: CODE:
FREEMAN, JAY A (626) 287-2171-
540 HIDDEY VALLEY DR --
AZUSA, CA 91702 - DESCRIPTION OF WORK
ALTERATION OF EXIST DUCT SYSTEM AND ADD 2 VENTILATION FANS
APPLICANT: TEL. NO: - -
L.D.H. CONSTRUCTION (626) 286-7119-
9634 OLIVE STREET - SPECIAL CONDITIONS:
TEMPLE CITY CA 91780 - -
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
L.D.H. CONSTRUCTION (626) 286-7119- '
9634 OLIVE ST LIC. NO FAU/WALL FURNACE
TEMPLE CITY, CA 91780 562071 B - 1
- - COMBUSTION'AIR OPENINGS
ARCHITECT OR ENGINEER: - .TEL. NO: DUCT WORK
LIC. NO: AC/COMPRESSOR
THERMOSTAT -
- FIRE DAMPERS
SMOKE DETECTION DEVICES
COMMERCIAL HOOD
REPORT ID: DPR264 ROUTE TO: BS0508