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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0512280005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 12205 IT: 29 10662 LORA ST
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917803429
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: PAL MAL
8585-030-034 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, C
02 COMPRSR < 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:
30 AIR INLETS/OUTLETS 2.00 UNI 8.70 12/28/05 JK 06/26/06
47 ALTER EXIST DUCT SYS 1.00 SYS 27.00
OWNER: TEL. NO: TOTAL FEES 117.45 FINAL DATE FINN,`HY: CODE:
HAKE STEPHEN D;MARY E TRS HAKE TRUE (626) 443-0578- &- 15
10662 LORA ST
TEMP 917803429 DESCRIPTION OF WO
REPLACE CENTRAL AIR AND 88ATING SYSTEM
APPLICANT: TEL. NO:
AIR TRO (626) 357-5311-
1630 MYRTLE SPECIAL CONDITIONS:
MONROVIA, CA 91016
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
AIR TRO INC. (626) 357-5311-
1630 S. MYRTLE AVENUE LIC. NO FAU WALL FURNACE
MONROVIA, CA 91016 25822SC36
COMBUSTION AIR OPENINGS
ARCHITECT OR ENGINEER: TEL. NO: DUCT WORK
LIC. NO: AC/COMPRESSOR
THERMOSTAT
FIRE DAMPERS
SMOKE DETECTION DEVICES
COMMERCIAL HOOD
* ADDITIONAL DATA ON FILE
REPORT ID: DPR264 ROUTE TO: BS0508
76 A364- OE 8I8- 5-73. - - -
L : '' APPLI TION. FOR PE T "
3 HEATING -,VENTILATING -AIR! NDITIONING
-COUNTY OF LOS ANGELES BUILDING- ,
DEPARTMENT OF-COUNTY ENGINEER ADDRESS' e
BUILDING AND SAFETY DIVISION' '
LOCALITYa1 1l
NEAREST �
CROSS ST. 6/4 1- i 1
FOR APPLICANT -TO FILL..IN OWNER
(PRINT OR TYPE ONLY) �E�
MAIL• r
NO.-TYPEOFAPPLIANCEOR EQUIPMENT FEE ADDRESS p to 2; /t�f• � ;
CITTEL. NO.
A•BSORPTION UNIT, BTU Y
CONTRACTOR,
AI'R HANDLING UNIT; CFM'
ADDRESS
BOILER, BTU CITY TEL. No.
COMPRESSOR, BTU STATELIC.
LICENSE NO. CLASS
VENTILATION'SYSTEM DIsrR'rcr No. - cRoup NEGZCE.-SSED BY
EVAPORATIVE COOLER 1{ ^ E .
FURNACE: FAU_GRA I f Y INSPECTION RECORD
FLOOR BTU
HEATER: SUSPENDED UNIT_
WALL
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y
Plan check fee 25% of above. See reverse. Z
PERMIT.ISSUING FEE 8 b -oo
TOTAL, FEE (j.
PLAN CK APPLICANT
NAME
'ADDRESS
CITY---'-el -TEL.NO.'
I HEREBY-ACKNOWLEDGE THAT I HAVE READ.THIS APPLICATION _
AND STAT.E,THAT THE ABOVE IS CORRECT AND AGREEx TO COMPLY
11V1'TH ALL.ORDINANCES AND LAWS REGULATING HEATING, VENTI-• APPROVALS DATE INSPECTOR'S MONATURE _
LATING., AIR CONDITIONING.
ROUGH P.
-
I HEREBY CERTIFY AT I. NO ACTIN IN VIOLATION '
OF CHAPTER,'9, DIVI510 , F T BU5 SSA R ESS ZONAL FINAL •� I'
CODE•OF THE STATE OF FOR '
SIGNATURE
_ PERMIT•VALIDATION cK. M.O. CASH
OF PERMITTEE . _
PLAN ICHE K •VALI ATION ' 'CK. M.D. CASH r -
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