HomeMy Public PortalAbout9100 RANCHO REAL RD_Mechanical_1973-03-29 75. 364 -`ci B18 - a-71 APPLICA ION FO PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES . BUILDING 9100 Rancho RE3 f �(
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY m le City
NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER Mr. & Mrs Mike Macchia
(PRINT OR TYPE ONLY)
MAIL
No. TYPEOFAPPLIANCEOR EQUIPMENT FEE
ADDRESS 8725 Steele St.
CITY Rosemeea. TEL. NO. 280-9972
ABSORPTION UNIT, BTU
• CONTRACTOR
AIR HANDLING UNIT, CFM 011 T-cul sting Aim, Doc,
ADDRESS 7412 Fulton Ave.
BOILER, BTU CITY N.
in TEL. NO. _
COMPRESSOR, BTU STATE LIC.
LICENSE NO. CLASS _
VENTILATION SYSTEM DISTRICT NO, GROUP I ZONE OCESSED BY
EVAPORATIVE COOLER
FURNACE: FAU GRAY T I V FLOOR BTU INSPECTION RECORD v
HEATER: WALL SUSPENDED-UNIT- ��sC �
W
QVvesgwa Kt eu w
' Z
Plan check fee 25% of above.. See reverse.
PERMIT ISSUING FEE S 3 00
TOTAL FEE Q
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
1 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 �IIEING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
LATING,AIR CONDITIONING. ROUGH -r .'IHEREBY CERTIFY THAT I AM N ACTINVIOLATIONOF CHAPTER 9, DIYISI THE BUS !SS OFESSIONAL FINAL
CODE OF THE STATE F F NIA.
SIGNATURE- PERMIT VALIDAT N (:I_"),.0. CASH
OF PERMITEE
PLAN CHECK VALIDATION CK. M.O. CASH Q/ '
LAP!, 0 2 6 573 FRUIR 2 4/.i 5- 5. 0� �
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
s
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS
ME 0508 0704110003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 11218 LT: 6 BL: D I 9100 RANCHO REAL RD
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803032
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: ROSEMEAD
15388-005-006 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY, Cl
102 COMPRSR < 100 KBTU 1.00 COM 27.00
TENANT: 08 FURNACE/HEATER <100 1.00 UNI 27.00 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
30 AIR INLETS/OUTLETS 4.00 UNI 17.40 04/11/07 JK 10/08/07
TOTAL FEES 99.15
OWNER: TEL. NO: IFI AL � FI Y: CODE:
IMACCHIA MICHELE;ANTONETTA (626) 286-5770— I IJ114/ I
19100 RANCHO REAL RD
TEMP 917803032 ID SCRIPTION OF WORK
I JINSTALL HVAC SYSTEM FOR AST HOUSE
APPLICANT: TEL. NO: I
ITORRES (323) 447-1390— I
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE
IMACCHIA, MICHELLE (626) 286-5770— I I
19100 RANCHO REAL ROAD LIC. NO I IFAU/WALL FURNACE I I
TEMPLE CITY, CA 91780 NONE I I I I
I I I COMBUSTION AIR OPENINGS I I
ARCHITECT OR ENGINEER: TEL. NO: I IDUCT WORK
ILIC. NO: I IAC/COMPRESSOR I I
(THERMOSTAT I I
(FIRE DAMPERS I I
ISMOKE DETECTION DEVICES I I I
ICOMMERCIAL HOOD I I I
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IREPORT ID: DPR264 ROUTE TO: BS0508 I I I
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