HomeMy Public PortalAbout10162 LYNROSE ST_Mechanical__ CE-818(REV 11/78)
®, APPL TION FOR, PERRTff
HEATING - VE ILATING - AIR'CONDITIONING
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
• ADDRESS
(PRINT OR TYPE ONLY) '
LOCALITY
NO TYPE OF APPLIANCE OR EQUIPMENT FEE '
NEAREST
CROSS ST
ABSORPTION UNIT,BTU '
r OWNER
AIR HANDLING UNIT,CFM MAIL
ADDRESS
BOILER,BTU CITY - T L NO ,
COMPRESSOR,BTU CONTRACTOR
VENTILATION'SYSTEM r ADDRESS
EVAPORATIVE,COOLERCITY TEL N
FURNAE -- FAU GRAVITY STATE I LIC
[FLOOR ' BTU LICENSE NO ` CLASS
HEATER, SUSPENDED •UNIT_
WALL APPROVALS DATE INSPECTOR S SIGNATURE
'
ROUGH
FINAL t�.� 0
INSPECTION RECORD �g
' r J 1d1
Plan check fee 25%'of'obove N
PERMIT ISSUING FEE$ Z
TOTAL FEE
PLAN CHECK APPLICANT PLAN CHECK VALIDATION
NAME
ADDRESS
CITY TEL NO
IHEREBY ACKNOWLEDGE THAT,I HAVE READ THIS APPLICATION AND 9 7 2 3 A
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL '
ORDINANCES AND LAWS REGULATING HEATINGI VENTILATING AIR
CONDITIONING PERMIT VALIDATION # 0 0 0 0 4
I HE BY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF
CHAPTER 9, SION 3 HE BUSINESS AND PROFESSIONAL CODE 2 c - 2'7,0 0 '
OF THE STATE ALIFORNIA
SIGNATU E I o 0 o 2,7, 0 Q U
OFPERMI EE 1 -
DISTRICT NO PROCESS BY
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76A364 - CE818 - 3-69 APPLICATION FOR PER
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING D� 5 r'
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION
JOHN A LAMBIE, COUNTY ENGINEER LOCALITY /� 4
COLEMAN W.JENKINS,SUPERINTENDENT OF BUILDING NEAREST �G�/►�iAN
CROSS ST.
FOR APPLICANT TO FILL IN OWNER Rd $
(PRINT OR TYPE ONLY) MAIL
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NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS 1,01,16 2— O s'E
r /
ABSORPTION SYSTEM, BTU CITY pze et Xy TEL. NO
CONTRACTOR
AIR HANDLING UNIT, CFM ,/
ADDRESS zd //,r/Y1 /,s ST
BOILER, HORSEPOWER `XQ G
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Q/�/T� Q-7�7
COMPRESSOR, HORSEPOWER CITY TEL. NOT►q t p
L CENSE NO ��� / �`��STATECLASS dJ /
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER
FURNACE. FAU GRAVITY
FLOOR BTU INSPECTION RECORD
HEATER, SUSPENDED UNIT
WALL
Al s7A
sT F Ge
0
u
W
NEW=ADDITION_ PERMIT $ 3 00 Z
ALTER--REPAIR_ TOTAL FEE S
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL NO.
IHEREBY 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.
IHEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH
CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL
CODE OF THE STA OF CALIFORNIA. FINAL B
SIGNATURE JACK R. ALLEN, SUPERVISING MECHANICAL ENG'R.
OF PERM ITTE f�{C
' PERMIT VALIDATION CK. M.O. / CASH •
PLAN CHECK VALIDATION f
�_hr,•3 c 3 I)EG 1 p 4 1 D 6.00
'
fEE 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 1312300004
, BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 ,
PHONE (626) 285-0488 EXT
ILEGAL ID FEES PAID I BUILDING ADDRESS
ITR 16957 LT 135 10162 LYNROSE ST
I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802716 1
(ASSESSOR INFORMATION NUMBER I - - I NEAREST CROSS STREET
18586-019-018 101 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 ,GRID B3 LOCALITY TEMPLE CITY- 1
I - 102 COMPRSR < 100 KBTU 1 00 COM 27 00
ITENANT 108 FURNACE/HEATER <100 1 00 UNI 27 00 (ISSUED ON PROCESSED BY PLAN BY 1
130 AIR INLETS/OUTLETS 8 00 UNI 35 20 112/30/13 SR 1
132 APPL-VENT (OTHER) 1 00 UNI 12 90 1
(OWNER TEL NO. 141 VENTILATION FAN 2 00 FAN 31 601FI T� FI BY CODE.
IBRASHEAR HOWARD K,MARJORIE A - TOTAL FEES 161 50 I /jl`
110162 LYNROSE ST
ITEMP 917802716 _ IDES RIP ION OF WORK
ICHANGE OUT HVAC AND 2 VETILATION FANS
I
(APPLICANT TEL NO
IGARCIA, JEFFREY (714) 267-4312- 1 1
1175 W ORANGETHORPE I ISPECIAL CONDITIONS
PLACENTIA, CA 92870
1 I 1 I
(CONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE I
(ACI (714) 996-3200- 1 -
1175 W ORANGETHORPE LIC NO 1 FA /WALL FURNACE 1
IPLACENTIA, CA 92870 572282 1
- -i (COMBUSTION AIR OPENINGS
(ARCHITECT OR ENGINEER TEL NO IDUCT WORK ��jJ}
LIC NO 1 IAC/COMPRESSOR �I�I
(THERMOSTAT
I I I
FIRE DAMPERS _
ISMOKE DETECTION DEVICES 1
I I jcor¢�RCIAL HOOD 1 -I
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I I I I I I
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I I I I I I
(REPORT ID DPR264 ROUTE TO BS0508
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