HomeMy Public PortalAbout5639 PAL MAL AVE_Mechanical__ 76A364--LE 616-1.66 APPLICATION FOR PERMIT '
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER `
COLEMAN IN JENKINS, SUPERINTENDENT OF BUILDING LOCALITY v `
FOR APPLICANT TO FILL IN CROs sT
(Print 0, type only)
OWNER
NO TYPEIOF APPLIANCE OR EQUIPMENT FEE
MAIL
ADDRESS
ABSORPTION SYSTEM BTU CITY TEL NO
AIR HANDLING UNIT, CFM CONTRACTOR .
BOILER, HORSEPOWER ADDRESS �{
COMPRESSOR, HORSEPOWER CITY -} TEL NO
STATE
LIC
VENTILATION SYSTEM LICENSE NO..o' SDS' CLASS C
DISTRICT NO GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER y
FURNACE FAU_GRAVITY j' Q ��/(�' fi L
FLOOR—BTU INSPECTION RECORD
v
HEATER S PEN DED_UNIT_ �
WALL
If
W
O_
Z
NEW• ADDITION-:: PERMIT $ 3 00
ALTER—REPAIR TOTAL FEE S
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO'COMPLY
WITH ALL COUNTY ORDINANCE! AND STATE LAW! REGULATING
HEATING VENTILATING AIR CONDITIONING
1HEREBY CERTIFY AT 1 AM NO TING IN VIOLATION
OF CHAPTER B, al vis 3, OF THE BU ESS AN PR ESSIONAL _
CODE OF THE lTA? F CALIFORNIA ' APPROVALS DATE INSPECTOR S SIGNATURE
SIGNATURE ROUGH G
OF PERMITTEE11
FINAL p
/17 j IDATION JACK R ALLEN
cK 10 CASH SUPERVISING MECHANICAL ENG'R
ca
LAP, 0 5 2 4JN,16 4 1J- D 7.00-
SEE BACK OF APPLICATION FOR COMPLETE FEE 3CHEOULE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMEBT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0104240019
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDIR ADDRESS
TR 8822 LT 60 5641 PAL MAL AV
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802855
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LIVE OAK
8586-012-026 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID C3 LOCALITY TEMPLE CITY
02 CONPRSR < 100 KBTU 1 00 LOM 27 00
TENANT 08 FURNACE/HEATER <100 1 00 UNI 27 00 ISSUED ON PROCESSED BY PLAN BY ExPiRES ON
30 AIR INLETS/OUTLETS 10 00 UNI 43 50 04/24/01 UT 10/21/01
OWNER TOTAL FEES 125 25
TEL 0 FINAL DfTE CODE
HSIUHSIA TSAI (626) 651-2515-
6708 % L, I�
6708 N GOLDEN WEST /
ARCADIA 91007 MECHANICAL FOR
MECHANICAL fOR ADD TION 93650 FT AND ADDING A/C TO WHOLE
HOUSE
AFFL TEL NO
SAME AS OWNER
SPECIAL CONDITIONS
CONTRACTOR _rn P�GELES CO APPROVALS DATE INSnTrfflFTrffwRruwff--
SAME AS OWNER -
LIC NO FAU/WALL FURNACE
/ COMBUSTION AIR
ARL;HIILLI UK LNUINLLK ILL NU DUCT WORK
9GS
LIC N 1111111 C C
G'
UL'JL�C V V OU ll KS DAMPERS
O 0 41 1,
s
G6//c Servlce IfIbn 0t
REPORT ID DPR264 ROUTE TO BS0508