HomeMy Public PortalAbout6030 BURTON AVE_Mechanical__ 76A364 - CE818 - 3-69 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRES
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER LOCA LIT
COLEMAN W. JENKINS,SUPERINTENDENT OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN /
MAIL(PRINT OR TYPE ONLY) OW
NO. TYPE OF APPLIANCE OR EQUIPMENT -FEE AOOR ESS
ABSORPTION SYSTEM, BTU CI Y TEL. N .
AIR HANDLING UNIT, CFM CONTRACT �L.
ADORES
BOILER, HORSEPOWER
TEL. NO
COMPRESSOR, HORSEPOWER STATE LIC.
LICENSE CLASS -
VENTILATION SYSTEM DISTRICT NO GROUPZONE PROCESSED BY
EVAPORATIVE COOLER L/
FURNACE: FAU - GRAVITY_
FLOOR BTU INSPECTION RECORD
HEATER: SUSPENDED_UNIT_
WALL
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NEW_ADOITION_ PERMIT 5 3 00 Z
ALTER—RE PAIR_ TOTAL FEE S
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL. NO.
I HEREBY ACKNOWLEDGE THAT 1HAVE READ THIS APPLICATION _
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING,VENTI- APPROVALS DATE IN CTOR' SIGNATURE
LATING, AIR CONDITIONING.
HEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH
CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE STATE 0 AL1 RNIA.
SIGNATURE JACK R. ALLEN, SUP RVIS WfrWANICAL ENG-R.
OF PERMITT
PERMIT VALIDATION CK. M.0. CASH
PLAN CHECK VALIDATION !
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-E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE\I
• COUNTY dF LOS ANGELES TEMPLE CITY # 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ME 0508 1304010026
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 5903 LT: 106 6030 BURTON AV N
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SCAB CA 917952631
ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET:
15386-014-068 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: G3 LOCALITY: TEMPLE CITY, Cl
1 109 FURNACE 101 500 KBTU 1.00 UNI 52.20
ITENANT: 141 VENTILATION FAN 1.00 FAN 15.80 (ISSUED ON: PROCESSED BY: PLAN BY: 1
I TOTAL FEES 95.80 104/01/13 SR
IOWNER: TEL, NO: I (FINAL DATE FINA�,HY: CODE: I
1030 B
166030 HARTLETT AV t"�
SGAB 917752611DE CRI PT ION OF WORK
(INSTALL WALL FURNACE AND ONE VENTILATION FAN
APPLICANT: TEL. N0:
TAM, KEN (626) 616-2889-
11104 CAMPBELL AVE (SPECIAL CONDITIQNS:
JALHAMBRA, CA 91803
I I I I
(CONTRACTOR: TEL. N0: (APPROVALS GATE INSPECTOR SIGNATURE I
ISIN INVESTMENT GROUP INC (626) 920-7999-
1243 AHOGADO AVENUE LIC. NO FRU/ LL FORNAC I `�
WALNUT CA 91789 925183
(COMBUSTION AIR OPENINGS
(ARCHITECT OR ENGINEER: TEL. NO: IDUCT WORK
JOIN INVESTMENT GROUP INC (626) 484-3573- 1
1243 ABOGADO AVENUE LIC. NO: IAC/COMPRESSOR I
WALNUT CA 91769-2502 925183
THERMOSTAT
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ADDITIONAL DATA ON FILE
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1 11 RE PORT ID: DPR264 ROUTE T0: 850508 I I I I
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