HomeMy Public PortalAbout5434 CAMBURY AVE_Mechanical__ 76A 663-CE806 10,172 APPLICATION
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COUNTY OF LOS ANGELES
- _ -
DEPARTMENT OF COUNTY ENGINEER sae
BUILDING AND SAFETY DIVISION ADDRESS
LOCALITY lsGL
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. olivo
OUTLETS NO. EAC FEE pWNER OR _
5 $ FIRM NAMEAtklua
RECEPT._ MAIL _ F0,._
LIGHT TOTAL
FIRST 20 25 ADDRESS �-�b
OVER 20 CITY 1e « TEL.NO.
SWITCH_ .f0 PLAN CHECK
LIGHTING TOTAL FIRST 20 25 APPLICANT
FIX .10
OVER 20 ADDRESS
TURES
RESIDENTIAL APPLIANCES CITY TEL. N0.
PERMIT
RANGE—DRYER WTR. HTR._ APPLICANT moraleo Electric
STA. COOK_DISP._F.A.U. ADDRESS -"3723 Nmo Muscatel Ave.
SPACE HTR. AIR COND. CITYRomemead CalifornjNL. N0.280-,4260
CLOTHES WASH. OISHWASH. SE OR
F G. NUMBER 227962 + CLASS. C-10
FANOTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITN ALL COUNTY ORDINANCES AND STATE L4W5 REGULATING
IND. HEATERS, ETC. HP. KW. MVA. ELECTRICAL WIRING.
E12E & TYPE OVER TO
_ I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR
.,_. O - 1 1.00 LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I AM THE LEGAL OW NEO OF TXE AdOVf
_ I - 1O 1 3,00 IbK DESCRIP.ED RESIDENTIAL PROPERTY._ CD
10 - 50 5 E VV FERMI TEES
SIGNATURE
50 - 100 1000 DISTRICT NO. PROCESS 0 By
100 - 500 1000 H
Z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR` 1GNAT➢RE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 00 UNDERSLAB WORK
SERVICEOVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT
TEMPSERVICE, POLE, &APPURTENANCES 5.00 WIRING �/.( -
TEMP LIGHT OR RECEPT, SYSTEM 3.00 FIXTURES +
POWER AUTHORIZED
UTILITY CO. NOTIFIED •+
FINAL Z--/ -
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 3
TOTAL FEE $9•
PLAN CHECK VALIDATION CM. M.O. CASH PERMIT VALIDATION cK: M.O. CASH
2
3:0r DGi 4 2 D ///////�//////////////y 9.0 0 dsa
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
76A663-CEBC6 10/72 A Y 1'IrI" TRO V R 'ELCC,r.�Q1 CA I® �al�
.COUNTY OF LOS ANGELES ` Y Y� ILJ r ,v'
DEPARTMENT OF COUNTY ENGINEER gooRE55 S J
BUILDING AND SAFETY DIVISION
f�d
LOCALITY
NEARESTZ:rf 64
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS 140. EACH FEE OWNER OR (1
FIiiM-IWGE j//
RECEPT. , $ S MAIL
LIGHT TOTAL
FIRST 20 25 ADDRESS
CITY TEL, NO.
SWITCH OVER 20 _Ip
_ PLAN CHECK
LIGHTING 1FIRST 20 25 ✓O APPLICANT
1 TOTAL J
OVER 20 ADDRESS
FIXTURES /J� 10
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT /
RANGEDRV EP._WTR. HTR._ APPLICANT If
STA. COOK DI SP.—F.A.U._ ADDRESS
SPACE HTR. AIR CORD. ' 1 CITY TEL. NO.
CLOTHES WASH._DISHWASH. LICENSE OR
REG. NUMBER CLASS.
FAN_OTHER 1,00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND, HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING,
51ZE 9 TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
Q - j 1 0 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR Al I NE 4L OWNER OF THE ABOVE
1 - 10 3.00 DESCPILED R ENiIAL ER Y a
O
PERM ITU
10 - 50 5.00 51GNATUR 914AA �
O
50 - 100 1000 DISTRICT NO. PROCES EO BY
.5tU
100 - S00 1 .00 r l 1
SIGN. GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTO SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICENOTOVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAS WORK
SER'VICEOVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT
TEMPSERVICE,POLE, &APPURTENANCES 5.00 WIRING 17� �•
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED '
FINAL
PERMIT FEE (SUBTOTAL) c5r NOTES: ' ♦ �I / '• J
PLAN CHECK FEE
V
PERMIT ISSUING FEE 3.00 Q(J
TOTAL FEE 7 .
PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION CK. M.O. CASH
1 0 .2."EP 25 2 D {1�)! 9.7 5 Ay8
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE \/`/
COUNTY OF LOS ANGELES TEMPLE CITY $ 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0702010001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: FEES PAID BUILDING ADDRESS:
ITA: 17002 LT: 23 5434 CAMBURY AV
1
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ( TEMP CA 917802619
(ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: OLIVE
1 8588-019-006 IA1 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
IG1 OUTLETS-LGT,SW,RECP 12.00 OUT 23.40 1
1TENANT: G2 LIGHTING FIXTURES 8.00 LOT 15.60 (ISSUED ON: PROCESSED BY: PLAN BY EXPIRES ON:
TOTAL FEES 66.75 ((02/01/07 SK 07/31/07
TOWNER: TEL N0:
FINAL PAT F BY: CODE:
IVINTON, CANDY (818) 287-1975- i !✓pJy
15434 CAh®URY AV 4rIV1
TEMP 917802619 D SCRIPTION OF WORK
(ELECTRICAL FOR ADDITION 12 OUTLETS & 8 LIGHT FIXTURES
(APPLICANT: TEL. NO:
1SAME AS OWNER - (SPECIAL CONDITIONS:
I
(CONTRACTOR: TEL. NO'. IAPPROVA.LS ATE INSPECTOR SIGNATURE
(SANE AS OWNER LIC. NO ITEMPORARY POWER POLE
I I I
1DNDERGRODND CONDUIT
(ARCHITECT OR ENGINEER: - TEL. NO: IUFER GROUND
LIC. NO: 1ROUGH CONDUIT 1
IROUGH WIRING
III (MAIN WATER LINE
PLASTIC YIN METAL YIN I I I
(UTILITY COMPANY NOTIFIED(
I I I I I 1
I 11 fI II II
I I I I I I
I I I I I I
11 I 1 III
I I I I I I
1 REPORT ID: DPR265 ROUTE T0: BS0508 1
I I
76 A364- CE 818- 5A3 ry
APPLICATION FO ERMIT
HEATING - VENTILATING - AIR CONOITIO IA NG
COUNTY OF LOS ANGELES BUUILDIN 5434 Cambury
DEPARTMENT OF COUNTY ENGINEERADDR _
BUILDING AND SAFETY DIVISION LOCALITY Tiefnple City
NEAREST
CROSS ST.FOR APPLICANT TO FILL IN OWNER Tom Atkins
(PRINT OR TYPE ONLY)
MAIL 5434 Cambury
NO. TYPEOFAPPLIANCEOR EQUIPMENT FEE ADDRESS
ABSORPTION UNIT, BTU CITY Temple City TEL. No. 287-1975
-
CONTRACTOR Bryant Heat, & Air Cond . Inc.
AIR HANDLING UNIT, CFM
ADDRESS 1350 E. Las Tunas Drive
BOILER, BTU CITY San Gabriel TEL. NO. 286-1141
1 COMPRESSOR, BTU_3-1/Z_tQIl— 5 00 STATE221751 LIC. C20
LICENSE NO. CLASS
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE PROC SEED BY
EVAPORATIVE COOLER
FURNACE: FAUGRAVITY
FLOOR BTU INSPECTION RECORD
HEATER: SUSPENDED_UNIT_
WALL
a
a
0
U
O
F
W
r y
Z
Plan check fee 25 o! above. See reverse.
PERMIT ISSUING FEE S 3 00 -
TOTAL EEE 8 00
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY -
WITH ALL ORDINANCES AND LAWS REGULATING HEATING, VEN TI- APPROVALS DATE INSPECTOR'S SIGNATURE t'
LATING, AIR CONDITIONING. �/ 1
ROUGH 7J"TD 7h //rl.
HEREBY [ERT T NO ACTING IN VIOLATION
OF CHAPTER 9, DIVI ION F 0U NESS AND PROF SSIONAL -N I A �t��
CODE OF THE STATE OF F FINAL I
of PER NATURE
PERMIT VALIDATION DK. M.D. '-CASH _
PLAN CHE_ I /ALIDATIO CK. M.O. CASH
0 :9 2t3tP ,w 4,i
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 MISCELLANEOUS PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS MP 0508 0209160001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL . 0F — C014ST NEW BUILDINGAD
TR: 17002 LT: 23 SQ. FT STORIES TYPE OCCUP GROUP 5434 CAMBURY AV
STRUCTURE: 1 VN R3 TEMP CA 917802619
ASSESSOR INFORMATION N NEAREST CROSS STREET: NADINE
8588-019-006 EXIST BLDG USE: THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY
EXIST OCC GRP: USE ZONE:
TENANT: ISSUED PROCESSED BY: EXPIRES N:
BLDGS. NOW ON LOT: VALUATION: 09/16/02 JK 03/15/03
0
OWNER: TEL. NO: FIN L-DAT FIN BY: CODE:
ATKINS;KATHLEEN (626) 287-1975- LIST E S: /Zz )
5434 CAMBURY AV it
TEMP 917802619 DESCRIPTION OF Wd
FINALIZE PERMIT#100 FOR BREEZEWAY ENCLOSURE TO BE USED AS
OCCUP LOAD EXIST: FAMILY RM
APPLICANT: EL. N : OCCUP LOAD NEW:
SAME AS OWNER -
PARKING SPACES REQUIRED: SPECIAL CONDITIONS:
PARKING SPACES PROVIDED: -
EXIT HARDWARE:
CONTRACTOR: TEL. NO: ,��j'=. LIMITED TIME USE
SAME AS OWNER - NBR-OF'EXITS: FROM TO
LIC. NO --//
/rl/ APPROVALS DATE INSPECTOR SIGNATURE
FEE/DESCRIP,TION: QUANTITY: UOM: AMOUNT:
ARCHITECT OR ENGINEER: EL. NO: / R�ER USE
- I OA PERMIT; ISSUANCE _ 27.75
LIC. NO: 01 R/M OCC/USE INSPECT_ 145.95 SAFETY PERMIT
/ TOTAL FEES .173.70
TEMP. S RUCT. APPR
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:." TEMP. STRUCT. REMOVED
NO. OF FAMILIES: DWELLING S: P ON : STAT CLASS:
NO
SCHOOL WITHIN HAZARDOUS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO
REQUIRED 0 AL SETBAC FROM ST
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- -
SIDE PL-
REPORT ID: DPR267 ROUTE TO: BS0508