HomeMy Public PortalAbout4822 RIO HONDO AVE_Mechanical__ 58364-CE'B18-e-es APPLICATION-FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
? COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FADDRESS
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BUILDING AND SAFETY DIVISION 2Z iLl(7 4000b
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING i�f Le
NEAREST
-FOR APPLICANT TO FILL IN L ow t?2 eDI
(Print ortype only) OWNER -V 4 xjn_' .
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NO.. TYPEJOF APPLIANCE OR EQUIPMENT FEE MAIL
ADDRESS 22, O Nlrve;o
ABSORPTION SYSTEM, BTU CIT I^✓" C TEL. NO. 2 ^2j
AIR HANDLING UNIT, CFM CONTRACTOR w
BOILER, HORSEPOWER ADDRESS
COMPRESSOR, HORSEPOWER CITY TEL. NO.
STATE LI C.
VENTILATION SYSTEM LICENSE=NO. CLASS
DISTRICT NO. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER
a FURNACE:FA BTU ' RAVITY �7 ' a t! C��i�tfAjCte
FLOOR
INSPECTION RECORD
HEATER:.SUSPE ED UNIT
WALL ��
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NEW—ADDITION PERMIT. $ 3 00
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ALTER—REPAIR TOTAL FEE $
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Plan check applicant
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Name c
Address lj. --r- rra
City /'-�h Tel. No. 7-2 15
1HEREBY 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, VENTI- APPROVALS AT - I ECTOR'S IPATURE
LATING,AIR CONDITIONING.
ROUGH
I HEREBY CERTIFY THAT 1 AM NOT ACTING IN VIOLATION FINAL J
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL
CODE OF THE STATE OF CALIFORNIA.
JACK R. ALLEN,S PERVISING MECHANICA
SIGNATURE -PERMIT VALIDATION. CK. M.0.
CASH
OF PERMITTEE �
PLAN CHEC VALIDATIO
"9 1 3 8 0 APR 3 4 1 0 7.; Of-,
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ;6�44411111
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0701230011
BUILDING AND SAFETY j LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE.- (626) 285-0488 EXT:
ILEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 16475 LT: 54 1 4822 RIO HONDO AV
-IFEE DESCRIPTION. QUANTITY: UOM: MOUNT:[ TEMP CA 917803736
ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: LOWER AZUSA
8590-025-020 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID. JS LOCALITY: TEMPLE CITY, Cl
102 COMPRSR < 100 KBTU 1.00 COM 27.00 EXPIRES ON:
TENANT: 08 FURNACE/HEATER <100 1.00 UNI 27.00 (ISSUED ON: PROCESSED BY: PLAN BY:
TOTAL FEES 81.75 01/23/O 7 ix 07/22/07
1
OWNER: TEL. NO: (FINAL DATE FI B CODE:
(BRIGGS JEFFREY R;RUTH R (626) 287-4726- Of 7
14822 RIO HONDO AV I /-A
TEMP 917803738 IDEISCRIPTION OF WORK
ICHANGE-OUT HEAT & A/C UNIT
I i I
(APPLICANT: TEL. NO:
SAME AS OWNER
I (SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: [APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER LIC. NO FAU/WALL FURNACE 9
ICOMBUSTION AIR OPENINGS
[ARCHITECT OR ENGINEER: TEL. NO: (DUCT WORK
I I
LIC. NO: (AC/COMPRESSOR
ITHERMOST&T
FIRE DAMPERS
SMOKE DETECTION DEVICES
COMMERCIAL HOOD
IREPORT ID: DPR264 ROUTE TO: BS0508