HomeMy Public PortalAbout5418 CAMBURY AVE_Mechanical__ 7• e •
70A3CAEi C^+BIBB-9/75 APPLICATION FOR PERMIT
HEATING - VENTILATING • AIR CONDITIONING
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN BUILDING �r
(PRINT OR TYPE ONLY) ADDRESS
LOCALITY
NO. TYPEOFAPPLIANCEOR EQUIPMENT FEE NEAREST
CROSS ST.
ABSORPTION UNIT, BTU -
OWNER
A'L
AIR HANDLING UNIT,-CFM � Q � p
MAIL _ �L.L�
ADDRESS
O
BOILER, BTU
CITY l y� • TEL. NO. 1 ys
COMPRESSOR, BTU A✓S,I�/1 O CONTRACTOR C CCC���LLL
VENTILATION SYSTEM ADDRESS .57�7'�piFrJ
EVAPORATIVE COOL - CITY TEL.
1 FURNACE: FAU GSTATE LIC. //yy
/ FLOOR - BTU RA a �� LICENSE NO. CLASS C..S'
Y
HEATER: SUSPENDED—UNIT— DISTRICT No. GROUP zonE PRoc ss ED BY 0-
WALL �;G ^ U
ClN CD
0
INSPECTION RECORD w
Plan check fee 25%D of above.
PERMIT ISSUING FEE S
TOTAL FEE
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING, VENTI-
LATING, AIR CO NDITI 4.
I HEREBY C TIPY HAT NOT ACTING IN VIOLATION APPROVALS DATE INSPECTOR'S SIGNATURE
OF CHAPTER 9. IV I SIGN O ITS B SINE55 AND PROFESSIONAL
CODE OF THE 5 TE OF ALI ROUGH
SIGNATURE
OF PERMITTEE _ FINAL
OF
CHEC VALIDATION M.D. - CA41 PERMITjDVALIDATION CK, M.O. cnsH
_ N e _e a O• I
UI N N
1.311 z> v o o o
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CH
COUNTY OF LOS ANGELES TEMPLE CITY N 0508 MECHANICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9901 LAS TUNAS ME 0508 0905120013
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: I FEES PAID BUILDING ADDRESS:
ITR: 17002 LT: 26 I 5418 CAMBURY AV
I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 1 TEMP CA 917802619
1ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: OLIVE
18588-019-009 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
1 102 COMPRSR < 100 KBTU 1.00 COM 27.00 I 1
I TENANT: 108 FURNACE/HEATER <100 1.00 UNI 27.00 TISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
1 130 AIR INLETS/OUTLETS 8.00 UNI 34.80 105/12/09 SR 11/08/09 1
131 AIR INLETS/OUTLETS 1.00 SO 37.05 1
IOWNER: TEL. NO: I TOTAL FEES 153.60 1FINALAT FIN!'AALL BY CODE:
CODE:
15418ISCHLENER JOHN N (626) 285-4950- I �-{ "
5418 CAMHDRY AV
TEMP 917802619 1 IDESCRIPTIO14 OF WORK
PACKAGE HEAT AND AIR AND DUCT REPLACEMENT WITH 16-SEER UNIT
i
(APPLICANT: TEL. NO:
(BERRY (626) 357-5311-
SPECIAL CONDITIONS:
(Qoa�
1CONTRACTOR: TEL. N0: I JAPPROVALS DATE INSPECTOR SIGNATURE I
1AIR TRO INC. (626) 357-5311- I I n
11630 S. MYRTLE LIC. NO T FAU/WALL FURNACE /
IMONROVIA, CA 91016 258228 C10 `
(COMBUSTION AIR OPENINGS
I I I I
1ARCHITECT OR ENGINEER: TEL. N0: I 1DUCT WORK I I I
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LIC. NO: i LAC/COMPRESSOR )
(THERMOSTAT
I I I
IFIRE DAMPERS
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1 I (SMOKE DETECTION DEVICES 1 I 1
I I I I
GQNP4ERGIAL HOOD
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1+' ADDITIONAL DATA ON FILE I I I I
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(REPORT ID: DPR 264 ROUTE TO: BS 0508
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