HomeMy Public PortalAbout6200 AVON AVE_Mechanical__ 76 A364 CE 618 5-73
APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
�t
NEAREST
CROSS ST
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAIL
NO TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
CITY TEL NO
CONTRACTOR
AIR HANDLING UNIT CFM
ADDRESS
BOILER BTU CITY TEL NO
COMPRESSOR BTU STATE LIC `
LICENSE NO CLASS /
VENTILATION SYSTEM DISTRICT NO GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER
FURNACE FAUGRAVITY
FLOOR OR
BTU INSPECTION RECD
I HEATER SUSPENDED UNIT
WALL
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CC
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PI-in check fee 25% of abox e See reN erse a
PERMIT ISSUING FEE S 3 00
TOTAL FEE da
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 ALLORDINANCES AND LAWS REGULATING HEATING VENTI APPROVALS DATE INSPECTOR S SIGNATURE
LATING AIR CONDITIONING
ROUGH
1 HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION
OF CHAPTER 9 DIVIS OF THE BUSINESS A ROFESSIONAL FINAL
CODE OF THE ST E OF IFOR
SIGNATURE ERMIT VALIDATION CK M 0 CASH
OF PERMIT EE L
PLAN CHECK VALIDATION CK M 0 CASH
71 ?ter I4R 1741 8uv ®yI)
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
COUNTY OF LOS ANGELES TEMPLE CITY `• # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ME 0508 9705120004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE (818) 285 0488 EXT
LEGAL S PAID BUILDM ADDRESS
TR 5903 LT 43 6200 AVON AV
FEE DESCRIPTION QUANTITY UOM AMOUNT SGAB CA 917752608
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET
5386 009 030 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID G2 LOCALITY TEMPLE CITY
02 COMPRSR < 100 KBTU 1 00 COM 27 00 i
TENANT 30 AIR INLETS/OUTLETS 10 00 UNI 43 50 ISSUED ON PROCESSED BY PEXPIRES ON
TOTAL FEES 98 25 05/12/97 TC 05/12/98
OWNER TEL NO FINAL DATE FINAL B CODE
COPLEY JOHN B,MARILYN J (818) 287 1449 -
6200 AVON AV
SGAB 917752608 nMUMON OF WORK
����� NEW HEATING AND AIR CONDITIONIN STEM
APPLICANT TEL 0 0�
CONNOR AIR CONDITIONING (818) 286 3157
(� SPECIAL CONDITIONS
a �
CONTRACTOR TEL NO O `APPROVALS DATEINSPECTOR SIGNATURE
CONNOR AIR CONDITIONING AND REFRIG (818) 286 3157 1
4931 NORTH ENCINITA LIC NO 0 O
FAU/WALL FURNACE
TEMPLE CITY, CA 91780 C20 & C38 * 4� n n
ARCHITECT 0 62/U�,,oU V U o��andD CT WORKCUFBUSTIOOPENINGS
LIC NO 11t1t` CT AC/COMPRESSOR
THERMOSTAT
C ,ARE DAMPERS
CSMOKE D C ON CS
COMMERCIAL HOOD
�J 03��
* ADDITIONAL DATA ON FILE
REPORT ID DPR264 ROUTE TO BS0508