HomeMy Public PortalAbout10541 OLIVE ST_Mechanical__ 76A364 -cCEB18 •`3-69 APPLICATION FOR P RMIT
HEATING - VENTILATING - AIR CONDITIONIN
COUNTY OF LOS ANGELES F
DEPARTMENT OF COUNTY ENGINEER OZ
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER Y - 2L.
COLEMAN W.JENKINS,SUPERINTENDENT OF BUILDINGT.
FOR APPLICANT TO FILL IN f
OWNER
(PRINT OR TYPE ONLY) ,I
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS Lill AE777
ABSORPTION SYSTEM, BTU CONTRACTOR CITY TEL. N0. .3-,505
) I i
AIR HANDLING UNIT, CFM ,
ADDRESS
BOILER, HORSEPOWER +•
CITY J TEL. N0.�3
COMPRESSOR, HORSEPOWER CSTATE LIC.
L CE SE NO. �g _ CLASS s— L73
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE PROCESSED BY
u EVAPORATIVE COOLER -J
FURNACE: FAU GRAVITY ap
U / INSPECTION RECORD
FLOOR BT
HEATER: SUSPENDED NIT
WALL
(F X17,
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ry
NEW_ADDITION PERMIT $ 3 00
ALTER--REPAIR_ TOTAL FEE $ C
PLAN CHECK APPLICANT
NAME
ADDRESS
r: CITY TEL.N0.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WUH ALL ORDINANCES AND LAWS REGULATING HEATING,VENTI-
LAYAPPROVALS DATE INSPECTOR'S SIGNATURE
ING, AIR CONDITIONING. i
I HEREBY CERTIFY THAT 1 AM NOT ACTING IN VIOLATION OF ROUGH
F' CHAPTER 9, DIVISION 3, OF THE BUSINE AND PROFESSIONAL FINAL /
.. CODE OF THE STATE OF CALIFORNIA.
SIGNATURE / JACK R. ALLEN, SUPERVISI MECHANICAL ENG'R.
OF PERMITTEE 4�7/La I
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION
Ar„ 8 2 8 7c-� J1114 8 4 1 D 11 .00- `71
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE we
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0903180002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID BUILDING ADDRESS: 1
ITR: 7690 LT: 9 UN: .005 1 I 10541 OLIVE ST 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917802865 [
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: BALDWIN
8586-029-039 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl
I 141 VENTILATION FAN 2.00 FAN 31.50 I 1
ITENANT: TOTAL FEES 59.25 IISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
1 103/18/09 SR 09/14/09 1
IOWNER: TEL. N0: 1 I DATE FIIJAL Y: CODE:
ICHUNG, JIM PING (626) 755-7846-
110541 OLIVE ST. I 1 1
[TEMPLE CITY CA 91780 1 IDESCRIPTION OF WORK
I I 12 VENTILATION FANS FOR BATHROOMS REMODEL 1
APPLICANT: TEL. NO: [ [ I
IBUI (626) 277-8841- I [ [
1686 E. 9TH ST. I ISPECIAL CONDITIONS:
IPOMONA, CA 91766 I I
ICONTRACTOR: TEL. NO: [ (APPROVALS DATE INSPECTOR SIGNATURE I
IT B CONSTRUCTION (626) 277-8841- 1 1 I
1686 E. 9TH STREET LIC. NO 1 IFAU/WALL FURNACE I I I
IPOMONA, CA 91766 746963 B 1 I I I
I I 1COMBUSTION AIR OPENINGS
(ARCHITECT OR ENGINEER: TEL. N0: 1 IDUCT WORK I I [
1 LIC. NO: 1 IAC/COMPRESSOR I 1 1
THERMOSTAT I I I
IFIRE DAMPERS I I I
I 1SMOKE DETECTION DEVICES I I I
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I 1REPORT ID: DPR264 ROUTE TO: BS0508 I I I I
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