HomeMy Public PortalAbout5015 RYLAND AVE_Mechanical__ 76 A364 - CE 818 - 9-71 APPLICATION FOR PERMIT r,I^SII
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN OWNER SL
(PRINT OR TYPE ONLY)
MAIL
NO. TYPE OFAPPLIANCEOR EQUIPMENT FEE ADDRESS
Ai 1- �7.L a
ABSORPTION UNIT, BTU CITY TEL. N
CONTRACTOR s 3
AIR HANDLING UNIT, CFM
ADDRESS
BOILER, BTU
CITY �`-Cpt TEL. NO. S ��24331
COMPRESSOR, BTU STATELICENSE NO. �J / 9 S-13 CLASS �LIC -3
VENTILATION SYSTEM DISTRICT NO. GROUP T ZONE ROCESSED BY
EVAPORATIVE COOLERd� .
FURNACE: FAU_GRAVITY INSPECTION RECORD v
FLOOR BTU
HEATER: SUSPENDED UNIT_ 0
WALL v
LV
aS voa I3jU Os4rek, '7
Z
Plan check fee 25% of above. See reverse.
PERMIT ISSUING FEE $ 3 00
TOTAL FEE �6
PLAN CHECK APPLICANT
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, VENTI- APPROVALS DAT INSPECTOR'S SIGNATURE
LATING,AIR CONDITIONING.
ROUGH
I HEREBY CERTIFY THAT 1 AM NOT ACTING IN VIOLATION
OF CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE STATE OF CALIFORNIA.
SIGNATURE PERMIT VALIDATIOND
OF PERMITTEE
PLAN CHECK VALIDATION CK. M.O. CASH
LAGO 5 3 2 4 AM 6 4 0.5 ONCq
SFF RACK OF APPLICATION FOR COMPLETE FEE SCHEDULE.
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 0209240002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID
S :
ON FILE 5015 RYLAND AV
FEE DESCRIPTION: QUANTITY: LION: AMOUNT: TEMP CA 917804039
ASSESSOR IltFoRMATIONNUMBER: NEAREST CROSS STREET: LOWER AZUSA
8585-010-018 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: 84 LOCALITY: TEMPLE CITY
41 VENTILATION FAN 1.00 FAN 15.75
TENANT: TOTAL FEES 43.50 ISSUED : PROCESSED LA BEXPIRES
09/24/02 JK 03/23/03 .
OWNER: TEL. NO: FINAL DATEFI AL BY: / CODE:
HARRIMAN JACK A (626) 452-9686- 4-/-
5015 RYLAND AV /� r a 3
TEMP 917804039 D SSC IPTIfflff-0 R
MECHANICAL FOR ALTERATION
APPLICANT: TEL. NO:
SAME AS OWNER
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO A A L FURNACE
COMBUSTION AIR OPENINGS i
ARCHITECT OR ENGINEER: TEL. NO: DUCT WORK
LIC. NO:, AC/COMPRESSOR
THERMOSTAT
FIRE DAMPERS
-
SMOKE-DETECTION DEVI
COMMERCIAL-HOOD
REPORT ID: DPR264 ROUTE TO: BS0508