HomeMy Public PortalAbout6221 ROWLAND AVE_Mechanical__ 76A864C
CE-B 7 6(REV.6/78)
®� APPLICATION FOR PERM1:T
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
(PRINT OR TYPE ONLY) ADDRESS.
LOCALITY Telole Caty
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST L
CROSS ST.
ABSORPTION UNIT,BTU �+�,��
OWNER Sheffteld It Y=tba::.
AIR HANDLING UNIT,CFM MAIL same '
ADDRESS
BOILER,BTU . CITY TEL.NO.
COMPRESSOR,BTU /�
' V
� CONTRACTO/(�}R��11�e HCC
VENTILATION SYSTEM ADDRESSZw .N j Peck
EVAPORATIVE COOLER CITYTEL.NO. .
FURNACE: FAU GR �I STATE t LIC.
FLOOR BTU5797
(� �f LICENSE NO. 265034 CLASS C-20
HEATER: SUSPENDED -UNIT_ APPROVALS DATE INSPECTOR'S SIGNATURE
WALL
ROUGH
FINAL (�
INSP TION RECORD
Plan check fee 25%of above.
PERMIT ISSUING FEE$ g
TOTAL FEE .
PLAN CHECK APPLICANT 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, AIR4 2 3
CONDITIONING. PERMIT VALIDATION
I HEREBY CERTIFY THAT I AM NOT AC G IN VIOLATION OF # 00 - 41
'CHAPTER 9. DIVISION 3. OF T E BUS ESS A PROFESSIONAL CODE
OF THE STATE OF CALIFO
(;bSIGNATURE 2 p 0 2 7 0 0
OF PERMITTEE
DISTRICT NO. PROCESSED BY •O O O Z 7 0 0 0
��.
0 0507-79
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1308200011
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ITR: 18002 LT: 24 I 6221 ROWLAND AV ]
I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT.1 TEMP CA 917801725 I
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
15385-025-027 101 PERMIT ISSUANCE FEE 27.80 1 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY CAI
I 102 COMPRSR < 100 KBTU 1.00 COM 27.00 I 1
ITENANT: 08 FURNACE/HEATER <100 1.00 UNI 27.00 ISSUED ON: PROCESSED BY: PLAN BY:
I 147 ALTER EXIST DUCT SYS 1.00 SYS 27.00 108/20/13 SR 1
I TOTAL FEES 108.80 1 I
]OWNER: TEL. NO: 1 1F DATE FI CODE:
IUCKELE VINCENT C;LEE LILLIAN LI-YU (626) 287-6488- I ]
16221 ROWLAND AV 1 1
ITEMP 917801725 1 1D SC IPT ON OF WORK 1
I I (REPLACE A/C & HEAT EQUIPME & DUCT WORK 1
1APPLICANT: TEL. NO: 1 I I
IQUYNH TRAM (626) 216-6769-
18143 CELITO DRIVE I ISPECIAL CONDITIONS: 1
ROSEMEAD CA 91770
I I I
ICONTRACTOR: TEL. NO: ] ]APPROVALS DATE INSPECTOR SIGNATURE 1
]AIR CARE MECHANICAL CO. (626) 442-6792- ] 1 I
18143 CELITO DR LIC. NO ] IFAU/WALL FURNACE 1
IROSEMEAD CA 91770 516562 * ] 1 ] I
I I ICOMBUSTION AIR OPENINGS I I
(ARCHITECT OR ENGINEER: TEL. NO: 1 [DUCT WORK I I
LIC. NO: 1 IAC/COMPRESSOR I
I (THERMOSTAT I I I
IFIRE DAMPERS
I I ISMOKE DETECTION DEVICES I ] ]
II ICOMMERCIAL HOOD I I I
1 I I I I I
I I I I 1
I I I I I
I i I I I I
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I I I I I I
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I I* ADDITIONAL DATA ON FILE i 1
I I
IREPORT ID: DPR264 ROUTE TO: BS0508 I I ] I
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