HomeMy Public PortalAbout5107 SULTANA AVE_Mechanical__ i6A36�C
CE 616(REV 6/701
®. APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
_ I
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING 7
(PRINT OR TYPE ONLY) ADDRESS
LOCALITY
NO TYPE OF APPLIANCE OR EQUIPMENT FEE
NEAREST
CROS5 ST
ABSORPTION UNIT BTU -
OWNER
AIR HANDLING UNIT CFM MAIL
ADORES
BOILER BTU GIT TEL NO
COMPRESSOR BTU COTRAC R
VENTILATION SYSTEM r/--
ADDRESS 06
(�
EVAPORATIVE COOLER CITY TEL NO
FURNACE FAU_GRAVITY STATE �(JJ LIC
FLOOR BTU LICENSE NOA CLASS
l HEATERSUPE D _UNIT_ APPROVALS DATE INSPECTOR 5 SIGNATURE
WALL
ROUGH
FINAL O
INSPECTION RECORD V
at
Plan check fee 25% of above
PERMIT ISSUING FEE; — 0 79 _ P ev
TOTAL FEE K
PLAN CHECK APPLICANT PLAN CHECK VALIDATION
NAME
ADDRESS
CITY TEL NO
I HEREBY THAT I HAVE READON
STATE THAT T ECEDGE ABO EL IS CORRECT AND AGR ETHIS TO COMPLYAPPWIITH RANLL D 2 2 7 3 6 A
ORDINANCES AND LAWS REGULATING HEATING VENTILATING AIR
CONDITIONING PERMIT VALIDATION # 6 . 6 6 4 1
1 HEREBY CERTIFY T T I AM NO ACTING IN VI TION OF
CHAPTER 9 DIVISIOI T E B IN MJ
AHO FE ONAL CODE 2 617,00
OF THE STATE OF I 11
SIGNATURE 6 6 6
OF PERMITT 17 005
DISTRICT NO PRO 5 ED B 0 214-79
0 8,
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1309040008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
ON FILE
5107 SULTANA AV
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803048
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET
15388-019-020 101 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 596 GRID H5 LOCALITY TEMPLE CITY 1
102 COMPRSR '< 100 KBTU' 1 00 COM 27 00
TENANT O8 FURNACE/HEATER <100 1 00 UNI 27 00 TISSUED ON PROCESSED BY PIAN BY
30 AIR INLETS/OUTLETS 9 00 UNI 39 60 109/04/13 SR '
TOTAL FEES 121 40 1
TOWNER TEL NO IFINAL DATE F BY CODE
�SCORCIA LUCIANO,IRENE
I
16356 TEMPLE CITY BL I iI
TEMP 917801433 D C I E�F
N OF WORK
(HVAC INSTALLATION
(APPLICANT TEL NO 1
(ANDREW COOPER _
(SPECIAL CONDITIONS — T
(CONTRACTOR TEL NO �f � � ,
ANDREW COOPER I APpTqVALS TE INSPECTOR S
(714) 991-4700—
1543 S CENTRAL PARK AVE LIC NO FAU/WALL FURNACE
(ANAHEIM, CA 92802 220551
COMBUSTION AIR OPENINGS
(ARCHITECT OR ENGINEER TEL NO - DUCT WORK
LIC NO AC/COMPRESSOR
- — THERMOSTAT
FIRE DAMPERS
( SMOKE DETECTION DEVICES
f COMMERCIAL HOOD
I I
1 I 1 I I I
� I
I I I I I
e
(REPORT ID DPR264 ROUT TO 850508 �