HomeMy Public PortalAbout9512 LOWER AZUSA RD_Mechanical__ WO-i APPLICATION FOR PERMIT
TILATING - AIR-CONDITIONING.
POLICY lHOLDE9.- ;
POLICY NUMBER: BUILDING-./kIVD SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING.
(PRINT OR TYPE ONLY) ADDRESS_ • . I-Dwer Z
5 FOCALITY, Mple
NO. TYPE OFAPPLIANCEOR EQUIPMENT FEE NEAREST
CROSS ST-.
ABSORPTION UNIT, BTU 1
OWNER
AIR HANDLING UNIT, CFM MAIL
ADDRESS
BOILER, BTU CITY �ItVJM� TEL. NO. 8
pie
COMPRESSOR, BTU. CONTRACTOR
VENTILATION SYSTEM ADDRESS
iU24 N, Rd
EVAPORATIVE COOLER CITY S TEL. NO. L� -795Z
FURNACE: FAU_G AVITY STATE LIC.
FLOOR BTU LICENSE NO. ,0 CLASS
HEATER: SUSPENDED UNIT_ DISTRICT NO. GROUP ZONE PROC BED BY
WALL v
CD
INSPECTION RECOR w
en
-3 0
Plan check fee 25%of above.
PERMIT ISSUING FEE $
TOTAL FEE '
PLAN CHECK APPLICANTatom
'
NAME
' ADDRESS a 3,S
CITY TEL.NO.
J
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-
LATING,AIR CONDITIONING.
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION APPROVALS DATE INSPE OR'SS U E -
i OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL ROUGH _
CODE OF THE STATE OF CALIFORNIA. -
SIGNATURE )
OF PERMITTEE' I FINAL } /` J*ri/.� 1 -
`
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATibff cK M.G. C'ASH'
:. U.*3 2--R(IUG 5 4 1 2
I
COUNTY OF LCS ANGLES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0403260012
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 DUPLICATE
PHONE: (626) 285-0488 EXT:
LEGA' I0: _ FEES PAID BUILDINGADDRESS:
TR: 12998 LT: 12 9512 LOWER AZUSA RD
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804221
ASSESSOR INFORMATION NUM8ER: NEAREST CROSS STREET: CLOVERLY
8592-002-027 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY
_ 02 COMPRSR < 100 KBTU 1.00 COM 27.00
MART- -"- 08 FURNACE/HEATER <100 1.00 UNI 27.00 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
30 AIR INLETS/OUTLETS 6.00 UNI 26.10 03/26/04 VG 09/22/04
TOTAL FEES 107.85
OWNER: TEL. NO:
3925
AL DATE FINAL BY: CODE:
LAM BRIAN (626) 831-0661-
3925 ROSEMEAD BL#103 � -v ���
ROSEMEAD, CA DESCRIPTION OF WORK
INSTALL NEW HVAC
APPLICANT: TEL. NO:
GUO SEAN (626) 926-7318-
3220 NEWBOLT CIR SPECIAL CONDITIONS:
HACIENDA HTS, CA
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
HCC DEVELOPMENT (626) 280-8765-
2446 N SAN GABRIEL BLVD #8 LIC. NO AU/WALL FURNACE
ROSEMEAD CA 91770 784773 B
COMBUSTION AIR OPENINGS
ARCHITECT OR ENGINEER: TEL. O: - DUCT WORK 2�
LIC. NO: AC/COMPRESSOR _
THERMOSTAT
FIRE DAMPERS
SMOKE DETECTION DEVICES
COMMERCIAL HOOD
REPORT ID: DPR264 ROUTE TO: BS05O8