HomeMy Public PortalAbout10521 LYNROSE ST_Mechanical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1303280012
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS:
ITR: 26554 IT: 7 I I 10521 LYNROSE ST I
I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:( TEMP CA 917802839 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I
18586-012-00701 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY CAI
1 108 FURNACE/HEATER <100 1.00 UNI 27.00 I I
ITENANT: I TOTAL FEES 54.80 (ISSUED ON: PROCESSED BY: PLAN BY: 1
1 1 103/28/13 SR I
I I I
(OWNER: TEL. NO: I IFINAL DA/yg FI AL BY: CODE: I
ILE KY NHU;BELINDA TA (626) 447-6481- I 1 ��6�7] 1
110521 LYNROSE ST 1 I -1 I
ITEMP 917802839 1 IDESCRIPTION OF WORK I
1 I [REPLACE FAD 70,000 BTU I
I I I I
(APPLICANT: TEL. NO: I I 1
ICASTILLO, EDDIE (909) 638-7493- I I
1627 E BONNIE BEACH I ISPECIAL CONDITIONS: I
ONTARIO CA 91730
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ICONTRACTOR: TEL. NO: 1 1 MPR4VALS ' V fATE I S E TORS N TUR
ISYNERGY MECHANICAL AIR COND & HEATI (909) 829-5673- 1 I
19375 ARCHIBOALD AVE #403 LIC. NO ) IFAU/.'RALL URNAC / �
IRANCHO CUCAMONGA CA 91730 944720 1 I 1
1 1 COMBUSTION AIR OPENINGS I
1ARCHITECT OR ENGINEER: TEL. NO: i (DUCT WORK I I I
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I LIC. NO: 1 IAC/COMPRESSOR 1 1 1
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1 I ITHERMOSTAT I 1
1 IFIRE DAMPERS 1
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I ISMOkE DETECTION DEVICES 1
I (COMMERCIAL HOOD 1 I I
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1 IREPORT ID: DPR264 ROUTE TO: BS0508 I I 1
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,T y om PLE L' ,;y
•76 p364 -'C.E 81 9-71 .. •pppLICATION" FOR PERMIT_ .. .
HEATING.. VENTILATING.- AIR CONDITIONING*
COUNTY OF LOS ANGELES' ADDRESS (�.
DEPARTMENT OF COUNTY ENGINEER r�
BUILDING AND SAFETY DIVISION L'OCALI'TY - ?`
NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER. J `
.(PRINT OR TYPE ONLY)
MAIL
NO. TYPE OFAPPLIANCEOR EQUIPMENT FEE ' ADDRESS . hip6n ��•
CITY c 7 TEL. NO.tj
ABSORPTION UNIT, BTU
CONTRACTOR t . ( '
AIR HANDLING UNIT, CFM I
ADDRESSam
.'
BOILER, BTU f� CITY STATEJJ�TEL NO:-
COMPRESSOR, BTU - LICENSE NO. // CLASS 'L,e 0
VENTILATION'SYSTEM . " DISTRICT NO. GROUP.• ZONE 'PROCESSED BY
EVAPORATIVE COOLCD
EV &pmo J�k
FURNACE: FAIJ G ITY INSPECTION RECORD
FLOOR BTU 77 + U
o=
HEATER: SUSPENDED UNIT_
WALL
' N
Plan.clieck fee 25% of.above. See reverse.
PERMIT'ISSUING.FEE-8 s oo
TOTAL F•EE7'3 " rj
PLAN CHECK APPLICANT ; _ P.
1.
NAME7 .
_ +
4 i
ADDRESS
CITY TEL.NO.
1 HEREBY ACKNOWLEDGE.THAT 1 HAVE READ THIS APPLICATION
AND'STATE THAT THE ABOVE IS CORRECT AND AGREE TO.COMPLY
WITH -ALL ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVAL-S-- DATE SPECTOR'S IGNATURE
LATING,AIR CONDITIONING.
ROUGH -
I'•HEREBY CER FY THAT 1 AM.NOT CTI IN VIOLATION
OF•CHAPTER'S, D IS.10 - OF THE BUSI SS- PROFESSIONAL. FINAL - - -
COUE OF THE-ST E OF ALIFORNIA.
SIGNATUREPERMIT VALIDATIO. cK. M.O. ' - .CASH
OF PERMITTE
:PLAN CHE" K ALID.ATION CK. . M.O., CASH
LAG 'AUG
'8 .4-
1:
iEE.BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE