HomeMy Public PortalAbout10209 NADINE ST_Mechanical__ 1
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1303050019
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT j
ILEGAL ID 1 FEES PAID BUILDING ADDRESS 1
ITR 15862 IT 21 4 10209 NADINE ST 1
1ASSESSOR INFORMATION NUMBER I FEE DESCRIPTION QUANTITY UOM AMOUNTI TEMP CA NEAREST CCROSS278
STTREET
18586 027 021 101 PERMIT ISSUANCE FEE 27 60 1 + THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY CAI
1102 COMPRSR < 100 KBTU 1 00 COM 27 00 I 1
(TENANT 108 FURNACE/HEATER <100 1 00 UNI 27 00 TISSUED ON PROCESSED BY PLAN BY T
TOTAL FEES 81 80 03/05/13 SR
(OWNER TEL NO IFINAL DATE FINAL BY CODE 1
IJOZEFCZYK IRENE H (626) 444 3022 I 1 I
110209 NADINE ST I I I
ITEMP 917802728 1 IDESCRIPTION OF WORK 1
IPACKAGED GAS/ELECTRIC EQUIPMENT REPLACEMENT (ON GROUND) I
(APPLICANT TEL NO 1 I V I
ICONTRERAS CARRA (626) 286 3157 I 1 T
14931 N ENCINITA AVE 1 ISPECIAL COITITIONS
TTEMPLE CITY CA 91780
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ICONTRACPOR TEL NO I1A y0 SP TO SIGNATURE I
ICONNOR AIR CONDITIONING AND (626) 286 3157 1 1 T
IREFRIGERATION INC LIC NO FAU/WALL FURNACE i I
14931 N ENCINITAS AVENUE 403735 * 1 I 4 I I I
ITEMPLE CITY CA 91780 I ICOMBUSTION AIR OPENINGS I I
(ARCHITECT OR ENGINEER TEL NO i IDUCT WORK I I I
I LIC NO 1 IAC/COMPRESSOR 1 I I
I I THERI+OSTAT 1
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IFIRF DAMPERS I I I
ISMOKE DETECTION DEVICES I I I
I I COMMERCIAL HOOD
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1 T+ ADDITIONAL DATA ON FILE I I I I
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I (REPORT ID DPR264 ROUTE TO BS0508 I I I I
I I I I I I
7GA364—CESIB—S eB APPLICATION FOR PERMIT [�
Te C. License 3518 HEATING - VENTILATING - AIR CONOITIONIN lul
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING ,
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LOCALITY T C
ity
FOR APPLICANT TO FILL IN CROSS
EST Dame Dr
(Pant or type only)
OWNER Mr- As Af-apt
NO TYPEIOFAPPLIANCE OR EQUIPMENT FEE
ADDRESS 10209 Nadeene
ABSORPTION SYSTEM BTU CITY TEL NO
AIR HANDLING UNIT CFM CONTRACTOR L e A. C
BOILER HORSEPOWER ADDRESS 4937 Enc-frifta
COMPRESSOR HORSEPOWERIL CITY Tj=1p QIty TEL NO
VENTILATION SYSTEM LICENSE NO 19.5617 CLASS
DISTRICT NO GROUP ZONE PROCESS BY
EVAPORATIVE COOLER ,,�. �1► d /}7� Q
FURNACE FAU G AVITY � (f a (I
FLOOR BTU INSPECTION RECORD
HEATER SUSPENDED UNIT
WA L
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4.
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NEW_ADDITION PERMIT $ 3 00
ALTER_REPAIR TOTAL FEE S
Plan check applicant
Name
Address
City Tel No
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 APPROVALS DATE INSPECTOR S SIGNATURE
LATINO AIR CONDITIONING
ROUGH
I HEREBY CERTIFY THAT I AM NOT AA IN VIOLAT10 FINAL
OF CHAPTER 9 DIVISIO OF THE BUS SSA P OFESSI
CODE OF THE STATE C IF
r JACK R ALLEN,SUPERVISIN IECHANICAL ENG R
SIGNATURE
PERMITTE PERMIT VALIDATI^
O CASH
OF
PLAN CHECK VALIDATION
LAr,. o O 7 8% ,hTrt26 4 1 D f 7
p O N
d
4
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE