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APPLICATION FOR PERMIT9��p ~r��
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING G t
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY f
JOHN A. LAMBIE, COUNTY ENGINEER 1
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER
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NO. TYPE OFAPPLIANCE•OR EQUIPMENT FEE 0
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ABSORPTION SYSTEM, BTU
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BOILER, HORSEPOWER CITY TEL. NO.
COMPRESSOR, HORSEPOWER STATE LIC.
LICENSE NO. CLASS
VENTILATION SYSTEM DISTRICT NO. CLASS GROUP ZONE [.—P-1103SSED BY
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NEW—ADDITION— PERMIT $ 3 00 v
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NAME
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LBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
E THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
IR CONDITIONING.EBY CERTIFY T I AM NOT IN N VI LATIONROUGH ER 9, DI O OF THE BURIN S A RO 'SIO L FINALTHE ST CALIFORNIURE , JACK R. ALLEN,SUPERVISING ANICAL ENG'R.
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PERMIT VALIDATION CK. M.0. CASH
PLAN CHECK VALIDATION
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�^ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1310160011
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ITR: 4902 IT: 5 BL: D I I 4932 MCCLINTOCK AV 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917804103 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I
18574-023-008 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY CAI
1 130 AIR INLETS/OUTLETS 3.00 UNI 13.20 1 I
TENANT: 147 ALTER EXIST DUCT SYS TOTAL FEES SYS 27.00 68.00 110/16/13N: PROCESSED BY: PLAN BY:
SR OWNER: TEL. NO: I [FIN DATE FINAL BY: CODE: 1
ILII, XIAOLI (626) 678-3947- 1 1
14932 MCCLINTOCK AV 1 1
ITEMP 917804103 ,1 ID2SCRIPTION OF WORK 1
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,7(A354-Cf818-1/70 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES ADDRESS a e Lr
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY'iL f
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
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COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN OWNER =�
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I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
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WITH ALL ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
LATING,AIR CONDITIONING.
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I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER ISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE ST F *FORNIA.
SIGNATURE JACK R. ALLEN,SUPERVISING MECHANICAL ENG'R.
OF PERMIT E
RMIT VALIDATION cH M.O. CASH
PLAN CHECK V9L1bATION
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SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
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BA oea-c :,,e�.,-Be •` o APPLICATION FOR PERMI
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS G d C •
JOHN A. LAMBIE, COUNTY ENGINEER Cz
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. �.i�Y V
(Print or type only)
OWNER (2
NO. TYPEOFAPPLIANCE OR EQUIPMENT FEE
MAIL ^ a,�
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ABSORPTION SYSTEM, BTU CITY 4A TEL. NO, a 3-L
AIR HANDLING UNIT, CFM CONTRACTOR
BOILER, HORSEPOWER ADDRESS
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VENTILATION SYSTEM LICENSE NO. CLASS
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NEW—ADDITION PERMIT $ 3 00
ALTER—REPAIR— TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
HEATING, VENTILATING, AIR CONDITIONING.
I HEREBY CERTIFY THA?FT
1 AM NOT AC ING N VIOLATION
OF CHAPTER 9, DIVISION 3 F THE BUSINES AN F SIO AL
CODE OF THE STA F C IFORMA. APPROVALS DATE f PECTOR'S SIGNATURE
SIGNATURE ROUGH 8
OF PERMITT FINAL
Vkl.IDATION JACK R. ALLEN
CK./M.O.
M.O. CASH SUPERVISING MECHANICAL ENG'R.
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COUNTY OF IAS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1308010016
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I F88S PAID I BUILDING ADDRESS:
ITR: 4902 IT: 5 BL: D I I 4932 MCCLINTOCK AV I
I FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917804103 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18574-023-008 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY CAI
I 141 VENTILATION FAN 1.00 FAN 15.80 I I
(TENANT: TOTAL FEES 43.60 ISSUED ON: PROCESSED BY: PLAN BY: 1
[ 108/01/13 SR 1
(OWNER: TEL N0: I FINAL DATE F14ATk BY: CODE: I
ILU, XIAOLI _ 1
14932 MCCLINTOCK AV
ITEMP 917804103 1 1D IPTION OF WORK I
(VENTILATION FAN [
(APPLICANT: TEL. NO: 1
IWANG, ORVILLE (626) 945-8355- 1 I I
2640 SO MYRTLE AVE I [SPECIAL CONDITIONS:
IMOROVIA CA 91016 [
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ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE
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ICASTLINK CONTRIICTION CORP (626) 945-8355- 1 I �•
12640 SO MYRTLE AVENUE A4 LIC. NO I IFAU/WALL FURNACE I I I
IMONROVIA CA 91016 977911 I 1 1 I I
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