HomeMy Public PortalAbout5509 SULTANA AVE_Mechanical__ � 7PE"A"" " ""80-605 APPLICATION FOR MIT
HEATING - VENTILATING - AIR CONDITIONING
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING
(PRINT OR TYPE ONLY) ADDRESS
LOCALITY
No YPE OF APPLIANCE OR EQUIPMENT NT FEE NEAREST
CROSS ST
ABSORPTION UNIT, BTU RlvnaA A
OWNER
0
AIR HANDLING UNIT, CFM MAIL
ADDRESS a,
BOILER, BTU C1T� TEL NO
COMPRESSOR, BTU CONTRACTOR
VENTILATION SYSTEM ADDRESS
EVAPORATIVE COOLER CITY TEL NO
FURNACE FAUGRAVITY STATE LIC
FLOOR BTU LICENSE NO CLASS
HEATER SUSPE DE UNI DISTRICT NO GROUP l ZONE EB3 D Y o
WALL n / U
s oB T /�
INSPECTION RECON u
C�
Tn
Plan check fee 25% of above
PERMIT ISSUING FEE $ S
TOTAL FEE / I p U
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 ORDINANCESAND LAWS RIOULATING HEATING VENTI
LAYING AIR CONDITION)NO
I HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION APPROVALS DATE WSPECTOR S SIGNATURE
OF CHATTER G DIVISION 3 OF THE BUSINESS AND PROFESSIONAL
CODE OF THE STATE OF CALIFOR41 ROUGH
SIGNATURE
OF PERMITTEE FINAL
PLAN CHECK VALID ION �vy
0 CASH
]PERMIT VALIDATION M D CASH
267 1241 0 1 2.00
COUNTY OF UDS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC FORKS 9701 LAS TUNAS ME 0508 0711050012
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID I FEES PAID BUILDING ADDRESS
ON FILH
5509 SULTANA AV
(PEE DESCRIPTION QUANTITY DOM AMOUNT TEMP CA 917802323
ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET BROADWAY
15387-027-013 101 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H4 LOCN,ITY TEMPLE CITY C
108 FURNACE/HEATER <100 1 00 UNI 27 00
TENANT TOTAL FEES 54 75 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
111/05/07 SR 05/03/08
OWNER TEL NO F P CODE
GIBES RONALD W MARY-LOUISE (626) 287-8418-
5509 SULTANA AV
TEMP 917802323 DESCRIPTION OF FORK
REPLACE EXISTING WALL FURNACE
(APPLICANT TEL NO
SAME AS OWNER -
SPECIAL CONDITIONS
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
SAME A9 OWNER LIC NO FAU/WALL FURNACE
COMBUSTION AIR OPENINGS
ARCHITECT OR ENGINEER TEL NO JDUCT WORI I-
K n
LIC NO 1AC/COMP ESSOR IGW
(THERMOSTAT
I (FIRE DAMPERS I I I
i
1SMOKE DETECTION DEVICES I
(COMMERCIAL HOOD
I I I I I
1 I I
I
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REPORT ID DPR264 ROUTE TO BS0508
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