HomeMy Public PortalAbout9646 LEMON AVE_Mechanical__ -�rttsag�'ccEs>as>-4177APPLICATION FOR PE'Riglt _
- ' HEATING - VENTILATING - 'AIR CONDITIONING
BUILDING AND SAFETY DIVISION'
Airy, m ¢ - ri
FOR APPLICANT TO FILL IN BUIL°INC
(PRINT OR TYPE ONLY) ADDRESS _ -�JO I a-
LOCALITY ��p-J+ �/� I/ _
•
NO 'TYPE OF APPLIANCE OR EQUIPMENT FEE -( L•• �/•
- NEAREST --7•� Q '
CROSS ST / . A9_1
ABSORPTION UNIT BTU
OWNER LiJ rje) oln
AIR HANDLING UNIT,CFM MAIL
ADDRESS-4&,&
BOILER,BTU CITY ,r.y TEL'NO
COMPRESSOR.BTU
CONTRACTOR
VENTILATION SYSTEM ADDRESS,/L;-
EVAPORATIVE
DDRESS LamEVAPORATIVE COOLER CITY
d"It-1-Alp•leq--✓A TEL NO --
URNACE FAU-G&V T, / STATE - LIC
FLOOR-' BTU / 1C� LICENSE NO, CLASS -�
HEATER - SUSPENDED UNIT- DIStCT,NO" GROUP ZONE PR C SSED By 0
WALL <5/ Of
- ✓fit. iL. - �
O
INSPECTION RECORD. t
N
_z
Plan check fee 25% of above
PERMIT ISSUING FEE$ "
TOTAL FEE
PLAN CHECK APPLICANT ,
,NAME
ADDRESS
CITY TEL NO
I HEREBY ACKNOWLEDGE THAT VHAVE READ THIS-APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY'WITH ALL k
ORDINANCES AND LAWS REGULATING HEATING,- VENTILATING.•,•AIR U
CONDITIONING _ -
* I HEREBY CERTIFY THAT I AM NOT ACTING"IN VIOLATION OF APPROVALS 'y DATE INS A R
CHAPTER 9. DIVISION 3, OF TH BUSINESS AND PROFESSIONAL CODE ROUGH •• ,/ I 4.OF THE STATE OF CA RNIA - -
SIGNATURE FINAL,
OF PERM IRIE _
rk
PERMIT VALIDATION CK ' M o CASH
PLAN CHECK VALIDATION CK M o CASH 3 7 0 0v,
022'3-79
w 7
'COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF RUBLIC WORKS 9701 LAS TUNAS ME 0508 1111290025
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE- (626) 285-0488 EXT
ILEGAL ID FEES PAID BUILDING ADDRESS
9646 LEMON AV E
ON FILE IFEE DESCRIPTION- QUANTITY UOM AMOUNT ARCD CA 910077866 1
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET ROSEMEAD 1
15383-013-009 101 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 596 GRID J1 LOCALITY TEMPLE CITY, Cl
1 102 COMPRSR < 100 KBTU 1 00 COM 27 00 I
(TENANT: 108 FURNACE/HEATER <100 1 00 UNI 27 00 11SSUED ON PROCESSED BY PLAN BY I
130 AIR INLETS/OUTLETS 11 00 UNI 47 80 111/29/11 SR I
132 APPL VENT (OTHER) 1 00 UNI 12 80 1 I
(OWNER TEL NO I TOTAL FEES 142.40 IFINAL DATE FINAL BY CODE I
ITRANG, PHAM (626) 353-4178- 1 1 I
19646 LEMON AV I I -
IARCD 910077866 1 (DESCRIPTION OF WORK 1
IREPLACE EXISTING HEAT/COOL SYSTEM i
(APPLICANT TEL NO 1 I I
1KACHIKIAN, VIGAN (818) 612-5276- 1 I I
I (SPECIAL CONDITIONS I
I1CONTRACTOR TEL NO 1 APPROVALS DATE INSPECTOR SIGNATURE
818 PRECISE AIR CONDITIONING SERVICE t I
( ) 240-1737- I I
15467 SAN FERNANDO RD LIC NO 1FAU/WALL FURNACE I I
ILOS ANGELES CA 90039 428900 * 1-
I (COMBUSTION AIR OPENINGS I I
( " Ir- I { I I
(ARCHITECT OR ENGINEER TEL' NO 1 (DUCT WORK I I
1 LIC- NO IAC/COMPRESSOR I
I I (THERMOSTAT I I I
j (FIRE DAMPERS I
I
II I SMOFE DETECTION
DEVICES
EXPIRED"
1COMMERCIAL HOOD I
I
1-a9
1* ADDITIONAL DATA ON FILE I
!'REPORT ID DPR264 ROUTE TO BSO508 I I