HomeMy Public PortalAbout5015 CAMELLIA AVE_Mechanical__ 76 A38 GE ele-I/7e APPLICATION FOR PERMIT
l HEATING - VENTILATING - AIR CONDITIONING
I.w
COUNTY OF LOS ANGELES BpIDLRDEING
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
NEAREST CL--p
CROSS ST.
FOR APPLICANT TO FILL IN OWNER
(PRINT OR TYPE ONLY)
MAI L
NO. TYPE&SIZE OF EQUIPMENT. FEE ADORE
CITL. NO.
FORCE AIR FURNACE, BTU D
6 749
CONTRACTO
COMPRESSOR, BTU
ADDRES
VENTILATION FAN CIT EL. N
5�
LIST ALL OTHERS BELOW STATEt LIC.
LICENSE NO.AWIZ CLASS
our oXE PROCE eD BY
�•oe I X2. 1
INSPECTION RE COR
IL
O
U
w
O
F-
U
W
CL
Plan check fee. See.reverse. '
PFRNlIT Lti51'ING FE}'
TOTAL FEE
PLAN CHECK APPLICANT
NAME
ADDRESS
CITY TEL.NO.
I HEREBY ACKNOWLEDGE THAT I HAVE R[AD THIS APPLICATION
AND STATE THAT THE ABOVE 13 CORRECT AND ASREE TO COMPLY
WITH ALL ORDINAXC[S AND LAWS REGULATING HEATING, VENTI- APPROVALS. DATE I R'
C70S SIGXATUA[
LATINS, AIR CONDITIONING.
ROUGH i � •
I HEREBY CERTIFY A7 I A XO X0 IN VIOLAT
OF CRAFTER.D, DI VISI OF T B D PRO FISDI AL FINAL 'J
COD[ OF THE STATE CALI1.R
SIGNATURE PERMIT VALIDATI N Ck. M.O. CASH
OF PERMITTE
PLAN HECK V ID l0{V CK. O. CASH
® 6 3L) 4 1 .� O Ate,'
7GA3e4-CES1 E-S-ES APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONOITIONIN
COUNTY OF LOSANGELES u
DEPARTMENT OF COUNTY ENGINEER /�-+
BUILDING AND SAFETY DIVISION BUILDING O /�_ rp
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS m e-
COLEMAN W. JENKINS, SUPKPgINTLNDKNT CW 13UIL.DING LOCALITY e- e
FOR APPLICANT TO FILL IN NEAREST //
CROSS ST. o w e 2 U S
(Print or type only) y--
OWNER V O } W r e-ra
NO.. TYPEIOFAPPLIANCE OR EQUIPMENT PEE
MAI L
ADDRESS / eq A* C fid
ABSORPTION SYSTEM, BTU_ , CITY -76
C TEL NO.� 07�
AIR HANDLING UNIT, CFM CONTRACTOR e
BOILER, HORSEPOWER ADDRESS
COMPRESSOR, HORSEPOWER CITY TEL. NO.
STATE LIC.
VENTILATION SYSTEM LICENSE=NO. CLASS
DISTRICT NO. GRDU ZONE RDQESS BY
EVAPORATIVE COOLER DI'
FURNACE: FAU GRAVITY
FLOOR—BTU TI N
HEATER:.SU E UNIT `
WALL 7J
S
cic
W
Z
NEW—ADDITION— PERMIT $ H 00
ALTER REPAIR TOTAL FEE S
Plan check applicant
Name W,
Addreee &-0 IS e- J6
City Tel. No.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STAT! THAT THE ASOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING, VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
LATING, AIR COMDITIONIRG. ROUGH
1 HERESY CERTIFY THAT I AM NOT ACTING IN VIOLATION FINAL
OF CRAFTER D, DIVISION D, OF THE! EUSI SS AND PROFESSIONAL i
CODE OF THE STATE OF CALI NIA. JACK
�nR�.TrALLEN,
AUiP�ERVISING MECHANICAL EN '
OFSIGNATURE PERMIT VALIDATION. CK. M.0.
CA9H•
OF PERNITTE
PLAN CHECKALIDArnON
Up, ,0952-Q� IL 15
SEE RACK OF APPLE:ATION FOR COMPLETE FEE SCHEDULE
"'°R'�$°°�" "°"°�"°" Insure,' APPLICATION FOR PERMIT LIME GREEN
7aA964C
I hereb}).efflrtn that I have a certificate of consent to eel}
or a certmoafe of Worker'6 Compensation Ineuranoe, or a oertlfled HEATING-VENTILATING-AIR CONDITIONING
-W
,I wt( r790
Pocky Coul 04
a COUNTY OF LOS ANGEL IF DEPT OF PUBLIC WORKS BUILDING AND$AFEIY DIV.
17
❑ copy Is hereby tumfrhed.
Certt ed oopy Is pled wm,ttw ldtrp h opeatl n FOR APPLICANT TO FILL IN
deparbr»rrt. r (PRINT OR TYPE ONLY)
Deas 7 ApelLOCALITY
NIAN
O. TYPE OF APPLIANCE OR EOUMMENT FEE
CUMF1CATE OF D03dPTl _ FROM CROS
SI
AOSB 8T.
COMPENSATION INSURANCE ABSORPTKA UNfT BTU ASSESSOR.
(This*action Med not be oompleted If the arctic involved by the MAP BOOK PAGE PARCEL
pormft,Is for on*hundred dolLsFa(11111 DO)or lees.) AIR HANDING UNIT CFM
oensar NO. rim
I certify that In the performance of the work for which this permit
Is Issued, I shell not employ any person In any manner to as to BOILEF4 BTU �� p
beoome subject to the Workers'Compensation Lkws. ! a
BTU i
APPRovtiu onn mePsrars ewi+rus3
Date APplkx+urt VENTILATION SYSTEM
NOTICE TO APPLICANT: If, after making this Certificate of ROUGH ,
Exemption,you should beoome subject to the Workero'Compenaation Ey COOLERAPORATrVE
provislona of the Labor Code, you must forthwith oomply with such FINAL
provisions or this permit shall be deemed revoked. FURNACE: FAU GRAVITY
LICENSED CONTRACTORS DECLARATION FLOOR BTU / VALIDATION
I hereby affirm that I am Iloeneed under provisions of Chapter 8TER SUSPENDED UNIT
(commencing with Seatlop 7000) of D"on 9 of the Buelness and HEAWALL
Profeaalons Code, and my ilcense Is In full force and affect- . .
LIcanse Numbec Lic.Ckea@ 1
EJ .' l am exempt under sec. Plan check fee
Q
B.SP.C.for till@ reason PERMIT ISSUING FEE$ O
Data. TOTAL FEE f.p W
Signature a-
R N CHECK APPILIC NT f)
OWNER-BUILDER DECLARATION Z
I hereby affirm that I am exempt from the Contractors License Law NAME , —
for the following reason (Section 7031.5, Buelneas and Professions
Code): ADS ACCT.T
❑ I, as owner of the property, or my employees wtth wages 7
as their sole compensation, will do the work and the CITY TEL NO, T�-r-��
structure Is not Intended or offered for sale (Section 7044, i i I C1 S
Business and Professions Code). OWNER TOTAL
F-11, as owner of the property,,em exclusively contracting TO t 1 L �� ���
MAIL
with Iloensed contractors to construct the project (Seo- ADOFESS e— ^uCr-t� 37.W
Ion 704es
4, Business end Proteaslone Code). Lis[
CONSTRICTION LENDING AGENCY CITY C T�NO.
I hereby affirm that there Is a construction lending agenoy for , 1�7�►�-
the performance of the work for whloh this permit 1e luuad CONTrlACTOR
(Seo.3087,Civ.C.).
ADORES* Q �}ipt . �71ff�a3/51
Lenders Name cn-Y TEL NO'IQ 4 . 7,C1 r�i 101. 1 r1 I 7:l�i
Lenders AddressSTATE LIC.
I carat that I have read this application and state that the above I r E NO. CLASS
Information is correct. I agree to.compfy with aD County ordlnancas
and State laws reiating to bulIdfig construction,and hereby auttactre
repreeentatfves of thls County to enter upon the above-mentloned
property to In n SEE FIEVFFi8E FOR EXPLANATORY LANGUAGE
7AA01
Rosa
' COUNTY OF LOS ANIGELES TEMPLE CITY # 0508 MR TUU ICAL PERMIT
DEPARTMENT OF PUBLIC WORES 9701 LAS TUNAS ME 0508 0710160007
BUILDING AND SAFE= / LAND DEVELOPMEI!irT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 ETT:
LEGAL ID: FEES PAID BUILDING ADDRESS: .
TR: 14467 LT: 31 5015 CAMELLIA AV
FEE D&SCRIPTION: QUANTITY: OOM: AMOUNT: TEP CA 917803854
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STRRET:
8589-014-018 01 PERMIT ISSUANCE FSE 27.75 THOMAS PAGE: 597 GRID: A5 IACALPIY: TEMPLE CITY, C
02 COMFRSR < 100 KBTU 1.00 COM 77.00
TECDUU: 08 FURNACE/HEATER <100 1.00 UNI 27.00 ISSUED ON: PROCESSED BY: PLAN BY: EZPTP ON:
47 ALTER EZI9T DUCT SYS 1.00 SYS 27.00 10/16/07 SR 04/13/08
TOTAL FEES 108.75
OWER: TEL. NO: - -rKAr• F Y: CODE:
GERA JOHN WIBIRBARI E (626) 286-0714- 0->�
5015 CANKLLJ� AV
7r
TEIP 917803854 DESCR=ON OF WOR3
REPLACE BEAT IN ATTIC 4 REPLACE AIR IN YARD
APPLICANT: TEL. NO:
COMFORT CTEMATR CONTROL (626) 815-1632-
1017 W. FOOTHILL BL. SPECIAL CONDITIONS:
AZUSA, CA 91702
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
COMFORT CL111= CONTROL (626) 815-1632- _
1017 W FOOTHIIS, BLVD. LIC. NO FAU WALL FURNACE
AZUSA, CA 91702 641060020
C'O[BUSTION AIR OPENINGS
ARCHITECT OR ENGINB�ER: TEL. NO: DUCT WORK
LIC. NO: AC COMPRESSOR
THER}DSTAT
FIRE DAMPERS
SMOKE DETECTION DEVICES
COM9'iRCIAL HOOD
REPORT ID: DPR264 ROUTE TO: BS0508