HomeMy Public PortalAbout5301-5303-5305-5307-5309-5311 VILLAGE CIRCLE DR_Mechanical__ 76 A 364- CE 8 18-1/75
APPLICATION FOR--PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELESADID !SS
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST .Q� •• r
CROSS ST. "�
FOR APPLICANT TO FILL IN
'OWNER
(PRINT OR TYPE ONLY)
MAIL
N0. TYPE&SIZE OF EQUIPMENT FEE ADDRESS
SEE BACK OF APPLICATION
CITY TEL. NO.
FORCE AIR FURNACE, BT�1 � ,,
CONT AC O '
COMPRESSOR, BTU
' ADDRESS
klr-
VENTILATION FAN CITY
LIST ALL OTHERS BELOW STATE L
LICENSE NO. CLASS
;%ISTRICT NT GROUP ZONE PROCESSED B1
INSPECTIO C D O
U
W
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Plan check fee. See reverse.
rot-\I. 1.1:-F
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 -
WIT ALL ORDINANCESAND LAWS REGULATING. HEATING, VENII- APPROVALS DATE INSPECTOR'S SIGNATURE
LATING. AIR CONDITIONING.
ROUGH
1HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION -
OF CHAPTER 9. DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE STATE OF CAL RNIA.
SIGNATURE PERMIT VALIDATION CK. 'A.0.
F FERMI
TTED
DPLAN CHECK VALE TION CK. 1".0. CASH
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1108090006
BUILDING AND SAFETY j LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT;
ILEA ID-. FEES PAID BUILDING ADDRESS:
ITR: 29602 LT: 1 UN: 5 1 5303 VILLAGE CIRCLE DR 5
1 -
(FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917803358
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18585-001-072 01 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl
1 02 COMPRSR c 100 KBTU 1.00 COM 27.00
ITENANT: 08 FURNACE/HEATER <100 1.00 UNI 27.00 JISSUED ON: PROCESSED BY: PLAN BY:
TOTAL FEES 81.80 08/09/11 VG
IF;IqAL DATE FINAL BY: CODE:
JOWNER: TEL. NO: .IoAr%
IWARD, GAVIN (626) 622-8653- Y
15303 VILLAGE CIRCLE
ITEMP 917803358 1DE!SCRI N OF WORK
I HVAC CHANGE OUT (NO DUCTWORK)
I
(APPLICANT: TEL. NO:
lCONTRERAS, CARRA (626) 286-3157-
SPECIAL CONDITIONS:
(CONTRACTOR: TEL. NO: 1APPROVALS TE INSPECTOR SIGNATURE
ICONNOR AIR CONDITIONING (626) 286-3157- JFAU/WALL FURNACE
14931 ENCINITA AVE LIC. NO
rI
ITEMPLE CITY, CA 91780 403735 C20
ICOMUSTION AIR OPENINGS
(ARCHITECT OR ENGINEER: TEL. NO: !DUCT WORK
1 1 1
LIC. NO: I IAC/COMPRESSOR
I
]THERMOSTAT
I
IFIRE DAMPERS
ISMOXE DETECTION DEVICES
lCOMMEERCIAL HOOD
(REPORT ID: DPR264 ROUTE TO: BS0508
I