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` APPL ATIQN FOR P R IT-
HEATING - VENTILATING AIR C 1`101110NING '
COUNTY OF LOS ANGELES FAD
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ADDRESS 9469
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AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING VENTI • ,T APPROVALS k° ' DATE INSPECTOR S SIGNATURE
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HEREBY CERTIFY THAT AM NOT N6 IH VIOLATION,
OF CHAPTER 9 DIVISION 3 OF THE BUSINESS
99 AXO PROFESSIONAL FINAL - 5% •�
CODE OF THE STATE O A
SIGNATURE' ' L OR NIPERMIT'VALIDATION K Mb• CASH
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POLICY HOLDER:, yL 9.9 61:APR- �y 4-1 U 2 TO
POLICY NUMBEWV7,
' COUNTY OF LOS ANGELES TEMPLE CITY F k 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1210290026
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 '
PHONE (626) 285-0488 EXT
LEGAL ID _ FEES PAID BUILDING ADDRESS
ITR 19572
IT 36 • 9459PENTLAND ST
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803843
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET
18590-008-003 101 PERMIT ISSUANCE FEE 27 80 1 THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY Cl
102 COMPRSR < 100 KBTU 1 00 CVM 27 00 1 1
ITENANT 108 FURNACE/HEATER Q00 1 00 UNI 27 00 ISSUED ON PROCESSED 13Y PLAN BY
1 ' 130 AIR INLETS/OUTLETS 7 00 UNI 30 80 110/29/12 SR
1 135 AHU < 2000 CFM 1 00 AHU 12 90 1 i
(OWNER TEL NO 141 VENTILATION FAN 3 00 FAN 47 40 (FINAL ATE FI BY CODE I
ISUI RAYMOND (626) 888-9182- 1 TOTAL FEES 172 90 _
19459 PENTLAND ST
(TEMP 917803843 - D SSE I��CRI ' ION OF WORK
IINSTALL AIR CONDITIONING AND HEATING SYSTEM 7 AIR INLETS I
11 AIR HANDLING UNIT AND 3 VENTILATION FANS
(APPLICANT TEL NO
ILI JAMES (626) 358-2786- 1
111625 GOLDRING RD (SPECIAL CONDITIONS
ARCADIA CA 91006
ICONTRACTOR TEL NO I _ 1APIPRO*kLS DA INSPECTOR SIGNATURE 1
I MAPLE BUILDERS INC (626) 358-2788- 1
111625 GOLDRING RD LIC NO IFAU/WALL FURNACE 1
IARCADIA CA 91006 609931
1 COMBUSTION AIR OPENINGS 1 I
(ARCHITECT OR ENGINEER TEL NO (DUCT WORK
IT AND W CONSULTING ENG (626) 298-0757-
11168 SAN GARBIREL LIC NO I IAC/COMPRESSOR _ 1
ROSEMEAD CA 91770 35693 _
ITHERMOSTAT
1
(FIRE DAMPERS
I I I I I I
ISMOKE DETECTION DEVICES
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ADDITIONAL DATA ON FIDE
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REPORT ID DPR264 ROUTE TO B80508
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