HomeMy Public PortalAbout5452 PERSIMMON AVE_Mechanical__ r '
7GA364C
CE-8181REV.6/78) e
es APPLICA ION FOR PERMI
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING Ar SAFETY
FOR APPLICANT TO FILL IN BUILDING « ,q
ADDRESS
(PRINT OR TYPE ONLY) SYS 2 ,v
LOCALITY
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST n
CROSS ST.
ABSORPTION UNIT,BTU
OWNER
AIR HANDLING UNIT,CFM MAIL
ADDRESS
BOILER,BTU CITY TEL.NO.
COMPRESSOR,BTU - • -OCA CONTRACTOR Q ,//�� n
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VENTILATION SYSTEM v��;/ 'bhm
ADDRESS H. �iJ l✓
EVAPORATIVE COOLER CITYr C , TEL.NO. 3a•. (,&t
FURNACE: FAU IT_Yr� /1 STATE LIC.
FLOOR BTU /u/ (J LICENSE NO. ( L I CLASS t�
HEATER: SUSPENDED UNIT_ APPROVALS DATE INSPECTOR'S SIGNATURE
WALL
ROUGH
FINAL yfi. 0
INSIPEJ6T16N RECORD w
26
Plan check fee 25%of above.
PERMIT ISSUING FEE$
TOTAL FEE
PLAN CHECKAPPLICANT PLAN CHECK VALIDATION
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. VENTILATING. AIR
CONDITIONING. PERMIT VALIDATION
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF
CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL CODE
OF THE STATE OF CALIF }RNIA. z 0 3 b,4 A
SIGNATURE ¢�„!
OF PERMITTEE C--'TC/y�, �-S
O O O O
DISTRICTNO. P 2 0 - 27.00
l 0 2 /,00
9-z,., -7,F.
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0203280029
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID, FEESD BUILDING ADDRESS-.
TR: 13613 LT: 13 5452 PERSIMMON AV
[30
DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802803
ASSESSOR I OR IO B : NEAREST CROSS STREET: DAINES
8573-005-001 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY
AIR INLETS/OUTLETS 3.00 UNI 13.05
TENANT: TOTAL FEES 40.80 ISSUED ON: CESSED B R ON:
03/28/02 JK 09/24/02
OWNER: TEL. N0: FINAL D FINAL BY: CODE:
DI PANE BRYAN L;LINDA A (626) 443-6144- .�
5452 PERSIMMON AV C�
TEMP 917807530DEpCRlFrlqVOF WORK
E END DUCTWORK TO ADDITION
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
SNILES Co
CONTRACTOR: TEL. NO: - ��5 ��/A� APPROVALS DATE INSPECTOR SIGNATURE
SAMELIC. NO FAU/WALL FURNACE
COMBUSTION AIR OPENINGS
ARCHITECT OR ENGINEER: TEL. NO: DUCT WORK
LIC. NO: 1111111 AC/COMPRESSOR
THERMOSTAT
RUL[81 LC ��j Onw K
� FIRE DAMPERS
�I SMOKE DET C 0 CES
�7O 0i � �Ir COMMERCIAL HOOD
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Service YhB
REPORT ID: DPR264 ROUTE TO: BS0508