HomeMy Public PortalAbout5257-5259-5249-5261-5263-5267 VILLAGE CIRCLE DR_Mechanical__ ,76,A364- CE81B-1/75 •- ,
APPLI . TION FOR P IT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS' S7-J'�`J-61 '7
BUILDING AND SAFETY DIVISION LOCALITY
NEARES
CROSS ST.
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL
NO. TYPE&SIZE OF EQUIPMENT FEE ADDRESS'6'3D"+ , �-0-
SEE BACK OF APPLICATION -
FORCE AIR FURNACE, BTU CI' CITY ae, TEL. NO.
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CONTRACTOR " V" .Ci
COMPRESSOR, BTU •� d (�
ADDRESS 2-
VENTILATION FAN CITY TEL. NO.
LIST ALL OTHERS BELOW STATE , / LIC.
LICENSE NO. S : CLASS (2-2D
DISTRI CT NO. GROUP I ZONE PROCESSED BY
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INSPECTION RECORD
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Plan check fee. See reverse.
PE10-11 I' 15SI,ING FEE: S s, 00
TOTAI.
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
1 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 DATE 'INSPECTOR'S SIGNATURE
LATING.AIR CONDITIONING.
ROUGH 1 t l
1 HEREBY CERTIFY THAT I A NOT ACTING' IN VIOLATIONf � �;'�"'�abroa,j
OF CHAPTER 9, DIVISION 3 OF BUSINESS.AND PROFESSIONAL FINAL ���7,t CODE OF THE STATE OFC I '
SIGNATURE PERMIT VALIDATION CK. M.O. CASH
OF PERMITTEE
'PLAN,CHECK V IDATION CK.-. M.O'. CASH '
1. 7 7"t�AY 15 41. 0 6 3.0 Q ®� /'
` COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1307090017
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ITR: 29602 IT: 1 ON: 11 I 1 5259 VILLAGE CIRCLE DR [
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917803356 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: BALDWIN
18585-001-078 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY CA
I 102 COMPRSR < 100 KBTU 1.00 COM 27.00 1 I
TENANT: 108 FURNACE/HEATER <100 1.00 UNI 27.00 (ISSUED ON: PROCESSED BY: PLAN BY:
1 TOTAL FEES 81.80 107/09/13 SR I
(OWNER: TEL. NO: I IFINAL DATE FINAL BY• CODE:
ISIBINOVIC FAMILY TRUST (626) 344-3459- 1 1 I
15259 VILLAGE CIRCLE I I //� 1?, / �6e);<L q�t
ITEMP 917803356 1 IDES RIP ION F WORK [
I I IREPLACE EXISTING FURNACE, COIL, A/D & DUCTS ALL IN EXISTING [
I I ILOCATIONS I
[APPLICANT: TEL. NO: 1 I
[PISANO, ROSS (626) 286-1141-
11350 LAS TUNAS DR I ISPECIAL CONDITIONS: 1
SAN GABRIEL CA 91776 1
ICONTRACTOR: TEL. NO: 1 1APPRQVALS DATE INSPECTOR SIGNATURE I
BRYANT HEATING AND AIR CONDITIONING (626) 286-1141- I 1_ I
11350 E LAS TUNAS DRIVE LIC. NO 1FAU/YJALL FURNACE I I I
ISAN GABRIEL CA 91776 948151 * 1 I I I
ICOMBUSTION AIR OPENINGS I 1 I
1ARCHITECT OR ENGINEER: TEL. NO: IDUCT WORK I I I
I LIC. NO: ` IAC/COMPRESSOR I I I
1
(THERMOSTAT I I I
IFIRb DAMPERS I I I
ISMOKE DETECTION DEVICES I I I
(COMMERCIAL HOOD I I I
I I I I I
I I I I I I
I I I I I I
I I 11� I I I I
I I I I I I
I.• ADDITIONAL DATA ON FILE 1 1 1 I
I I' I 1 11 I
I IREPORT ID: DPR264 ROUTE TO: BS0508